At Collective Health, we’re transforming how employers and their people engage with their health benefits by seamlessly integrating cutting-edge technology, compassionate service, and world-class user experience design.

The UM Program Manager will play a critical role in the strategic development, effective and efficient delivery, and ongoing management of utilization management (UM) programs. The person in this role will own and be accountable to the success of Collective Health’s UM programs. To this end, the UM program manager will ensure that our processes are proactively aligned with industry best practices, regulatory requirements, and client-specific needs; provide clinical oversight, manage partner relationships, and drive process improvements; and collaborate with internal and external stakeholders to ensure cost-effective and medically-appropriate health care services

What you'll do:

Strategic Leadership and Program Development:

• Implement a comprehensive program to manage clinical UM and Prior Authorizations oversight with a focus on scalability and sustainability, including establishing policies, procedures, and workflows that ensure efficient and consistent program execution, and align with ...