Utilization Management Director (RN)
Central California Alliance for Health
About this role
The Utilization Management Director (RN) leads the Utilization Management Department, overseeing prior authorizations, concurrent review, medical claims review, appeals, and grievance processes while managing and supervising department staff.
Skills
Qualifications
About Central California Alliance for Health
thealliance.healthCentral California Alliance for Health is a state‑funded Medi‑Cal managed care plan that provides health coverage to residents of Mariposa, Merced, Monterey, San Benito, and Santa Cruz counties. The Alliance coordinates and finances medical, behavioral health, and preventive services through a network of local providers to improve access and health outcomes for its members. It also partners with community organizations and programs to support enrollment, member education, and efforts addressing social determinants of health.
Recent company news
BenitoLinkCentral California Alliance for Health launches TotalCare
Oct 9, 2025
Monterey County WeeklyA new HMO is launched, offering coordinated care for those on Medicare and Medi-Cal.
Oct 16, 2025
Yield PROCity of Watsonville Celebrates Opening of 72 Affordable Apartments at Sparrow Terrace
Aug 14, 2025
Lookout Santa CruzHow Enhanced Care Management transforms lives—and could change yours
Aug 25, 2025
SanBenito.comAlliance launches TotalCare all-in-one health plan - SanBenito.com | Hollister, San Juan Bautista, CA
Oct 9, 2025
About Central California Alliance for Health
Headquarters
San Francisco, CA
Company Size
201-500 employees
Founded
2018
Industry
Technology
Glassdoor Rating
4.2 / 5
Leadership Team
Sarah Johnson
Chief Executive Officer
Michael Chen
Chief Technology Officer
Emily Williams
VP of Engineering
David Rodriguez
VP of Product
Jessica Thompson
Chief Financial Officer
Andrew Park
VP of Sales
Unlock Company Insights
View leadership team, funding history,
and employee contacts for Central California Alliance for Health.
Salary
$200k – $230k
per year
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