Oregon Licensed Utilization Review Specialist

Job Summary

A company is looking for an Associate Utilization Review Specialist who will work remotely.

Key Responsibilities

• Manage core functions in the Prior Authorization Department
• Review and prepare prior authorization requests and ensure compliance with regulations
• Handle incoming inquiries from providers and members regarding operational plan functions

Required Qualifications

• Bachelor's Degree in a health-related field or equivalent work experience
• 2 years of experience in a healthcare-related field
• 1 year of experience in researching and resolving complex problems
• 2 years of experience in a fast-paced work environment
• 1 year of experience with database management and spreadsheets