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VP of Utilization Review

CF617674A912A5595A88C26DB8AE6325 · Franklin, TN 37067; 720 Cool Springs Blvd., Franklin, TN, 37067, USA · Remote · Active · Paycom ATS

Job facts

Field	Value
Company	CF617674A912A5595A88C26DB8AE6325
Title	VP of Utilization Review
Normalized title	-
Department / team	Management
Location	Franklin, TN, United States
Work model	Remote / Remote
Employment type	Full Time
Salary	-
Status	active
ATS provider	Paycom ATS
Posted / first seen	2026-05-26 / 2026-05-31
Changed / last seen	2026-05-31 / 2026-06-18

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Linked records

Company	CF617674A912A5595A88C26DB8AE6325
Source	0a7fb5ce-c8bb-42ef-936f-e16655daec79
ATS provider	Paycom ATS

Description

Description Position Summary The Vice President of Utilization Review (VP of UR) provides strategic and operational leadership for the enterprise-wide Utilization Review function across all behavioral health service lines and levels of care. This executive leader is responsible for developing, standardizing, optimizing, and overseeing utilization management practices that support quality care, appropriate reimbursement, regulatory compliance, payer relationships, and organizational financial performance. The VP of UR partners closely with Executive Leadership, Clinical Operations, Revenue Cycle, Admissions, Nursing, Compliance, Business Development, and Finance to ensure utilization management processes align with organizational goals, evidence-based practices, and payer requirements. This role is responsible for driving performance improvement initiatives related to authorizations, denials management, length of stay optimization, appeals, documentation integrity, and payer strategy. The VP of UR serves as the enterprise subject matter expert for utilization management and develops scalable systems, reporting structures, KPIs, and accountability processes to support continued organizational growth and operational excellence. Relationships and Contacts Within the organization: Maintains frequent and collaborative working relationships with the Chief Clinical Officer, Executive Leadership, Divisional CEOs, Chief Financial Officer, Revenue Cycle leadership, Business Development, Admissions, Nursing leadership, Medical leadership, Compliance, Risk Management, Operations leadership, and all clinical team members across the organization. Outside the organization : Develops and maintains strategic relationships with insurance organizations, managed care companies, external review organizations, payer representatives, referral partners, vendors, and consultants, as appropriate. Position Responsibilities Essential Responsibilities Provides executive oversight and strategic direction for all enterprise Utilization Review operations across multiple facilities, service lines, and states. Develops and implements standardized enterprise-wide UR processes, workflows, policies, and documentation standards to improve operational consistency and payer outcomes. Oversees authorization management, concurrent review processes, denial prevention strategies, appeals management, retrospective reviews, and payer escalation processes. Partners with Clinical, Nursing, Admissions, and Revenue Cycle teams to ensure documentation supports medical necessity, level of care determinations, and reimbursement optimization. Develops enterprise KPI dashboards and reporting structures related to denials, overturn rates, authorization timeliness, payer trends, reimbursement performance, length of stay management, and utilization efficiency. Identifies trends, gaps, and opportunities within utilization management processes and leads performance improvement initiatives to enhance operational and financial outcomes. Collaborates with executive leadership regarding payer contracting strategy, authorization challenges, network access issues, and value-based care initiatives. Serves as an organizational expert regarding payer requirements, medical necessity criteria, utilization management regulations, and behavioral health reimbursement practices. Oversees recruitment, onboarding, training, mentorship, performance management, and leadership development for enterprise UR leadership and staff. Conducts regular audits and quality reviews to ensure compliance with regulatory requirements, payer expectations, and organizational standards. Develops escalation pathways and support structures for complex cases, difficult payer interactions, and high-risk authorization issues. Leads enterprise education initiatives related to documentation integrity, medical necessity standards, payer trends, and authorization best practices. Collaborates with Information Technology and EHR leadership to optimize utilization review workflows, reporting capabilities, automation opportunities, and data integrity. Supports organizational growth initiatives, acquisitions, new program development, and expansion strategies through scalable utilization management processes. Participates in executive meetings, operational reviews, and strategic planning initiatives as a key organizational leader. Maintains strict confidentiality of all company, departmental, patient, payer, and healthcare provider information. Reports enterprise risks, payer concerns, and operational barriers to executive leadership with recommendations for resolution and mitigation. Qualifications Education and Experience Bachelor’s degree required, master’s degree in nursing, Healthcare Administration, Business Administration, or related healthcare field preferred. Clinical licensure preferred (RN, LCSW, LPC, LMFT, or comparable behavioral health licensure). Requires a minimum of seven (7) years of progressive Utilization Review leadership experience within behavioral health, including large multi-site or enterprise oversight responsibilities. Previous experience developing KPIs, reporting analytics, dashboards, and executive-level operational presentations is required. Physical Requirements While performing the duties of this job, the employee must communicate with internal and external stakeholders and vendors. Tolerant to various noise levels: noise level in the work environment varies – may be quiet to moderate noise levels. Job performance will require the ability to move throughout the building as well as sit or remain stationary for extended periods of time. While performing the duties of this job, the employee may be required to talk or hear, sit, stand, walk, and reach. Ability to travel by various forms of transportation, including automobiles and airplane. Additional Requirements Position requires incumbent to have a valid driver’s license and acceptable driving record. Clearance of TB test, and any other mandatory state/federal requirements. Skill Competencies Demonstrates executive leadership and strategic planning capabilities. Demonstrates the ability to lead enterprise-wide operational change and process improvement initiatives. Demonstrates extensive knowledge of behavioral health levels of care, medical necessity criteria, payer operations, reimbursement methodologies, and regulatory requirements. Demonstrates experience leading large-scale operational improvement initiatives and enterprise standardization efforts. Demonstrates a strong understanding of managed care contracting, denial management, appeals processes, and payer negotiation strategies. Demonstrates strong financial acumen with understanding of reimbursement, payer strategy, and revenue optimization. Demonstrates ability to successfully function under pressure in critical and rapidly changing situations. Demonstrates ability to effectively manage conflict, escalation, and crisis situations. Demonstrates strong analytical, problem-solving, and decision-making skills. Demonstrates exceptional organizational and project management skills. Demonstrates excellent interpersonal, relationship-building, and executive communication skills. Demonstrates the ability to influence cross-functional teams and build organizational alignment. Demonstrates a prominent level of discretion, professionalism, and accountability. Demonstrates strong diligence and follow-through. Demonstrates proficiency with Microsoft Office programs, reporting systems, EHR platforms, and data analytics tools. Consistently demonstrates and models alignment with company mission, values, and leadership expectations. Odyssey Behavioral Healthcare, LLC provides equal employment opportunities without regard to race, color, creed, ancestry, national origin, ethnicity, sex, gender, sexual orientation, marital status, religion, age, disability, gender identity, genetic information, service in the military, or any other characteristic protected under applicable federal, state, or local law. Equal employment opportunities apply to all terms and conditions of employment. Odyssey reserves the right to modify, interpret, or apply this job description in any way the organization desires. This job description in no way implies that these are the only duties, including essential duties, to be performed by the employee occupying this position. Reasonable accommodations may be made to reasonably accommodate qualified individuals with disabilities. This job description is not an employment contract, implied or otherwise. The employment relationship remains “At-Will.”

