Epicareer Might not Working Properly
Learn More

Operations Director/Sr Director for Healthcare Accounts

Salary undisclosed

Checking job availability...

Original
Simplified

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.