Utilization Management Director jobs in Salem, NH

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)

Y
Director, Account Management
  • Yankee Alliance
  • Andover, MA FULL_TIME
  • Job Title: Director, Account Management

    Reports To: VP, Member Services


    Position Summary:

    Under the direction of the VP, Member Services, the Director is responsible for day-to-day account management and customer service for Yankee Alliance, LLC members.The Director acts as the main point of contact post-onboarding, maintaining customer satisfaction, retention, and growing business. The Director is responsible for maintaining relationships with new accounts and supporting established assigned members in achieving maximum contract utilization and participation in Yankee Alliance programs.

    Essential Functions:

    • Educate current members regarding Yankee Alliance’s mission and core services.
    • Support new member implementation and support contract launch process.
    • Act as the primary liaison between members and internal Yankee Alliance staff, such as the contracting department, and ensure that relevant issues are conveyed to Yankee staff and the highest quality customer service is delivered to our members. Support distributor representatives with contract research, relay price points and assist with contract connection.
    • Conduct electronic campaigns to promote Yankee Alliance and Premier contract savings opportunities. Identify members to participate in contracting initiatives.
    • Promote relevant Purchased Services contracts to members for uptake. Utilize internal reports with a view toward bringing actionable items to our members.
    • Take the lead in troubleshooting and resolving issues, including contract issues with our suppliers, such as pricing and contract connection.
    • Proactively work with distributor partners and suppliers to ensure connections are completed.
    • Monitor purchasing volume and savings reports for members with a view toward maintaining and increasing their volume and savings.
    • Attend Contracting meetings to discuss contract uptake opportunities. Provide Contracting with member feedback, including, but not limited to, member rationale for not utilizing a contracted vendor or new vendors we may want to pursue a contract with.
    • Run reports and pull information from CRM, Premier Supply Chain Advisor and Premier Member Roster database based on member needs.
    • Prepare, distribute and monitor the completion of membership applications and contract documents.
    • Document member interactions in CRM, recording details of actions taken.
    • Recommend improvements in processes and procedures to ensure effective, efficient operations.
    • Collaborate with other departments on process improvements
    • Educate distributor and supplier partners on GPO processes, best practices, and opportunities
    • Other duties as assigned.


    Education and Work Experience:

    • Bachelor’s degree in a related field or comparable work experience required.
    • Three or more years experience with independent account management. Prior experience in the healthcare industry highly preferred.
    • Must have prior experience using MS Office products, including Outlook, Excel, Word, and PowerPoint. CRM a plus.
    • May require occasional travel to member locations, suppliers or industry conferences.

    Competencies:

    Customer Service

    • Demonstrates technical and business expertise in independently dealing with customer problems or concerns.
    • Displays a positive and professional image to the customer at all times.
    • Keeps customers informed about progress in addressing their issues, concerns or inquiries.
    • Listens carefully to customers to accurately assess issues, concerns and problems.
    • Takes more than minimally acceptable action to assist a customer.

    Credibility

    • Carries a reputation that inspire confidence in their results.
    • Presenting themselves in a way that is easy to trust and believe in.
    • Proven expertise or knowledge appropriate subject matter.
    • Demonstrates a commitment to accuracy and thoroughness.
    • Ability to build strong relationships with all levels of management, internally and externally.

    Cooperation

    • Possesses the ability to build consensus and gain the confidence of others.
    • Understands that the team’s success takes priority over personal achievements.
    • When conflicts occur, is effective in helping to resolve them.
    • Values the contribution of others and is open to hearing what others have to say.
    • Is willing to pitch in to help when needed.
    • Takes direction willingly and does not become defensive when being coached.

    Flexibility

    • Able to manage multiple tasks independently.
    • Deals with unexpected changes in work, deadlines, or strategy in a positive manner.
    • Demonstrates openness to new organizational structures, procedures, and technology.
    • Willingness to learn new skills, techniques, change current responsibilities as necessary, and be open to other ideas, opinions, and perspectives.
    • Willing to take necessary action with enthusiasm.
    • Able to react quickly and appropriately when necessary.
    • Seizes opportunities and volunteers to participate.

