Director - Utilization Management

6 days ago

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Description

• The Director, Utilization Management participates in the design, strategic planning, development, implementation, and administration of utilization management programs. • Ensures high value clinical and financial utilization management program delivery. • Develop strong cost and quality oversight procedures with vendors or partners. • Maintain relationships with external stakeholders including provider organizations, customers, advocacy groups and government entities.

Requirements

• Management/supervisory experience, 10 or more years. • 5 years clinical experience in the dental industry is a plus. • Requires research and analytic skills or an ability to oversee, understand, and articulate research results. • Knowledge and understanding of regulatory language. • Excellent oral and written communications skills. • Experience managing cross functional projects. • Knowledge of managed care health plans operations and HIPAA guidelines. • Experience and knowledge in intermediate computer skills.

Benefits

• Excellent benefits and wellness programs to support mental, physical and financial well-being. • Generous vacation and sick time. • Market-leading paid family, parental and adoption leave. • Partially-paid sabbatical program. • Medical plans, company paid life and AD&D insurance, as well as disability programs. • Retirement and Stock Purchase programs to help build financial security, including 401(k) plan with employer-paid match and employer-funded retirement account. • Flexible work environment with a friendly, caring, collaborative and inclusive culture. • Great Place to Work® Certified in Canada and the U.S. • Named as a “Top 10” employer by the Boston Globe's “Top Places to Work” two years running.