Lead, Utilization Management & Quality Improvement

SIHO Insurance Services; Indianapolis (IN); On-site; USD 80,000 - 120,000; Full time

Job summary

A healthcare organization in Indianapolis is seeking a full-time leader for the Utilization Management Department. The ideal candidate will possess a Bachelor's Degree in Nursing and have proven leadership experience. Key responsibilities include overseeing departmental functions, improving operational quality, and ensuring compliance with health care standards. This role requires strong communication skills and a commitment to patient outcomes.

Qualifications

• Proven leadership experience in Utilization Management, Care Management, or Quality Improvement.
• Demonstrable experience in leading operational changes.
• Ability to discuss medical needs with members and external partners.

Responsibilities

• Manage and lead the Utilization Management Department.
• Develop and oversee protocols for operational quality and efficiency.
• Coordinates activities of the Utilization department.

Skills

Leadership in Utilization Management

Operational efficiency

Verbal and written communication

Collaboration

Knowledge of HIPAA guidelines

Education

Bachelor’s Degree in Nursing or related

Graduate degree encouraged

Job description

A healthcare organization in Indianapolis is seeking a full-time leader for the Utilization Management Department. The ideal candidate will possess a Bachelor's Degree in Nursing and have proven leadership experience. Key responsibilities include overseeing departmental functions, improving operational quality, and ensuring compliance with health care standards. This role requires strong communication skills and a commitment to patient outcomes.