Medical Leadership Role for Utilization Management Team

7 days ago


Somerville, Massachusetts, United States Mass General Brigham Health Plan Full time
About the Job
Mass General Brigham Health Plan is seeking a Supervisor, Utilization Management to join our team. As a key member of our utilization management team, you will play a critical role in overseeing the daily operations and leading a team of licensed clinical staff members.

Key Responsibilities
* Expertise in clinical inpatient and outpatient utilization management reviews utilizing InterQual, company policies and procedures, and other resources as determined by review
* Demonstrated leadership skills to influence and motivate a team, team-building skills, and performance coaching
* Ability to organize and effectively manage meetings, prioritize and organize work, and make sound decisions
* Strong internal and external customer focus, excellent verbal and written communication skills, and ability to work with minimal direct supervision
* Participate in quality improvement initiatives, lead agile groups, and contribute to infrastructure enhancement planning and development

Requirements
* Bachelor's degree or equivalent combination of training and experience, plus 4 years of related experience in a managed care setting
* Massachusetts RN license required, Certified Case Manager preferred
* Strong leadership skills and ability to hire, train, and supervise staff, set clear goals and objectives, and hold employees accountable

About Us
Mass General Brigham Health Plan is an exciting place to be within the healthcare industry, offering competitive salaries, benefits package, flexible work options, career growth opportunities, and more.

Salary Estimate
The estimated salary for this role is between $80,000 and $110,000 per year, based on location and experience.

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