Akido Labs, Inc. is seeking a Utilization Management Manager to oversee operations across multiple IPAs in Southern California. This role focuses on ensuring regulatory compliance and operational excellence while leading a team to improve workflows and health plan relationships
Job Summary
Lead and oversee Utilization Management operations across multiple IPAs supported by our MSO in Southern California.
Serve as the primary operational point of contact for contracted health plans while leading a team of 5–10 professionals.
Partner with executive leadership to identify process improvements, system enhancements, and automation opportunities to scale MSO operations.
Matching Summary
Match Score: 85
Akido Labs, Inc. is seeking a Utilization Management Manager to oversee operations across multiple IPAs in Southern California. This role focuses on ensuring regulatory compliance and operational excellence while leading a team to improve workflows and health plan relationships.
Salary
$70,000—$90,000 USD
Skills & Requirements
Must-have
Utilization Management operations
regulatory compliance
health plan relationships
AI Operations team partnership
authorization workflows
medical necessity review
Nice-to-have
scalable, high-performing workflows
creative automations
measurable improvements
Key Requirements
Minimum 10 years of experience in Utilization Management, Managed Care, or IPA/MSO operations
Deep expertise in regulatory requirements governing delegated UM functions in California
Experience overseeing health plan audits, delegated oversight reporting, and ODAG logs
Demonstrated experience managing teams in a multi-IPA or delegated risk environment
Strong knowledge of authorization workflows, and medical necessity criteria
MCG Certified
Experience serving as a primary operational contact for health plans
Proficiency in platforms such as EZCap, EZNet, EMR systems, reporting tools, and health plan portals