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Director of Utilization Management

Cambia Health Solutions

Cambia Health Solutions is seeking a Manager of Utilization Management to lead a team of clinicians and staff across multiple plans. You will oversee prospective, concurrent, retrospective reviews and post-service audits, shape policies, and drive performance against regulatory standards.

The role demands RN licensure, a strong clinical background, leadership experience, and collaboration across departments and stakeholders to improve member outcomes and value.

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Vacancy posted 1 day ago
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