Manager, Utilization Management Coordination, Non-Clinical
Alignment Health
full-time
Posted on:
Location Type: Hybrid
Location: California • United States
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Salary
💰 $70,823 - $106,234 per year
About the role
- Provide operational leadership and direction to two Utilization Management Supervisors overseeing non-clinical coordinator teams.
- Lead the teams meet established turnaround times (TATs), quality, and productivity standards for authorization processing, referral routing, and related UM functions.
- Oversee staffing allocation, scheduling, and workload balancing between inpatient and pre-service units.
- Conduct regular one-on-one meetings with supervisors to review performance metrics, workflow barriers, and staff development needs.
- Own the daily operations to ensure timely and accurate completion of authorizations, correspondence, and documentation.
- Identify process inefficiencies and implement corrective actions to improve turnaround, accuracy, and staff productivity.
- Lead root-cause analyses for escalated operational issues and coordinate corrective action plans.
- Mentor Supervisors to build leadership capacity, coaching them on staff management, delegation, and performance improvement techniques.
- Manage all team activities adhere to CMS and organizational policies related to Utilization Management, confidentiality, and member communication standards.
- Collaborate with network providers and internal teams to clarify authorization processes and ensure alignment with benefit and policy criteria.
Requirements
- Minimum (4) years of related experience in a managed care setting
- Minimum (3) years of recent and related supervisory experience
- Strong knowledge of Medicare Managed Care Plans
- Proficient in Microsoft Word, Excel, and Outlook; advanced Excel skills preferred (pivot tables, formulas, data visualization, and reporting functions for performance tracking and analysis)
- Experience leading and sustaining process improvement initiatives within healthcare operations to enhance efficiency, compliance, and service quality.
- Excellent written and verbal communication skills; able to build and maintain collaborative relationships with diverse teams, including leadership, staff, and external partners.
Benefits
- Health insurance
- 401(k) matching
- Flexible work arrangements
- Professional development opportunities
- Paid time off
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
operational leadershipturnaround times (TATs)quality standardsproductivity standardsstaff managementdelegationperformance improvementprocess improvementdata visualizationreporting functions
Soft Skills
mentoringcoachingcommunicationcollaborationrelationship buildingperformance metrics reviewworkflow managementproblem-solvingstaff developmentleadership capacity building