Senior Director of Scope Management

A company is looking for a Senior Director, Scope Management. Key Responsibilities Oversee the end-to-end management of prior authorization and financial scope Develop and implement strategies for accurate specialty standard and client-level prior authorization requirements Lead a team of analysts to maintain scope configuration and facilitate communication across systems Required Qualifications Bachelor's degree in healthcare or a quantitative major 10+ years of experience in value-based healthcare analytics or utilization management 10+ years of understanding medical billing and coding functions 5+ years of direct team management experience Advanced skills in Microsoft Excel and proficiency in SQL or Python

Feb 10, 2025 - 15:25

A company is looking for a Senior Director, Scope Management. Key Responsibilities Oversee the end-to-end management of prior authorization and financial scope Develop and implement strategies for accurate specialty standard and client-level prior authorization requirements Lead a team of analysts to maintain scope configuration and facilitate communication across systems Required Qualifications Bachelor's degree in healthcare or a quantitative major 10+ years of experience in value-based healthcare analytics or utilization management 10+ years of understanding medical billing and coding functions 5+ years of direct team management experience Advanced skills in Microsoft Excel and proficiency in SQL or Python