Supervisor, Utilization Management

Location: Remote within the continental United States

Salary: $75,300–$135,400 per year

Company

hirify.global provides healthcare services designed to connect people with the care they need and improve health outcomes.

What you will do

• Supervise prior authorization, concurrent review, and retrospective clinical review teams.
• Monitor resources, performance, quality, compliance, and operational efficiency.
• Resolve complex member care issues in collaboration with utilization management staff.
• Develop and implement utilization management policies, procedures, and clinical guidelines with senior management.
• Educate team members, support communication with members and providers, and lead process and quality improvements.
• Evaluate performance, provide coaching, and assist with hiring, onboarding, and training.

Requirements

• Graduate of an accredited nursing school or a bachelor's degree.
• 4+ years of related experience.
• Registered Nurse license through state licensure and/or compact state licensure.
• Knowledge of utilization management principles is preferred.
• Must be authorized to work in the United States without employment-based visa sponsorship now or in the future.

Culture & Benefits

• Health insurance, 401(k), stock purchase plans, tuition reimbursement, paid time off, and holidays.
• Flexible work approach with remote, hybrid, field, or office schedules across the organization.
• Equal opportunity workplace committed to diversity and inclusion.