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Utilization Management Leader – Health Plan

Job in Martinez, Contra Costa County, California, 94553, USA
Listing for: County of Contra Costa
Full Time position
Listed on 2026-10-07
Job specializations:
  • Management
    Healthcare Management, Project & Program Management
Salary/Wage Range or Industry Benchmark: 130000 - 165000 USD Yearly USD 130000.00 165000.00 YEAR
Job Description & How to Apply Below

Contra Costa Health Plan is seeking a strategic Utilization Review Manager in Martinez, CA. You will lead clinical review operations, drive policies, and ensure compliant, timely utilization management for multiple lines of business.

Ideal candidates bring RN licensure in California, 3 years in hospital managed care UR roles, plus 1 year supervisory experience. Mastery of DHCS/DMHC/CMS/NCQA standards is preferred.

We invite applications for the Utilization Management Leader – Health Plan position located in Martinez, CA, United States.

Take a moment to read everything above and see whether this role is right for you.

This posting is for the Utilization Management Leader – Health Plan role at County of Contra Costa, based in Martinez, CA, United States.

We are looking to fill the Utilization Management Leader – Health Plan position at County of Contra Costa in Martinez, CA, United States.

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