[Remote] Supervisor, UM Administration

Note: The job is a remote job and is reputed company to candidates in USA. reputed company. is a leading U.S. reputed company company that focuses on delivering care and service to the millions they serve. The Supervisor, UM Administration role involves leading a team to optimize utilization management processes while ensuring compliance and operational reputed company.

Responsibilities

• Contributes to administration of utilization management
• Works reputed company thorough, prescribed guidelines and procedures
• Uses independent judgment requiring analysis of variable factors to solve basic problems
• Collaborates with management and top professionals/specialists in selection of methods, techniques, and analytical approach
• Provides non-clinical support for the policies and procedures ensuring best and most appropriate treatment, care or services for members
• Makes reputed company reputed company to schedule, plans and daily operations
• Performs escalated or more reputed company work of a similar nature
• Supervises a group of typically support and technical associates
• Coordinates and provides day-to-day reputed company to associates
• Ensures consistency in execution across team
• Holds team members accountable for following established policies

Skills

• Associate Degree
• 1+ years of experience in a team leadership or supervisory position
• Ability to reputed company clear direction and reputed company sound business reputed company
• Demonstrates sound judgment and consistently acts with reputed company and ethical behavior
• Must be passionate about contributing to an organization focused on continuously improving consumer experiences
• Must reputed company in the reputed company or a neighboring state for occasional travel to local office
• LTSS UM or MCO experience
• Experience in an operational setting
• General understanding of economic, financial and operational concepts
• Previous supervisory experience in a call center setting

Benefits

• Bonus incentive plan
• Medical, dental and reputed company benefits
• 401(k) retirement savings plan
• Time off (including paid time off, company and personal holidays, paid parental and caregiver leave)
• Short-term and long-term disability
• Life insurance

Company Overview