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director of utilization management jobs near roseville, ca

Director, Infusion Operations

Innova People
Roseville, CA

Quick Apply

Job Details

Full-time
$139,004 - $208,505 a year

Qualifications

Senior leadership

Full Job Description

Director, Infusion Services

Location: Greater Sacramento Area, California
Job Type: Full-Time | On-Site

The Opportunity

A large, nonprofit integrated health system is seeking an experienced Director of Infusion Services to provide system-wide leadership for infusion operations across a diverse network of hospitals, outpatient clinics, and alternative sites of care. This is a high-visibility leadership position based at the organization's corporate campus in the Greater Sacramento area.

The Director will lead the strategic, financial, and operational performance of infusion services across the health system. This role provides end-to-end business leadership for infusion therapy, including hospital outpatient departments, freestanding infusion centers, physician-based clinics, and alternative sites of care. The Director serves as the primary business leader for infusion financial performance, growth strategy, and regulatory compliance while partnering closely with pharmacy, nursing, finance, revenue cycle, contracting, compliance, and clinical leadership.

Key Responsibilities

Develop and execute a system-wide infusion services strategy aligned with organizational growth, patient access, and financial objectives.
Lead site-of-care optimization initiatives while balancing clinical appropriateness, payer requirements, patient experience, and financial performance.
Evaluate and implement new infusion service models, network expansion opportunities, and strategic partnerships, including home infusion and joint ventures.
Oversee infusion services profit and loss (P&L), including revenue, margin, and expense management.
Identify and address opportunities related to drug acquisition, waste reduction, reimbursement optimization, charge capture, and denial prevention.
Partner with pharmacy leadership to optimize drug purchasing, contracting, and inventory management.
Develop business cases supporting new therapies, indications, and service line expansion.
Collaborate with managed care and contracting teams to optimize reimbursement, address buy-and-bill challenges, and respond proactively to payer policy changes.
Serve as the primary business liaison across pharmacy, nursing, finance, revenue cycle, information technology, compliance, and operational leadership.
Standardize infusion performance metrics, dashboards, and system-wide reporting.
Improve scheduling, capacity utilization, throughput, and staffing efficiency in collaboration with operational and clinical leaders.
Ensure compliance with 340B program requirements, CMS regulations, commercial payer billing requirements, and applicable documentation and audit standards.
Establish and monitor key performance indicators (KPIs) related to infusion volume, financial performance, denials, drug waste, and operational capacity.
Present strategic initiatives and operational performance updates to executive leadership.

Qualifications

Education & Experience

Bachelor's degree in Healthcare Administration, Business, Pharmacy, Finance, or a related field, or an equivalent combination of education and experience required.
Master's degree preferred.
Minimum of seven (7) years of progressive experience in healthcare operations, pharmacy, infusion services, or revenue cycle.
Demonstrated experience managing high-cost drug service lines, including infusion services, specialty pharmacy, oncology, or biologics.
Minimum of five (5) years of leadership experience.

Preferred Credentials

Professional certification or advanced credentials such as PharmD, CPA, PMP, or equivalent preferred.

Compensation & Benefits

Estimated annual base salary: $139,004 – $208,505.
Additional compensation opportunities may include incentive pay, bonuses, and other applicable programs.
Comprehensive benefits package available for eligible employees.

About the Organization

This nonprofit integrated health system serves communities throughout the western United States through an extensive network of acute care hospitals, outpatient clinics, home care, hospice, and other healthcare services. The organization is committed to delivering high-quality, compassionate care while supporting innovation, collaboration, and operational excellence across the continuum of care.

The organization is committed to maintaining a safe environment for patients and employees. Employment may require compliance with vaccination policies, subject to applicable medical and religious exemptions. Equal Opportunity Employer.

Position Details

Job Category: Director
Department: Outpatient Pharmacy Administration
Location: Greater Sacramento Area, California
Employment Type: Full-Time, Regular
Shift: 8-hour day shift

Please apply today and someone will be in touch ASAP!

#LDTA

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Director, Infusion Services

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