Top 20 Director of utilization Jobs in Reno, Nv

DIRECTOR OF VALUE BASED CARE AND POPULATION HEALTH
Carson Tahoe Health —Carson City, NV
- Full-time
- 5 years
- Master's degree
- Bachelor's degree
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4d
Director of Case Management
Saint Mary's Regional Medical Center —Reno, NV
- Full-time
- Acute care
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Director of EGS Business Development - North America
Ormat Technologies —Reno, NV
- English
- Master's degree
- Bachelor's degree
Senior Director of Operations
Tellworks Logistics —Sparks, NV
- $200,000 a year
- Weekends as needed
- 5 years
- Office
- Analysis skills
- Health insurance
- Dental insurance
13d
Medical Director
Northern Nevada HOPES —Reno, NV
- Full-time
- Medicine
- Microsoft Outlook
- Addiction Medicine
- Paid parental leave
- Paid holidays
Hospice Executive Director
Lifecare Home Health Family —Reno, NV
- Full-time
- Nursing
- RN License
- Master's degree
- Health insurance
- 401(k)
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10h
Director, Member Advocate Center
Costco Auto Program —Reno, NV
- $100,000 - $110,000 a year
- Full-time
- 7 years
- Microsoft Outlook
- Bachelor's degree
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Director of Commissioning
Meade —Reno, NV
- $177,000 - $294,000 a year
- 11+ years
- Master's degree
- Travel
- Paid holidays
- Disability insurance
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Director of Surgical Services
Saint Mary's Regional Medical Center —Reno, NV
- Full-time
- Nursing
- Surgery
- RN License
11h
Assistant Department Director, Cultural Resources
Westland Resources —Reno, NV
- $130,000 - $145,000 a year
- Online Application
- Hybrid work
- Master's degree
- Mentoring
- Senior level
- Paid holidays
- Health insurance
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Director of Engineering, Energy Storage
SOLV Energy, LLC —Carson City, NV
- $170,074 - $226,199 a year
- Full-time
- Up to 50% travel
- 5 years
- Travel
- Paid holidays
- Disability insurance
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Regional Clinical Director
GOALS for Autism, Inc. —Reno, NV
- $50 - $55 an hour
- Weekends as needed
- Bilingual
- Nursing
- Clean driving record
- Continuing education credits
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Network Contracting Director
CareMore Health Management Services, LLC —Reno, NV
- $131,243 - $236,238 a year
- Full-time
- 7 years
- Finance
- Analysis skills
- Disability insurance
- Health insurance
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4d
Assurance Director
Sorren —Reno, NV
- $160,000 - $220,000 a year
- Full-time
- CPA
- Bachelor's degree
- Quality control
- Paid parental leave
- Paid holidays
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Tax Director
Sorren —Reno, NV
- $170,000 - $250,000 a year
- Full-time
- CPA
- Research
- Bachelor's degree
- Paid parental leave
- Paid holidays
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director of utilization jobs near reno, nv

DIRECTOR OF VALUE BASED CARE AND POPULATION HEALTH

Carson Tahoe Health -
Carson City, NV

Quick Apply

Job Details

Full-time
4 days ago

Qualifications

Program management
Utilization review
Team supervision
Case management
Utilization management
Public health
Resource utilization in healthcare
Leading team collaboration initiatives
Healthcare reimbursement methods
Senior leadership

Full Job Description

US:NV:Carson City Population Health

Full Time Day Shift

Summary

The Director of Value-Based Care & Population Health is responsible for leading Carson Tahoe Health's population health, care coordination, utilization reduction, and value-based care initiatives in support of organizational quality, clinical performance, and financial sustainability goals.

The Director collaborates with physician leaders, case management, utilization review, quality, finance, medical group operations, and executive leadership to improve outcomes under value-based reimbursement models, including Medicare Advantage and risk-based contracts.

This position provides operational leadership for initiatives focused on reducing avoidable utilization, improving care transitions, closing care gaps, supporting risk adjustment efforts, improving patient outcomes, and advancing organizational population health strategies

Qualifications

Required:

Bachelor’s degree in Healthcare Administration, Business, or related field or equivalent combination of education and experience
Ten (10) years experience in population health, risk-based reimbursement experience, value-based care operational leadership experience, care management and utilization management experience or related;
Five (5) years progressively responsible experience as program lead, team lead or management
Knowledgeable in the areas of health care delivery systems, social determinants of health and health care transformation, and have an understanding of relevant Federal and State regulatory requirements

Preferred:

Master’s degree in Nursing, Healthcare Administration or related field

Essential Functions

Lead operational execution of Carson Tahoe Health's population health and value-based care strategies.
Collaborate with Case Management, Utilization Review, Quality, Medical Group Operations, and physician leadership to improve performance under value-based reimbursement arrangements.
Support organizational initiatives focused on reducing avoidable admissions, readmissions, emergency department utilization, and total cost of care.
Develop and implement programs targeting high-risk and rising-risk patient populations.
Monitor population health performance metrics and recommend operational improvements based on organizational data and performance trends.
Support care gap closure initiatives and collaborate with ambulatory operations and providers to improve preventive care and chronic disease management outcomes.
Partner with Finance and Payer Relations to monitor value-based contract performance and identify opportunities for improvement.
Collaborate with Medical Group Operations to support attribution strategies, patient retention efforts, and access initiatives.
Support RAF/HCC documentation improvement initiatives in collaboration with physician leadership and ambulatory operations.
Facilitate multidisciplinary value-based care workgroups and performance improvement initiatives.
Prepare executive-level reports and dashboards related to population health, utilization management, care coordination, and value-based care performance.
Monitor emerging trends in population health, Medicare Advantage, value-based reimbursement, and care management practices
Perform other duties as assigned.
- Primary Areas of Accountability:
- - Population Health Strategy
  - Value-Based Care Operations
  - High-Risk Patient Management
  - Care Gap Closure
  - Readmissions Reduction
  - Avoidable Utilization Reduction
  - Care Coordination Initiatives
  - Risk Adjustment Support
  - Medicare Advantage Performance
  - Population Health Analytics
  - Value-Based Care Governance Coordination

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director of utilization jobs in reno, nv

DIRECTOR OF VALUE BASED CARE AND POPULATION HEALTH

Director of Case Management

Director of EGS Business Development - North America

Senior Director of Operations

Medical Director

Hospice Executive Director

Director, Member Advocate Center

Director of Commissioning

Director of Surgical Services

Assistant Department Director, Cultural Resources

Director of Engineering, Energy Storage

Regional Clinical Director

Network Contracting Director

Assurance Director

Tax Director

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