Utilization Management Coordinator

Provider Utilization Coordinator SrDo you crave a career that truly makes an impact in people's lives? Do you thrive on problem-solving and finding solutions? Join a dedicated, tight-knit team that creates an immediate and meaningful impact every day.Leidos QTC Health Services is seeking a Provider Utilization Coordinator Sr to join our VA Operations team. This role supports VAO operations and its providers by maintaining, utilizing and maximizing electronic scheduling software for Independent Physician Affiliates (IPA's).Primary Responsibilities:Consistent and effective communication with IPA providers and operationsAbility to effectively utilize reports and tools to communicate IPA provider schedules to the providers and to communicate and escalate information and trends to VAOProactively communicate issues/concerns with IPA provider schedules proactively to VAO leadership teams as necessaryAbility to coordinate with regional utilization manager (RUM) on IPA utilization issuesResponsible for building and adjusting provider's schedulesConstantly evaluates the utilization of dedicated IPA providersPrevention of gaps and overbooking in provider's electronic schedulesTime slot capitalization which includes communication with operations scheduling staffEffective management of electronic confirmation systems (i.e. eMessenger, Pega communicator, ACD) in order to minimize no show ratesEfficiently utilizes electronic tools and workflows in order to manage resources such as: ECW, UCM, eProcess and other tools as necessaryAbility to prioritize operations and provider's requests when and if necessaryAny other duties as assignedRequired Qualifications:High School diploma, or equivalent (GED)1 to 3 years of experience in a high volume healthcare setting with daily utilization of electronic scheduling softwareExperience utilizing EMR or case management softwareMust be able to successfully pass National Agency Check with Inquiries (NACI) background investigationOther Details:Schedule: Monday through Friday with a flexible start time as early as 7am, with a shift ending as late as 8pm ESTTraining: 3 weeks of training to include recording sessions, saba modules, shadowing and mentoring with PUC LeadsAbout Leidos QTC Health ServicesLeidos QTC Health Services collaborates closely with government and non-government customers to address current and future program needs within the health services domain. We specialize in disability-focused medical examinations, independent medical exams and review services, occupational health services, diagnostic testing, and case management solutions. As innovators, we focus on advancing technologies that improve service delivery, with a particular emphasis on enhancing accessibility for examinees in rural communities. With a proven track record of continuous improvement and steady growth, we now handle over 2 million appointments annually. Visit for more information.Compensation and BenefitsPay and benefits are fundamental to any career decision. That's why we craft compensation packages that reflect the importance of the work we do for our customers. As a result, we offer meaningful and engaging careers to support you and your career goals, all while nurturing a healthy work-life balance. Employment benefits include competitive compensation, Health and Wellness programs, Income Protection, Paid Leave and Retirement. More details are available here.This role may fall under the Service Contract Act (SCA), a federal law which provides for a U.S. Department of Labor-prescribed minimum prevailing rate of pay and certain benefit levels. Where appropriate, Company-provided benefit plans such as comprehensive leave, holiday, medical, dental, life, accident, disability coverages, retirement plan contributions, and other health and welfare benefits and payments are utilized to meet these obligations.Commitment to Non-DiscriminationAll qualified applicants will receive consideration for employment without regard to sex, race, ethnicity, age, national origin, citizenship, religion, physical or mental disability, medical condition, genetic information, pregnancy, family structure, marital status, ancestry, domestic partner status, sexual orientation, gender identity or expression, veteran or military status, or any other basis prohibited by law. Leidos QTC Health Services will also consider for employment qualified applicants with criminal histories consistent with relevant laws.Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.