Senior PA Operations & Clinical Compliance Manager
Listed on 2026-10-06
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Healthcare
Medical Mutual seeks a Senior Utilization Management leader to oversee daily prior authorization and clinical compliance operations in a hybrid role based at the Brooklyn, OH office. You will coach PA reviewers, monitor KPIs, ensure CMS and NCQA standards, and collaborate with UM, CM, IT, and external partners to maintain compliant, efficient processes.
You will drive operational excellence, prepare reports for leadership, and lead staff development in a fast-paced health plan environment.
This is a genuine opportunity to take on the Senior PA Operations & Clinical Compliance Manager role at Medical Mutual.
Join Medical Mutual and contribute to our ongoing work.
Take a moment to read everything above and see whether this role is right for you.
This posting is for the Senior PA Operations & Clinical Compliance Manager role at Medical Mutual, based in Cleveland, OH, United States.
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