Regional UM Leader — Non-Acute Care & Transitions

Alignment Health is seeking a senior Utilization Management Leader to guide market-level non-acute UM programs, physician oversight, and prior authorization in the Fresno, CA area. You will align with CMS and evidence-based guidelines while partnering with PCPs, hospitals, and delegated medical groups to optimize utilization. The role requires MD/DO with CA license, leadership in managed care, and strong analytics to improve performance and member outcomes in a local-market setting.