Primary Care Services Facilitator

6 days ago


Portsmouth, Virginia, United States ChenMed Full time

ChenMed is seeking a highly skilled Primary Care Services Facilitator to join our team. In this role, you will work closely with our Care Center of Excellence team to establish and maintain outpatient utilization management in PMR and delegated utilization management in ChenMed Medical Centers. Your primary responsibility will be to facilitate daily processes to help redirect poorly supported requests by providing feedback to Humana, Careplus, Wellcare, and Coventry and working through daily authorization requests when information is missing.

Requirements:
  • 3+ years of experience in utilization management and/or provider relations or healthcare analyst.
  • Excellent analytical and organizational skills.
  • Ability to communicate effectively with physicians, staff, and external stakeholders.

We offer a competitive salary of $65,000 - $85,000 per year, depending on experience, plus comprehensive benefits and career development opportunities.



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