Regional Utilization Manager (O-5 Billet) Supervisory

DUTIES AND RESPONSIBILITIES: Serves in the capacity of Regional Utilization Manager and subject matter expert in the oversight of program activities and policies related to utilization review and management. Duties include day to day managing, assessing, planning, developing, budgeting, implementing, and evaluating assigned programs. Incumbent reviews, revises, and, or writes policies, provides technical oversight on contracts, formulates, and executes short- and long- range plans for optimum utilization of personnel, facilities and equipment. Incumbent ensures compliance with program regulations (e.g., appropriateness of health care and services based on regulatory, reimbursement requirements, evidence-based national care guidelines and evidence-based practices), maintains records per program policy, chairs meetings, and manages programs within immediate organizational component. Communicates and collaborates with individuals or groups from outside the agency, including consultants an