Utilization Management Director jobs in Roanoke, VA

Utilization Management Director leads and directs the utilization review staff and function for a healthcare facility. Determines policies and procedures that incorporate best practices and ensure effective utilization reviews. Being a Utilization Management Director manages and monitors both concurrent reviews to ensure that the patient is getting the right care in a timely and cost-effective way and retrospective reviews after treatment has been completed. Provides analysis and reports of significant utilization trends, patterns, and impacts to resources. Additionally, Utilization Management Director consults with physicians and other professionals to develop improved utilization of effective and appropriate services. Requires a master's degree. Typically reports to top management. Typically requires Registered Nurse(RN). The Utilization Management Director manages a departmental sub-function within a broader departmental function. Creates functional strategies and specific objectives for the sub-function and develops budgets/policies/procedures to support the functional infrastructure. Deep knowledge of the managed sub-function and solid knowledge of the overall departmental function. To be a Utilization Management Director typically requires 5+ years of managerial experience. (Copyright 2024 Salary.com)

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Assistant Director of Prospect Management
  • Virginia Tech
  • Blacksburg, VA FULL_TIME
  • Job no: 528638
    Work type: Administrative & Professional
    Senior management: Senior Vice Pres Advancement
    Department: Senior Vice Pres Advancement
    Location: Blacksburg, Virginia, Hybrid
    Categories: Advancement, Data Analytics / Security, Fundraising

    Job Description

    The Prospect Management team at Virginia Tech provides strategic partnership and insight to Advancement partners working to reach fundraising, participation, and engagement goals. In a division striving for continuous program innovation, the team pursues dynamic solutions to challenges and opportunities that transpire in a changing philanthropic landscape.

    The Assistant Director of Prospect Management will foster relationships and collaborate with internal partners, including Advancement leadership, front-line development and engagement officers, data reporting and data management. In collaboration with the Director of Prospect Management and Strategy, they will provide fundraiser metrics and prospect / pipeline reporting, analysis, and insights to deliver actionable intelligence to leadership to inform decision making. They will exercise independent initiative and apply a data-driven lens to provide thoughtful, high-level guidance and recommendations supporting day-to-day fundraiser activity and overarching prospect strategy. The Assistant Director of Prospect Management will identify and elevate Virginia Tech alumni and philanthropic prospects by gathering insights on managed prospects, fundraiser portfolios, and Virginia Tech’s donor pipeline. In collaboration with Prospect Research, the candidate will work toward discovering donor and prospect trends to inform new approaches to accomplish alumni participation and revenue goals. They will help enrich and streamline departmental reporting and fundraiser metric tracking to achieve a best-in-class Prospect Development program. The Assistant Director of Prospect Management will implement and manage critical proactive projects to influence division and campaign goals.

    Reporting to the Director of Prospect Management and Strategy, the successful candidate will be responsible for:
    • Serving as a consultant to fundraising managers and individual gift officers regarding portfolio health and strategic prospect movement to obtain division, college/unit, and individual fundraising goals
    • Continuously conducting pipeline analysis to discover trends, insights, and gaps among prospect pools, portfolios, and donor segments
    • Partnering with leadership to promote the adoption and adherence of the Virginia Tech Prospect Management Guidelines and best practices for donor-centric experiences
    • Generating concise and accurate reports, charts, and presentations on data attributes such as prospect assignments, capacity ratings, and affiliation
    • Under the Director’s guidance, overseeing fundraiser performance metric analysis, including significant contacts with prospects, opportunities solicited, and revenue raised, and presenting findings in actionable and consumable formats to identify trends and inspire increased success
    • Analyzing the strength of prospect pools in terms of giving capacity, engagement, and readiness for cultivation and solicitation
    • Developing and validating new or enhanced reports and dashboards, in partnership with the Advancement Reporting team
    • Proactively identifying and recommending systematic improvements of key prospecting data points and projects, in collaboration with Prospect Research
    • Assessing and recommending process or tool enhancements, in alignment with fundraising best practices and training and Advancement technology roadmap, to streamline the user experience of entering and accessing prospect data
    • Benchmarking with peer and aspirational institutions to recommend improvements to shape future work and achieve a best-in-class Prospect Development program
    • Assessing priorities and needs, managing own schedule, monitoring progress and re-prioritizing as necessary; completing work on time with minimal supervision
    • Working with a dynamic and accomplished team, fostering collaboration with colleagues in an enjoyable work environment
    • Creating and maintaining policy, procedure, and training documentation
    • Contributing to ad hoc projects and completing requests as needed
    • Embracing being a lifelong learner who seeks opportunities for professional development that will enhance job performance
    • In the Director’s absence, this team member serves as the primary point of contact and go-to individual

