UM Coordinator

Job Description

Job Description

Job Title: UM Coordinator

Job Description

The Quality Management (QM) Coordinator supports daily utilization and quality management operations by assisting with health plan and regulatory audits, coordinating required reporting, and ensuring compliance with internal policies and external standards. This role also provides backup to the UM team and performs daily audits of referral and authorization data to maintain accuracy and adherence to procedures. Key duties include pulling reports using Excel/PowerPoint, extensive telephonic and text campaign outreach to members, monitoring responses, and assisting with appointment scheduling.

Responsibilities

• Assist with health plan and regulatory audits.
• Coordinate required reporting and ensure compliance with policies and standards.
• Provide backup support to the UM team.
• Perform daily audits of referral and authorization data.
• Pull reports using Excel and PowerPoint.
• Conduct telephonic and text campaign outreach to members.
• Monitor responses and assist with appointment scheduling.

Essential Skills

• Proficiency in Microsoft Office (Word, Excel, Outlook).
• Experience performing detailed, time-sensitive administrative and clerical processes.
• Experience interacting professionally with diverse clientele, including management and health plan representatives.
• High School Diploma required.

Additional Skills & Qualifications

• Back office or front office medical assistant experience preferred.
• One year of experience in Utilization Management or Quality Management within a managed care setting preferred.
• Familiarity with Utilization Management or Quality Management databases preferred.

Work Environment

This position operates in a fully onsite office environment with working hours from Monday to Friday, 7:30 am to 4:30 pm. There are nine staff members in the department, and the dress code is scrubs. The role is initially a contract position with the potential to become permanent.

This is a Contract position based out of Victorville, CA.

The pay range for this position is $23.00 - $24.00/hr.

Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this temporary role may include the following:
• Medical, dental & vision
• Critical Illness, Accident, and Hospital
• 401(k) Retirement Plan – Pre-tax and Roth post-tax contributions available
• Life Insurance (Voluntary Life & AD&D for the employee and dependents)
• Short and long-term disability
• Health Spending Account (HSA)
• Transportation benefits
• Employee Assistance Program
• Time Off/Leave (PTO, Vacation or Sick Leave)

This is a fully onsite position in Victorville,CA.

This position is anticipated to close on Jun 15, 2026.

About Actalent

Actalent is a global leader in engineering and sciences services and talent solutions. We help visionary companies advance their engineering and science initiatives through access to specialized experts who drive scale, innovation and speed to market. With a network of almost 30,000 consultants and more than 4,500 clients across the U.S., Canada, Asia and Europe, Actalent serves many of the Fortune 500.

The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.

If you would like to request a reasonable accommodation, such as the modification or adjustment of the job application process or interviewing process due to a disability, please email View email address on ziprecruiter.com for other accommodation options.

San Francisco Fair Chance Ordinance: Pursuant to the San Francisco Fair Chance Ordinance, for all positions located in the city and county of San Francisco, we will consider for employment qualified applicants with arrest and conviction records.

Massachusetts Lie Detector: It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability.

Use of Artificial Intelligence (AI): We may use Artificial Intelligence (AI) to support parts of our hiring process, including sourcing, screening, and evaluating candidates. AI helps assess applications and qualifications, but final decisions are made by our hiring team. By applying, you acknowledge and agree that your application may be reviewed using AI tools.