Utilization Management Specialist

Job Summary

Working remotely in a full-time capacity, the Utilization Management Support Specialist will conduct audits of authorization case work, provide technical support for authorization processing, and assist in resolving quality issues to ensure compliance with service level agreements and regulatory requirements.

Key responsibilities

• Perform daily and monthly audits of authorization turnaround times and quality accuracy
• Communicate audit findings and recommend process changes to management and internal staff
• Provide technical assistance and support for authorization processing and system setup

Required qualifications

• High school diploma or equivalent
• At least 2 years of job-related experience
• Proficiency in SQL and Microsoft Office
• Strong organizational skills with the ability to manage multiple tasks
• Attention to detail and accuracy in work