Executive Director, Utilization Management
Beth Israel Lahey Health · US
When you join the growing BILH team, you're not just taking a job, you’re making a difference in people’s lives. The Executive Director of Utilization Manage...
Job description
When you join the growing BILH team, you're not just taking a job, you’re making a difference in people’s lives. The Executive Director of Utilization Management (UM) provides strategic and operational leadership for the enterprise UM program across all Beth Israel Lahey Health (BILH) facilities. This role will lead the transformation of UM operations from a decentralized model to an integrated, centralized enterprise function with standardized processes, shared best practices, and consistent performance across all facilities. This executive-level position is responsible for developing and executing comprehensive utilization management strategies that ensure appropriate care delivery in the most clinically and financially optimal settings while maintaining regulatory compliance and optimizing reimbursement. The Executive Director partners with senior clinical and operational leaders, including the Chief Nursing Officers, Chief Medical Officers, Physician Advisors, and payer partners, to align UM initiatives with organizational goals of care coordination, length of stay optimization, and denial prevention while managing UM directors and staff across the system. Job Description: Esse...