Utilization Management Coordinator

Job Summary

Supporting Utilization Management clinical teams, the contract Utilization Management Coordinator will perform non-clinical administrative tasks related to pre-service authorization and care coordination while working 40 hours per week remotely, including weekends.

Key responsibilities

• Provide administrative support for member/provider interactions, including benefit verification and authorization management
• Review and triage incoming authorization requests for clinical review and resolution
• Assist with daily departmental coordination, including responding to phone calls and managing documentation

Required qualifications

• High School Diploma or equivalent
• 3+ years of experience in healthcare claims/service areas or administrative support
• Ability to work effectively within a multidisciplinary team
• Comfortable with web-based tools and Microsoft Office (Word, Excel, PowerPoint)
• Strong organizational skills and attention to detail