Utilization Management Strategy Analyst - Remote US

Become a part of our caring community and help us put health first
 The Clinical Strategy team is a multi-disciplinary team focused on creating data-driven strategies to transform our business and the experiences we create for our members, provider partners & associates. We partner closely with our operations counterparts, working hand-in-hand to translate these strategies into concrete roadmaps that will generate tangible value for all stakeholders.

Within the Utilization Management (UM) Strategy team, our goal is to enable members to receive effective, appropriate care in a timely manner … all while streamlining processes for our provider partners and reducing unnecessary costs from the healthcare system. The Utilization Management Strategy Analyst role works closely with internal and external stakeholders, such as clinical operations, markets, provider contracting, and analytics to investigate new opportunity areas, design and execute initiatives, inform UM policies and ultimately ensuring efficient healthcare delivery.

This role would be a great fit if …
• You are passionate about Utilization Management – you’re motivated by driving positive health outcomes for members and reducing waste in the healthcare system
• You are driven – you’re eager to use your strong strategic and analytical acumen to drive impact and create significant measurable value
• You are collaborative– you like partnering across the enterprise to develop pragmatic, high-value strategies and drive exceptional execution of our key objectives
• You are curious – you enjoy connecting the dots between business metrics and frontline, understanding key root causes for what we see in data, testing hypotheses for what we could improve to drive value, and transforming ideas into action

As the Utilization Management Strategy team, our mission sits at the intersection of members, provider partners …