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System Director, Utilization Review & Denials Strategy

Job in Augusta, Kennebec County, Maine, 04338, USA
Listing for: Baylor Scott & White Health
Full Time position
Listed on 2026-07-30
Job specializations:
  • Management
    Healthcare Management
Salary/Wage Range or Industry Benchmark: 150000 - 210000 USD Yearly USD 150000.00 210000.00 YEAR
Job Description & How to Apply Below

Baylor Scott & White Health (BSWH) is seeking a Director of Utilization Review to provide strategic leadership for UR across the system. You will guide concurrent and retrospective reviews, ensure medical necessity, and drive performance improvements with clinical, operational, and revenue cycle partners.

The role leads policy development, monitors metrics, and oversees a largely remote UR team plus global resources.

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