Director, Clinical Review & Utilization Strategy (Hybrid)

HMSA

HMSA in Hawaii seeks an executive to lead Clinical Review operations, including prior authorization, prospective and concurrent reviews, and facility reviews. You will align workflows, staffing, and decision-making with enterprise objectives and affordability goals. Responsibilities include ensuring regulatory compliance, accreditation readiness, and ongoing quality oversight. You will drive performance, supervise a multi-level team, and manage vendor relationships to meet contractual and #J-18808-Ljbffr

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Vacancy posted 1 day ago

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