Anticipated End Date:2026-06-30
Position Title:Manager I Utilization Management
Job Description:JR193602 Manager I Utilization ManagementThe
Manager I Utilization Management is responsible for the daily management of the department.
LOCATION: Hybrid 2: This role requires associates to be in-office 3 days per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured office engagement with the autonomy of virtual work, promoting a dynamic and adaptable workplace. Alternate locations may be considered if candidates reside within a commuting distance from an office.
Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law.
How will you make an impact:- Supervises workflow and performance of associates.
- Assists in coordination and development of UM quality initiatives.
- Participates in strategic planning and budget processes.
- Ensures compliance with departmental policies and procedures.
- Works in conjunction with other UM staff to improve service quality initiatives, develop audit tools, and meet NMIS and other quality standards.
- Provides quality control services such as call monitoring.
- Develops and implements associate training.
- Performs audits to monitor efficiency and compliance with policies.
- Prepares reports.
- Hires, trains, coaches, counsels, and evaluates performance of direct reports.
Minimum requirements:- Requires HS diploma or equivalent and a minimum of 4 years' operational experience in a progressively complex customer service or call center; or any combination of education and experience which would provide an equivalent background.
Preferred Skills, Capabilities, and Experiences:- 3 years of Behavioral Health experience.
- Strong oral, written and interpersonal communication skills, problem-solving skills, facilitation skills, and analytical skills.
- Ability to work in a collaborative environment.
- Candidates from all states are welcome, but they must reside within commuting distance of an Elevance Health Pulse Point office location.
Job Level:Manager
Workshift:Job Family:CUS > Service Operations
Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.
NOTE: Workday keeps job postings active through 11:59:59 PM on the day before the listed end date. Example: If the end date is 3/13, the posting will automatically come down on 3/12 at 11:59:59 PM. In other words - the job is posted until 3/13, not through 3/13.
