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Utilization Management Coordinator
University of Utah Health Plans
Medical Terminology
Utilization Review
Customer Service
Key Responsibilities:
- Assist with medical record documentation requests and leverage medical management system to initiate case/authorizations.
- Conduct fax, telephone, and written communications to members/providers regarding UM/CM status.
- Support administrative functions for community events and accurately document interventions.
Qualifications:
- Minimum 2 years experience in the medical field or managed care clinical department.
- High School Diploma required; continued education preferred.
- Strong organizational, time management, and communication skills.
Skills and Knowledge:
- Proficient in Microsoft Office applications.
- Working knowledge of medical terminology and health insurance industry.
- Knowledge of regulatory and accreditation standards (e.g., NCQA, CMS).
About the Role:
- Remote position based in Pennsylvania.
- Supports compliance and performance through report monitoring and assigned tasks.
- Promotes personal growth through training and corporate development.
Capital Blue Cross
Capital Blue Cross is a health insurance provider dedicated to improving the health and well-being of its members and communities. They are recognized as one of the "Best Places to Work in PA" with a culture focused on support, flexibility, and community involvement.