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AmeriHealth Caritas · 4 hours ago

Utilization Management Technician

United States

Full-time

Remote

Entry Level

1+ years exp

AmeriHealth Caritas is a mission-driven organization with over 30 years of experience in health care solutions. They are seeking a Utilization Management Technician to coordinate and track correspondence and authorizations related to medical management functions, interacting with various stakeholders to ensure efficient information flow.

Health CareInformation Technology

H1B Sponsor Likely

Responsibilities

The Utilization Management Tech functions under the direction of the Supervisor to coordinate, generate, and track both incoming and outgoing correspondence, faxes, and authorizations related to prospective, concurrent, and post-service review functions

Interacts with facilities, vendors, providers, and other staff to facilitate receipt of information and /or records for prompt review and response

Compensation plans for physicians, licensed nurse reviewers, staff, and consultants who conduct medical management do not contain incentives, directly or indirectly, that encourage barriers to care and service in making determinations

Qualification

Utilization ManagementMicrosoft Office SuiteMedical TerminologyCustomer ServiceGeneral Office Experience

Required

High School/GED required

Proficiency with Microsoft Office Suite (Word, Excel, PowerPoint) required

Preferred

Associate's Degree or equivalent education & experience preferred

Minimum of 1 year of general office and/or customer service experience preferred

Work experience in utilization management/review in a healthcare/MCO setting preferred

Knowledge of medical terminology preferred

Minimum of 1 year experience in Managed Care, Insurance, or Call Center preferred

Benefits

Competitive pay

Paid time off including holidays and volunteer events

Health insurance coverage for you and your dependents on Day 1

401(k)

Tuition reimbursement

Company

AmeriHealth Caritas

Glassdoor3.4

AmeriHealth Caritas is the health care solutions provider for those in most need and the chronically ill.

Founded in 1982

Philadelphia, Pennsylvania, USA

10001+ employees

http://www.amerihealthcaritas.com

H1B Sponsorship

AmeriHealth Caritas has a track record of offering H1B sponsorships. Please note that this does not guarantee sponsorship for this specific role. Below presents additional info for your reference. (Data Powered by US Department of Labor)

Distribution of Different Job Fields Receiving Sponsorship

Represents job field similar to this job

Trends of Total Sponsorships

2025 (18)

2024 (17)

2023 (12)

2022 (14)

2021 (4)

2020 (11)