Utilization Management Director jobs in Anchorage, AK

Utilization Management Director leads and directs the utilization review staff and function for a healthcare facility. Determines policies and procedures that incorporate best practices and ensure effective utilization reviews. Being a Utilization Management Director manages and monitors both concurrent reviews to ensure that the patient is getting the right care in a timely and cost-effective way and retrospective reviews after treatment has been completed. Provides analysis and reports of significant utilization trends, patterns, and impacts to resources. Additionally, Utilization Management Director consults with physicians and other professionals to develop improved utilization of effective and appropriate services. Requires a master's degree. Typically reports to top management. Typically requires Registered Nurse(RN). The Utilization Management Director manages a departmental sub-function within a broader departmental function. Creates functional strategies and specific objectives for the sub-function and develops budgets/policies/procedures to support the functional infrastructure. Deep knowledge of the managed sub-function and solid knowledge of the overall departmental function. To be a Utilization Management Director typically requires 5+ years of managerial experience. (Copyright 2024 Salary.com)

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Director of Technology Systems Management
  • Potawatomi Federal Solutions - PFS
  • Anchorage, AK FULL_TIME
  • Position Title: Director of Technology Systems Management

    Division: PFS

    Location: Remote

    Manager: General Manager (GM) of PFS; dotted line reporting to SVP, Ops

    EEO Class: Professional

    FLSA Classification: Exempt - Salaried

    Employment Class: Full Time Regular (One year assignment; may be extended)

    Position Summary

    The Director of Technology Systems Management (DTSM), acting as corporate technical liaison is responsible for identifying and facilitating implementation of improvements in all technology utilized by PBDC-Federal Group, with the goal of long-range infrastructure direction. The Liaison will serve as a subject matter expert with departments utilizing or implementing various applications, platforms and tools, and will facilitate communication and collaboration between the IT department and the PBDC Federal Group to ensure all departments are aligned to meet overall business goals. The Liaison represents the needs of the business customers to technical planning groups in IT, and, likewise, represents the needs of IT to the business customers. The qualified individual will have deep professional experience across a broad range of enterprise technologies and will remain current on emerging trends. As a professional, the DTSM is an expert in developing and executing strategy and delivering within agreed timetables.

    **Working closely with the business functions of the organization, the DTSM develops a solid understanding of how business operations function. The liaison then identifies improvement opportunities and defines technical requirements to help IT teams design hardware or software solutions.

    Duties & Responsibilities

    * Partner with members of the senior executive team to implement best practices within all information technology processes.

    * Communicate (as a representative of PBDC-Federal Group) with subcontracted IT services regarding company decisions regarding technology needs, implementation, and business requirements impacting services and processes necessary to provide them.

    * Participate in thought leadership, provide regular briefings describing and discussing industry trends related to the PBDC lines of business for the executive team and key stakeholders, and maintain a risk radar of how technology trends could potentially impact key sources of revenue.

    * Work closely with operating subsidiary personnel to develop a solid understanding of how business operations function.

    * Assist departments in assessing technology needs and solutions, implementing or improving selections based on an in-depth understanding of the corporate technology goals, plans, security limitations, and impact on the broader Federal Group infrastructure.

    * Maintain a trouble ticket log and present key metrics describing the impact of IT-related service issues, and serve as the single point of contact with contracted IT services regarding process improvement, problem-solving, and "all things" IT.

    * Handle inquiries from managers (not only executives) regarding technology questions, respecting protocol and seeking executive approval for purchases/budget items.

    * Attend meetings as needed and prepare presentations on relevant technology subjects.

    * Work in such a way as to maintain compliance with federal and state laws and, in particular, government contracting IT/security requirements.

    * Maintain knowledge of trends, best practices, regulatory changes, and new technologies relevant to the various departments and divisions of the organization.

    * Track and trend software licenses, usage, compliance and complaints.

    * Work with IT personnel to coordinate technology services.

