Utilization Management Operations Manager - SHCN
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
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
Job Reference #: 1805420