Utilization Management (um) Program Manager

Uclahealth

Los Angeles, CA, USA
Base: $70,900 - $145,200 annually; bonus/equity: n...
On-site
5+ years healthcare operations experience
3+ years leading cross functional projects
Strong analytical skills for metrics interpretation
The Utilization Management Program Manager drives strategic planning and continuous enhancement of UM programs to ensure clinically appropriate and cost-effective care

Job Summary

  • The Utilization Management Program Manager drives strategic planning and continuous enhancement of UM programs to ensure clinically appropriate and cost-effective care.
  • This role requires collaborating with clinical, quality, and IT stakeholders to streamline authorization workflows and reduce avoidable denials while enhancing patient throughput.
  • Candidates must possess strong analytical skills to define metrics, interpret trends, and utilize data to inform decision-making and measure program outcomes.

Matching Summary

The Utilization Management Program Manager drives strategic planning and continuous enhancement of UM programs to ensure clinically appropriate and cost-effective care.

Salary

Base: $70,900 - $145,200 annually; Bonus/Equity: Not specified; Benefits: Not specified

Skills & Requirements

Must-have

  • 5+ years healthcare operations experience
  • 3+ years leading cross functional projects
  • Strong analytical skills for metrics interpretation
  • Knowledge of UM workflows and tools
  • Experience with prior authorization and concurrent review

Nice-to-have

  • Master's degree in healthcare administration or public health
  • Familiarity with InterQual/MCG tools
  • Experience with self-service reporting platforms
  • Ability to facilitate change management efforts
  • Background in revenue cycle or contracting

Key Requirements

  • Bachelor's degree in healthcare administration or related field
  • 5+ years of related experience in healthcare operations or utilization management
  • 3+ years of experience leading cross functional projects
  • Sound judgment to prioritize work and manage competing deadlines
  • Ability to communicate clearly with clinicians and administrators

Work Rights

Not specified

Tailored Resume

Cover Letter