    * Monitor IT vendor contracts through vendor management software if not managed by contracted IT services.

    * Work with the IT Department to incorporate operational processes and technology needs into the enterprise mission planning and execution space.

    * Liaise with business and IT stakeholders and assist in providing business support by collating, analyzing, identifying trends and reporting on data regarding key service delivery business activities.

    * Identify improvement opportunities and define technical requirements to help IT teams design hardware or software solutions. Serve as a bridge linking the business community and IT to ensure the services IT provides align efficiently with the needs of the business.

    * Represent the needs of IT to the business user community, helping non-technical personnel to understand technology constraints and what to expect after new hardware or software is introduced.

    * Work closely with IT project teams to keep abreast of technology concerns, including the need for new or additional equipment, applications or infrastructure services, and then translate those concerns into information that makes sense to the department's business customers, based on expected effects or impacts to business functions.

    * Manage relationships to keep communication channels open between business personnel and IT staff members. Communicate regularly with internal customers at all levels, from hands-on personnel to the executives who rely on current and accurate data to make informed decisions.

    * Be approachable and willing to listen to business customer concerns with the services IT provides. Provide IT personnel with clear, concise and useful information about business users' technology experiences and needs.

    * Maintain a technology "risk radar" describing emerging technology trends and potential impact on PBDC lines of business.

    * Develop and present effective learning/educational information on technology topics such as AI, security, CMMC, Oracle, IT systems management.

    * Serve as a resource for executives and department heads for technology questions.

    * Prepare monthly reports for the executive team, advising of assessments completed, major issues addressed, and summaries of any requested technology or implementation assistance provided.

    * Special projects, as assigned.

    Education & Experience Requirements

    - Bachelor's degree in Information Technology (or related category)

    - Minimum of 10 years of experience working in a professional level position in information technology

    - Minimum of 5 years of complex IT project management experience, PMP certification preferred

    - Systems Implementation experience

    - In-depth knowledge of CMMC

    - Experience in at least one of the following: Oracle, Salesforce, or Deltek

    - Strong communication skills (written and oral) and interpersonal skills

    Potawatomi Federal Solutions is an equal opportunity employer and is committed to providing a workplace free from harassment and discrimination. We celebrate the unique differences of our employees because that is what drives curiosity, innovation, and the success of our business. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, gender identity or expression, age, marital status, veteran status, disability status, pregnancy, parental status, genetic information, political affiliation, or any other status protected by the laws or regulations in the locations where we operate. Accommodations are available for applicants with disabilities.

     

  • 1 Day Ago

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Assistant Director Talent Management
  • Anchorage School District
  • Anchorage, AK FULL_TIME
  • JobID: 12725 Position Type: Classified Administration/Assistant Director Talent Management Date Posted: 8/2/2022 Location: TALENT MANAGEMENT Bargaining Unit: EXEMPT Work Year: 12 months Work Day: 8 ho...
  • 4 Days Ago

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Assistant Director Talent Management
  • Anchorage School District
  • Anchorage, AK FULL_TIME
  • JobID: 12725 Position Type: Classified Administration/Assistant Director Talent Management Date Posted: 8/2/2022 Location: TALENT MANAGEMENT Bargaining Unit: EXEMPT Work Year: 12 months Work Day: 8 ho...
  • 4 Days Ago

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Affordable Community Director - Non-Exempt (REF3504I)
  • FPI Management
  • Anchorage, AK FULL_TIME
  • Company DescriptionFPI Management, a national leader in property management, has an exciting opportunity for an experienced Community Direction to join our team at Chester Creek Estates, a 100 unit Se...
  • 30 Days Ago

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Associate Deputy State Director-Support Services
  • US Bureau of Land Management
  • Anchorage, AK FULL_TIME
  • Duties Share the duties of the Deputy State Director (Administrative Officer) by planning, organizing, and overseeing the activities of the Division of Support Services. Direct, coordinate, and overse...
  • 24 Days Ago

