Remote Utilization Payer Management Specialist

Location: Nationwide

Compensation: To Be Discussed

Staff Reviewed: Tue, Nov 23, 2021

This job expires in: 20 days

Job Category: Healthcare

Remote Level: 100% Remote

Employer Type: Employer

Career Level: Experienced

Job Summary

A software development company is in need of a Remote Utilization Payer Management Specialist.

Core Responsibilities Include:

  • Researching and understanding utilization management workflows
  • Taking complicated information and making it simple and easy to understand
  • Taking complex directions and distill them into clear step-by-step instructions

Position Requirements Include:

  • 3+ years experience within utilization management from health plans/payers
  • Prior experience managing inbound authorization requests
  • Understands how requirements are applied to Approve/Deny/P2P
  • Commercial experience and Medicare/Medicaid including understanding of NCD/LCD
  • Understanding of reporting and productivity numbers which are important for payer staff
  • Ability to take on meaningful responsibility, individual initiative and thrive with limited supervision

COMPLETE JOB DESCRIPTION

The job description is available to subscribers. Subscribe today to get the full benefits of a premium membership with Virtual Vocations. We offer the largest remote database online...

BECOME A PREMIUM MEMBER TO UNLOCK FULL JOB DETAILS & APPLY

  • ACCESS TO FULL JOB DETAILS AND APPLICATION INFORMATION
  • HUMAN-SCREENED REMOTE JOBS AND EMPLOYERS
  • COURSES, GROUP CAREER COACHING AND RESOURCE DOWNLOADS
  • DISCOUNTED CAREER SERVICES, RESUME WRITING, 1:1 COACHING AND MORE
  • EXCELLENT CUSTOMER SUPPORT FOR YOUR JOB SEARCH