Centene Corporation logo
Centene Corporation

Transforming the health of the communities we serve, one person at a time.

Director, Utilization Management – Post Acute Care

DirectorDirectorFull TimeRemoteLeadTeam 10,001+Since 1984H1B No SponsorCompany SiteLinkedIn

Location

Missouri

Posted

3 days ago

Salary

$133.7K - $247.4K / year

Seniority

Lead

Bachelor Degree7 yrs expEnglish

Job Description

Director, Utilization Management – Post Acute Care

Centene Corporation

• Directs the utilization management team to ensure the appropriate application of policy procedures and processes • Oversees and manages Utilization Operations specific to the daily operations of Utilization Management • Leads utilization management team on performance, improvement, and career growth path considerations • Reviews, analyzes, and reports on utilization trends, patterns, and impacts to deliver an effective utilization program • Establishes policies and procedures that incorporate best practices • Develops utilization management strategies and influences decisions by providing recommendations • Responsible for components of the department’s budget while collaborating inter-departmentally with senior leadership • Executes the overall strategy for onboarding, hiring, and training new utilization management team members • Leads and champions change within scope of responsibility

Job Requirements

  • Requires a Bachelor's degree
  • 7+ years of related experience, including prior management experience
  • 4+ years management experience preferred
  • Expert knowledge of industry regulations, policies, and standards preferred
  • RN - Registered Nurse - State Licensure and/or Compact State Licensure preferred

Benefits

  • competitive pay
  • health insurance
  • 401K and stock purchase plans
  • tuition reimbursement
  • paid time off plus holidays
  • flexible approach to work with remote, hybrid, field or office work schedules

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United States