Full job record

Job ID	f84f6d1616afe85865843804740e9ea256d764af
Org ID	1d1ab7ec-6e6b-4f76-81e8-ca33d4ba688f
Source ID	0a7fb5ce-c8bb-42ef-936f-e16655daec79
Board ID	0a7fb5ce-c8bb-42ef-936f-e16655daec79
Provider	paycom
Provider Job Key	313694
Title	VP of Utilization Review
Normalized Title	—
Status	active
Active	yes
Location Text	Franklin, TN 37067; 720 Cool Springs Blvd., Franklin, TN, 37067, USA
Department	Management
Team	—
Employment Type	full_time
Workplace Type	remote
Remote Policy	remote
Country	United States
Region	TN
City	Franklin
Salary Raw	Description Position Summary The Vice President of Utilization Review (VP of UR) provides strategic and operational leadership for the enterprise-wide Utilization Review function across all behavioral health service lines and levels of care. This executive leader is responsible for developing, standardizing, optimizing, and overseeing utilization management practices that support quality care, appropriate reimbursement, regulatory compliance, payer relationships, and organizational financial performance. The VP of UR partners closely with Executive Leadership, Clinical Operations, Revenue Cycle, Admissions, Nursing, Compliance, Business Development, and Finance to ensure utilization management processes align with organizational goals, evidence-based practices, and payer requirements. This role is responsible for driving performance improvement initiatives related to authorizations, denials management, length of stay optimization, appeals, documentation integrity, and payer strategy. The VP of UR serves as the enterprise subject matter expert for utilization management and develops scalable systems, reporting structures, KPIs, and accountability processes to support continued organizational growth and operational excellence. Relationships and Contacts Within the organization: Maintains frequent and collaborative working relationships with the Chief Clinical Officer, Executive Leadership, Divisional CEOs, Chief Financial Officer, Revenue Cycle leadership, Business Development, Admissions, Nursing leadership, Medical leadership, Compliance, Risk Management, Operations leadership, and all clinical team members across the organization. Outside the organization : Develops and maintains strategic relationships with insurance organizations, managed care companies, external review organizations, payer representatives, referral partners, vendors, and consultants, as appropriate. Position Responsibilities Essential Responsibilities Provides executive oversight and strategic direction for all enterprise Utilization Review operations across multiple facilities, service lines, and states. Develops and implements standardized enterprise-wide UR processes, workflows, policies, and documentation standards to improve operational consistency and payer outcomes. Oversees authorization management, concurrent review processes, denial prevention strategies, appeals management, retrospective reviews, and payer escalation processes. Partners with Clinical, Nursing, Admissions, and Revenue Cycle teams to ensure documentation supports medical necessity, level of care determinations, and reimbursement optimization. Develops enterprise KPI dashboards and reporting structures related to denials, overturn rates, authorization timeliness, payer trends, reimbursement performance, length of stay management, and utilization efficiency. Identifies trends, gaps, and opportunities within utilization management processes and leads performance improvement initiatives to enhance operational and financial outcomes. Collaborates with executive leadership regarding payer contracting strategy, authorization challenges, network access issues, and value-based care initiatives. Serves as an organizational expert regarding payer requirements, medical necessity criteria, utilization management regulations, and behavioral health reimbursement practices. Oversees recruitment, onboarding, training, mentorship, performance management, and leadership development for enterprise UR leadership and staff. Conducts regular audits and quality reviews to ensure compliance with regulatory requirements, payer expectations, and organizational standards. Develops escalation pathways and support structures for complex cases, difficult payer interactions, and high-risk authorization issues. Leads enterprise education initiatives related to documentation integrity, medical necessity standards, payer trends, and authorization best practices. Collaborates with Information Technology and EHR leadership to optimize utilization review workflows, reporting capabilities, automation opportunities, and data integrity. Supports organizational growth initiatives, acquisitions, new program development, and expansion strategies through scalable utilization management processes. Participates in executive meetings, operational reviews, and strategic planning initiatives as a key organizational leader. Maintains strict confidentiality of all company, departmental, patient, payer, and healthcare provider information. Reports enterprise risks, payer concerns, and operational barriers to executive leadership with recommendations for resolution and mitigation. Qualifications Education and Experience Bachelor’s degree required, master’s degree in nursing, Healthcare Administration, Business Administration, or related healthcare field preferred. Clinical licensure preferred (RN, LCSW, LPC, LMFT, or comparable behavioral health licensure). Requires a minimum of seven (7) years of progressive Utilization Review leadership experience within behavioral health, including large multi-site or enterprise oversight responsibilities. Previous experience developing KPIs, reporting analytics, dashboards, and executive-level operational presentations is required. Physical Requirements While performing the duties of this job, the employee must communicate with internal and external stakeholders and vendors. Tolerant to various noise levels: noise level in the work environment varies – may be quiet to moderate noise levels. Job performance will require the ability to move throughout the building as well as sit or remain stationary for extended periods of time. While performing the duties of this job, the employee may be required to talk or hear, sit, stand, walk, and reach. Ability to travel by various forms of transportation, including automobiles and airplane. Additional Requirements Position requires incumbent to have a valid driver’s license and acceptable driving record. Clearance of TB test, and any other mandatory state/federal requirements. Skill Competencies Demonstrates executive leadership and strategic planning capabilities. Demonstrates the ability to lead enterprise-wide operational change and process improvement initiatives. Demonstrates extensive knowledge of behavioral health levels of care, medical necessity criteria, payer operations, reimbursement methodologies, and regulatory requirements. Demonstrates experience leading large-scale operational improvement initiatives and enterprise standardization efforts. Demonstrates a strong understanding of managed care contracting, denial management, appeals processes, and payer negotiation strategies. Demonstrates strong financial acumen with understanding of reimbursement, payer strategy, and revenue optimization. Demonstrates ability to successfully function under pressure in critical and rapidly changing situations. Demonstrates ability to effectively manage conflict, escalation, and crisis situations. Demonstrates strong analytical, problem-solving, and decision-making skills. Demonstrates exceptional organizational and project management skills. Demonstrates excellent interpersonal, relationship-building, and executive communication skills. Demonstrates the ability to influence cross-functional teams and build organizational alignment. Demonstrates a prominent level of discretion, professionalism, and accountability. Demonstrates strong diligence and follow-through. Demonstrates proficiency with Microsoft Office programs, reporting systems, EHR platforms, and data analytics tools. Consistently demonstrates and models alignment with company mission, values, and leadership expectations. Odyssey Behavioral Healthcare, LLC provides equal employment opportunities without regard to race, color, creed, ancestry, national origin, ethnicity, sex, gender, sexual orientation, marital status, religion, age, disability, gender identity, genetic information, service in the military, or any other characteristic protected under applicable federal, state, or local law. Equal employment opportunities apply to all terms and conditions of employment. Odyssey reserves the right to modify, interpret, or apply this job description in any way the organization desires. This job description in no way implies that these are the only duties, including essential duties, to be performed by the employee occupying this position. Reasonable accommodations may be made to reasonably accommodate qualified individuals with disabilities. This job description is not an employment contract, implied or otherwise. The employment relationship remains “At-Will.”
Salary Min	—
Salary Max	—
Salary Currency	—
Salary Period	—
Source URL	https://www.paycomonline.net/v4/ats/web.php/jobs/ViewJobDetails?job=313694&clientkey=CF617674A912A5595A88C26DB8AE6325
Apply URL	https://www.paycomonline.net/v4/ats/web.php/jobs/ViewJobDetails?job=313694&clientkey=CF617674A912A5595A88C26DB8AE6325
First Seen At	2026-05-31 19:03:08Z
Last Seen At	2026-06-18 09:04:59Z
Last Checked At	2026-06-18 09:04:59Z
Last Changed At	2026-05-31 19:03:08Z
Inactive At	—
Source Posted At	2026-05-26 00:00:00Z
Source Updated At	—
Raw Payload Uri	s3://job-postings-prod-raw-590183727216/raw/provider=paycom/board=CF617674A912A5595A88C26DB8AE6325/date=2026-06-18/2026-06-18T09-04-54-788Z-8a5ec77085fc21cac42d081445a07282bab6a76e65c2509343a686312848b40f.json

