Director, Utilization Management

Yesterday

🇺🇸 United States – Remote

🏄 California – Remote

Although this job is listed in California, this company may be open to hiring remote in other states.

⛰️ Colorado – Remote

Although this job is listed in Colorado, this company may be open to hiring remote in other states.

+8 more states

🏄 California – Remote ⛰️ Colorado – Remote 🦌 Connecticut – Remote 🎰 Nevada – Remote 🗽 New York – Remote 🌪️ Oklahoma – Remote 🦀 Maryland – Remote ⚓ Rhode Island – Remote 🎸 Tennessee – Remote 🤠 Texas – Remote

💵 $135.7k - $240.3k / year

⏰ Full Time

🔴 Lead

👔 Director

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10,000+ employees

Founded 1865

💸 Finance

Description

• The Director, Utilization Management participates in the design, strategic planning, development, implementation, and administration of all aspects of the utilization management programs. • The position maintains delivery of a high value utilization management program for assuring members receive high quality and appropriate clinical care in a timely and cost-effective manner. • The Director will also be responsible for developing strong cost and quality oversight procedures.

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 the results of research and analysis to perform responsibilities. • 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 the three pillars of your well-being – mental, physical and financial. • 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 and more. • Retirement and Stock Purchase programs to help build and enhance your future financial security including a 401(k) plan with an employer-paid match as well as an employer-funded retirement account. • A flexible work environment with a friendly, caring, collaborative and inclusive culture.