Regional UM Leader — Non-Acute Care & Transitions

Posted yesterday

alignment healthcare usa inFresno (CA)

Medical and Health Services Managers Offices of Physicians (except Mental Health Specialists)

SENIORITY

Manager

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About the role

Alignment Health is seeking a senior Utilization Management Leader to guide market-level non-acute UM programs, physician oversight, and prior authorization in the Fresno, CA area. You will align with CMS and evidence-based guidelines while partnering with PCPs, hospitals, and delegated medical groups to optimize utilization. The role requires MD/DO with CA license, leadership in managed care, and strong analytics to improve performance and member outcomes in a local-market setting.

Before you apply

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Your profile is current

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Two examples you can talk through

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A number in mind

What you're on now and what would make you move. We negotiate better when we know both.

Your notice period

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Once you apply, someone reads it and calls you before anything reaches the employer — usually within two working days.