Manager I Utilization Management

Elevance Health • Atlanta, IN

4d • Hybrid

About The Position

The Manager I Utilization Management is responsible for the daily management of the department. This role requires associates to be in-office 3 days per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured office engagement with the autonomy of virtual work, promoting a dynamic and adaptable workplace. Alternate locations may be considered if candidates reside within a commuting distance from an office. Candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law.

Requirements

• Requires HS diploma or equivalent and a minimum of 4 years’ operational experience in a progressively complex customer service or call center; or any combination of education and experience which would provide an equivalent background.

Nice To Haves

• 3 years of Behavioral Health experience.
• Strong oral, written and interpersonal communication skills, problem-solving skills, facilitation skills, and analytical skills.
• Ability to work in a collaborative environment.
• Candidates from all states are welcome, but they must reside within commuting distance of an Elevance Health Pulse Point office location.

Responsibilities

• Supervises workflow and performance of associates.
• Assists in coordination and development of UM quality initiatives.
• Participates in strategic planning and budget processes.
• Ensures compliance with departmental policies and procedures.
• Works in conjunction with other UM staff to improve service quality initiatives, develop audit tools, and meet NMIS and other quality standards.
• Provides quality control services such as call monitoring.
• Develops and implements associate training.
• Performs audits to monitor efficiency and compliance with policies.
• Prepares reports.
• Hires, trains, coaches, counsels, and evaluates performance of direct reports.

Benefits

• merit increases
• paid holidays
• Paid Time Off
• incentive bonus programs
• medical
• dental
• vision
• short and long term disability benefits
• 401(k) +match
• stock purchase plan
• life insurance
• wellness programs
• financial education resources

What This Job Offers

• Job Type: Full-time
• Career Level: Manager
• Education Level: High school or GED