Utilization Management Supervisor

Job Summary

Managing the day-to-day operations of the Utilization Management Coordinators, the full-time remote Utilization Management Supervisor will ensure timely processing of prior authorization requests while focusing on team leadership, operational performance, and compliance with regulatory requirements.

Key responsibilities

• Lead, coach, and develop the Utilization Management Coordinator team, monitoring productivity and performance
• Oversee the intake and processing of prior authorization requests, ensuring accurate documentation and communication with providers
• Manage clinical coordination and compliance, planning team initiatives to meet service level agreements and regulatory standards

Required qualifications

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