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Operations Director/Sr Director for Healthcare Accounts
Salary undisclosed
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Key Responsibilities:
- Supervise and guide the Utilization Management team to ensure effective operations.
- Develop and execute UM strategies to improve patient care outcomes and resource management
- Provide training and mentorship to team members to ensure adherence to processes and standards.
- Continuously monitor and assess processes for quality and efficiency.
- Conduct regular audits and reviews to identify areas for improvement and implement corrective actions.
- Stay informed about changes in healthcare regulations and standards affecting operations
- Analyze data to identify trends, inefficiencies, and opportunities for improvement..
- Maintain accurate and up-to-date documentation, including policies and procedures.
- Promote a culture of continuous quality improvement within the team.
Qualifications:
- Bachelor’s degree in Nursing, Healthcare Administration, or a related field. A Master’s degree is preferred.
- At least 5 years of experience in clinical operations or utilization management
- In-depth knowledge of UM processes, healthcare regulations, accreditation standards, and clinical guidelines
- Strong analytical, problem-solving, and decision-making skills.
- Excellent communication and interpersonal skills.