Clinical Operations Support Specialist

2 weeks ago


Owings Mills, Maryland, United States ALTA IT Services Full time

ALTA IT Services is seeking a contract-to-hire Clinical Operations Support Specialist to assist a prominent health insurance provider.

This role is essential in aiding the Utilization Management clinical teams by handling various non-clinical administrative functions associated with pre-service, utilization assessments, care coordination, and ensuring quality of care.

Compensation:
$24/HR

This position is fully remote, with candidates required to reside in the DMV area.


Key Responsibilities:
- Evaluate authorization requests for initial assessments and/or direct them for clinical evaluation and resolution.
- Provide comprehensive support and coordination for the department, which includes responding to phone inquiries, managing correspondence, conducting research, and assisting in problem resolution.
- Aid in reporting, data management, and the organization and distribution of information, including the Continuity of Care process and tracking of Peer-to-Peer reviews.
- Deliver administrative support related to members or providers.

#M2

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