Director, Utilization Management & Clinical Operations

CommunityCare HMO Inc. in Tulsa, Oklahoma, seeks a Director of Utilization Management to provide strategic and operational leadership for the health plan's Physical Health Utilization Management department reporting to the Chief Medical Officer.

You will lead a large team, drive data-driven strategies to improve clinical appropriateness, affordability, efficiency, and quality, and ensure compliance with regulatory standards. This role requires RN licensure and senior leadership experience.