Utilization Management Lead - REMOTE

This position is posted by Jobgether on behalf of a partner company. We are currently looking for a VP, Utilization Management - REMOTE. In this strategic role, you will lead the management of Virtual Utilization Review and Bedded Insurance Authorization functions, ensuring operational quality and advancing service line productivity. Your leadership will pave the way for effective client outcomes in the healthcare sector, as you champion innovative methodologies. This position directly impacts our client’s revenue cycle success, contributing to our mission of enhancing healthcare through exceptional service and collaboration. By embracing new ideas and striving for excellence, you will play a pivotal part in transforming healthcare experiences and outcomes.

Accountabilities Provide leadership for Virtual Utilization Review and Bedded Insurance Authorization functions. Set strategic direction for Utilization Management across client services. Ensure compliance with regulatory guidelines and operational efficiencies. Collaborate with Physician Advisor leaders to fulfill continuity goals. Organize and lead business development activities regarding pricing and vendor relations. Guide and mentor team leaders in achieving operational excellence.

Requirements

Proven leadership experience in healthcare management. Strong strategic planning and decision-making skills. Excellent communication and team-building abilities. Experience with revenue cycle management and operations. Ability to foster innovative solutions and drive process improvements. Educational background in health administration or a related field. Certifications in healthcare management preferred.

Benefits Comprehensive benefits package supporting health and well-being. Work-life flexibility with remote working opportunities. Professional development through certifications and tuition reimbursement. Incentive programs recognizing outstanding employee performance. Collaborative and innovative workplace culture that values growth.