08222017Headline:

Jobs Careers Director of Utilization Management, Seattle, WA, Portland, OR (preferred) or Salt Lake City, UT

Our Members’ good health is in your skilled hands. At Regence, our top priority is providing members access to quality care. Join a team of dedicated medical professionals where clinical-based evidence influences every decision we make. Make sound decisions for better outcomes.

DIRECTOR OF UTILIZATION MANAGEMENT
Seattle, WA; Portland, OR (preferred) or Salt Lake City, UT

As a key member of the Leadership Team, you will:

  • Develop and manage Regence utilization management functions in a manner compliant with regulatory and accrediting standards
  • Lead multiple teams of clinical staff to ensure appropriateness, medical necessity, efficiency and cost-effectiveness of covered services including prior authorization, inpatient management, post service review and clinical claim edit functions across multiple lines of business (e.g. commercial, governmental, ASO)
  • Work to balance the most efficient use of resources with improvements in clinical outcomes, clinical quality and compliance

 Jobs Careers Director of Utilization Management, Seattle, WA, Portland, OR (preferred) or Salt Lake City, UT Key qualifications and experience:

  • 7+ years of progressively responsible UM experience, including 5+ years management experience
  • 10+ years’ experience in nursing, utilization management, health information management, quality improvement, or a

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