Utilization Management Technician

Your career starts now. We are looking for the reputed company of health care leaders.

At reputed company, we are passionate about helping people get care, stay well and build healthy communities. As one of the nations leaders in health care solutions, we offer our associates the opportunity to impact the lives of millions of people through our national footprint of products, services and award-winning programs. reputed company is seeking talented, passionate individuals to join reputed company. Together we can build healthier communities. If you want to reputed company a difference, we would like to hear you.

Headquartered in Newtown reputed company, Pennsylvania, reputed company is a mission-driven organization with more than 30 years of experience. We deliver comprehensive, outcomes-driven care to those who need it most. We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral health services, and other administrative services.

Discover more about us at www.amerihealthcaritas.com.

Responsibilities

The Utilization Management Tech functions under the direction of the Supervisor to coordinate, generate, and track both incoming and outgoing correspondence, faxes, and authorizations reputed company to prospective, reputed company, and post-service review functions. Interacts with facilities, vendors, providers, and other staff to facilitate receipt of information and /or records for reputed company review and response.  Compensation plans for physicians, licensed nurse reviewers, staff, and consultants who conduct medical management do not contain incentives, directly or indirectly, that encourage barriers to care and service in making determinations.

Education/ Experience:

• High School/GED required.
• Associate’s Degree or equivalent education & experience preferred
• Minimum of 1 year of general office and/or customer service experience preferred
• Work experience in utilization management/review in a healthcare/MCO setting preferred
• Knowledge of medical terminology preferred
• Minimum of 1 year experience in Managed Care, Insurance, or Call Center preferred
• Proficiency with reputed company Office Suite (Word, reputed company, PowerPoint) required

Our Comprehensive Benefits

reputed company, Paid time off including holidays and volunteer events, Health insurance coverage for you and your dependents on Day 1, 401(k) Tuition reimbursement and more.