The Oncology Institute of Hope and Innovation

The UM Authorization Analyst II is responsible for processing medical procedure authorizations and ensuring compliance with regulatory standards. They also lead daily huddles, manage appeal escalations, and collaborate with providers to improve utilization management workflows.

The Utilization Management Pharmacist supports the development and optimization of oncology utilization management processes by applying clinical expertise and evidence-based guidelines. They partner with cross-functional teams to align medication review workflows, ensure appropriate therapy selection, and reduce barriers to patient access.

The Senior Manager leads a specialized RCM SWAT team to stabilize underperforming billing and collections functions while driving rapid-response initiatives. They are responsible for vendor performance management, data-driven operational improvements, and ensuring a positive patient financial experience.

The Medical Director will conduct clinical reviews of hematology and oncology treatment plans to ensure medical necessity and alignment with evidence-based guidelines. They will also collaborate with clinical and operational teams to optimize patient outcomes and support value-based care initiatives.

Responsible for the timely and accurate processing of medical procedure authorizations and leading daily huddles with physician reviewers. The role involves managing denial escalations, ensuring regulatory compliance, and preparing reports on authorization activities.