Director, Utilization Management & Clinical Operations

CommunityCare

CommunityCare, Inc. in Tulsa, OK seeks a Director of Utilization Management to lead the Physical Health UM department under the Chief Medical Officer. You will guide a large team, drive compliance, and develop data-driven strategies to improve clinical appropriateness, affordability, efficiency, and quality.

The role requires expert UM knowledge, strong analytics, and proven leadership. You will oversee prospective, concurrent, and retrospective reviews, ensure regulatory alignment, and

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Vacancy posted 3 days ago

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