Utilization Management Director jobs in Springfield, MO

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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Director, Product Management
  • American National Family of Companies
  • Springfield, MO FULL_TIME
  • Director, Product Management


    American National is seeing a Director of Product Management to join our growing team. In this role you will be responsible for the property and casualty management team. Your primary responsibilities will include direct oversight of commercial/farm & personal lines profitability and growth strategy, ability to propel product vision/direction, and active collaboration with the field force and our internal partners.


    What You’ll Do


    • Lead a team of product managers and analysts (mentoring, coaching, conducting performance reviews, and removing obstacles to support priority items)
    • Drive the commercial & farm product vision and direction with pursuit of achieving corporate goals
    • Enhance and create reporting and metrics for monitoring the profitability and growth for our portfolio of business
    • Keep a keen awareness and pulse on all internal/external forces, business direction, and financial dynamics that could impact objectives including market, competitors, regulatory and legal environments, premium, and loss trends
    • Actively evaluate and recommend cost-effective product and service solutions to maximize cost efficiency to increase revenue
    • Endorse and manage product changes that are targeted to client segments or markets
    • Generate product plans (road maps) that schedule out current and future product enhancement projects

    What You’ll Need


    • Bachelor’s degree in Business, Marketing, Finance, or a related field
    • A minimum of ten (10) years’ combined professional experience in the following areas of expertise: product management, underwriting, claims, actuarial or related commercial insurance industry experience

    Salary for this position can range from $120,000 for candidates who are minimally qualified through $179,000 for more highly qualified candidates. Candidates outside of the range are encouraged to apply, and will be considered based on experience, skill and education.


    American National offers eligible employees and their families medical, dental, vision, and basic life insurance. Employees are able to enroll in our company’s 401k plan. Employees also receive annually a bank of paid time off and paid holidays. We aspire to see people for what they bring to our corporate culture by supporting an inclusive work environment, including an emphasis on a healthy work-life balance, development opportunities, and a casual dress code.


    American National is an established, stable, and successful multi-line insurance corporation that has provided financial strength and a sense of security to employees, customers and business partners since 1905. With focus on our organization’s values and cultural richness: Financial Strength, Integrity, Respect, Service and Teamwork (FIRST) and Agility, Collaboration, and Engagement (ACE) we continue to pursue our vision to be a leading provider of financial products and services for current and future generations.


    Hiring Practices

    The preceding job posting was designed to indicate the general nature and level of work performed by employees assigned to this position. It is not intended to be interpreted as a comprehensive list of all duties, responsibilities, and qualifications. We are dedicated to building a diverse, inclusive, and authentic workplace, so if you’re excited about this role, but your past experience doesn’t align perfectly with the job qualifications, we still encourage you to apply. You may be just the right candidate for this position or other opportunities at American National.


    American National’s recruitment policies help us place individuals in a timely and efficient manner. Only the most qualified candidates will be contacted by our recruiting team.


    American National is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, disability, age, sexual orientation, gender identity, national origin, veteran status, genetic information or any other legally protected categories. American National is committed to providing access, equal opportunity and reasonable accommodation for individuals with disabilities in employment, its services, programs, and activities.


    Nearest Major Market: Springfield
    Job Segment: Marketing Manager, Accounting, Actuarial, Social Media, Banking, Marketing, Finance, Insurance

  • 1 Month Ago

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Activity Director
  • Prime Healthcare Management
  • Buffalo, MO FULL_TIME
  • If you are looking for "just another job", you've come to the wrong place! If you are looking for a new career, a job that doesn't feel like work, and you want to be surrounded by inspiring, forward t...
  • 1 Day Ago

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Director of Sales
  • O'Reilly Hospitality Management LLC
  • Springfield, MO FULL_TIME
  • ⭐⭐⭐ Join our team! Now hiring Director of Sales - Fairfield Inn & Suites by Marriott - Springfield, MO ⭐⭐⭐We are proudly managed by O’Reilly Hospitality Management, LLC (OHM.)At OHM, WE are:✅A forward...
  • 1 Month Ago

