UM Coordinator 2

Become a part of our caring community and help us put health first
The UM Administration Coordinator 2 contributes to administration of utilization management. The UM Administration Coordinator 2 performs varied activities and moderately complex administrative/operational/customer support assignments. Performs computations. Typically works on semi-routine assignments.

The UM Administration Coordinator 2 provides non-clinical support for the policies and procedures ensuring best and most appropriate treatment, care or services for members. Decisions are typically focus on interpretation of area/department policy and methods for completing assignments. Works within defined parameters to identify work expectations and quality standards, but has some latitude over prioritization/timing, and works under minimal direction. Follows standard policies/practices that allow for some opportunity for interpretation/deviation and/or independent discretion.

Required Qualifications
Use your skills to make an impact

• Minimum 1 year of customer service experience, including the ability to effectively de-escalate challenging situations
• After training, you must be available to work 4 days a week for 10 hour shifts during the hours of 6am – 7pm EST. You will also be REQUIRED to work at least one weekend day (Saturday or Sunday).
• Excellent verbal and written communication skills
• Demonstrated attention to detail
• Ability to navigate process flows and follow procedure documents
• Proficient keyboarding skills for data entry and documentation
• Capacity to multitask across various computer systems while engaging with providers or members
• Quick aptitude for learning and navigating new technology systems and applications
• Proficiency in Microsoft Office applications, including Word and Excel
• A designated workspace, with a closed door, that minimizes distractions and meets leadership approval
• Must effectively manage personal responsibilities to ensure a professional work environment conducive to achieving performance goals

Preferred Qualifications

• Proficient utilizing electronic medical record and documentation programs
• Experience with Utilization Review and/or Prior Authorization, preferably within a managed care organization
• Knowledge of Medical Terminology and/or ICD-10 codes
• Experience with Utilization Review and/or Prior Authorization, preferably within a managed care organization
• Bilingual (English & Spanish) fluent in written and verbal communication

Additional Information
Work-At-Home Requirements
To Ensure Home Or Hybrid Home/Office Associates' Ability To Work Effectively, The Self-provided Internet Service Of Home Or Hybrid Home/Office Associates Must Meet The Following Criteria

• At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is suggested.
• Satellite, cellular and microwave connection can be used only if approved by leadership.
• Associates who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided with a bi-weekly