Utilization Management Specialist

Posted Date 4 days ago(6/27/2022 3:25 PM)
Job ID
2022-2207
Category
Administrative/Clerical
Location : Location
US-NE-Omaha

Description

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.

Requirements

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

Company Benefits

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

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