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    "description": "<p><span style=\"font-size:11pt;\"><span><span style=\"line-height:115%;\"><span style=\"font-family:Calibri, sans-serif;\"><b><u>Position Summary</u></b></span></span></span></span></p>\r\n\r\n<p><span style=\"font-size:11pt;\"><span><span style=\"line-height:115%;\"><span style=\"font-family:Calibri, sans-serif;\">The Vice President of Utilization Review (VP of UR) provides strategic and operational leadership for the enterprise-wide Utilization Review function across all behavioral health service lines and levels of care. This executive leader is responsible for developing, standardizing, optimizing, and overseeing utilization management practices that support quality care, appropriate reimbursement, regulatory compliance, payer relationships, and organizational financial performance.</span></span></span></span></p>\r\n\r\n<p>&nbsp;</p>\r\n\r\n<p><span style=\"font-size:11pt;\"><span><span style=\"line-height:115%;\"><span style=\"font-family:Calibri, sans-serif;\">The VP of UR partners closely with Executive Leadership, Clinical Operations, Revenue Cycle, Admissions, Nursing, Compliance, Business Development, and Finance to ensure utilization management processes align with organizational goals, evidence-based practices, and payer requirements. 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style=\"font-family:Calibri, sans-serif;\"><b><i>Within the organization: </i></b>Maintains frequent and collaborative working relationships with the Chief Clinical Officer, Executive Leadership, Divisional CEOs, Chief Financial Officer, Revenue Cycle leadership, Business Development, Admissions, Nursing leadership, Medical leadership, Compliance, Risk Management, Operations leadership, and all clinical team members across the organization.</span></span></span></span></p>\r\n\r\n<p>&nbsp;</p>\r\n\r\n<p style=\"margin-right:16px;\"><span style=\"font-size:11pt;\"><span style=\"line-height:normal;\"><span style=\"font-family:Calibri, sans-serif;\"><b><i>Outside the organization</i></b>: Develops and maintains strategic relationships with insurance organizations, managed care companies, external review organizations, payer representatives, referral partners, vendors, and consultants, as appropriate.</span></span></span></p>\r\n\r\n<p style=\"margin-right:16px;\">&nbsp;</p>\r\n\r\n<p><span style=\"font-size:11pt;\"><span><span style=\"line-height:115%;\"><span style=\"font-family:Calibri, sans-serif;\"><b><u>Position Responsibilities</u></b></span></span></span></span></p>\r\n\r\n<p style=\"margin-left:48px;\">&nbsp;</p>\r\n\r\n<p><span style=\"font-size:11pt;\"><span><span style=\"line-height:115%;\"><span style=\"font-family:Calibri, sans-serif;\"><b>Essential Responsibilities</b></span></span></span></span></p>\r\n\r\n<ol style=\"margin-bottom:13px;\">\r\n\t<li><span style=\"font-size:11pt;\"><span><span style=\"line-height:115%;\"><span style=\"font-family:Calibri, sans-serif;\">Provides executive oversight and strategic direction for all enterprise Utilization Review operations across multiple facilities, service lines, and states. </span></span></span></span></li>\r\n\t<li><span style=\"font-size:11pt;\"><span><span style=\"line-height:115%;\"><span style=\"font-family:Calibri, sans-serif;\">Develops and implements standardized enterprise-wide UR processes, workflows, policies, and documentation standards to improve operational consistency and payer outcomes. </span></span></span></span></li>\r\n\t<li><span style=\"font-size:11pt;\"><span><span style=\"line-height:115%;\"><span style=\"font-family:Calibri, sans-serif;\">Oversees authorization management, concurrent review processes, denial prevention strategies, appeals management, retrospective reviews, and payer escalation processes. </span></span></span></span></li>\r\n\t<li><span style=\"font-size:11pt;\"><span><span style=\"line-height:115%;\"><span style=\"font-family:Calibri, sans-serif;\">Partners with Clinical, Nursing, Admissions, and Revenue Cycle teams to ensure documentation supports medical necessity, level of care determinations, and reimbursement optimization. </span></span></span></span></li>\r\n\t<li><span style=\"font-size:11pt;\"><span><span style=\"line-height:115%;\"><span style=\"font-family:Calibri, sans-serif;\">Develops enterprise KPI dashboards and reporting structures related to denials, overturn rates, authorization timeliness, payer trends, reimbursement performance, length of stay management, and utilization efficiency. </span></span></span></span></li>\r\n\t<li><span style=\"font-size:11pt;\"><span><span style=\"line-height:115%;\"><span style=\"font-family:Calibri, sans-serif;\">Identifies trends, gaps, and opportunities within utilization management processes and leads performance improvement initiatives to enhance operational and financial outcomes. </span></span></span></span></li>\r\n\t<li><span style=\"font-size:11pt;\"><span><span style=\"line-height:115%;\"><span style=\"font-family:Calibri, sans-serif;\">Collaborates with executive leadership regarding payer contracting strategy, authorization challenges, network access issues, and value-based care initiatives. </span></span></span></span></li>\r\n\t<li><span style=\"font-size:11pt;\"><span><span style=\"line-height:115%;\"><span style=\"font-family:Calibri, sans-serif;\">Serves as an organizational expert regarding payer requirements, medical necessity criteria, utilization management regulations, and behavioral health reimbursement practices. </span></span></span></span></li>\r\n\t<li><span style=\"font-size:11pt;\"><span><span style=\"line-height:115%;\"><span style=\"font-family:Calibri, sans-serif;\">Oversees recruitment, onboarding, training, mentorship, performance management, and leadership development for enterprise UR leadership and staff. </span></span></span></span></li>\r\n\t<li><span style=\"font-size:11pt;\"><span><span style=\"line-height:115%;\"><span style=\"font-family:Calibri, sans-serif;\">Conducts regular audits and quality reviews to ensure compliance with regulatory requirements, payer expectations, and organizational standards. </span></span></span></span></li>\r\n\t<li><span style=\"font-size:11pt;\"><span><span style=\"line-height:115%;\"><span style=\"font-family:Calibri, sans-serif;\">Develops escalation pathways and support structures for complex cases, difficult payer interactions, and high-risk authorization issues. </span></span></span></span></li>\r\n\t<li><span style=\"font-size:11pt;\"><span><span style=\"line-height:115%;\"><span style=\"font-family:Calibri, sans-serif;\">Leads enterprise education initiatives related to documentation integrity, medical necessity standards, payer trends, and authorization best practices. </span></span></span></span></li>\r\n\t<li><span style=\"font-size:11pt;\"><span><span style=\"line-height:115%;\"><span style=\"font-family:Calibri, sans-serif;\">Collaborates with Information Technology and EHR leadership to optimize utilization review workflows, reporting capabilities, automation opportunities, and data integrity. </span></span></span></span></li>\r\n\t<li><span style=\"font-size:11pt;\"><span><span style=\"line-height:115%;\"><span style=\"font-family:Calibri, sans-serif;\">Supports organizational