System Director, Utilization Review

Job Summary Reporting to the Senior Vice President of Revenue Cycle, the Director of Utilization Review is responsible for the strategic leadership, planning, and oversight of utilization review (UR) functions across Baylor Scott & White Health (BSWH). This role ensures effective assessment, validation, and documentation of medical necessity for patient care services, including concurrent and retrospective denial prevention and management, regulatory compliance, and performance optimization. Th…