This position is posted by Jobgether on behalf of a partner company. We are currently looking for a VP, Utilization Management - REMOTE. In this strategic role, you will lead the management of Virtual Utilization Review and Bedded Insurance Authorization functions, ensuring operational quality and advancing service line productivity. Your leadership will pave the way for effective client outcomes in the healthcare sector, as you champion innovative methodologies. This position directly impacts our client’s revenue cycle success, contributing to our mission of enhancing healthcare through exceptional service and collaboration. By embracing new ideas and striving for excellence, you will play a pivotal part in transforming healthcare experiences and outcomes.
Accountabilities
- Provide leadership for Virtual Utilization Review and Bedded Insurance Authorization functions.
- Set strategic direction for Utilization Management across client services.
- Ensure compliance with regulatory guidelines and operational efficiencies.
- Collaborate with Physician Advisor leaders to fulfill continuity goals.
- Organize and lead business development activities regarding pricing and vendor relations.
- Guide and mentor team leaders in achieving operational excellence.
Requirements
- Proven leadership experience in healthcare management.
- Strong strategic planning and decision-making skills.
- Excellent communication and team-building abilities.
- Experience with revenue cycle management and operations.
- Ability to foster innovative solutions and drive process improvements.
- Educational background in health administration or a related field.
- Certifications in healthcare management preferred.
Benefits
- Comprehensive benefits package supporting health and well-being.
- Work-life flexibility with remote working opportunities.
- Professional development through certifications and tuition reimbursement.
- Incentive programs recognizing outstanding employee performance.
- Collaborative and innovative workplace culture that values growth.
Why Apply Through Jobgether?
We use an AI-powered matching process to ensure your application is reviewed quickly, objectively, and fairly against the role's core requirements. Our system identifies the top-fitting candidates, and this shortlist is then shared directly with the hiring company. The final decision and next steps (interviews, assessments) are managed by their internal team.
We appreciate your interest and wish you the best!
Data Privacy Notice: By submitting your application, you acknowledge that Jobgether will process your personal data to evaluate your candidacy and share relevant information with the hiring employer. This processing is based on legitimate interest and pre-contractual measures under applicable data protection laws (including GDPR). You may exercise your rights (access, rectification, erasure, objection) at any time.
#LI-CL1
We may use artificial intelligence (AI) tools to support parts of the hiring process, such as reviewing applications, analyzing resumes, or assessing responses. These tools assist our recruitment team but do not replace human judgment. Final hiring decisions are ultimately made by humans. If you would like more information about how your data is processed, please contact us.
