Utilization Management Coordinator

Supporting Utilization Management clinical teams, the contract Utilization Management Coordinator will handle non-clinical administrative tasks related to pre-service authorization and care coordination workflows while working remotely and requiring schedule flexibility, including weekends. Key responsibilities Provide administrative support for member/provider inquiries, including benefit verification and authorization management Review incoming authorization requests for initial determination and triage items for clinical review Assist with operational problem-solving and data tracking within the department Required qualifications High School Diploma or equivalent 3+ years of experience in healthcare claims/service areas or healthcare administrative support Ability to work effectively within a multidisciplinary team Proficiency with web-based tools and Microsoft Office (Word, Excel, PowerPoint) Strong communication, organization, and customer service skills