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Fallon Community Health Plan

Director of Utilization Management & Prior Authorization

Fallon Community Health Plan, Worcester, Massachusetts, us, 01609

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A regional health insurance provider in Massachusetts is seeking a leader for Utilization Management. This role requires oversight of both clinical and operational activities related to member care, maintaining regulatory compliance, and managing a team. Candidates should possess a nursing background and extensive experience in managed care along with strong leadership skills. Competitive compensation of $155,000 - $175,000 annually based on experience is offered. The organization values diversity and equal opportunity and seeks to create an inclusive workplace. #J-18808-Ljbffr