Vice President of Utilization Management

Join our team at VillageCare as the Full Time Vice President of Utilization Management and lead our UM team in shaping the future of healthcare delivery. This fully remote position offers a unique opportunity to showcase your skills and experience in a dynamic and fast-paced environment. As a key leader in our organization, you will have the chance to make a significant impact on the lives of our patients while driving innovation and excellence in utilization management practices. With a competitive salary ranging from $200,000 to $230,000, this role rewards top talent in the industry. Don't miss this exciting opportunity to take your career to the next level with VillageCare!

Let us introduce ourselves

VillageCare is a community-based, not-for-profit organization serving people with chronic care needs, as well as seniors and individuals in need of continuing care and managed care services. Our mission is to promote healing, better health and well-being to the fullest extent possible. Our care is offered through a comprehensive array of community and residential programs, as well as managed care. VillageCare has delivered quality health care services to individuals residing within New York City for over 45 years.

Your day to day as a Vice President of Utilization Management

As the Vice President of Utilization Management at VillageCare, you will play a vital role in developing and implementing strategies to optimize utilization management functions. Working closely with senior leadership across various departments, you will lead a team of professionals to ensure compliance with regulations and enhance member satisfaction. Your responsibilities will include refining utilization management strategies, overseeing clinical and non-clinical services, and collaborating with key stakeholders to drive operational excellence.

By monitoring key metrics and utilizing data analytics, you will identify trends and make informed decisions to achieve positive clinical outcomes. Additionally, you will be responsible for maintaining quality and compliance standards, preparing for audits, and fostering collaborative relationships with hospitals. Join us in this challenging yet rewarding position where you can make a real difference in healthcare delivery.

Apply now and be part of our mission to provide top-quality care to our members.

What You Need To Be Successful

To excel in the role of Vice President of Utilization Management at VillageCare, candidates must possess a Bachelor's Degree in Nursing, a Master's degree in a related healthcare or business field, and hold an active/unrestricted NYS RN license. A minimum of 8 years of management experience in a health-related field, along with at least 10 years of experience in a utilization management position, is necessary. Hospital-based clinical experience and a demonstrated ability to analyze and leverage data for improvement activities are essential.

Successful candidates will have a proven track record in managing utilization management functions in alignment with Medicare and Medicaid regulations. Additionally, strong leadership, communication, strategic planning, and problem-solving skills are crucial for this role. The ability to adapt to flexible work hours, scheduling demands, and potential travel requirements is also key to success in this position.

Make your move

If you think this role will suit your needs, great! Applying is a piece of cake. Good luck - we're excited to meet you!

Salary: $200000 - $230000 per year

Job Posted by ApplicantPro