Manager, Medicare And Dsnp Utilization Management

Mass. Eye And Ear

Somerville, MA, United States
Base: $99,465.60 - $141,804.00/annual; bonus/equit...
Fully remote
Clinical utilization management
Medicare advantage and dsnp members
Patient care processes and outcomes
Responsible for overseeing clinical utilization management (UM) activities to ensure efficient use of resources for Medicare Advantage and DSNP members

Job Summary

  • Responsible for overseeing clinical utilization management (UM) activities to ensure efficient use of resources for Medicare Advantage and DSNP members.
  • Develop and implement strategies to enhance the efficiency and effectiveness of clinical care coordination.
  • We are pleased to offer competitive salaries and a benefits package with flexible work options, career growth opportunities, and much more.

Matching Summary

Responsible for overseeing clinical utilization management (UM) activities to ensure efficient use of resources for Medicare Advantage and DSNP members.

Salary

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

Skills & Requirements

Must-have

  • clinical utilization management
  • Medicare Advantage and DSNP members
  • patient care processes and outcomes
  • healthcare management software
  • electronic health record systems

Nice-to-have

  • groundbreaking medical discoveries
  • exceptional member experience
  • welcoming and supportive environment
  • flexible work options
  • career growth opportunities

Key Requirements

  • Bachelor's Degree required
  • Master's Degree Related Field of Study
  • Massachusetts Registered Nurse [RN] license required
  • 3-5 years clinical care coordination or case management
  • 2-3 years supervisory or leadership role
  • 2-3 years Medicare and DSNP UM experience

Work Rights

Not specified

Tailored Resume

Cover Letter