Evolent · 4 days ago
Coordinator, Intake Utilization Management
United States
Full-time
Remote
Entry Level
$20/hr - $20/hr
1+ years expEvolent partners with health plans and providers to improve outcomes for individuals with complex health conditions. The Coordinator, Intake Utilization Management will process prior authorization requests, collaborate with clinical teams, and ensure compliance with departmental policies and regulations.
Health CareHospitalInformation Technology
Responsibilities
Reviewing internal workflows and policies to determine if submitted requests require a prior authorization review or redirect as required
Entering data into a proprietary system generating cases for both the medical and behavioral health reviewers. These requests may be submitted via fax, email, or provider portal
Working directly with physician’s offices to obtain missing information required to submit a prior authorization request
Submitting IT tickets to address barriers to generating cases for clinical review and following the ticket through to completion
Addressing requests promptly and courteously, honoring commitments and displays persistence obtaining necessary information to address issues and problems
Meeting established Utilization Management Intake Objective and Key Results
Qualification
Required
A high school diploma or GED is required
1 – 3 years of experience in a Coordinator role either requesting or submitting prior authorization requests and/or relevant health care experience in claims or appeal & grievances is required
Ability to read, write and speak the English language fluently with patients and providers
Ability to adapt to fluctuating situations and perform work of a detailed nature, while avoiding errors
Proficient using computer and Windows PC applications, which includes strong keyboard and navigation skills
Team oriented, demonstrates a strong work ethic and committed to productivity
Ability to sit for the majority of shift
Demonstrated ability meeting established goals while balancing a workload and prioritizing assignments in a remote environment
High speed internet over 10 Mbps and the ability to plug in directly to the home internet router
Benefits
Comprehensive benefits (including health insurance benefits)
Company
Evolent
Evolent partners with health plans and providers to achieve better outcomes for people with complex health conditions.
1001-5000 employees
H1B Sponsorship
Evolent 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 (7)
2024 (16)
2023 (22)
2022 (15)
2021 (17)
2020 (20)
Funding
Current Stage
Public CompanyTotal Funding
$1.17BKey Investors
TPG Growth
2025-08-19Post Ipo Debt· $145M
2023-12-05Post Ipo Debt· $350M
2022-08-11Post Ipo Equity· $125M
Leadership Team
Sarah Alexander
Vice President, Strategic Accounts
Recent News
2026-01-06
2026-01-03
2025-12-22
Company data provided by crunchbase