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UTILIZATION REVIEW MANAGER
  • North Star Behavioral Health
  • Anchorage, AK FULL_TIME
  • Responsibilities: UTILIZATION REVIEW MANAGER OPPORTUNITY North Star Behavioral Health, Alaska's premier mental health facility, is on a mission to provide hope and healing to individuals facing psychi...
  • 25 Days Ago

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0 Utilization Management Director jobs found in Anchorage, AK area

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Registered Nurse (RN)
  • Prestige Care, Inc.
  • Anchorage, AK
  • What does the Registered Nurse (RN) do?: Simply put, this is the jump off point to a long and fruitful nursing career in...
  • 4/23/2024 12:00:00 AM

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Case Manager RN
  • Hiring Now!
  • Anchorage, AK
  • Description Introduction Are you looking for a place to deliver excellent care patients deserve? At Alaska Regional Hosp...
  • 4/23/2024 12:00:00 AM

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Executive Director - Chugach Tribal Services
  • Chugach Alaska Corporation
  • Anchorage, AK
  • About CTS: Chugach Tribal Services is a newly established 501c3 non-profit entity whose purpose is to strengthen connect...
  • 4/22/2024 12:00:00 AM

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Director of Transformational Philanthropy
  • United Way Of Anchorage
  • Anchorage, AK
  • Organizational Overview We unite caring people to give, volunteer, and take action to remove barriers to opportunity and...
  • 4/21/2024 12:00:00 AM

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RN Manager ICU Stepdown
  • Hiring Now!
  • Anchorage, AK
  • Description $10,000 Sign-On Bonus and Relocation for Qualified Candidates Introduction Last year our HCA Healthcare coll...
  • 4/20/2024 12:00:00 AM

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RN Manager Critical Care Services
  • Hiring Now!
  • Anchorage, AK
  • Description $10,000 Sign On Bonus and Relocation for Qualified Candidates Introduction Do you want to be appreciated dai...
  • 4/20/2024 12:00:00 AM

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Transition to Independence Process (TIP) Supervisor **Hiring Bonus Eligible**
  • Denali Family Services
  • Anchorage, AK
  • This position is eligible for a $5,000 Hiring Bonus! At Denali Family Services we serve children who require intensive b...
  • 4/19/2024 12:00:00 AM

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RN Community Outreach and Volunteer Coordinator
  • Hiring Now!
  • Anchorage, AK
  • Description This position is incentive eligible. Introduction Are you passionate about the patient experience? At HCA He...
  • 4/19/2024 12:00:00 AM

Anchorage (officially called the Municipality of Anchorage; Dena'ina: Dgheyaytnu) is a unified home rule municipality in the U.S. state of Alaska. With an estimated 298,192 residents in 2016, it is Alaska's most populous city and contains more than 40 percent of the state's total population; among the 50 states, only New York has a higher percentage of residents who live in its most populous city. All together, the Anchorage metropolitan area, which combines Anchorage with the neighboring Matanuska-Susitna Borough, had a population of 401,635 in 2016, which accounts for more than half of the s...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Utilization Management Director jobs
$139,473 to $188,595
Anchorage, Alaska area prices
were up 2.8% from a year ago

Utilization Management Director in Johnstown, PA
Prior authorization decisions are also made using Medical Management and Behavioral Health Care Management internally derived policies and procedures developed using evidence-based guidelines based on national, state and locally established standards of practice.
March 01, 2020
Utilization Management Director in Carson City, NV
The utilization management coordinator must have strong project management skills to implement various programs within the allocated budget and set time limits.
January 31, 2020
Utilization Management Director in Melbourne, FL
Develops and administers polices and procedures for utilization control of inpatient and outside referral services countywide and for in a variety of categorical programs including the Medically Indigent Adult (MIA) Program.
January 08, 2020