Who we are:
Meridian, a WellCare Company, is part of a national network of passionate leaders, achievers, and innovators dedicated to making a difference in the lives of our members, our providers and in the healthcare industry.
We provide government-based health plans (Medicare, Medicaid, and the Health Insurance Marketplace) in Michigan, Illinois, Indiana, and Ohio. As a part of the WellCare Family of companies, we deliver healthcare excellence to millions of members nationwide.
Our associates work hard, play hard, and give back. Meridian associates enjoy an exceptional experience and culture including special events, company sports teams, potlucks, Bagel Fridays, and volunteer opportunities.
A Day in the Life of a Manager of Utilization Management - Medicare:
This position is responsible for the daily operational management and supervision of the utilization review functions within the Utilization Management – Medicare Department. This position includes the responsibility for providing overall direction, education, orientation, coordination and evaluation of the, Utilization Management Operational Leads, Transitional Care Coordinators, Transplant Care Coordinators, Inpatient Review Nurses, Preservice Nurses, Behavioral Health nurse, Denial staff, Utilization Management Care Coordinators and all other Utilization Management Medicare staff to optimize workload and outcomes, maintain all regulatory and accreditation requirements and function cross-departmentally in the coordination of member care.
What you can bring to Meridian:
What Meridian can offer you:
Equal Opportunity Employer