Job Description: Oversee operational aspects of the Utilization Management team’s activities Identify opportunities to streamline and optimize utilization management workflows Improve efficiency and reduce administrative burden Collaborate and communicate with internal departments, external partners, and vendors Navigate efficiently between multiple electronic platforms Meet standard performance and quality metrics Perform other duties as required and assigned Interact with UM physician reviewers, external payer partners, and vendors Report to and work alongside the Manager of Operations, Utilization Management Requirements: High School diploma or equivalent required Minimum of 2 years of experience in utilization management, healthcare operations, or a similar role Excellent analytical, problem-solving, and decision-making skills Strong communication and interpersonal skills, with the ability to collaborate effectively across multidisciplinary teams Proficiency in utilization management software systems and Microsoft Office applications Proven organizational and detail-orientation skills US work authorization Someone who embodies being Oaky Radiating positive energy Assuming good intentions Creating an unmatched patient experience Driving clinical excellence Taking ownership and delivering results Being relentlessly determined Benefits: Medical coverage Dental coverage Vision coverage Paid time off Retirement savings options Wellness programs Other resources supporting physical, emotional, and financial well-being Comprehensive benefits package for eligible full-time colleagues
