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Healthcare Operations Assistant Director

7 days ago

Manila, National Capital Region, Philippines Carelon Global Solutions Full time

About the Role:

Carelon Global Solutions is seeking a dedicated and results-driven Utilization Management Assistant Manager to join our team. In this critical role, you will be responsible for providing technical direction, guidance, and resources to UM staff, ensuring efficient operations and excellent patient outcomes.

Key Responsibilities:

  1. Lead the development and implementation of UM quality initiatives, aligning with business objectives and industry standards.
  2. Collaborate with cross-functional teams to design and refine policies and processes impacting UM operations, ensuring compliance with regulatory requirements.
  3. Coordinate agent scheduling and staffing needs, considering leaves, absences, and attrition to maintain an optimal workforce.
  4. Review and update department policy and procedure manuals, ensuring accuracy and adherence to regulatory requirements.
  5. Work closely with management and other stakeholders to drive business success and patient satisfaction, maintaining and exceeding set metrics.
  6. Prepare and analyze reports, evaluating the performance of direct reports and providing coaching and development opportunities to enhance their skills and career growth.

Requirements:

  • The ideal candidate will have a strong understanding of healthcare operations, utilization management principles, and quality improvement strategies.
  • Excellent communication, leadership, and project management skills are essential for success in this role.