RN Licensed Utilization Management Director

A company is looking for a Director, Utilization Management Support Operations.

Key Responsibilities

Directs the utilization management team to ensure compliance with policies and procedures for optimal member outcomes

Reviews and analyzes utilization trends to enhance the effectiveness of the utilization program

Provides strategic leadership for the Peer-to-Peer Call Center, ensuring timely communication and operational efficiency

Required Qualifications

Bachelor's degree required

7+ years of related experience, including prior management experience

4+ years of management experience preferred

Expert knowledge of industry regulations and standards preferred

Healthcare background in a call center environment is highly preferred