Utilization Management Supervisor

General Information

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Work Location: Los Angeles, USA Onsite or Remote Flexible Hybrid Work Schedule Monday - Friday 8:30-5:30pm PST, including some weekends Posted Date 02/24/2025 Salary Range: $68800 - 141000 Annually Employment Type 2 - Staff: Career Duration Indefinite Job # 22766

Primary Duties and Responsibilities

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Take on an important leadership role within an award-winning health system. Help improve patient experiences and operational efficiency as part of a world-class healthcare team. Take your career in an exciting new direction. You can do all this and more at UCLA Health.
As a key leader within our Medicare Advantage team, you will be responsible for assisting with the day-to-day management of the UM department and coordinators. This will involve coordinating staff schedules to efficiently handle incoming referrals and phone call volume. You will develop workflows, desktop procedures, forms, training materials, and protocols for achieving team objectives and key performance indicators. You will hire and train non-clinical coordinator staff as well as manage and monitor their production and quality performance. This position involves researching and resolving simple and complex patient/provider issues related to the authorization and claims process. You will also conduct performance evaluations, counsel employees, and take disciplinary action as necessary. 

Salary Range: $68,800 - $141,000/Annually

Job Qualifications

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We’re seeking a self-motivated, team-focused, deadline-driven, detail-oriented leader with:

• High school diploma, GED or equivalent required
• Two or more years of experience managing staff in a healthcare environment
• Two or more years of managed care or health plan experience preferred
• Experience processing ambulatory commercial, Medicare Fee for Service, and Medicare Advantage prior authorizations desired
• Knowledge of the HMO referral process, eligibility verification, and health plan benefit interpretation a plus
• Excellent critical thinking, organizational, and problem-resolution skills required
• Ability to work effectively across functional areas of the company.
• Computer proficiency with Microsoft Excel and Word
• Ability to multi-task and work with frequent interruptions
• Strong communication skills
• Ability to work well with ambiguity and stressful situations