    Communication

    • Communicates clearly, concisely, and candidly with people at all levels of the organization; avoids vagueness, ambiguity, and mixed messages.
    • Presents information in a clear, succinct, and effective manner.
  • 1 Day Ago

B
Assistant Director of Nursing (ADON)
  • Bane Care Management, LLC
  • Gloucester, MA FULL_TIME
  • Seacoast Rehabilitation & Nursing Center, located in the beautiful seaside community of Gloucester, MA, is seeking Assistant Director of Nursing (ADON). We are focused on one goal: providing an except...
  • 21 Days Ago

M
Marketing Management
  • Morph Management
  • Haverhill, MA FULL_TIME
  • For those who find themselves eager to express their creativity, live an active lifestyle, and are unafraid to stand out, Morph Management has the job for you! There are hundreds of brands out there a...
  • 6 Days Ago

M
Marketing Management
  • Morph Management
  • Haverhill, MA FULL_TIME
  • For those who find themselves eager to express their creativity, live an active lifestyle, and are unafraid to stand out, Morph Management has the job for you! There are hundreds of brands out there a...
  • 6 Days Ago

G
Records Management Clerk
  • Global Channel Management, Inc.
  • Andover, MA FULL_TIME
  • Company DescriptionGlobal Channel Management is a technology company that specializes in various types of recruiting and staff augmentation. Our account managers and recruiters have over a decade of e...
  • 1 Month Ago

M
Sports Minded Marketing & Management (Full Time - Entry Level)
  • Megalodon Management
  • Salem, NH FULL_TIME
  • Megalodon Management is a sales and marketing firm with locations in the Boston area. We specialize in taking a direct approach for customer retention and client acquisition for service-based Fortune ...
  • 7 Days Ago

Filters

Clear All

Filter Jobs By Location
  • Filter Jobs by companies
  • More

0 Utilization Management Director jobs found in Salem, NH area

R
Managing Director - Trucking
  • Reimer Associates Inc.
  • Boston, MA
  • Our client is a North American leader and premier provider in Healthcare Transportation and Logistics. As part of their ...
  • 4/24/2024 12:00:00 AM

B
Assistant General Manager, Director
  • Bloomingdale's
  • Newton, MA
  • Newton, MA, United States Full time Schedule $110,760 - $184,680 Annually* * based on job, location, and schedule About:...
  • 4/24/2024 12:00:00 AM

B
Marketing Manager/Director
  • Biocytogen
  • Waltham, MA
  • Position Summary: The Marketing Manager/Director will lead the marketing team to perform daily operations and to design/...
  • 4/23/2024 12:00:00 AM

I
Managing Director, IMA Certificate Compliance (IMACC)
  • Ima Financial Group
  • Newton, MA
  • Managing Director, IMA Certificate Compliance (IMACC)Job LocationsUS-CO-Denver | US-KS-Wichita | US-KS-Overland Park | U...
  • 4/23/2024 12:00:00 AM

D
Managing Director, Investor Partnerships (Head of North America)
  • Deerpath Capital
  • Boston, MA
  • Company Description Deerpath Capital is a leading direct lending firm specializing in providing first lien, senior debt ...
  • 4/23/2024 12:00:00 AM

D
Managing Director, Investor Partnerships (Head of North America)
  • Deerpath Capital
  • Boston, MA
  • Company Description Deerpath Capital is a leading direct lending firm specializing in providing first lien, senior debt ...
  • 4/23/2024 12:00:00 AM

B
Managing Director
  • Barrington James
  • Boston, MA
  • *Must have experience in leadership at a recruiting agency to be considered. Welcome to Barrington James –we're offering...
  • 4/22/2024 12:00:00 AM

T
Manager/Director, Business Development
  • The Promotion
  • Boston, MA
  • COMPANY INTRODUCTION My client is an integrated contract research organization (CRO), providing comprehensive one-stop R...
  • 4/22/2024 12:00:00 AM

Salem is a town in Rockingham County, New Hampshire, United States. The population was 28,776 at the 2010 census. Being located on Interstate 93 as the first town in New Hampshire, which lacks any state sales tax, Salem has grown into a commercial hub, anchored by the Mall at Rockingham Park. Other major sites include the Canobie Lake Park, a large amusement park, and America's Stonehenge, a stone structure of disputed origins. It is the former home of Rockingham Park, a horse racetrack. The Sununu political family hails from Salem, including former New Hampshire governor and White House Ch...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Utilization Management Director jobs
$135,170 to $182,777
Salem, New Hampshire area prices
were up 1.6% 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