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
Clinical inpatient and outpatient utilization management
Interqual review expertise
Massachusetts rn license required
The supervisor will work closely with the Manager of Clinical to oversee the daily operations of roughly 5 Medicare Advantage utilization management staff

Job Summary

  • The supervisor will work closely with the Manager of Clinical to oversee the daily operations of roughly 5 Medicare Advantage utilization management staff.
  • Employees have opportunities to learn and contribute expertise within a welcoming and supportive environment that embraces their unique and varied backgrounds.
  • The role offers competitive salaries, comprehensive benefits, flexible work options, and career growth opportunities within a not-for-profit healthcare system.

Matching Summary

The supervisor will work closely with the Manager of Clinical to oversee the daily operations of roughly 5 Medicare Advantage utilization management staff.

Salary

Base: $99,465.60 - $141,804.00/Annual; Bonus/Equity: Not specified; Benefits: Comprehensive benefits package included

Skills & Requirements

Must-have

  • Clinical inpatient and outpatient utilization management
  • InterQual review expertise
  • Massachusetts RN license required
  • Managed care setting experience
  • Microsoft Office proficiency

Nice-to-have

  • Certified Case Manager credential preferred
  • Leadership and supervisory experience
  • Project participation across organization
  • Welcoming supportive environment culture

Key Requirements

  • Bachelor's Degree in related field or equivalent experience
  • Active Massachusetts Registered Nurse (RN) license
  • 3-5 years relevant managed care experience
  • Expertise in clinical inpatient and outpatient care
  • Proficiency with McKesson InterQual software

Work Rights

Not specified

Tailored Resume

Cover Letter