Related skills
powerpoint sharepoint prior authorization microsoft excel microsoft word📋 Description
- Provide operational support for the UM program.
- Monitor vendor processes and SLAs for prior auth.
- Manage day-to-day UM operations; identify improvements.
- Collaborate with Provider Services, vendors, and clinical teams.
- Liaise with AHH and internal teams for integration.
- Support onboarding and system enhancements.
🎯 Requirements
- Bachelor's degree or equivalent experience.
- 2+ years in utilization management or healthcare ops.
- Experience with external vendors, health plans, or TPA in UM.
- Knowledge of UM principles, prior auth, medical necessity reviews.
- Strong analytical, communication, and problem-solving skills.
- Proficiency with SmartSheets, Word/Excel, and PowerPoint.
🎁 Benefits
- Flexible Time Off and 13 paid holidays
- Competitive medical, dental, and vision coverage
- 401(k) plan with company match
- Stock options and incentive programs
- Mental health and wellness benefits
- Life, disability, and other protections
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