Supervisor, Utilization Management

Centene

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Job Details

Location: Charlotte, Mecklenburg County, North Carolina, USA Posted: Nov 08, 2019

Job Description

Position Purpose: Supervise the daily operations of the utilization management (UM) department

Supervise the daily operations of the UM staff

Ensure appropriate usage of resources in order to facilitate the UM process

Ensure compliance within applicable state program guidelines

Evaluate compliance policies and procedures and analyze/recommend enhancements

Assist with ensuring consistent data collection from UM staff that is used to assist the company in achieving corporate goals, to improve monitoring and reporting in order to meet external requirements

Identify opportunities for process improvements necessary to facilitate department functions

Educate staff as necessary to ensure consistent performance and adhere to standards

Assist UM Manager and Director with coordinating and facilitating system processes with providers, partners, vendors, and subcontractors as necessary

About Centene

Centene is a multi-line health care enterprise offering Medicaid managed care and specialty services.

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