Utilization Review Team Lead

Job Summary

A company is looking for a Utilization Review Specialist Team Lead.

Key Responsibilities

• Provide daily operational support for Utilization Review and Care Coordination related to prior authorizations
• Manage intake, tracking, processing, and routing of prior authorizations, appeals, grievances, and related documentation
• Conduct quality reviews to ensure accuracy, completeness, and timely processing

Required Qualifications

• High school diploma or equivalent
• Proficient computer skills, including MS Office and data entry
• Ability to type at least 45 wpm with high accuracy
• Willingness to learn new skills and take on new responsibilities
• Valid driver's license and current automobile insurance required