Utilization Management Technician

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 related to prospective, concurrent, and post-service review functions. Interacts with facilities, vendors, providers, and other staff to facilitate receipt of information and /or records for prompt 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 preferredMinimum of 1 year of general office and/or customer service experience preferredWork experience in utilization management/review in a healthcare/MCO setting preferredKnowledge of medical terminology preferredMinimum of 1 year experience in Managed Care, Insurance, or Call Center preferredProficiency with Microsoft Office Suite (Word, Excel, PowerPoint) requiredOur Comprehensive BenefitsCompetitive pay, 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.

Created: 2025-10-31