Mgr Asst Utilization Management

2 days ago

Pasig, National Capital Region, Philippines Carelon Global Solutions Full time $104,000 - $130,878 per year

Responsible for providing technical direction, guidance and resources to UM staff on a day-to-day basis.

Primary duties may include but are not limited to:

  • Manages creation, launching and coordination and development of UM quality initiatives
  • Provides inputs to policies and processes impacting the operations
  • Coordinates with workforce for staffing requirements and scheduling of agents given leaves, absences and attrition
  • Reviews department policy and procedure manuals for accuracy
  • Collaborates with management and other cross functions in maintaining and exceeding set metrics
  • Prepares reports
  • Hires, trains, coaches, counsels, and evaluates performance of direct reports

Qualifications

  • Requires a BA/BS degree; 2 years of related experience including experience in a lead role within Utilization Management or similar function; or any combination of education and experience, which would provide an equivalent background
  • For URAC accredited areas, the following professional competencies apply: Associates in this role are expected to have strong oral, written and interpersonal communication skills, problem-solving skills, facilitation skills, and analytical skills.

*This ad is for external candidates only. Carelon associates can apply through our internal channel

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