Remote Optum Health Utilization Review Jobs in Colorado

Job Summary and Responsibilities

As our System Manager, SSRM Value Analysis, you will be responsible for clinical direction within the assigned category team, with primary focus on cost reduction opportunities, contract utilization, and standardization initiatives.
Every day, you will act as a clinical expert position that provides input into contracting processes and serves as the clinical resource for new technology and practice. You will collaborate with various stakeholders to identify and implement best practices that enhance patient care while optimizing costs.
To be successful in your role, you will strategically lead value analysis initiatives, leveraging your clinical expertise to drive cost reduction, optimize contract utilization, and standardize practices within your assigned category. You will demonstrate exceptional leadership in assessing new technologies, influencing contracting processes, and ensuring that all initiatives enhance patient care while maximizing resource efficiency across the organization.

• Participates in identifying, planning, and facilitating the implementation of cost reduction initiatives as developed by the category team
• Collaborates with various teams including national service lines, clinical collaboration groups, divisional implementation, and operations to provide clinical direction on contracting requirements, new technologies, clinical practice standards, and national initiatives within assigned category
• Quantifies, analyzes and formulates recommendations for products used within CommonSpirit Health. Leads product evaluations, utilizing value analysis principles, in support of cost savings initiatives
• Supports best practices and established processes for new product introduction, review, analysis and communication
• Collaborates with product manufacturers, developing partnerships and insights into their perspectives around product utilization, cost reduction, new technology and opportunities
• Works collaboratively with internal and external customers to achieve a maximized level of customer service and optimized cost reduction
• Remote eligible.

The job summary and responsibilities listed above are designed to indicate the general nature of the work performed within this job. They are not designed to contain or be interpreted as a comprehensive inventory of all job responsibilities required of employees assigned to this job. Employees may be required to perform other duties as assigned.

Job Requirements

Required

• Bachelors of Science in Nursing or other clinical discipline
• Experience with and literate in supply chain computer applications, Microsoft Office or Google applications and user knowledge of each to achieve supply chain goals 
• Demonstrated project management experience and the ability to prioritize and manage highly sensitive competing projects 
• Minimum of five (5) years experience in clinical operations

Preferred

• Project Management experience
• Project Management Professional (PMP) certification 

Where You'll Work

Inspired by faith. Driven by innovation. Powered by humankindness. CommonSpirit Health is building a healthier future for all through its integrated health services. As one of the nation’s largest nonprofit Catholic healthcare organizations, CommonSpirit Health delivers more than 20 million patient encounters annually through more than 2,300 clinics, care sites and 137 hospital-based locations, in addition to its home-based services and virtual care offerings. CommonSpirit has more than 157,000 employees, 45,000 nurses and 25,000 physicians and advanced practice providers across 24 states and contributes more than $4.2 billion annually in charity care, community benefits and unreimbursed government programs. Together with our patients, physicians, partners, and communities, we are creating a more just, equitable, and innovative healthcare delivery system.

Qualifications:

Required

• Bachelors of Science in Nursing or other clinical discipline
• Experience with and literate in supply chain computer applications, Microsoft Office or Google applications and user knowledge of each to achieve supply chain goals 
• Demonstrated project management experience and the ability to prioritize and manage highly sensitive competing projects 
• Minimum of five (5) years experience in clinical operations

Preferred

• Project Management experience
• Project Management Professional (PMP) certification 

Employment Type: Full Time