Utilization Management Supervisor

Job Summary

Managing the daily operations of the Utilization Management Coordinator team, the full-time remote Utilization Management Supervisor will ensure timely processing of prior authorization requests, provide staff coaching, and maintain compliance with regulatory requirements.

Key responsibilities

• Lead, coach, and develop staff while monitoring productivity and performance
• Oversee daily operations of authorization request processing, ensuring accuracy and timely documentation
• Coordinate clinical reviews and peer-to-peer scheduling, ensuring all necessary documentation is available

Required qualifications

• 3+ years of utilization management or prior authorization experience
• 1+ year of leadership or supervisory experience
• Experience in Medicare Advantage or managed care
• Knowledge of prior authorization workflows and regulatory requirements
• Proficiency with healthcare systems and EHRs