Medical Director of Utilization Management
7 days ago
About the Role
We are seeking a highly skilled and experienced Medical Director to lead our Utilization Management function within our insurance plan.
Key Responsibilities
- Provide strategic direction and oversight of the day-to-day operations of utilization management functions
- Ensure integration of utilization management functions with network strategy and claims processing
- Oversee work with provider relations on resolving issues
- Manage activities related to staffing, including hiring, orienting, evaluating, disciplinary actions, and continuing education initiatives
- Develop systems and processes for prospective, concurrent, and retrospective utilization review for all self-funded and fully insured clients
Requirements
- Licensure / Certification / Registration: Registered Nurse credentialed from the Oklahoma Board of Nursing obtained prior to hire date or job transfer date required
- Education: Diploma from an accredited school/college of nursing OR Required professional licensure at time of hire
About the Salary
The estimated annual salary for this role is $120,000 - $150,000, depending on experience and qualifications. Benefits include paid time off (PTO), various health insurance options & wellness plans, retirement benefits including employer match plans, long-term & short-term disability, employee assistance programs (EAP), parental leave & adoption assistance, tuition reimbursement, and ways to give back to your community.
About Ascension
Ascension is a leading non-profit, faith-based national health system made up of over 134,000 associates and 2,600 sites of care, including more than 140 hospitals and 40 senior living communities in 19 states. Our mission is to provide spiritually centered, holistic care that sustains and improves the health of the communities we serve. We offer equal employment opportunities to all associates and applicants for employment regardless of race, color, religion, national origin, citizenship, gender, sexual orientation, gender identification or expression, age, disability, marital status, amnesty, genetic information, carrier status, or any other legally protected status or status as a covered veteran.
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