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County of Contra Costa

Utilization Management Leader – Health Plan

martinez, CA

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About this opportunity

County of Contra Costa lists this Utilization Management Leader – Health Plan opportunity in martinez, California. Review the employer’s description below for duties, qualifications and application requirements.

Job description

Contra Costa Health Plan is seeking a strategic Utilization Review Manager in Martinez, CA. You will lead clinical review operations, drive policies, and ensure compliant, timely utilization management for multiple lines of business.

Ideal candidates bring RN licensure in California, 3 years in hospital managed care UR roles, plus 1 year supervisory experience. Mastery of DHCS/DMHC/CMS/NCQA standards is preferred.

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Worksite address

martinez, CA, 94553, US

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