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Director, Utilization Management & Care Optimization

Job in Worcester, Worcester County, Massachusetts, 01609, USA
Listing for: Fallon Health
Full Time position
Listed on 2025-12-14
Job specializations:
  • Healthcare
    Healthcare Administration, Healthcare Management
  • Management
    Healthcare Management
Job Description & How to Apply Below
A leading health insurance provider is looking for a professional to lead its Utilization Management activities in Worcester. This role involves managing both inpatient and outpatient care and ensuring compliance with regulatory requirements. Candidates should hold a Master’s degree in health administration and have significant experience in managed care. A Massachusetts Nursing License is required, alongside ten years of clinical experience, with at least five years in managed care operations.

Competitive benefits and career development opportunities are provided.
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