Medicare Utilization Management Supervisor

Mass General Brigham Health Plan Holding Company, Inc.

Boston, MA, United States
Base: $99,465.60 - $141,804.00/annual; bonus/equit...
Fully remote
Massachusetts registered nurse license
Clinical inpatient and outpatient expertise
Interqual software proficiency
The supervisor will oversee the daily operations of roughly 5 Medicare Advantage utilization management staff while providing direct coaching and evaluation

Job Summary

  • The supervisor will oversee the daily operations of roughly 5 Medicare Advantage utilization management staff while providing direct coaching and evaluation.
  • This role requires expert knowledge of clinical inpatient and outpatient utilization management reviews utilizing InterQual and company policies.
  • Mass General Brigham offers competitive salaries, flexible work options, and comprehensive benefits including career growth opportunities.

Matching Summary

The supervisor will oversee the daily operations of roughly 5 Medicare Advantage utilization management staff while providing direct coaching and evaluation.

Salary

Base: $99,465.60 - $141,804.00/Annual; Bonus/Equity: Not specified; Benefits: Comprehensive package with flexible work options

Skills & Requirements

Must-have

  • Massachusetts Registered Nurse license
  • Clinical inpatient and outpatient expertise
  • InterQual software proficiency
  • Managed care utilization management experience

Nice-to-have

  • Certified Case Manager credential
  • Leadership and supervisory experience
  • Collaborative team environment
  • Innovative healthcare solutions mindset

Key Requirements

  • Bachelor's Degree in Related Field
  • 3-5 years managed care experience
  • Active Massachusetts RN license
  • CCM certification preferred

Work Rights

Not specified

Tailored Resume

Cover Letter