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Healthcare Management Healthcare Administration

Utilization Review Lead & Healthcare Compliance

Job in Williamsburg, James City County, Virginia, 23187, USA
Listing for: Department of Behavioral Health and Developmental Services
Full Time position
Listed on 2026-01-01
Job specializations:
  • Healthcare
    Healthcare Management, Healthcare Administration
Job Description & How to Apply Below
A State Agency in Virginia is seeking a Utilization Review Supervisor / HC Compliance Specialist I to oversee compliance and efficiency within the hospital's utilization review team. This role involves developing management plans, ensuring adherence to CMS and TJC standards, and supervising a team to optimize patient care. Candidates should have experience with insurance authorization, staff supervision, and proficiency in Power BI.

The position offers a mid-senior level employment type with a full-time commitment.
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