1+ months

Associate Director - Utilization Management - SKY Program - Louisville, KY

Louisville, KY 40202
  • Job Code

For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of care. Join us and help people live healthier lives while doing your life's best work.(sm)


The UM manager is oversees UM functions for the Kentucky SKY program and any subcontractors performing services relevant to UM. This position also is responsible for the supervisory oversight and direction of the UM department activities to include prior authorization for post-acute services, concurrent review and discharge planning functions.


Primary Responsibilities:

  • Conduct assessments of children and youth in Kentucky SKY health care needs
  • Actively participate in management decision making to verify compliance benefit administration and all reporting requirements
  • Demonstrate a high degree of coordination with business partners, including, but not limited to: clinical services, prior authorization intake, triage and authorization decision-making processes, behavioral health, and other clinical specialty, external vendors or national programs
  • Managing the matrix environment through influence to ensure positive performance outcomes and work with provider's concerns
  • Managing claims performance and ensuring providers are receiving payment
  • Collaborate with the local provider community, and with state regulatory agencies to improve car
  • Actively participate in leadership meetings, at the health plan, local, state, regional, or national levels



Posted: 2019-08-09 Expires: 2019-12-12

UnitedHealth Group is the most diversified health care company in the United States and a leader worldwide in helping people live healthier lives and helping to make the health system work better for everyone.

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Associate Director - Utilization Management - SKY Program - Louisville, KY

UnitedHealth Group
Louisville, KY 40202

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