Managed Care Supervisor supervises and coordinates activities of personnel in the managed care operations department of a healthcare facility. Oversees staff that process referrals, authorizations, billing, utilization review, and capitation for hospital services. Being a Managed Care Supervisor experienced in utilization review techniques and protocols. Requires a bachelor's degree. Additionally, Managed Care Supervisor typically reports to a manager or head of a unit/department. May require Registered Nurse (RN). Makes day-to-day decisions within or for a group/small department. Has some authority for personnel actions. The Managed Care Supervisor supervises a group of primarily para-professional level staffs. May also be a level above a supervisor within high volume administrative/ production environments. To be a Managed Care Supervisor typically requires 3-5 years experience in the related area as an individual contributor. Thorough knowledge of functional area and department processes. (Copyright 2024 Salary.com)
Responsibilities:
-Director, Managed Care
Position
The Claims Services department has an immediate opening for someone who can demonstrate the WCF values to join their team as a full-time Director, Managed Care. This posting is open to internal and external candidates and will work out of the Sandy, Utah headquarters.
Responsibilities
Qualifications
The most qualified applicants will have:
An internal candidate should have six months in their current position, acceptable job performance, and must notify their current supervisor that they've applied for the position.
INSURANCE DE&I MISSION
Promote and embrace a diverse, inclusive, equitable, and safe workplace.
INSURANCE IS AN EQUAL OPPORTUNITY EMPLOYER
Insurance provides equal employment opportunity to all qualified applicants and employees regardless of race, color, religion, sex, age, national origin, veteran status, disability that can be reasonably accommodated, or any other basis prohibited by federal, state, or local law.
Job Type: Full-time
Pay: $155,000.00 - $165,000.00 per year
Benefits:
Experience level:
Schedule:
Work Location: In person
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