[Hiring] Utilization Management Supervisor @Providence

Role Description

The Supervisor Utilization Management is responsible for providing day-to-day oversight for the general operations of the Utilization Review Specialists and works in cooperation with other supervisors, managers, and directors to provide leadership and guidance for Utilization Management staff. In addition to supervisory responsibilities, duties include:

• High-volume call center organization and support
• UM data entry workflows
• Department administrative support
• Specialty projects
• Member-facing training and support including telephonic outreach and care coordination/navigation

Acts as a mentor and role model; problem-solving day-to-day issues and promotes team building that reflects the Providence mission and core values.

Qualifications

• Bachelor's Degree in Health related field or an equivalent combination of education and experience.
• 2 years' experience with managed care services including population health initiatives, Affordable Care Act, Coordinated Care Organizations, Accountable Care Organizations, Medicare and Medicaid regulations.
• Experience with development of innovative and focused partnerships and programs which challenge the norm to support an ever-changing healthcare environment.
• Experience in cost stewardship using Lean principles or other means which increase effectiveness and cut waste.
• Experience with the latest trends in health education and behavior change.
• Demonstrated experience in project management, educational program development and implementation, and technology.

Requirements

• Master's Degree (Preferred)
• Supervisory or lead experience (Preferred)

Benefits

• Comprehensive benefits package including a retirement 401(k) Savings Plan with employer matching
• Health care benefits (medical, dental, vision)
• Life insurance
• Disability insurance
• Time off benefits (paid parental leave, vacations, holidays, health issues)
• Voluntary benefits
• Well-being resources

Salary Range by Location

• California: Humboldt: Min: $39.45, Max: $61.24
• California: All Northern California - Except Humboldt: Min: $44.26, Max: $68.71
• California: All Southern California - Except Bakersfield: Min: $39.45, Max: $61.24
• California: Bakersfield: Min: $37.84, Max: $58.75
• Oregon: Non-Portland Service Area: Min: $35.28, Max: $54.77
• Oregon: Portland Service Area: Min: $37.84, Max: $58.75
• Washington: Western - Except Tukwila: Min: $39.45, Max: $61.24
• Washington: Southwest - Olympia, Centralia & Below: Min: $37.84, Max: $58.75
• Washington: Tukwila: Min: $39.45, Max: $61.24
• Washington: Eastern: Min: $33.67, Max: $52.28
• Washington: South Eastern: Min: $35.28, Max: $54.77