Director, Utilization Management- Post Acute Care

Position Purpose

Directs the utilization management team to ensure the appropriate application of policy procedures and processes to help support best member outcomes. Oversees and manages Utilization Operations specific to the daily operations of Utilization Management including timeliness, quality and performance outcomes, provider interactions and experience and associated regulatory and/or compliance measures.

Requirements

• Requires a Bachelor's degree and 7+ years of related experience, including prior management experience.
• 4+ years management experience preferred.
• Expert knowledge of industry regulations, policies, and standards preferred.
• RN - Registered Nurse - State Licensure and/or Compact State Licensure preferred.

Qualifications

• Education: Bachelor's degree required.

Skills

• Leadership experience in Post-Acute Care.
• Active RN license.

Benefits

• Competitive pay.
• Health insurance.
• 401K and stock purchase plans.
• Tuition reimbursement.
• Paid time off plus holidays.
• A flexible approach to work with remote, hybrid, field or office work schedules.

Pay

$133,700.00 - $247,400.00 per year

Schedule

Remote opportunity with oversight of a nationwide Post-Acute Care Utilization Management team.

Company Information

Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility. Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.