Utilization Management Specialist

The Utilization Management Specialist processes incoming written authorization requests for medical treatment, utilizing either a one or two-step screening process subject to state jurisdiction.  Duties include validating the appropriateness of the request and, when necessary, obtaining clarification from the claim’s adjuster and/or medical provider prior to proceeding with the screening or set-up process.

• High school diploma or GED
• Knowledge of medical terminology
• Familiarity with information and computer systems

Fully-paid employee Medical, Dental, and Vision Insurance
Fully-vested employer match 401(k)
Section 125 - Flexible Spending Account
In-house pharmacy provides employees significant savings and convenience
Tuition Reimbursement