Director, Utilization Management Hospice CoE

Lead hospice and palliative care utilization management across Medicaid and Marketplace populations, driving enterprise strategy, clinical governance, and day-to-day operational execution. Oversee utilization operations for timeliness, quality, performance, and provider experience, and ensure compliance with corporate, state, and NCQA standards. Analyze utilization trends, deliver cost-effective process improvements, manage budgeting components, and direct hiring, onboarding, and training for a high-performing utilization management team.