Utilization Management Coordinator
2 weeks ago
The Utilization Management Coordinator will play a critical role in ensuring the effective implementation of Utilization Management (UM) plans for Medical Groups/IPAs in the HMO networks. This position requires strong analytical and communication skills, as well as a deep understanding of managed care principles and UM/QR processes.
Key Responsibilities:
- Monitors UM activities of Medical Groups/IPAs to measure adherence to HMO UM/QR standards.
- Designs and implements corrective action plans for deficient Medical Groups/IPAs.
- Coordinates with Corporate Audit department regarding corporate site audits and related corrective action plans.
Salary and Benefits
This is a full-time position with a competitive salary range of $80,000 - $110,000 per year, depending on experience. Our client also offers a comprehensive benefits package, including health insurance, retirement savings plan, and paid time off.
How to Apply
If you are a motivated and detail-oriented individual with a passion for healthcare, we encourage you to apply for this exciting opportunity.
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