Director of Utilization Review

Job Summary

A company is looking for a Director of Enterprise Utilization Review.

Key Responsibilities

• Oversee utilization review functions, ensuring compliance and process improvements across the health system
• Act as administrative chair for the Utilization Review committee, implementing policies and coordinating initiatives
• Provide communication and analysis to senior leadership regarding utilization review metrics and improvements

Required Qualifications

• Bachelor's Degree in Finance, Business Administration, or Nursing
• Five years of healthcare management experience in utilization, finance, or case management
• Master's Degree in Business Administration or Public Health is preferred