Medicare Utilization Management Supervisor

Mass General Brigham Health Plan Holding Company, Inc.

Boston, MA, United States
Base: $99,465.60 - $141,804.00 annually; bonus/equ...
Fully remote
Massachusetts registered nurse license
Clinical inpatient and outpatient expertise
Interqual software proficiency
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 annually; Bonus/Equity: Not specified; Benefits: Comprehensive benefits package with flexible work options and career advancement

Skills & Requirements

Must-have

  • Massachusetts Registered Nurse license
  • Clinical inpatient and outpatient expertise
  • InterQual software proficiency
  • Managed care utilization management experience
  • Direct supervision of licensed clinical staff

Nice-to-have

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

Key Requirements

  • Bachelor's Degree in related field or equivalent experience
  • 3-5 years relevant experience in managed care setting
  • Massachusetts RN license required
  • CCM certification preferred
  • Expertise in InterQual and company policies

Work Rights

Not specified

Tailored Resume

Cover Letter