Job Description

The Utilization Management (UM) Operations Manager reports to the Utilization Management Director.  This position manages UM staff and coordinates day-to-day activities of the Utilization Management Operations Center.  This position reports and racks operational processes as it relates to meeting all regulatory, accreditation, and internal requirements.  This position works closely with clinical Managers, Supervisors, and various departments to monitor and report production and overall compliance.  Participate in interdepartmental projects as directed; responsible for audit preparation and reports.  Performs audits for non-clinical staff and assists the Director of UM with special projects as directed.

 

Health Choice exists to improve the health and well-being of the individuals we serve through our health plans, integrated delivery systems and managed care solutions. We strive to recruit and retain only the finest health care professionals with the highest levels of integrity, compassion and competency. If you are driven by your own personal commitment to these values and desire to work in a team-focused, collaborative and supportive environment - while still being valued for your individual strengths - Health Choice is the place for you.

 

 

Equal Opportunity Employer Minorities/Women/Veterans/Disabled



Qualifications

Qualifications:

Bachelor's degree in Business Administration or Health Care related field strongly preferred; Master's degree preferred

Two (2) or more years of managed care experience

Two (2) or more years of management experience

Strong oral and written skills

Skilled in navigating software programs

Experience in health care analytics preferred

Position must be located in Arizona; office-based

Application Instructions

Please click on the link below to apply for this position. A new window will open and direct you to apply at our corporate careers page. We look forward to hearing from you!

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