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Vice President Supervisor Utilization Management Jobs

CommonSpirit Health

$133.54 - $186.96/hr

Job Summary and Responsibilities The System Vice President of Utilization Management is a key member of the healthcare organization's leadership team and is charged with meeting the organization ...

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Vice President Supervisor Utilization Management information

What is the difference between Vice President Supervisor Utilization Management vs Utilization Management Supervisor?

AspectVice President Supervisor Utilization ManagementUtilization Management Supervisor
CredentialsTypically requires advanced degrees (e.g., Master's, RN, or related certifications), leadership experience, and industry-specific licensesUsually requires a bachelor's degree, relevant certifications (e.g., CCM, RHIA), and some management experience
Work EnvironmentExecutive-level setting, overseeing multiple teams or departments, strategic planningOperational setting, managing daily utilization review activities, team supervision
Employer & Industry UsageUsed in healthcare organizations, insurance companies, and managed care firms at senior levelsCommonly found in healthcare providers, insurance companies, and health plans at supervisory levels

The Vice President Supervisor Utilization Management holds a senior leadership role with strategic responsibilities, while the Utilization Management Supervisor focuses on daily operations and team management. Both roles require industry-specific knowledge, but the VP position involves broader oversight and decision-making at an organizational level.

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Vice President Supervisor Utilization Management jobs near you
Infographic showing various Vice President Supervisor Utilization Management job openings in the United States as of July 2026, with employment types broken down into 1% As Needed, 82% Full Time, 14% Part Time, 1% Temporary, and 2% Contract. Highlights an 88% Physical, 2% Hybrid, and 10% Remote job distribution.
Vice President of Utilization Management

Vice President of Utilization Management

Village Care

Manhattan, NY • On-site

$252K - $277K/yr

Full-time

Re-posted 19 hours ago

Job description

Position: Vice President, Utilization Management
Location: Hybrid (Must Reside in NY/NJ/CT)
Compensation: $252,259.69 - $277,485.66
About US:
VillageCare is a community-based, not-for-profit organization serving people with chronic care needs, as well as seniors and individuals in need of continuing care and managed care services. Our mission is to promote healing, better health and well-being to the fullest extent possible. Our care is offered through a comprehensive array of community and residential programs, as well as managed care. VillageCare has delivered quality health care services to individuals residing within New York City for over 45 years.
JOB SUMMARY:
The Vice President, Utilization Management is responsible for the development and implementation of plans to optimize the end to end operations of all utilization management functions to ensure access to needed services for all members while managing costs. Reporting to the EVP for Clinical Services and Network Management and working in collaboration with the Senior Medical Director, the Vice President, Utilization Management leads a team of experienced professionals responsible for assessing member needs relative to applicable clinical guidelines across the full range of inpatient, outpatient, and home-based services, and for ensuring compliance with Medicare and Medicaid program rules and requirements. The Vice President, Utilization Management, through a matrix environment, works closely with senior leaders responsible for, Finance, Medical Economics, Data Analytics, Care Management, Pharmacy Management, Network Management and Behavioral Health Management programs to effect the integration of Utilization Management functions within the Clinical Operations team, seeking to achieve positive clinical outcomes and enhance member satisfaction across all VillageCareMAX lines of business. The Vice President, Utilization Management is responsible for the ongoing review and refinement of Utilization Management strategies and plans.
Experience:
  • A minimum of 8 years management experience in a health-related field
  • A minimum of 10 years' experience in a utilization management position
  • Hospital based clinical experience required
  • Experience analyzing and using data to drive improvement activities
  • Track record of successful management of UM functions in compliance with Medicare and Medicaid rules and requirements

EDUCATION:
  • Bachelor's Degree in Nursing. Master's degree in related healthcare or business field required.

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