growth initiatives, acquisitions, new program development, and expansion strategies through scalable utilization management processes. </span></span></span></span></li>\r\n\t<li><span style=\"font-size:11pt;\"><span><span style=\"line-height:115%;\"><span style=\"font-family:Calibri, sans-serif;\">Participates in executive meetings, operational reviews, and strategic planning initiatives as a key organizational leader. </span></span></span></span></li>\r\n\t<li><span style=\"font-size:11pt;\"><span><span style=\"line-height:115%;\"><span style=\"font-family:Calibri, sans-serif;\">Maintains strict confidentiality of all company, departmental, patient, payer, and healthcare provider information. </span></span></span></span></li>\r\n\t<li style=\"margin-bottom:13px;\"><span style=\"font-size:11pt;\"><span><span style=\"line-height:115%;\"><span style=\"font-family:Calibri, sans-serif;\">Reports enterprise risks, payer concerns, and operational barriers to executive leadership with recommendations for resolution and 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    "googleJobJson": "{\"@context\":\"https://schema.org/\",\"@type\":\"JobPosting\",\"title\":\"VP of Utilization Review\",\"identifier\":\"J0TA18313694\",\"url\":\"https://www.paycomonline.net/v4/ats/web.php/portal/CF617674A912A5595A88C26DB8AE6325/jobs/313694\",\"image\":\"https://www.paycomonline.net/v4/ats/web.php/application/style/logo?clientkey=CF617674A912A5595A88C26DB8AE6325\",\"datePosted\":\"2026-05-26\",\"description\":\"Job DetailsLevel: SeniorJob Location: Franklin, TN 37067Position Type: Full TimeEducation Level: 4 Year DegreeJob Category: ManagementPosition Summary\\r\\n\\r\\nThe Vice President of Utilization Review (VP of UR) provides strategic and operational leadership for the enterprise-wide Utilization Review function across all behavioral health service lines and levels of care. This executive leader is responsible for developing, standardizing, optimizing, and overseeing utilization management practices that support quality care, appropriate reimbursement, regulatory compliance, payer relationships, and organizational financial performance.\\r\\n\\r\\n&nbsp;\\r\\n\\r\\nThe VP of UR partners closely with Executive Leadership, Clinical Operations, Revenue Cycle, Admissions, Nursing, Compliance, Business Development, and Finance to ensure utilization management processes align with organizational goals, evidence-based practices, and payer requirements. This role is responsible for driving performance improvement initiatives related to authorizations, denials management, length of stay optimization, appeals, documentation integrity, and payer strategy.\\r\\n\\r\\n&nbsp;\\r\\n\\r\\nThe VP of UR serves as the enterprise subject matter expert for utilization management and develops scalable systems, reporting structures, KPIs, and accountability processes to support continued organizational growth and operational excellence.\\r\\n\\r\\n&nbsp;\\r\\n\\r\\nRelationships and Contacts\\r\\n\\r\\nWithin the organization: Maintains frequent and collaborative working relationships with the Chief Clinical Officer, Executive Leadership, Divisional CEOs, Chief Financial Officer, Revenue Cycle leadership, Business Development, Admissions, Nursing leadership, Medical leadership, Compliance, Risk Management, Operations leadership, and all clinical team members across the organization.\\r\\n\\r\\n&nbsp;\\r\\n\\r\\nOutside the organization: Develops and maintains strategic relationships with insurance organizations, managed care companies, external review organizations, payer representatives, referral partners, vendors, and consultants, as appropriate.\\r\\n\\r\\n&nbsp;\\r\\n\\r\\nPosition Responsibilities\\r\\n\\r\\n&nbsp;\\r\\n\\r\\nEssential Responsibilities\\r\\n\\r\\n\\r\\n\\tProvides executive oversight and strategic direction for all enterprise Utilization Review operations across multiple facilities, service lines, and states. \\r\\n\\tDevelops and implements standardized enterprise-wide UR processes, workflows, policies, and documentation standards to improve operational consistency and payer outcomes. \\r\\n\\tOversees authorization management, concurrent review processes, denial prevention strategies, appeals management, retrospective reviews, and payer escalation processes. \\r\\n\\tPartners with Clinical, Nursing, Admissions, and Revenue Cycle teams to ensure documentation supports medical necessity, level of care determinations, and reimbursement optimization. \\r\\n\\tDevelops enterprise KPI dashboards and reporting structures related to denials, overturn rates, authorization timeliness, payer trends, reimbursement performance, length of stay management, and utilization efficiency. \\r\\n\\tIdentifies trends, gaps, and opportunities within utilization management processes and leads performance improvement initiatives to enhance operational and financial outcomes. \\r\\n\\tCollaborates with executive leadership regarding payer contracting strategy, authorization challenges, network access issues, and value-based care initiatives. \\r\\n\\tServes as an organizational expert regarding payer requirements, medical necessity criteria, utilization management regulations, and behavioral health reimbursement practices. \\r\\n\\tOversees recruitment, onboarding, training, mentorship, performance management, and leadership development for enterprise UR leadership and staff. \\r\\n\\tConducts regular audits and quality reviews to ensure compliance with regulatory requirements, payer expectations, and organizational standards. \\r\\n\\tDevelops escalation pathways and support structures for complex cases, difficult payer interactions, and high-risk authorization issues. \\r\\n\\tLeads enterprise education initiatives related to documentation integrity, medical necessity standards, payer trends, and authorization best practices. \\r\\n\\tCollaborates with Information Technology and EHR leadership to optimize utilization review workflows, reporting capabilities, automation opportunities, and data integrity. \\r\\n\\tSupports organizational growth initiatives, acquisitions, new program development, and expansion strategies through scalable utilization management processes. \\r\\n\\tParticipates in executive meetings, operational reviews, and strategic planning initiatives as a key organizational leader. \\r\\n\\tMaintains strict confidentiality of all company, departmental, patient, payer, and healthcare provider information. \\r\\n\\tReports enterprise risks, payer concerns, and operational barriers to executive leadership with recommendations for resolution and mitigation.\\r\\n\\r\\nQualificationsEducation and Experience\\r\\n\\r\\nBachelor&rsquo;s degree required, master&rsquo;s degree in nursing, Healthcare Administration, Business Administration, or related healthcare field preferred. Clinical licensure preferred (RN, LCSW, LPC, LMFT, or comparable behavioral health licensure). Requires a minimum of seven (7) years of progressive Utilization Review leadership experience within behavioral health, including large multi-site or enterprise oversight responsibilities. Previous experience developing KPIs, reporting analytics, dashboards, and executive-level operational presentations is required.