Associate Director Utilization Management Telecommute at UnitedHealth Group in Boston, Massachusetts

UnitedHealth Group

Boston, Massachusetts
October 19, 2020
Full-time
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Associate Director Utilization Management Telecommute

For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of care. Join us and help people live healthier lives while doing your life's best work.(sm)The Associate Director, Utilization Management will be responsible for the UM department, including all Clinical systems, staff, and operations functions. Regular activities include management, supervision and strategic direction for Utilization Management, and setting and monitoring departmental quality and performance standards in conjunction with the Managers and Supervisors. The Associate Director will oversee hiring, training, and job evaluations of departmental staff members. Participate with other leaders within the function in implementing strategic initiatives, policies and procedures. Ensure adequate communication between Utilization Management and other departments, divisions and regional offices. Adhere to annual budgets, anticipate potential variances and review with the Executive Director for direction and resolution. You'll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.

Primary Responsibilities


+ Oversight of quality of utilization management and the meeting of financial goals for designated internal and external clients
+ Management of staff efforts to meet or exceed clinical quality and customer service goals
+ Represent UM functions in intra- and inter-departmental committee and problem focus-groups
+ Coordination with Account Management to develop customer strategies and mediate customer concerns
+ Development and implementation of plans that have a positive impact on utilization management
+ Provision of leadership and supervision to clinical and non-clinical staff
+ Ensuring that department goals are communicated clearly, and that goals are met or exceeded through team efforts
+ Provides leadership to and is accountable for the performance of managers and/or senior level professional staffYou'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Required Qualifications

+ Licensed Registered Nurse
+ Current non-restricted clinical license
+ Five (5) years clinical experience
+ 3 years supervisory experience
+ Prior experience with utilization management
+ Ability to work in a team environment, leading groups of personnel toward defined goals

Preferred Qualifications


+ Prior managed care experience
+ Prior experience with Medicaid and Medicare administration a plus.
UnitedHealth Group is working to create the health care system of tomorrow. Already Fortune 6, we are totally focused on innovation and change. We work a little harder. We aim a little higher. We expect more from ourselves and each other. And at the end of the day, we're doing a lot of good. Through our family of businesses and a lot of inspired individuals, we're building a high-performance health care system that works better for more people in more ways than ever. Now we're looking to reinforce our team with people who are decisive, brilliant - and built for speed. Come to United.
Health Group, and share your ideas and your passion for doing more. We have roles that will fit your skills and knowledge. We have diverse opportunities that will fit your dreams.
* All Telecommuters will be required to adhere to United.
Health Group's Telecommuter Policy _Diversity creates a healthier atmosphere: United.
Health Group is an Equal Employment Opportunity/Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law._ _United.
Health Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment._Keywords: Utilization Management, Telecommute, Registered Nurse, RN

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Job Expires: November 18, 2020

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