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CYS Assistant Director NF-03
  • Army Installation Management Command
  • Fort Leonard Wood, MO PART_TIME
  • This position is located at the Middle School/Teen Center (MSTC) at Fort Leonard Wood. This announcement may be used to fill additional vacancies throughout the program. Management has the right to as...
  • 9 Days Ago

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Director of Accounting: Billing and Contract Management
  • Jack Henry & Associates
  • Springfield, MO FULL_TIME
  • At Jack Henry, we deliver technology solutions that are digitally transforming and empowering community banks and credit unions to provide enhanced and streamlined user experiences to their customers ...
  • 16 Days Ago

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eCommerce Director - Product and Marketplace Management
  • Sound Connection LLC
  • Nixa, MO FULL_TIME
  • About Us: HiFiSoundConnection is a leading provider of high-quality audio equipment, committed to delivering exceptional products and service to our customers. We are a 23 year established business wi...
  • 25 Days Ago

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0 Utilization Management Director jobs found in Springfield, MO area

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Nurse Practitioner
  • Springfield Anti-aging Center LLC DBA Serotonin Centers
  • Springfield, MO
  • Job Description Job Description Serotonin Centers is a new Anti-Aging Medical Spa. Locations are being developed around ...
  • 4/26/2024 12:00:00 AM

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Nurse Practitioner
  • Springfield Anti-aging Center LLC DBA Serotonin Centers
  • Springfield, MO
  • Job Description Job Description Benefits: 401(k) Competitive salary Employee discounts Health insurance Opportunity for ...
  • 4/26/2024 12:00:00 AM

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Delivery Driver (CDL Class A/B)
  • American Tire Distributors, Inc.
  • Springfield, MO
  • Location: Location: Delivery Driver (CDL Class A/B) in Springfield, MO at American Tire Distributors **Location:** **Exp...
  • 4/25/2024 12:00:00 AM

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Seafood Clerk
  • Hy-Vee, Inc.
  • Springfield, MO
  • At Hy-Vee our people are our strength. We promise "a helpful smile in every aisle" and those smiles can only come from a...
  • 4/24/2024 12:00:00 AM

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Bakery Clerk
  • Hy-Vee, Inc.
  • Springfield, MO
  • At Hy-Vee our people are our strength. We promise "a helpful smile in every aisle" and those smiles can only come from a...
  • 4/24/2024 12:00:00 AM

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General Manager - Ballparks of America/Sho-Me Ballparks
  • The Sports Facilities Companies
  • Branson, MO
  • GENERAL MANAGER - Ballparks of America/Sho-Me BallparksSports Facilities Management, LLCLOCATION: Branson, MODEPARTMENT:...
  • 4/23/2024 12:00:00 AM

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Director of Managed Care Enrollment Services
  • Burrell Behavioral Health
  • Springfield, MO
  • Job Description: Job Title: Director of Managed Care Enrollment Services Location: Missouri: Springfield, St. Louis, Col...
  • 4/22/2024 12:00:00 AM

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Charcuterie Specialist
  • Hy-Vee, Inc.
  • Springfield, MO
  • At Hy-Vee our people are our strength. We promise "a helpful smile in every aisle" and those smiles can only come from a...
  • 4/22/2024 12:00:00 AM

Springfield is the third-largest city in the state of Missouri and the county seat of Greene County. As of the 2010 census, its population was 159,498. As of 2017, the Census Bureau estimated its population at 167,376. It is the principal city of the Springfield metropolitan area, which has a population of 462,369 and includes the counties of Christian, Dallas, Greene, Polk, Webster. Springfield's nickname is "Queen City of the Ozarks" and it is known as the "Birthplace of Route 66". It is home to three universities, Missouri State University, Drury University, and Evangel University. Springf...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Utilization Management Director jobs
$113,780 to $153,854
Springfield, Missouri area prices
were up 1.3% 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