Nevada Licensed Utilization Management Manager

Job Summary

A company is looking for a Manager of Utilization Management Support.

Key Responsibilities

• Oversee day-to-day operations of the Utilization Management Central support team
• Drive performance through collaborative feedback and continuous improvement initiatives
• Ensure compliance with regulatory requirements and operational goals

Required Qualifications

• 3+ years of progressive leadership experience with direct reports
• 2+ years of experience in utilization management
• Solid knowledge of healthcare regulations and utilization review processes
• Proficiency in utilization management criteria, such as InterQual or MCG
• Demonstrated analytical and decision-making skills