Healthcare provider is currently hiring a permanent Utilization Manager for a full time position. This opportunity is being offered as a Direct Hire placement through our staffing agency. The medical provider offers a full benefits package to all employees after a 90 day probationary period. $120,000 plus starting pay, depending on experience.

The ideal applicant will already possess management experience in a healthcare provider or medical insurance type role. Individuals with proven leadership abilities who have strong references and very stable job tenure are strongly encouraged to apply. Having a passion for the medical field and managed care operations is a must!

The UM Manager is responsible for supervising daily operations and all UM support staff. Oversee usage of resources and facilitate the UM process. Ensure state and company compliance program guidelines are always adhered to. Review company policy and procedure when necessary and provide recommendations for modifications. Review weekly and monthly reports from staff for analysis and accuracy for external outside requirements. Provide department training, continued training to staff.

Assist UM Director with coordinating and facilitating system processes with providers, vendors, and outside subcontractors when required.