Manager, Utilization Review

Job description

Overview Who We Are: Because health is personal. That's why Personify Health created the first and only personalized health platform—bringing health plan administration, holistic wellbeing solutions, and comprehensive care navigation together in one place. We serve employers, health plans, and health systems with data-driven solutions that reduce costs while actually improving health outcomes. Together, our team is on a mission to empower people to lead healthier lives. Learn even more about the work that drives us at personifyhealth.com. Responsibilities: Ready To: What You'll Actually Do: ESSENTIAL DUTIES and RESPONSIBILITIES: Level I · Supervise day-to-day operations of assigned Utilization Management staff, including scheduling, workload distribution, and adherence to established workflows. · Provide full people management for assigned Utilization Management teams, including hiring, performance management, and staff development. · Provide routine coaching, feedback, auditing, support and disciplinary action to ensure productivity, quality, and timeliness standards are met. · Participate in hiring, onboarding, and training of Utilization Management staff. · Monitor documentation...