Related skills
program management prior authorization sops regulatory compliance provider incentive programs📋 Description
- Execution engine for the UM Strategy team; you own the how.
- Lead end-to-end execution of Gold Card and Provider Incentive programs.
- Own the Source of Truth for the Prior Authorization list.
- Ensure UM programs meet state/federal mandates; support audits.
- Hybrid NYC role: 3 in-office days/week; Thursdays mandatory.
- Develop SOPs and blueprints for new initiatives.
🎯 Requirements
- 4+ years in program management.
- 3+ years delivering projects/programs.
- 2+ years managing Prior Authorization list process.
- Experience in payer/health insurance.
🎁 Benefits
- Medical, dental, and vision benefits
- 11 paid holidays and paid sick time
- Paid parental leave and 401(k) plan participation
- Life and disability insurance
- Unlimited vacation program
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