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.
The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws.
Prospective employees required to be screened under Florida law should review the education and awareness resources at HB531 | Florida Agency for Health Care Administration.
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.
