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Chief of Utilization Strategies

2 months ago


New York, New York, United States Jobot Full time
Join a Prestigious Non-Profit Managed Care Organization as a Director of Utilization Management

About Us:
We are a well-respected non-profit managed care organization dedicated to providing exceptional healthcare services to our community. Our mission is to ensure that our members receive the best possible care tailored to their individual needs.

Position Overview:
We are seeking a seasoned leader in managed care and utilization management to oversee our operations. The ideal candidate will possess a strong background in healthcare management and a passion for improving patient outcomes.

Why Consider This Opportunity?
  • Reputable Health Plan in the NYC Area
  • Attractive Compensation Package
  • Flexible Work Arrangements Available
  • Comprehensive Benefits, including Health Reimbursement Accounts
  • Retirement Plan with Employer Matching
  • Supportive and Collaborative Work Environment
  • Opportunities for Professional Development
  • Inclusive Culture Where Every Team Member is Valued


Key Responsibilities:
  • Lead the Utilization Management department within our managed care framework.
  • Oversee a team of professionals dedicated to ensuring quality care delivery.
  • Utilize your expertise in managed care to drive strategic initiatives.
  • Ensure compliance with industry standards and regulations.
  • Foster a culture of continuous improvement and excellence.


Qualifications:
  • Proven leadership experience in utilization management or managed care.
  • Minimum of 5 years in a health plan or managed care setting.
  • Experience in quality assurance and HEDIS metrics is preferred.
  • Professional background as an RN, NP, or Physician is highly desirable.

We look forward to discussing this exciting opportunity with qualified candidates.