Healthcare Utilization Management Intake Analyst jobs in United States
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UST HealthProof · 1 day ago

Healthcare Utilization Management Intake Analyst

UST HealthProof is a trusted partner for health plans, offering integrated solutions for health plan operations. The Healthcare Utilization Management Intake Analyst will support the coordination of medical services, including utilization management intake and maintaining documentation to promote effective healthcare service utilization.

Hospital & Health Care
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H1B Sponsor Likelynote

Responsibilities

Provide support services to team members by answering incoming telephone calls, taking messages, researching information and building authorizations in the UM system
Requesting medical records for pending authorizations or continued stay authorizations
Generate UM letters for members and providers when authorizations are not required
Refers to needed services in accordance to benefit plan
Maintain accurate and complete documentation of required information that meets quality standards
Protect the confidentiality of the member information and adheres to the company policies regarding confidentiality

Qualification

Utilization managementMedical terminologyHealthcare deliveryMicrosoft officeUm systemLpn license

Required

High school diploma or G.E.D. required
Experience with medical terminology and concepts used in the healthcare delivery system, provider office, or the insurance industry
Computer literacy to include Microsoft Office products
Advanced technical skills for use of hardware and software with a high degree of accuracy
Excellent oral and written communication skills for representation of clear and concise results
Ability to manage significant workload, and to work efficiently under pressure, meeting established deadlines with minimal supervision
Strong time management skills
Must possess high degree of accuracy, efficiency, and dependability
Strong customer service skills to assist members and/or providers with understanding healthcare information and to coordinate issue resolution
Effective written and verbal communication and feedback
Effective organizational skills with ability to be flexible and prioritize tasks
Knowledge of educational assessments and learning strategies
Must be knowledgeable of and able to use standard, basic grammar, punctuation, and spelling

Preferred

Associate or bachelor s degree in health care related field
Current unrestricted LPN license or certified Medical Assistant designation
Minimum of one year experience in a health care related field. Preferred setting is hospital, medical doctor s office, or health insurance company

Benefits

Full-time, regular employees accrue up to 16 days of paid vacation per year
Receive 6 days of paid sick leave each year (pro-rated for new hires throughout the year)
10 paid holidays
Eligible for paid bereavement leave
Eligible to participate in the Company’s 401(k) Retirement Plan with employer matching
Eligible for medical, dental, and vision insurance
Basic life insurance
Accidental death and disability insurance
Short- and long-term disability benefits
May purchase additional voluntary short-term disability benefits
Participate in a Health Savings Account (HSA)
Flexible Spending Account (FSA) for healthcare, dependent child care, and/or commuting expenses
Potential for quarterly incentive-based bonuses and or commissions depending on role

Company

UST HealthProof

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UST HealthProof offers risk adjustment, quality programs, and healthcare payer technology services. It is a sub-organization of UST.

H1B Sponsorship

UST HealthProof 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 (71)
2024 (43)
2023 (31)
2022 (3)

Funding

Current Stage
Late Stage
Total Funding
unknown
2025-09-04Acquired

Leadership Team

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Kevin Adams
Chief Executive Officer
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Beth Maxwell
VP Product Delivery and Partnerships
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Company data provided by crunchbase