Supervisor, Utilization Management

Centene

Base: $75,300.00 - $135,400.00 py; bonus/equity: n...
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New york rn licensure required
Supervise utilization management team
Monitor adherence to quality standards
** Centene is seeking a Supervisor for its Utilization Management team who will oversee clinical review processes related to prior authorization, concurrent review, and retrospective review. The ideal candidate must have a New York RN licensure and at least four years of related experience, with a focus on ensuring compliance with healthcare standards and improving quality. The position offers competitive pay and a flexible work environment. **

Job Summary

  • The role involves supervising a clinical review team to ensure appropriate care for 28 million members while adhering to strict performance and compliance standards.
  • Candidates will collaborate with senior management to develop policies that optimize healthcare service utilization and provide coaching to team members.
  • Centene offers a comprehensive benefits package including competitive pay, health insurance, 401K plans, and flexible work schedules.

Matching Summary

Match Score: 75

** Centene is seeking a Supervisor for its Utilization Management team who will oversee clinical review processes related to prior authorization, concurrent review, and retrospective review. The ideal candidate must have a New York RN licensure and at least four years of related experience, with a focus on ensuring compliance with healthcare standards and improving quality. The position offers competitive pay and a flexible work environment. **

Salary

Base: $75,300.00 - $135,400.00 per year; Bonus/Equity: Not specified; Benefits: Health insurance, 401K, stock purchase plans, tuition reimbursement, paid time off

Skills & Requirements

Must-have

  • New York RN licensure required
  • Supervise utilization management team
  • Monitor adherence to quality standards

Nice-to-have

  • Knowledge of utilization management principles
  • Experience in process improvement
  • Ability to lead change initiatives

Key Requirements

  • Graduate of Accredited School Nursing or Bachelor's degree
  • 4+ years of related experience
  • New York RN licensure required

Work Rights

Must have New York RN licensure

Tailored Resume

Cover Letter