    Required Qualifications

    • Bachelor’s degree in business or a related field and extensive experience
    • Demonstrated ability to manage tasks and competing deadlines while working with a high degree of speed and accuracy, with strong attention to detail
    • Individual should demonstrate professionalism and strong communication skills and have the ability to interact effectively with diverse individuals in an inclusive environment
    • Self-motivated and able to work independently or in close team environments; demonstrate discretion in working with confidential information and use sound judgment in decision-making
    • Proven experience using database software, analyzing reports, and presenting findings using tools such as Microsoft Excel, PowerPoint, and Word
    • Proficiency in using Microsoft Excel for data analysis, reporting, and visualization

    Preferred Qualifications

    • Prior experience in front-line fundraising, Advancement Services, or sales
    • Knowledge of principles, practices and ethics of fundraising
    • Experience in higher education, nonprofits, fundraising, or marketing
    • Familiarity with advanced features in Excel is a plus
    • Knowledge of data visualization tools such as Tableau
    • Experience defining goals and Key Performance Indicators (KPIs)

    Pay Band

    N/A

    Appointment Type

    Regular

    Salary Information

    Commensurate with experience

    Review Date

    3/25/24

    Additional Information

    Unable to Sponsor Work Visas

    The successful candidate will be required to have a criminal conviction check.


    About Virginia Tech

    Dedicated to its motto, Ut Prosim (That I May Serve), Virginia Tech pushes the boundaries of knowledge by taking a hands-on, transdisciplinary approach to preparing scholars to be leaders and problem-solvers. A comprehensive land-grant institution that enhances the quality of life in Virginia and throughout the world, Virginia Tech is an inclusive community dedicated to knowledge, discovery, and creativity. The university offers more than 280 majors to a diverse enrollment of more than 36,000 undergraduate, graduate, and professional students in eight undergraduate colleges, a school of medicine, a veterinary medicine college, Graduate School, and Honors College. The university has a significant presence across Virginia, including the Innovation Campus in Northern Virginia; the Health Sciences and Technology Campus in Roanoke; sites in Newport News and Richmond; and numerous Extension offices and research centers. A leading global research institution, Virginia Tech conducts more than $500 million in research annually.

    Virginia Tech does not discriminate against employees, students, or applicants on the basis of age, color, disability, sex (including pregnancy), gender, gender identity, gender expression, genetic information, national origin, political affiliation, race, religion, sexual orientation, or military status, or otherwise discriminate against employees or applicants who inquire about, discuss, or disclose their compensation or the compensation of other employees or applicants, or on any other basis protected by law.

    If you are an individual with a disability and desire an accommodation, please contact Advancement HR at advhr@vt.edu during regular business hours at least 10 business days prior to the event.

    Advertised: February 21, 2024
    Applications close:

  • 1 Month Ago

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Hospital Director of Pharmacy
  • Clinical Management Consultants
  • Princeton, WV FULL_TIME
  • A growing health care system in West Virginia is actively seeking a Hospital Director of Pharmacy to join their team. The Hospital Director of Pharmacy will be employed by a national healthcare system...
  • 1 Day Ago

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Inpatient RN Director of Surgery
  • Clinical Management Consultants
  • Salem, VA FULL_TIME
  • An incredible opportunity to join a prestigious acute-care Magnet hospital in Virginia as the Director of Surgical Services! This highly-awarded hospital is part of a large regional health-care system...
  • 28 Days Ago

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Hotel Management HR
  • VP Management
  • Princeton, WV FULL_TIME
  • Job briefWe are looking for a Hotel HR Manager to oversee all staff-related procedures and craft HR strategies in alignment with our business needs.Hotel HR Manager responsibilities include recruiting...
  • 28 Days Ago

