Remote Utilization Management Supervisor & AI Workflows Lead

Devoted Health

United States

Remote

USD 58,000 - 80,000

Full time

7 days ago
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Benefits offered by this job

Health, dental and vision plan
Paid time off
Monthly mobile/internet stipend
Stock options
Bonus eligibility
401K program
Parental leave

Job summary

Devoted Health in the United States is seeking a Supervisory role to manage the day-to-day operations of Utilization Management Coordinators, ensuring timely prior authorization processing and regulatory compliance. This hands-on leadership position emphasizes coaching, performance monitoring, and cross-functional collaboration.

You will oversee intake, clinical coordination, and AI-enabled workflow initiatives, driving efficiency while maintaining high standards of care and accurate

Qualifications

  • 3+ years in utilization management or prior authorization.
  • 1+ year in a supervisory role.
  • Experience in Medicare Advantage or managed care.
  • Knowledge of clinical review processes and regulatory requirements.
  • Strong organizational and analytical skills.
  • Experience with fast-paced, high-volume environments.

Responsibilities

  • Lead and coach Utilization Management Coordinators.
  • Oversee intake and prior authorization processing.
  • Coordinate clinical reviews and P2P scheduling with Medical Directors.
  • Ensure regulatory turnaround times and CMS compliance.
  • Own AI workflow lifecycle and metrics.
  • Collaborate across clinical leadership and other teams.

Skills

Team leadership
Prior authorization workflows
Regulatory compliance
Problem solving
Cross-functional collaboration

Education

Bachelor’s degree in healthcare operations, business administration, or related field

Tools

EHR systems
AI/LLM tools

Job description

Devoted Health in the United States is seeking a Supervisory role to manage the day-to-day operations of Utilization Management Coordinators, ensuring timely prior authorization processing and regulatory compliance. This hands-on leadership position emphasizes coaching, performance monitoring, and cross-functional collaboration.

You will oversee intake, clinical coordination, and AI-enabled workflow initiatives, driving efficiency while maintaining high standards of care and accurate

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