\\r\\n\\r\\n&nbsp;\\r\\n\\r\\nPhysical Requirements \\r\\n\\r\\n\\r\\n\\tWhile performing the duties of this job, the employee must communicate with internal and external stakeholders and vendors.\\r\\n\\tTolerant to various noise levels: noise level in the work environment varies &ndash; may be quiet to moderate noise levels. \\r\\n\\tJob performance will require the ability to move throughout the building as well as sit or remain stationary for extended periods of time.\\r\\n\\tWhile performing the duties of this job, the employee may be required to talk or hear, sit, stand, walk, and reach. \\r\\n\\tAbility to travel by various forms of transportation, including automobiles and airplane.\\r\\n\\r\\n\\r\\n&nbsp;\\r\\n\\r\\nAdditional Requirements\\r\\n\\r\\n\\r\\n\\tPosition requires incumbent to have a valid driver&rsquo;s license and acceptable driving record.&nbsp; \\r\\n\\tClearance of TB test, and any other mandatory state/federal requirements.\\r\\n\\r\\n\\r\\nSkill Competencies\\r\\n\\r\\n\\r\\n\\tDemonstrates executive leadership and strategic planning capabilities. \\r\\n\\tDemonstrates the ability to lead enterprise-wide operational change and process improvement initiatives. \\r\\n\\tDemonstrates extensive knowledge of behavioral health levels of care, medical necessity criteria, payer operations, reimbursement methodologies, and regulatory requirements. \\r\\n\\tDemonstrates experience leading large-scale operational improvement initiatives and enterprise standardization efforts. \\r\\n\\tDemonstrates a strong understanding of managed care contracting, denial management, appeals processes, and payer negotiation strategies.\\r\\n\\tDemonstrates strong financial acumen with understanding of reimbursement, payer strategy, and revenue optimization. \\r\\n\\tDemonstrates ability to successfully function under pressure in critical and rapidly changing situations. \\r\\n\\tDemonstrates ability to effectively manage conflict, escalation, and crisis situations. \\r\\n\\tDemonstrates strong analytical, problem-solving, and decision-making skills. \\r\\n\\tDemonstrates exceptional organizational and project management skills. \\r\\n\\tDemonstrates excellent interpersonal, relationship-building, and executive communication skills. \\r\\n\\tDemonstrates the ability to influence cross-functional teams and build organizational alignment. \\r\\n\\tDemonstrates a prominent level of discretion, professionalism, and accountability. \\r\\n\\tDemonstrates strong diligence and follow-through. \\r\\n\\tDemonstrates proficiency with Microsoft Office programs, reporting systems, EHR platforms, and data analytics tools. \\r\\n\\tConsistently demonstrates and models alignment with company mission, values, and leadership expectations. \\r\\n\\r\\n\\r\\n&nbsp;\\r\\n\\r\\nOdyssey Behavioral Healthcare, LLC &nbsp;provides equal employment opportunities without regard to race, color, creed, ancestry, national origin, ethnicity, sex, gender, sexual orientation, marital status, religion, age, disability, gender identity, genetic information, service in the military, or any other characteristic protected under applicable federal, state, or local law. Equal employment opportunities apply to all terms and conditions of employment. Odyssey reserves the right to modify, interpret, or apply this job description in any way the organization desires. This job description in no way implies that these are the only duties, including essential duties, to be performed by the employee occupying this position. Reasonable accommodations may be made to reasonably accommodate qualified individuals with disabilities. This job description is not an employment contract, implied or otherwise. The employment relationship remains &ldquo;At-Will.&rdquo; \\r\\n\",\"responsibilities\":\"Position Summary\\r\\n\\r\\nThe Vice President of Utilization Review (VP of UR) provides strategic and operational leadership for the enterprise-wide Utilization Review function across all behavioral health service lines and levels of care. This executive leader is responsible for developing, standardizing, optimizing, and overseeing utilization management practices that support quality care, appropriate reimbursement, regulatory compliance, payer relationships, and organizational financial performance.\\r\\n\\r\\n&nbsp;\\r\\n\\r\\nThe VP of UR partners closely with Executive Leadership, Clinical Operations, Revenue Cycle, Admissions, Nursing, Compliance, Business Development, and Finance to ensure utilization management processes align with organizational goals, evidence-based practices, and payer requirements. This role is responsible for driving performance improvement initiatives related to authorizations, denials management, length of stay optimization, appeals, documentation integrity, and payer strategy.\\r\\n\\r\\n&nbsp;\\r\\n\\r\\nThe VP of UR serves as the enterprise subject matter expert for utilization management and develops scalable systems, reporting structures, KPIs, and accountability processes to support continued organizational growth and operational excellence.\\r\\n\\r\\n&nbsp;\\r\\n\\r\\nRelationships and Contacts\\r\\n\\r\\nWithin the organization: Maintains frequent and collaborative working relationships with the Chief Clinical Officer, Executive Leadership, Divisional CEOs, Chief Financial Officer, Revenue Cycle leadership, Business Development, Admissions, Nursing leadership, Medical leadership, Compliance, Risk Management, Operations leadership, and all clinical team members across the organization.\\r\\n\\r\\n&nbsp;\\r\\n\\r\\nOutside the organization: Develops and maintains strategic relationships with insurance organizations, managed care companies, external review organizations, payer representatives, referral partners, vendors, and consultants, as appropriate.\\r\\n\\r\\n&nbsp;\\r\\n\\r\\nPosition Responsibilities\\r\\n\\r\\n&nbsp;\\r\\n\\r\\nEssential Responsibilities\\r\\n\\r\\n\\r\\n\\tProvides executive oversight and strategic direction for all enterprise Utilization Review operations across multiple facilities, service lines, and states. \\r\\n\\tDevelops and implements standardized enterprise-wide UR processes, workflows, policies, and documentation standards to improve operational consistency and payer outcomes. \\r\\n\\tOversees authorization management, concurrent review processes, denial prevention strategies, appeals management, retrospective reviews, and payer escalation processes. \\r\\n\\tPartners with Clinical, Nursing, Admissions, and Revenue Cycle teams to ensure documentation supports medical necessity, level of care determinations, and reimbursement optimization. \\r\\n\\tDevelops enterprise KPI dashboards and reporting structures related to denials, overturn rates, authorization timeliness, payer trends, reimbursement performance, length of stay management, and utilization efficiency. \\r\\n\\tIdentifies trends, gaps, and opportunities within utilization management processes and leads performance improvement initiatives to enhance operational and financial outcomes. \\r\\n\\tCollaborates with executive leadership regarding payer contracting strategy, authorization challenges, network access issues, and value-based care initiatives. \\r\\n\\tServes as an organizational expert regarding payer