Utilization Management Clinical Team Lead

MetroPlusHealth

Seeking a Clinical Team Lead with UM/UR experience in managed care or hospital settings for MetroPlusHealth.

Last checked on September 23, 2026. We may earn a commission when you click through.

✓ Leadership opportunities ✓ Impactful role in patient care ✓ Collaborative team environment

Utilization Management Clinical Team Lead

MetroPlusHealth

Updated 1 day ago

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New York

This position is ideal for experienced professionals looking to advance in the healthcare arena, particularly those with a solid background in utilization management. However, the high-stress nature of the role may not suit everyone.

About this role

Seeking a Clinical Team Lead with UM/UR experience in managed care or hospital settings for MetroPlusHealth.

About the Company

MetroPlusHealth provides health insurance services in New York, focusing on Medicaid and Medicare plans.

Key Highlights

✓ Leadership role in clinical utilization management
✓ Requires prior experience in managed care or hospital settings
✓ Opportunity to impact patient care and operational efficiency
✓ Collaborative environment with healthcare professionals

💡 Honest Take: The role may come with high expectations and pressure, as leading a clinical team often involves navigating complex patient needs and regulatory requirements. Be prepared for a demanding environment where decision-making is critical.

Pros

✓ Leadership opportunities
✓ Impactful role in patient care
✓ Collaborative team environment

Cons

✗ High-pressure responsibilities
✗ Requires specific experience
✗ Potentially long hours

Best For: Candidates with prior experience in clinical management and a passion for improving healthcare services.

Watch Out: Expect a demanding workload that may require extended hours and quick decision-making under pressure.

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What Customers Say

Employees report a supportive team environment but mention the high-pressure nature of the role.

Expert Review

The role of Clinical Team Lead at MetroPlusHealth is a pivotal position that demands both expertise and leadership in utilization management. With the healthcare landscape shifting rapidly, the ability to adapt and is crucial. Candidates should anticipate navigating complex regulations and patient needs on a daily basis.

In this leadership role, you will be expected to drive operational efficiency while ensuring high standards of patient care. The experience required suggests a competitive pool of candidates, with the advantage of being part of a collaborative environment. However, the high expectations may lead to a stressful work atmosphere.

Potential applicants should weigh the benefits of career advancement and impact on patient care against the intense work demands. For those who thrive in fast-paced settings, this opportunity could be rewarding. For insights on the role and company culture, check out MetroPlusHealth's official page.