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Director
  • McLeod Enterprises
  • Roanoke, VA FULL_TIME
  • Description Join our exciting team!! We are looking for talented people like YOU! Come and join our team!! are looking for energetic candidates that are interested in working in Early Childhood Educat...
  • 7 Days Ago

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Management Trainee
  • Coca-Cola Consolidated, Inc.
  • Roanoke, VA FULL_TIME
  • Requisition ID: 184075 Posting Locations: Roanoke Pay Range: $58,000 year Rate Frequency: Salaried THE MANAGMENT TRAINEE ROLE IS SCHEDULED TO START ON SEPTEMBER 1ST Our Secret Ingredient is our Teamma...
  • 13 Days Ago

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0 Utilization Management Director jobs found in Roanoke, VA area

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Patient Representative - CRMH - F/S/S
  • Carillion Health System
  • Roanoke, VA
  • " Patient Representative - CRMH - F/S/S Roanoke, VA, US, 24014 Employment Status: Full time Shift: Variable Hours Facili...
  • 4/19/2024 12:00:00 AM

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Lead Engineer
  • Range Commercial Partners, Inc.
  • Blacksburg, VA
  • Range Commercial Partners, Inc. is hiring a Lead Engineer in Blacksburg, VA! Range Commercial Partners was founded by se...
  • 4/19/2024 12:00:00 AM

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Lead Engineer
  • Range Commercial Partners, Inc.
  • Christiansburg, VA
  • Range Commercial Partners, Inc. is hiring a Lead Engineer in Christiansburg, VA! Range Commercial Partners was founded b...
  • 4/19/2024 12:00:00 AM

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Lead Engineer
  • Range Commercial Partners, Inc.
  • Radford, VA
  • Range Commercial Partners, Inc. is hiring a Lead Engineer in Radford, VA! Range Commercial Partners was founded by seaso...
  • 4/19/2024 12:00:00 AM

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Case Manager Registered Nurse PRN
  • LewisGale Medical Center
  • Salem, VA
  • Description Introduction Last year our HCA Healthcare colleagues invested over 156,000 hours volunteering in our communi...
  • 4/19/2024 12:00:00 AM

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Carilion Travel RN - Part Time
  • Carillion Health System
  • Roanoke, VA
  • " Carilion Travel RN - Part Time Roanoke, VA, US, 24014 Employment Status: Regular Part Time Shift: Day/Evening/Night Fa...
  • 4/19/2024 12:00:00 AM

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Director of Operations
  • McLeod Enterprises
  • Roanoke, VA
  • Job Description Job Description Director of Operations Job Summary Be an integral part of supporting families in our com...
  • 4/18/2024 12:00:00 AM

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Administrative Assistant
  • Apex Systems
  • Blacksburg, VA
  • Part-Time Administrative Assistant Onsite in Blacksburg, VA 29/hours a week 6+ month contract $15-20/hour W2 Position Su...
  • 4/17/2024 12:00:00 AM

According to the United States Census Bureau, the city has a total area of 42.9 square miles (111.1 km2), of which 42.5 square miles (110.1 km2) is land and 0.3 square miles (0.8 km2) (0.8%) is water. Roanoke is located in the valley and ridge province of Virginia immediately west of the Blue Ridge Mountains and east of the Allegheny Mountains Within the city limits is Mill Mountain, which stands detached from surrounding ranges. Its summit features the Roanoke Star, Mill Mountain Zoo, the Discovery Center interpretive building, and an overlook of the Roanoke Valley. The Appalachian Trail runs...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Utilization Management Director jobs
$116,944 to $158,133
Roanoke, Virginia area prices
were up 1.2% from a year ago

Utilization Management Director in Johnstown, PA
Prior authorization decisions are also made using Medical Management and Behavioral Health Care Management internally derived policies and procedures developed using evidence-based guidelines based on national, state and locally established standards of practice.
March 01, 2020
Utilization Management Director in Carson City, NV
The utilization management coordinator must have strong project management skills to implement various programs within the allocated budget and set time limits.
January 31, 2020
Utilization Management Director in Melbourne, FL
Develops and administers polices and procedures for utilization control of inpatient and outside referral services countywide and for in a variety of categorical programs including the Medically Indigent Adult (MIA) Program.
January 08, 2020