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Director, Utilization Management - Transformational Clinical Ops
Job in
Layton, Davis County, Utah, 84041, USA
Listed on 2026-08-30
Listing for:
Healthfirst
Full Time
position Listed on 2026-08-30
Job specializations:
-
Management
Healthcare Management -
Healthcare
Healthcare Management
Job Description & How to Apply Below
Healthfirst seeks a Director of Utilization Management to lead clinical operations, delivering strategic and operational oversight for UM teams, including prior authorizations, concurrent reviews, and service requests, ensuring medically necessary, cost-efficient care in line with CMS and payer requirements.
This transformational leader will shape policies, monitor performance metrics, and drive modernization within the UM program, collaborating with Care Management, Clinical Eligibility,
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