Remote National Medicaid Utilization Management Operations Manager

Job is Expired
Location: Alabama, Arizona, Arkansas, California, Colorado, Connecticut, Delaware, District of Columbia, Florida, Georgia, Idaho, Illinois, Indiana, Iowa, Kansas, Kentucky, Louisiana, Maine, Maryland, Massachusetts, Michigan, Minnesota, Mississippi, Missouri, Montana, Nebraska, Nevada, New Hampshire, New Jersey, New Mexico, New York, North Carolina, North Dakota, Ohio, Oklahoma, Oregon, Pennsylvania, Rhode Island, South Carolina, South Dakota, Tennessee, Texas, Utah, Vermont, Virginia, Washington, West Virginia, Wisconsin, Wyoming
Compensation: To Be Discussed
Staff Reviewed: Fri, Mar 19, 2021

Job Summary

A health insurance company is seeking a Remote National Medicaid Utilization Management Operations Manager.

Individual must be able to fulfill the following responsibilities:

  • Support a team that delivers Clinical Prior Authorization policies
  • Lead a team of Utilization Management nurses
  • Support development of IT business requirements

Skills and Requirements Include:

  • Bachelor’s Degree in Nursing
  • Active Compact Registered Nurse license, without restrictions
  • 4+ years of Utilization Management experience
  • 2+ years of Managed Care experience
  • 2+ years of Utilization Management leadership experience
  • Recent working knowledge and familiarity with MCG medical criteria

COMPLETE JOB DESCRIPTION

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