Director, Utilization Management
Southfieldonsitedirector
Posted 4 days ago · via Workday
About this role
SUMMARY: The Director of Utilization Management (UM) is a critical dual-function leadership role at PACE Southeast Michigan, sitting at the intersection of our clinical delivery model and our insurance Plan obligations. Reporting directly to the Medical Director, this role owns the full utilization management program — including prospective, concurrent, and retrospective review — and serves as the primary check and balance between the IDT's care decisions and the financial stewardship required of a capitated, dual payer-provider PACE organization.…
What we'd score you on
reqspace match rubricFive dimensions, recruiter-grade. Upload your resume and we'll generate a written explanation of where you fit and where the gaps are.
1
Skills match
We compare your skills against the role requirements.
2
Level fit
This role is director-level. We check your trajectory against it.
3
Domain experience
Your work in the role's domain matters more than your years total. We weight recent and direct experience.
4
Recency
A skill you used last quarter weighs more than one from five years ago. We grade on recency, not lifetime.
5
Location fit
This role is based in Southfield. We weight your proximity and willingness to relocate.
Score yourself on this role.
Free · no card · written explanation included