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© All Rights Reserved. ApplyBlast.com
Healthfirst
The Senior Manager, Clinical Utilization Management (UM) Operations provides strategic and operational leadership for UM activities, focusing on modernization, transformation, and compliance. This role oversees people leaders responsible for clinicians and coordinators performing medical necessity reviews, service authorizations, and care coordination. The position ensures high-quality, member-centered operations while driving standardization, efficiency, and sustainable operational improvement.
Headquarters
New York, New York, United States
Company Size
1001-5000 employees
Founded
1993
Healthfirst is a New York-based health insurer offering Medicare Advantage, Medicaid, Essential Plans, Child Health Plus, and other individual and family plans, along with long-term care options. Serving New York City, Long Island, Westchester, Rockland, Sullivan and surrounding areas, Healthfirst emphasizes a broad provider network, care coordination, and member resources to help New Yorkers access affordable health coverage.
41% above the average for this role
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