Utilization Manager Jobs in Wasilla, AK (NOW HIRING)

The Alaska Native Tribal Health Consortium is a non-profit Tribal health organization designed to meet the unique health needs of Alaska Native and American Indian people living in Alaska. In partnership with the more than 171,000 Alaska Native and American Indian people that we serve and the Tribal health organizations of the Alaska Tribal Health System, ANTHC provides world-class health services, which include comprehensive medical services at the Alaska Native Medical Center, wellness programs, disease research and prevention, rural provider training and rural water and sanitation systems construction.
ANTHC is the largest, most comprehensive Tribal health organization in the United States, and Alaska's second-largest health employer with more than 3,100 employees offering an array of health services to people around the nation's largest state.
Our vision: Alaska Native people are the healthiest people in the world.
ANTHC offers a competitive and comprehensive Benefits Package for all Benefit Eligible Employees, which includes:

• Medical Insurance provided through the Federal Employee Health Benefits Program as a Tribal Employee, with over 20 plans and tiers.

• Cost-Share Dental and Vision Insurances

• Discounted Pet Insurance

• Retirement Contributions with Pre-Tax or Roth options into a 403(b).

• 401(a) ANTHC Retirement Plan: After one year of employment, ANTHC will begin making matching contributions of up to 5% of your eligible pay, based on your own contributions. In addition, you may be eligible for an annual discretionary contribution of up to 3% from the employer.

• Paid Time Off starts immediately, earning up to 6 hours per pay period, with paid time off accruals increasing based on years of service.

• Eleven Paid Holidays

• Paid Parental Leave or miscarriage/stillbirth eligibility after six months of employment

• Basic Short/Long Term Disability premiums, Accidental Death and Dismemberment (AD&D) Insurance, and Basic Life Insurance are covered 100% by ANTHC, with additional options for Short-Term Disability Buy-Up Coverage and Voluntary Life for yourself and your family members.

• Flexible Spending Accounts for Healthcare and Dependent Care.

• Ancillary Cash Benefits for accident, hospital indemnity, and critical illness.

• On-Site Child Care Facility with expert-designed classrooms for early child development and preschool.

• Employee Assistance Program with support for grief, financial counseling, mental/emotional health, and discounted legal advice.

• Tuition Discounts for you and your eligible dependents at Alaska Pacific University.

• On-Site Training Courses and Professional Development Opportunities.

• License and certification reimbursements and occupational insurance for medical staff.

• Emergency Travel Assistance

• Education Assistance or Education leave eligibility

• Discount program for travel, gym memberships, amusement parks, and more.

Visit us online at www.anthc.org or contact Recruitment directly at HRRecruiting@anthc.org.
Alaska Native Tribal Health Consortium has a hiring preference for qualified Alaska Native and American Indian applicants pursuant to P.L. 93-638 Indian Self Determination Act.
Summary:
The Clinical Value Analysis coordinator leads Value Analysis team functions with responsibility for achieving supply expense management initiatives and targets utilizing the value analysis process. The Coordinator leads all value analysis structures across the organization. The Coordinator will develop and execute a structured approach that will maximize the application of data analytics and clinical evidence leading to best in class efficiency, product standardization and utilization. This role will serve as a consultant to clinical staff throughout the organization for sourcing safe and effective products. This role will provide support multiple safety committees across the organization as a team member with nursing leadership.
Responsibilities:
Responsible for developing and leading a consortium-wide value analysis process with the goal of providing high quality, efficient and cost-effective service; this process requires the establishment of and adherence to a streamlined method for standardizing and monitoring product/service selection, utilization and costs.
Provides clinical and strategic expertise that facilitates supply expense management while continuously improving quality, safety and satisfaction.
Leads utilization management efforts for clinical products and works with clinical partners to review opportunities for standardization and efficiencies in use. Organizes methods and standard work on the evaluation of utilization management in supply management. Leads conversion opportunities until completion with follow-up measurement to validate success.
Actively works with members of the health care team and system teams to assist them with product selection and conversions, which includes listening to concerns, mediating user issues with manufacturers, and following up on product quality concerns, which may include FDA reporting. Works with the consortium GPO organization, GSA and VA on their respective offerings related to supply contracts.
Works closely with clinical departments, and Procurement and Contracting to ensure that contracts are in alignment and compliance can be met.
Makes significant contributions to ANTHC from a price, quality and service perspective. Ensure efficient operations in each of the main areas of responsibility. Efficiency monitored through a set of key performance indicators by area of responsibility. KPIs to include, at a minimum, outcome improvement, process improvement, budget performance, cost savings, and customer service improvement in alignment with ANMC and ANTHC.
Serves staff as both an educator and mentor on the value analysis process; works strategically and tactically to facilitate and identify, analyze, decide and implement best practices and expense management initiatives.
Supports nursing quality initiatives with help in resourcing products being mindful of utilizing contracted suppliers unless clinically contraindicated.
Develops internal relationships at both the consortium and hospital levels. This would include department directors and managers as necessary to understand the needs of a broad spectrum of clinical and non-clinical departments.
Works with Procurement and Contracting in the negotiation of contracts with vendors selected as requested where clinical expertise is required.
Manages vendor relationships with key stakeholders. Acts as a resource and support to the end user departments to ensure the vendor performs in accordance with the contract terms. Takes reasonable steps to ensure quality outcomes from all agreements. Where possible and appropriate, forges the relationship into a partnership such that the benefit of the agreement is optimized.
Ensures the team is operating at a high level of efficiency; utilizing process improvement techniques where appropriate. Establish measurable individual and departmental goals and objectives. Manages the Product Evaluation Committee and New item add process approvals.
Performs other duties as assigned.
Other information:
KNOWLEDGE and SKILLS

• Knowledge of Alaska Tribal Health System, ANTHC, and Alaska Native culture(s).
• Knowledge of Infor ERP systems
• Advanced Excel skills. Microsoft office skills.
• Skill in oral and written communication.
• Skill in managing multiple priorities and tasks concurrently and meeting deadlines.
• Skill in establishing and maintaining cooperative working relationships with others.
• Skill in operating a personal computer utilizing a variety of applications.

MINIMUM EDUCATION QUALIFICATION
A Bachelor's Degree in Nursing. Equivalent knowledge, experience, education, or training may be substituted for education.
MINIMUM EXPERIENCE QUALIFICATION
Non-supervisory - Five (5) years of experience in roles with progressive responsibility in clinical operations/supply chain to include 3 years of clinical experience.
MINIMUM CERTIFICATION QUALIFICATION
Current registered nurse license in the State of Alaska.
PREFERRED EDUCATION QUALIFICATION
Masters Nursing degree