requirements, medical necessity criteria, utilization management regulations, and behavioral health reimbursement practices. \\r\\n\\tOversees recruitment, onboarding, training, mentorship, performance management, and leadership development for enterprise UR leadership and staff. \\r\\n\\tConducts regular audits and quality reviews to ensure compliance with regulatory requirements, payer expectations, and organizational standards. \\r\\n\\tDevelops escalation pathways and support structures for complex cases, difficult payer interactions, and high-risk authorization issues. \\r\\n\\tLeads enterprise education initiatives related to documentation integrity, medical necessity standards, payer trends, and authorization best practices. \\r\\n\\tCollaborates with Information Technology and EHR leadership to optimize utilization review workflows, reporting capabilities, automation opportunities, and data integrity. \\r\\n\\tSupports organizational growth initiatives, acquisitions, new program development, and expansion strategies through scalable utilization management processes. \\r\\n\\tParticipates in executive meetings, operational reviews, and strategic planning initiatives as a key organizational leader. \\r\\n\\tMaintains strict confidentiality of all company, departmental, patient, payer, and healthcare provider information. \\r\\n\\tReports enterprise risks, payer concerns, and operational barriers to executive leadership with recommendations for resolution and mitigation.\\r\\n\\r\\n\",\"employmentType\":\"FULL_TIME\",\"hiringOrganization\":{\"@type\":\"Organization\",\"name\":\"ODYSSEY BEHAVIORAL GROUP\",\"logo\":\"https://www.paycomonline.net/v4/ats/web.php/application/style/logo?clientkey=CF617674A912A5595A88C26DB8AE6325\"},\"jobLocation\":{\"@type\":\"Place\",\"address\":{\"streetAddress\":\"720 Cool Springs Blvd.\",\"addressLocality\":\"Franklin\",\"addressRegion\":\"TN\",\"postalCode\":37067,\"addressCountry\":\"USA\"}},\"qualifications\":\"Education and Experience\\r\\n\\r\\nBachelor&rsquo;s degree required, master&rsquo;s degree in nursing, Healthcare Administration, Business Administration, or related healthcare field preferred. Clinical licensure preferred (RN, LCSW, LPC, LMFT, or comparable behavioral health licensure). Requires a minimum of seven (7) years of progressive Utilization Review leadership experience within behavioral health, including large multi-site or enterprise oversight responsibilities. Previous experience developing KPIs, reporting analytics, dashboards, and executive-level operational presentations is required.\\r\\n\\r\\n&nbsp;\\r\\n\\r\\nPhysical Requirements \\r\\n\\r\\n\\r\\n\\tWhile performing the duties of this job, the employee must communicate with internal and external stakeholders and vendors.\\r\\n\\tTolerant to various noise levels: noise level in the work environment varies &ndash; may be quiet to moderate noise levels. \\r\\n\\tJob performance will require the ability to move throughout the building as well as sit or remain stationary for extended periods of time.\\r\\n\\tWhile performing the duties of this job, the employee may be required to talk or hear, sit, stand, walk, and reach. \\r\\n\\tAbility to travel by various forms of transportation, including automobiles and airplane.\\r\\n\\r\\n\\r\\n&nbsp;\\r\\n\\r\\nAdditional Requirements\\r\\n\\r\\n\\r\\n\\tPosition requires incumbent to have a valid driver&rsquo;s license and acceptable driving record.&nbsp; \\r\\n\\tClearance of TB test, and any other mandatory state/federal requirements.\\r\\n\\r\\n\\r\\nSkill Competencies\\r\\n\\r\\n\\r\\n\\tDemonstrates executive leadership and strategic planning capabilities. \\r\\n\\tDemonstrates the ability to lead enterprise-wide operational change and process improvement initiatives. \\r\\n\\tDemonstrates extensive knowledge of behavioral health levels of care, medical necessity criteria, payer operations, reimbursement methodologies, and regulatory requirements. \\r\\n\\tDemonstrates experience leading large-scale operational improvement initiatives and enterprise standardization efforts. \\r\\n\\tDemonstrates a strong understanding of managed care contracting, denial management, appeals processes, and payer negotiation strategies.\\r\\n\\tDemonstrates strong financial acumen with understanding of reimbursement, payer strategy, and revenue optimization. \\r\\n\\tDemonstrates ability to successfully function under pressure in critical and rapidly changing situations. \\r\\n\\tDemonstrates ability to effectively manage conflict, escalation, and crisis situations. \\r\\n\\tDemonstrates strong analytical, problem-solving, and decision-making skills. \\r\\n\\tDemonstrates exceptional organizational and project management skills. \\r\\n\\tDemonstrates excellent interpersonal, relationship-building, and executive communication skills. \\r\\n\\tDemonstrates the ability to influence cross-functional teams and build organizational alignment. \\r\\n\\tDemonstrates a prominent level of discretion, professionalism, and accountability. \\r\\n\\tDemonstrates strong diligence and follow-through. \\r\\n\\tDemonstrates proficiency with Microsoft Office programs, reporting systems, EHR platforms, and data analytics tools. \\r\\n\\tConsistently demonstrates and models alignment with company mission, values, and leadership expectations. \\r\\n\\r\\n\\r\\n&nbsp;\\r\\n\\r\\nOdyssey Behavioral Healthcare, LLC &nbsp;provides equal employment opportunities without regard to race, color, creed, ancestry, national origin, ethnicity, sex, gender, sexual orientation, marital status, religion, age, disability, gender identity, genetic information, service in the military, or any other characteristic protected under applicable federal, state, or local law. Equal employment opportunities apply to all terms and conditions of employment. Odyssey reserves the right to modify, interpret, or apply this job description in any way the organization desires. This job description in no way implies that these are the only duties, including essential duties, to be performed by the employee occupying this position. Reasonable accommodations may be made to reasonably accommodate qualified individuals with disabilities. This job description is not an employment contract, implied or otherwise. The employment relationship remains &ldquo;At-Will.&rdquo; \\r\\n\",\"experienceRequirements\":\"Education and Experience\\r\\n\\r\\nBachelor&rsquo;s degree required, master&rsquo;s degree in nursing, Healthcare Administration, Business Administration, or related healthcare field preferred. Clinical licensure preferred (RN, LCSW, LPC, LMFT, or comparable behavioral health licensure). Requires a minimum of seven (7) years of progressive Utilization Review leadership experience within behavioral health, including large multi-site or enterprise oversight responsibilities. Previous experience developing KPIs, reporting analytics, dashboards, and executive-level operational presentations is required.\\r\\n\\r\\n&nbsp;\\r\\n\\r\\nPhysical Requirements \\r\\n\\r\\n\\r\\n\\tWhile performing the duties of this job, the employee must communicate with internal and external stakeholders and vendors.