Utilization Management Director (UM/CCM) - Remote

Included Health is a new kind of healthcare company, delivering integrated virtual care and navigation. We’re on a mission to raise the standard of healthcare for everyone. We break down barriers to provide high-quality care for every person in every community — no matter where they are in their health journey or what type of care they need, from acute to chronic, behavioral to physical. We offer our members care guidance, advocacy, and access to personalized virtual and in-person care for everyday and urgent care, primary care, behavioral health, and specialty care. It’s all included. Learn more at includedhealth.com.
In partnership with Senior Leadership, the Utilization Management (UM) Director sets a 2-3 year strategic vision for Included Health’s UM service line. This individual will oversee all Include Health UM initiatives and act as the company’s UM subject matter expert. This requires someone who is a strong collaborator, excels at stakeholder relationships, is highly organized, and is a self starter. 
As the UM leader, the role will also represent Included Health in external meetings with prospective and current clients, and with potential partners, representing and expounding upon Included Health’s vision of utilization management.  
This position will report to the Senior Director, Clinical Products & Services, at Included Health.

Responsibilities

• Accountable for the success of the Included Health UM program
• Program management of the UM program with dotted line oversight of the UM RN lead
• Exceptional coordination with internal and external resources to develop, build and execute the utilization management program
• Establishing and maintaining excellent communication and relationships with key cross-functional stakeholders 
• Ensuring internal and external workflows are efficient and up-to-date
• Partnering closely with key stakeholders in Care and Case management …