Required Minimum Qualifications: + Masters degree in healthcare management, nursing, or a related field + Valid healthcare administration license or certification (e.g., Registered Nurse, Certified Professional in Healthcare Management) + Proven leadership experience in utilization management or a related field within the healthcare industry + In-depth knowledge of healthcare regulations, insurance, and reimbursement policies + Strong analytical, problem-solving, and data-driven decision-making skills + Excellent interpersonal, communication, and presentation skills + Ability to lead, motivate, and develop a high-performing team + Strong project management, process improvement, and organizational skills . Utilization management includes, but is not limited to, analyzing entrance into care environments from multiple perspectives including payors, healthcare system, patient/family, and providers; ensuring appropriate and high quality care in the most appropriate setting and most appropriate cost; analyzing the effectiveness of treatment before, during and after care delivery; and, developing relationships with and educating payors, healthcare executives, patients and families, and providers.