\\r\\n\\tTolerant to various noise levels: noise level in the work environment varies &ndash; may be quiet to moderate noise levels. \\r\\n\\tJob performance will require the ability to move throughout the building as well as sit or remain stationary for extended periods of time.\\r\\n\\tWhile performing the duties of this job, the employee may be required to talk or hear, sit, stand, walk, and reach. \\r\\n\\tAbility to travel by various forms of transportation, including automobiles and airplane.\\r\\n\\r\\n\\r\\n&nbsp;\\r\\n\\r\\nAdditional Requirements\\r\\n\\r\\n\\r\\n\\tPosition requires incumbent to have a valid driver&rsquo;s license and acceptable driving record.&nbsp; \\r\\n\\tClearance of TB test, and any other mandatory state/federal requirements.\\r\\n\\r\\n\\r\\nSkill Competencies\\r\\n\\r\\n\\r\\n\\tDemonstrates executive leadership and strategic planning capabilities. \\r\\n\\tDemonstrates the ability to lead enterprise-wide operational change and process improvement initiatives. \\r\\n\\tDemonstrates extensive knowledge of behavioral health levels of care, medical necessity criteria, payer operations, reimbursement methodologies, and regulatory requirements. \\r\\n\\tDemonstrates experience leading large-scale operational improvement initiatives and enterprise standardization efforts. \\r\\n\\tDemonstrates a strong understanding of managed care contracting, denial management, appeals processes, and payer negotiation strategies.\\r\\n\\tDemonstrates strong financial acumen with understanding of reimbursement, payer strategy, and revenue optimization. \\r\\n\\tDemonstrates ability to successfully function under pressure in critical and rapidly changing situations. \\r\\n\\tDemonstrates ability to effectively manage conflict, escalation, and crisis situations. \\r\\n\\tDemonstrates strong analytical, problem-solving, and decision-making skills. \\r\\n\\tDemonstrates exceptional organizational and project management skills. \\r\\n\\tDemonstrates excellent interpersonal, relationship-building, and executive communication skills. \\r\\n\\tDemonstrates the ability to influence cross-functional teams and build organizational alignment. \\r\\n\\tDemonstrates a prominent level of discretion, professionalism, and accountability. \\r\\n\\tDemonstrates strong diligence and follow-through. \\r\\n\\tDemonstrates proficiency with Microsoft Office programs, reporting systems, EHR platforms, and data analytics tools. \\r\\n\\tConsistently demonstrates and models alignment with company mission, values, and leadership expectations. \\r\\n\\r\\n\\r\\n&nbsp;\\r\\n\\r\\nOdyssey Behavioral Healthcare, LLC &nbsp;provides equal employment opportunities without regard to race, color, creed, ancestry, national origin, ethnicity, sex, gender, sexual orientation, marital status, religion, age, disability, gender identity, genetic information, service in the military, or any other characteristic protected under applicable federal, state, or local law. Equal employment opportunities apply to all terms and conditions of employment. Odyssey reserves the right to modify, interpret, or apply this job description in any way the organization desires. This job description in no way implies that these are the only duties, including essential duties, to be performed by the employee occupying this position. Reasonable accommodations may be made to reasonably accommodate qualified individuals with disabilities. This job description is not an employment contract, implied or otherwise. The employment relationship remains &ldquo;At-Will.&rdquo; \\r\\n\",\"industry\":\"Management\",\"validThrough\":\"-0001-11-30\",\"educationRequirements\":\"4 Year Degree\"}",
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    "educationLevel": "4 Year Degree",
    "qualifications": "<p style=\"margin-left:48px;text-indent:-0.5in;\"><span style=\"font-size:11pt;\"><span><span style=\"line-height:115%;\"><span style=\"font-family:Calibri, sans-serif;\"><b>Education and Experience</b></span></span></span></span></p>\r\n\r\n<p><span style=\"font-size:11pt;\"><span><span style=\"line-height:115%;\"><span style=\"font-family:Calibri, sans-serif;\">Bachelor&rsquo;s degree required, master&rsquo;s degree in nursing, Healthcare Administration, Business Administration, or related healthcare field preferred. Clinical licensure preferred (RN, LCSW, LPC, LMFT, or comparable behavioral health licensure). Requires a minimum of seven (7) years of progressive Utilization Review leadership experience within behavioral health, including large multi-site or enterprise oversight responsibilities. Previous experience developing KPIs, reporting analytics, dashboards, and executive-level operational presentations is required.</span></span></span></span></p>\r\n\r\n<p style=\"margin-left:48px;\">&nbsp;</p>\r\n\r\n<p style=\"margin-left:48px;text-indent:-0.5in;\"><span style=\"font-size:11pt;\"><span><span style=\"line-height:115%;\"><span style=\"font-family:Calibri, sans-serif;\"><b>Physical Requirements </b></span></span></span></span></p>\r\n\r\n<ul>\r\n\t<li><span style=\"font-size:11pt;\"><span><span style=\"line-height:115%;\"><span style=\"font-family:Calibri, sans-serif;\">While performing the duties of this job, the employee must communicate with internal and external stakeholders and vendors.</span></span></span></span></li>\r\n\t<li><span style=\"font-size:11pt;\"><span><span style=\"line-height:115%;\"><span style=\"font-family:Calibri, sans-serif;\">Tolerant to various noise levels: noise level in the work environment varies &ndash; may be quiet to moderate noise levels. </span></span></span></span></li>\r\n\t<li><span style=\"font-size:11pt;\"><span><span style=\"line-height:115%;\"><span style=\"font-family:Calibri, sans-serif;\">Job performance will require the ability to move throughout the building as well as sit or remain stationary for extended periods of time.</span></span></span></span></li>\r\n\t<li><span style=\"font-size:11pt;\"><span><span style=\"line-height:115%;\"><span style=\"font-family:Calibri, sans-serif;\">While performing the duties of this job, the employee may be required to talk or hear, sit, stand, walk, and reach. </span></span></span></span></li>\r\n\t<li><span style=\"font-size:11pt;\"><span><span style=\"line-height:115%;\"><span style=\"font-family:Calibri, sans-serif;\">Ability to travel by various forms of transportation, including automobiles and airplane.</span></span></span></span></li>\r\n</ul>\r\n\r\n<p>&nbsp;</p>\r\n\r\n<p style=\"margin-left:48px;text-indent:-0.5in;\"><span style=\"font-size:11pt;\"><span><span style=\"line-height:115%;\"><span style=\"font-family:Calibri, sans-serif;\"><b>Additional Requirements</b></span></span></span></span></p>\r\n\r\n<ul style=\"margin-bottom:10px;\">\r\n\t<li><span style=\"font-size:11pt;\"><span style=\"line-height:normal;\"><span><span style=\"font-family:Calibri, sans-serif;\">Position requires incumbent to have a valid driver&rsquo;s license and acceptable driving record.&nbsp; </span></span></span></span></li>\r\n\t<li style=\"margin-bottom:10px;\"><span style=\"font-size:11pt;\"><span style=\"line-height:normal;\"><span style=\"font-family:Calibri, sans-serif;\">Clearance of TB test, and any other mandatory state/federal requirements.