Director, Utilization Management & Care Optimization

A leading health insurance provider is looking for a professional to lead its Utilization Management activities in Worcester. This role involves managing both inpatient and outpatient care and ensuring compliance with regulatory requirements. Candidates should hold a Master’s degree in health administration and have significant experience in managed care. A Massachusetts Nursing License is required, alongside ten years of clinical experience, with at least five years in managed care operations. Competitive benefits and career development opportunities are provided. #J-18808-Ljbffr