Provide leadership and professional development to clinical and non-clinical teams.
Foster a culture of integrity and clinical excellence.
Directly lead a team of Senior Managers and Managers overseeing teams of nurses and intake coordinators.
Manage the offshore partnership, ensuring alignment of performance metrics and workflows.
Evaluate and prioritize technology improvement opportunities to support accurate workflows.
Collaborate with Data Science and Engineering to identify key measurement points.
Develop and monitor comprehensive KPIs for operational health and decision accuracy.
Partner with Compliance and Legal to ensure audit-readiness and high-quality workflows.
Collaborate with Provider Network and Pharmacy UM teams to facilitate appropriate service use.

Demonstrated experience leading large clinical teams.
An understanding of the nuance required when managing clinicians and healthcare workflows is essential.
A track record of transforming complex operational challenges into scalable business processes in a fast-paced environment.
A data-driven mindset with the ability to use insights to drive decisions.
You should have a genuine interest or experience in leveraging AI-enabled tools to optimize clinical workflows.
High ethical standards with the ability to master complex regulatory guidance and incorporate it into daily operations.
Exceptional written and verbal communication skills, with the ability to distill complex problems into actionable updates for leadership.

Employer sponsored health, dental and vision plan with low or no premium
Generous paid time off
$100 monthly mobile or internet stipend
Stock options for all employees
Bonus eligibility for all roles excluding Director and above; Commission eligibility for Sales roles
Parental leave program
401K program
And more....

Director, Utilization Management Operations

Key skills