Utilization Management Market Operations Manager - RN Preferred - Must live in Nevada - Must hold NV license
Job Summary: The Utilization Management (UM) Market Operations Manager is responsible for the operational activities of UM and Appeals for a specified line(s) of business managing the development of policies and procedures, review of team metrics, statutory reporting, overseeing committee reviews, audit preparation and presentations, and preparation and presentation of annual program requirements. Essential Functions: Utilize process controls to achieve operational...
- Audit
- Excel
- Six Sigma