</span></span></span></li>\r\n</ul>\r\n\r\n<p style=\"margin-left:48px;text-indent:-0.5in;\"><span style=\"font-size:11pt;\"><span><span style=\"line-height:115%;\"><span style=\"font-family:Calibri, sans-serif;\"><b>Skill Competencies</b></span></span></span></span></p>\r\n\r\n<ul>\r\n\t<li><span style=\"font-size:11pt;\"><span><span style=\"line-height:115%;\"><span style=\"font-family:Calibri, sans-serif;\">Demonstrates executive leadership and strategic planning capabilities. </span></span></span></span></li>\r\n\t<li><span style=\"font-size:11pt;\"><span><span style=\"line-height:115%;\"><span style=\"font-family:Calibri, sans-serif;\">Demonstrates the ability to lead enterprise-wide operational change and process improvement initiatives. </span></span></span></span></li>\r\n\t<li><span style=\"font-size:11pt;\"><span><span style=\"line-height:115%;\"><span style=\"font-family:Calibri, sans-serif;\">Demonstrates extensive knowledge of behavioral health levels of care, medical necessity criteria, payer operations, reimbursement methodologies, and regulatory requirements. </span></span></span></span></li>\r\n\t<li><span style=\"font-size:11pt;\"><span><span style=\"line-height:115%;\"><span style=\"font-family:Calibri, sans-serif;\">Demonstrates experience leading large-scale operational improvement initiatives and enterprise standardization efforts. </span></span></span></span></li>\r\n\t<li><span style=\"font-size:11pt;\"><span><span style=\"line-height:115%;\"><span style=\"font-family:Calibri, sans-serif;\">Demonstrates a strong understanding of managed care contracting, denial management, appeals processes, and payer negotiation strategies.</span></span></span></span></li>\r\n\t<li><span style=\"font-size:11pt;\"><span><span style=\"line-height:115%;\"><span style=\"font-family:Calibri, sans-serif;\">Demonstrates strong financial acumen with understanding of reimbursement, payer strategy, and revenue optimization. </span></span></span></span></li>\r\n\t<li><span style=\"font-size:11pt;\"><span><span style=\"line-height:115%;\"><span style=\"font-family:Calibri, sans-serif;\">Demonstrates ability to successfully function under pressure in critical and rapidly changing situations. </span></span></span></span></li>\r\n\t<li><span style=\"font-size:11pt;\"><span><span style=\"line-height:115%;\"><span style=\"font-family:Calibri, sans-serif;\">Demonstrates ability to effectively manage conflict, escalation, and crisis situations. </span></span></span></span></li>\r\n\t<li><span style=\"font-size:11pt;\"><span><span style=\"line-height:115%;\"><span style=\"font-family:Calibri, sans-serif;\">Demonstrates strong analytical, problem-solving, and decision-making skills. </span></span></span></span></li>\r\n\t<li><span style=\"font-size:11pt;\"><span><span style=\"line-height:115%;\"><span style=\"font-family:Calibri, sans-serif;\">Demonstrates exceptional organizational and project management skills. </span></span></span></span></li>\r\n\t<li><span style=\"font-size:11pt;\"><span><span style=\"line-height:115%;\"><span style=\"font-family:Calibri, sans-serif;\">Demonstrates excellent interpersonal, relationship-building, and executive communication skills. </span></span></span></span></li>\r\n\t<li><span style=\"font-size:11pt;\"><span><span style=\"line-height:115%;\"><span style=\"font-family:Calibri, sans-serif;\">Demonstrates the ability to influence cross-functional teams and build organizational alignment. </span></span></span></span></li>\r\n\t<li><span style=\"font-size:11pt;\"><span><span style=\"line-height:115%;\"><span style=\"font-family:Calibri, sans-serif;\">Demonstrates a prominent level of discretion, professionalism, and accountability. </span></span></span></span></li>\r\n\t<li><span style=\"font-size:11pt;\"><span><span style=\"line-height:115%;\"><span style=\"font-family:Calibri, sans-serif;\">Demonstrates strong diligence and follow-through. </span></span></span></span></li>\r\n\t<li><span style=\"font-size:11pt;\"><span><span style=\"line-height:115%;\"><span style=\"font-family:Calibri, sans-serif;\">Demonstrates proficiency with Microsoft Office programs, reporting systems, EHR platforms, and data analytics tools. </span></span></span></span></li>\r\n\t<li><span style=\"font-size:11pt;\"><span><span style=\"line-height:115%;\"><span style=\"font-family:Calibri, sans-serif;\">Consistently demonstrates and models alignment with company mission, values, and leadership expectations. </span></span></span></span></li>\r\n</ul>\r\n\r\n<p>&nbsp;</p>\r\n\r\n<p><span style=\"font-size:11pt;\"><span style=\"line-height:115%;\"><span style=\"font-family:Calibri, sans-serif;\"><i><span style=\"font-size:9.5pt;\"><span style=\"line-height:115%;\"><span style=\"color:#211e1f;\">Odyssey Behavioral Healthcare, LLC &nbsp;provides equal employment opportunities without regard to race, color, creed, ancestry, national origin, ethnicity, sex, gender, sexual orientation, marital status, religion, age, disability, gender identity, genetic information, service in the military, or any other characteristic protected under applicable federal, state, or local law. Equal employment opportunities apply to all terms and conditions of employment. Odyssey </span></span></span></i><i><span style=\"font-size:9.5pt;\"><span style=\"line-height:115%;\">reserves the right to modify, interpret, or apply this job description in any way the organization desires. This job description in no way implies that these are the only duties, including essential duties, to be performed by the employee occupying this position. Reasonable accommodations may be made to reasonably accommodate qualified individuals with disabilities. This job description is not an employment contract, implied or otherwise. The employment relationship remains &ldquo;At-Will.&rdquo; </span></span></i></span></span></span></p>\r\n",
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    "primaryPhoneCountry": "US",
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    "qualificationsTitle": "Qualifications",
    "primaryPhoneRequired": true,
    "primaryPhoneNumberDoesNotExist": false
  },
  "preview": {
    "jobId": 313694,
    "isHotJob": false,
    "jobTitle": "VP of Utilization Review",
    "postedOn": "",
    "locations": "Franklin, TN 37067",
    "remoteType": "Fully Remote",
    "description": "Position Summary\r\n\r\nThe Vice President of Utilization Review (VP of UR) provides strategic and operational leadership for the enterprise-wide Utilizat...",
    "positionType": "Full Time"
  },
  "detail_meta": {
    "url": "https://portal-applicant-tracking.us-cent.paycomonline.net/api/ats/job-postings/313694",
    "http_status": 200,
    "content_type": "application/json",
    "response_bytes": 53914
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  "detail_errors": []
}

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Rendered from the bluedoor Job Postings API. Reproduce it:

GET https://api.bluedoor.sh/job-postings/v1/jobs/f84f6d1616afe85865843804740e9ea256d764af?include=descriptionJSON

GET https://api.bluedoor.sh/job-postings/v1/orgs/1d1ab7ec-6e6b-4f76-81e8-ca33d4ba688fJSON

GET https://api.bluedoor.sh/job-postings/v1/sources/0a7fb5ce-c8bb-42ef-936f-e16655daec79JSON

GET https://api.bluedoor.sh/job-postings/v1/jobs/f84f6d1616afe85865843804740e9ea256d764af/eventsJSON

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