AmeriHealth Caritas · 13 hours ago
Utilization Management Technician
United States
Full-time
Remote
Entry Level
1+ years expAmeriHealth Caritas is a mission-driven organization focused on delivering comprehensive health care solutions. The Utilization Management Technician will coordinate and track correspondence and authorizations related to health care reviews, working with various stakeholders to ensure timely information exchange.
Health CareInformation Technology
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
Required
High School/GED
Proficiency with Microsoft Office Suite (Word, Excel, PowerPoint)
Preferred
Associate's Degree or equivalent education & experience
Minimum of 1 year of general office and/or customer service experience
Work experience in utilization management/review in a healthcare/MCO setting
Knowledge of medical terminology
Minimum of 1 year experience in Managed Care, Insurance, or Call Center
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
More
Company
AmeriHealth Caritas
AmeriHealth Caritas is the health care solutions provider for those in most need and the chronically ill.
10001+ employees
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)
Funding
Current Stage
Late StageLeadership Team
Kathleen Giblin
SVP Clinical Operations
Ash Hanson
Executive Vice President & Chief Human Resources Officer
Recent News
2025-11-06
The Philadelphia Inquirer
2025-10-02
2025-10-01
Company data provided by crunchbase