Utilization Management Coordinator

Job Summary

Supporting Utilization Management clinical teams, the contract Utilization Management Coordinator will manage non-clinical administrative tasks related to pre-service authorization, utilization review support, and care coordination workflows in a remote setting while requiring schedule flexibility, including weekend availability.

Key responsibilities

• Provide member and provider administrative support, including benefit verification and authorization management
• Review incoming authorization requests and triage items for clinical review
• Assist with department coordination, including responding to inquiries and organizing information for reporting and data tracking

Required qualifications

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