The role is responsible for overseeing clinical utilization management activities to ensure efficient resource use for Medicare Advantage and D-SNP members
Job Summary
The role is responsible for overseeing clinical utilization management activities to ensure efficient resource use for Medicare Advantage and D-SNP members.
Candidates must supervise a team of care coordinators and case managers while ensuring adherence to clinical standards and protocols.
Mass General Brigham offers competitive salaries, comprehensive benefits, and flexible work options including a remote position with quarterly office meetings.
Matching Summary
The role is responsible for overseeing clinical utilization management activities to ensure efficient resource use for Medicare Advantage and D-SNP members.
Salary
Base: $99,465.60 - $141,804.00/Annual; Bonus/Equity: Not specified; Benefits: Comprehensive package with flexible work options and career growth opportunities
Skills & Requirements
Must-have
Clinical utilization management oversight
Medicare Advantage and D-SNP experience
Team supervision of care coordinators
Long-Term Services and Supports knowledge
Regulatory compliance monitoring
Nice-to-have
Innovative healthcare solutions implementation
Collaboration with diverse healthcare providers
Data-driven improvement strategies
Welcoming and supportive team environment
Flexible work options availability
Key Requirements
Bachelor's degree required; Master's preferred in related field