Manager, UM Operations Strategy – Implementation

CareSource

Manager overseeing a dedicated team for UM Strategy and Implementation in healthcare. Focus on regulatory compliance and operational oversight in various business areas.

Posted 5/20/2026full-timeFlorida • Florida • 🇺🇸 United StatesMid-LevelSenior💰 $83,000 - $132,800 per yearWebsite

About the role

Key responsibilities & impact

Lead a dedicated team that supports the UM program through multiple functions
Oversee and manage UM Operations oversight functions such as Corrective Action Plan (CAP) management
Develop strategy and high-level implementation plans for delivery of new business implementations
Perform ongoing monitoring and multiple audit activities
Collaborate with data and analytics, PH and BH clinical teams, compliance and regulatory

Requirements

What you’ll need

Bachelor’s Degree in nursing or related field is required
Minimum of five (5) years clinical or related healthcare industry experience is required
Prior leadership experience is required
Managed Care experience is required
Experience with analysis, data and reporting is required
Current, unrestricted Registered Nurse (RN) licensure is preferred

Benefits

Comp & perks

Health insurance
Retirement plans
Paid time off
Professional development opportunities
Comprehensive total rewards package

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

data analysisreportingaudit managementCorrective Action Plan (CAP) managementbusiness implementation strategy

Soft Skills

leadershipcollaborationcommunication

Certifications

Registered Nurse (RN) licensure