Logo
Fallon Health

Lead Director, Utilization Management & Prior Authorization

Fallon Health, Oklahoma City, Oklahoma, United States

Save Job

A health insurance company located in Massachusetts is seeking a Director for Utilization Management & Prior Authorization. This leadership role involves overseeing operations to ensure compliance with regulatory requirements, strategic oversight of utilization management activities, and managing clinical staff across all product lines. The ideal candidate will have significant experience in managed care, strong knowledge of utilization management strategies, and the ability to lead and develop a team. A Master's degree and Massachusetts Nursing Licensure are required. The position offers a salary ranging from $155,000 to $175,000 annually. #J-18808-Ljbffr