Vice President, Utilization Management
Remote-FLremotevp$189K – $360K
Posted today · via Workday
About this role
Position Purpose: Plan and drive execution of Medical Management utilization programs, processes, and initiatives to ensure achievement of health benefit ratio targets, and appropriate reductions in utilization related expenses. Provide vision and strategic leadership for the development and implementation of compliant utilization management best practices across the enterprise while developing customized approaches for unique markets/product. Directs the collaboration within cross-functional teams to evaluate, refine, and advance the utilization management program and strategy. Leads data-driven decision making to advance and improve the outcomes of utilization management teams.…
What we'd score you on
reqspace match rubricFive dimensions, recruiter-grade. Upload your resume and we'll generate a written explanation of where you fit and where the gaps are.
1
Skills match
For this role: teams
2
Level fit
This role is vp-level. We check your trajectory against it.
3
Domain experience
Your work in the role's domain matters more than your years total. We weight recent and direct experience.
4
Recency
A skill you used last quarter weighs more than one from five years ago. We grade on recency, not lifetime.
5
Location fit
This role is remote-eligible — we factor in your stated location and time-zone overlap.
Score yourself on this role.
Free · no card · written explanation included
Skills in this role
Pulled from the job description. These are the keywords we'll weight when scoring your fit.
teams
More at Centene
- View →People Analytics Intern (Undergraduate - Summer 2027)Remote-CA
- View →Director, Utilization ManagementRemote-FL
- View →Senior LTSS Service Care Manager RNMcAllen - 3900 North 10th St (10123)
- View →Provider Quality LiaisonRemote-NV
- View →Pharmacy Operations Specialist II (FWA)Remote-FL
- View →Senior LTSS Service Care Manager RNAustin-5900 E Ben White Blvd (10703)