Utilization Management Operations Manager

Summary

The Operations Manager role at Dane Street involves overseeing regional operations center profitability, driving revenue growth, optimizing physician cost, managing staff performance, and client interaction. Education requirements include an Associate's Degree or Bachelor's Degree, with an RN/LPN license being mandatory.

Requirements

• An Associate’s Degree or Bachelor’s Degree is preferred
• RN / LPN License is required
• Utilization Review experience is required

Responsibilities

• Oversee and ensure the overall profitability of the regional operations center
• Driving revenue growth by delivering excellent customer service
• Ensuring the timely delivery of high quality reports
• Managing client inquiries in a timely manner
• Ensuring that client invoices adhere to the agreed upon fee schedule
• Overseeing the proper selection of physicians
• Building relationships with key physicians to ensure panel retention
• Monitor key performance metrics of individual Customer Service Representatives (CSR) and Quality Assurance (QA) Specialists
• Ensure the team meets or exceeds 85% of output goals for scheduling and Quality Assurance targets
• Responsible for hiring new staff members based on increased referral volume and/or the addition of new clients
• Conducts performance evaluations that are timely and constructive
• Handles discipline and termination of employees as needed and in accordance with company policy

Preferred Qualifications

• Business experience in a healthcare and/or insurance setting is preferred
• Business experience in a Clinical setting is preferred

Benefits

• Health insurance
• Retirement benefits
• Performance bonuses