Team Lead - UM Regulatory & Compliance, RN

The Team Lead - UM Regulatory & Compliance, RN serves as a subject matter expert on prior authorization and letter review processes, acting as the first-line resource for clinical staff to ensure regulatory standards and LEAN project initiatives are met. This role involves managing daily operations of clinical staff, overseeing inventory management, and ensuring all staff meet organizational expectations. The position requires advanced knowledge of UM clinical operations, LEAN rapid improvement events, and UM metrics to identify gaps, escalate issues, and ensure adherence to Plan standards.