Clinical Utilization Specialist

7 days ago


Everett, Massachusetts, United States Providence St. Joseph Health Full time
Job Summary

We are seeking a Clinical Utilization Specialist to join our team at Providence Regional Medical Center Everett. As a key member of our utilization management team, you will be responsible for maintaining standard compliance and performance-related data.

About the Role

This is a full-time position working day shifts from 8:00 AM to 4:30 PM, Monday to Friday. The successful candidate will establish and maintain an efficient filing system in both paper and electronic formats.

Responsibilities
  • Maintain standard compliance and performance-related utilization management data.
  • Process daily, weekly, and monthly UM reports.
  • Establish and maintain efficient filing systems in paper and electronic formats.
Required Qualifications

An Associate's Degree in Healthcare, Business, or a related field is preferred, or equivalent education/experience.

Benefits

We offer a comprehensive benefits package, including health insurance, retirement savings plan, paid time off, and opportunities for professional growth and development.

Salary

The estimated annual salary for this role is between $65,000 and $90,000, depending on experience.



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