Remote Utilization Management Director

Location: Nationwide

Compensation: To Be Discussed

Staff Reviewed: Wed, Feb 17, 2021

This job expires in: 18 days

Job Category: Healthcare

Remote Level: 100% Remote

Employer Type: Employer

Career Level: Experienced

Job Summary

A healthcare company is filling a position for a Remote Utilization Management Director.

Core Responsibilities Include:

  • Hiring, onboarding and directing local, market focused utilization management staff
  • Monitoring, driving, and improving quality of daily utilization management work flows
  • Developing and adopting best practice methodologies and training programs

Position Requirements Include:

  • Previous experience in management
  • 2-4 years of operations and Utilization Management experience
  • Experience in population management, managed care or hospital medical management
  • Proven ability to manage client relationships and achieve change
  • Working knowledge of clinical quality metrics such as HEDIS, NCQA and National Quality Forum metrics
  • Sophisticated knowledge of clinical operations in managed care

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