Manager Utilization Management Administration Operations & Correspondence

**Role Overview**

Under the supervision of the Director of Utilization Management Administrative Operations and Audit, this position is responsible for providing daily oversight of the Utilization Management Correspondence team. In this role, you will provide clinical, technical and operational support and direction, including organization and monitoring of all medical services. This role provides oversight of professional and front-line staff, receiving requests for notification of authorization determinations from external customers which encompasses providers and members, as well as from the internal customers.

**Work Arrangement**

+ Remote role
+ Monday through Friday, 8:00 AM EST to 5:00 PM EST
+ Ability to work weekends (rotating) and holidays based on business needs

**Responsibilities**

+ Manages and maintains all regulatory requirements for all members and provider notifications and works in collaboration with other leadership ...