Utilization Management (um) Program Manager

UCLA Health

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 data analytics and metrics interpretation
The Utilization Management Program Manager drives strategic planning to ensure clinically appropriate and cost-effective care delivery

Job Summary

  • The Utilization Management Program Manager drives strategic planning to ensure clinically appropriate and cost-effective care delivery.
  • This role requires collaborating with clinical teams and IT to streamline authorization workflows and reduce avoidable denials.
  • Candidates must possess strong analytical skills to interpret trends and utilize data to improve program outcomes.

Matching Summary

The Utilization Management Program Manager drives strategic planning to ensure clinically appropriate and cost-effective care delivery.

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 data analytics and metrics interpretation
  • Knowledge of prior authorization workflows
  • Experience with InterQual or MCG tools

Nice-to-have

  • Master's degree in healthcare administration
  • Experience with denial appeal processes
  • Ability to facilitate change management
  • Background in revenue cycle management
  • Skilled in stakeholder coordination

Key Requirements

  • Bachelor's degree in healthcare administration or related field
  • 5+ years of related experience in healthcare operations
  • 3+ years of experience leading cross-functional initiatives
  • Demonstrated ability to communicate with clinicians and administrators

Work Rights

Not specified

Tailored Resume

Cover Letter