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This position is available fully remote within Washington State
Who we are
Community Health Plan of Washington is an equal opportunity employer committed to a diverse and inclusive workforce. All qualified applicants will receive consideration for employment without regard to any actual or perceived protected characteristic or other unlawful consideration. | Our commitment is to:
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About the Role
The Utilization Management Program Manager collaborates with the utilization management leadership team to develop and monitor utilization management programs across all lines of business, covering physical and behavioral health. This position provides expertise in analytics, reporting systems and project management to ensure that the utilization management program is compliant with regulatory requirements. Supporting the utilization management team involves measuring, tracking and analyzing productivity and outcome metrics, implementing process improvements and preparing policies and files for audits. The program manager is responsible for working with leaders and staff to standardize processes across all business lines.
To be successful in this role, you:
Essential functions and Roles and Responsibilities:
Knowledge, Skills, and Abilities:
As part of our hiring process, the following criteria must be met:
Criminal History: includes review of criminal convictions and probation. CHPW does not automatically or categorically exclude persons with a criminal background from employment. The applicant’s criminal history will be reviewed on a case-by-case basis considering the risk to the business, members, and/employees.
Compensation and Benefits:
The position is FLSA Exempt and is not eligible for overtime and has a 10% annual incentive target based on company, department, and individual performance goals. The base pay actually offered will take into account internal equity and also may vary depending on the candidate’s job-related knowledge, skills, and experience among other factors.
CHPW offers the following benefits for Full and Part-time employees and their dependents:
Sensory/Physical/Mental Requirements:
Sensory*:
Physical*:
Mental:
Work Environment:
Office environment Employees who frequently work in front of computer monitors are at risk for environmental exposure to low-grade radiation.
Full Time
$143k-191k (estimate)
06/26/2024
08/24/2024