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Manager, UM Regulatory & Compliance - CCA
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$56.85 - $91.64 an hour
- Find joy in serving others with IEHP!
- The Manager, UM Regulatory & Compliance - CCA is responsible for the coordination, implementation, and oversight of the IEHP's overall Utilization Management Out-Patient Operations departmental clinical and operational compliance with regulatory requirements and quality assurance initiatives related to utilization management out-patient activities (e.g., Prior Authorization, UM Call Center operations).
- Build tools and resources to handle new programs to provide state of the art care for IEHP Members.
- Provide open lines of communication with Utilization Management staff, IEHP delegates and providers on issues related to IEHP Utilization Management policies and procedures.
- Commitment to Quality: The IEHP Team is committed to incorporate IEHP's Quality Program goals including, but not limited to, HEDIS, CAHPS, and NCQA Accreditation.
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