Utilization Management Operations Supervisor (Onsite)

Medica

Hopkins (MN)

On-site

USD 70,000 - 120,000

Full time

14 days+

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Benefits offered by this job

Medical benefits
Dental benefits
Vision benefits
401K
PTO
Volunteer time off
Caregiver services
Total rewards package

Job summary

Medica in Minnesota is seeking a Supervisor, Utilization Management - Ops to lead the Review Coordinators and drive end-to-end provider submissions, inpatient notifications, and prior authorizations. Based in an office setting, the role focuses on daily leadership, process standardization, and enterprise project support.

You will partner with Health Management and other segments to improve performance, coach staff, conduct audits, and manage escalations.

Qualifications

  • Bachelor's degree or equivalent combination of education and work experience.
  • 3+ years of healthcare leadership experience.
  • Experience leading cross-functional teams and process improvements.

Responsibilities

  • Oversee daily operations of Review Coordinators and ensure timely processing.
  • Identify issues, drive root-cause analysis, and implement improvements.
  • Coordinate hiring, onboarding, and staff development.
  • Lead cross-functional projects within Utilization Management.
  • Communicate department changes and maintain SOPs.

Skills

Leadership
Healthcare knowledge
Project management
Communication
Collaboration

Education

Bachelor's degree or equivalent

Job description

Medica in Minnesota is seeking a Supervisor, Utilization Management - Ops to lead the Review Coordinators and drive end-to-end provider submissions, inpatient notifications, and prior authorizations. Based in an office setting, the role focuses on daily leadership, process standardization, and enterprise project support.

You will partner with Health Management and other segments to improve performance, coach staff, conduct audits, and manage escalations.

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