Utilization Management Coordinator

4 weeks ago


MagstattleBas, Grand Est, United States Actalent Full time

**Job Description**

As a Medical Claims Analyst at Actalent, you will play a crucial role in ensuring the accuracy and timeliness of medical reviews and preauthorizations. You will work closely with healthcare providers, members, and an internal team of clinical support specialists, nurses, physicians, medical directors, and pharmacists to ensure medically appropriate, high-quality, cost-effective care.

You will be responsible for determining availability of benefits according to company contracts, endorsements, and medical policy, verifying member eligibility prior to medical review, and fostering constructive relationships with all departments.

This is a 100% remote position with flexible shift options, including Monday to Friday and Tuesday to Saturday. The salary for this position is estimated to be between $85,000 and $115,000 per year, depending on location and experience.



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