Build strong, trusted relationships with clients and serve as a strategic partner
Develop a deep understanding of client KPIs and SLAs within the first 60 days
Identify and execute proactive opportunities to improve performance, satisfaction, and outcomes
Oversee complex multi-client utilization review and utilization management operations
Drive measurable improvements in performance, productivity, and SLA attainment
Lead data-driven decision-making using dashboards and analytics tools
Champion adoption of new technologies and investment capabilities
Lead large-scale change initiatives across people, process, and technology
Partner cross-functionally to implement process and system improvements
Lead, develop, and mentor a large, multi-layered team (125–175 employees globally)
Manage and empower direct reports (minimum of 3 leaders)
Foster a high-performing culture aligned with organizational values

Active Registered Nurse (RN) license
Proven experience leading complex, multi-client utilization review / utilization management operations (RPM environment preferred)
Strong background in Revenue Cycle Management (RCM) (or equivalent healthcare leadership experience)
Experience managing multi-geography teams
Demonstrated success in client relationship management and partnership development
Strategic mindset with experience driving organizational transformation
Data-driven leadership approach, with strong analytical skills
Proficiency in Power BI (dashboard navigation and insights)
Working knowledge of EMR systems (Cerner, Epic, or Meditech preferred) with both front
and back-end understanding
Proficiency in Microsoft Office Suite
Experience leading change management initiatives across people, process, and technology

Comprehensive benefits package designed to support physical, emotional, and financial health
Healthcare
Time off
Retirement
Well-being programs
Professional development
Professional certification reimbursement
Tuition reimbursement
Quarterly and annual incentive programs

Director, Virtual Utilization Review

Key skills