Utilization Management Coordinator

Job Summary

To support Utilization Management clinical teams, the remote Utilization Management Coordinator will handle non-clinical administrative tasks related to pre-service authorization, utilization review support, and care coordination, requiring a flexible schedule that includes weekends.

Key responsibilities

• Provide administrative support for member/provider interactions, including benefit verification and authorization management
• Review incoming authorization requests and triage items for clinical review
• Assist with department coordination by responding to inquiries and managing communications

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 organizational and customer service skills
• Proficiency with web-based tools and Microsoft Office (Word, Excel, PowerPoint)