Utilization Manager

Thrivas; Saint Augustine (FL); Presencial; USD 108 000 - 132 000; Tempo integral

Vantagens oferecidas por esta oferta de emprego

Benefits after 90 days

Resumo da oferta

Thrivas is seeking a permanent Utilization Manager in Saint Augustine, FL. This full-time role offers a comprehensive benefits package after a 90-day probationary period and a starting pay of $120,000, commensurate with experience.

The ideal candidate will have prior management experience in a healthcare provider or medical insurance setting and demonstrated leadership abilities. The UM Manager will supervise daily operations and support staff, oversee resource usage, and ensure compliance with

Qualificações

• Management experience in a healthcare provider or medical insurance setting is required.
• Strong references and stable job tenure are highly encouraged.
• Leadership abilities in a healthcare/ managed care environment are essential.

Responsabilidades

• Supervise daily operations and UM support staff.
• Oversee resource usage and the UM process.
• Ensure compliance with state and company guidelines; review policies and provide recommendations.

Conhecimentos

Management experience

Healthcare/Managed care

Descrição da oferta de emprego

Healthcare provider is currently hiring a permanent Utilization Manager for a full time position. The medical provider offers a full benefits package to all employees after a 90 day probationary period. $120,000 plus starting pay, depending on experience.

The ideal applicant will already possess management experience in a healthcare provider or medical insurance type role. Individuals with proven leadership abilities who have strong references and very stable job tenure are strongly encouraged to apply. Having a passion for the medical field and managed care operations is a must!

The UM Manager is responsible for supervising daily operations and all UM support staff. Oversee usage of resources and facilitate the UM process. Ensure state and company compliance program guidelines are always adhered to. Review company policy and procedure when necessary and provide recommendations for modifications. Review weekly and monthly reports from staff for analysis and accuracy for external outside requirements. Provide department training, continued training to staff.

Assist UM Director with coordinating and facilitating system processes with providers, vendors, and outside subcontractors when required.