Utilization Management Operations Lead
Company: VirtualVocations
Location: Garden Grove
Posted on: October 16, 2024
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Job Description:
A company is looking for a UM Operations Strategy &
Implementation Lead responsible for overseeing operational and
compliance activities within the Utilization Management
department.
Key Responsibilities
Drive process improvements and ensure compliance with regulatory
requirements
Collaborate with various teams to implement changes and support
compliance initiatives
Analyze data to identify gaps and support continuous improvement
efforts
Required Qualifications, Training, and Education
Bachelor's degree in healthcare, population health, or a related
field, or equivalent experience
A minimum of five years of experience in Utilization Management or
a related field
Current, unrestricted Registered Nurse (RN) licensure is
preferred
Six Sigma or project management certifications are preferred
Experience with quality control and process standards is
preferred
Keywords: VirtualVocations, La Quinta , Utilization Management Operations Lead, Executive , Garden Grove, California
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