Medical Management Manager - Managed Care Operations - FT Days

🇺🇸 Orange, CA

🕑 Full-Time

💰 $116K - $224K

💻 Operations

🗓️ April 25th, 2025

Edtech.com's Summary

University of California, Irvine is hiring a Medical Management Manager for Managed Care Operations. The role involves representing UCI Health in Medical Management for Managed Care, collaborating on strategic initiatives, overseeing Utilization and Quality Management Programs, ensuring operational excellence, and driving continuous healthcare improvement. The manager will provide strategic leadership and monitor industry trends to enhance healthcare resource management.

Highlights

Oversees Utilization and Quality Management Programs for a capitated medical group
Requires strong critical thinking and customer service skills
Must be a California Registered Nurse or Licensed Vocational Nurse
Minimum 8 years of experience in utilization management, prior authorization, and inpatient planning
Strong negotiation skills and ability to influence internally and externally
Bachelor's Degree in Business, Healthcare Management, BSN, or related field
Compensation ranges from USD $116,000.00 to $224,200.00 per year
Advanced knowledge of Managed Care industry regulations and trends
Requires prior supervisory experience and a strong commitment to organizational values