Dir-Utilization Management-Physical Health (Full-time Remote, Morrisville, NC Based)

The Director of Utilization Management (UM) for Physical Health is responsible for administering and coordinating physical health utilization management activities for Alliance. This position ensures the UM Department operates as an integrated department providing a holistic review of member’s needs.  The position is responsible for overseeing a core component that ensures that individuals receive the correct level and intensity of services that results in positive outcomes.

This job also develops systems to monitor the appropriate utilization of both state and Medicaid funds.