Responsibilities

The Strategy Advancement Advisor will develop and implement utilization management strategies aligned with organizational goals, ensuring the efficient use of healthcare resources and maintaining high-quality patient care. They will identify opportunities for cost savings through effective utilization management practices, monitor and analyze utilization data, and implement cost-effective measures. The Advisor will establish standardized protocols and workflows across the enterprise, lead UM annual evaluation activities, and facilitate communication and coordination between various departments, providing strategic planning support, conducting data analysis and reporting, and collaborating with stakeholders to ensure cohesive utilization management practices. They will also advise executives on functional strategies and exercise independent judgment in complex decision-making.