Harris Health · 10 hours ago
Lead Utilization Management Coordinator
Houston, TX
Full-time
Onsite
Mid, Senior Level
4+ years expHarris Health is a non-profit Managed Care Organization serving over 400,000 members through various health programs. They are seeking a Lead Utilization Management Coordinator to coach UM Precertification and Concurrent Review Coordinators, resolve issues, and contribute to departmental goals while ensuring compliance and accuracy in data entry.
Hospital & Health Care
Responsibilities
Serve as the first line coach to the UM Coordinators
Demonstrates the team desire for turnaround compliance and process improvement, sharing and supporting tasks and training with the UM Leadership team as well as performing UM Coordinator duties
Data entry of admissions, notification of deliveries, sick newborns, and other services
Obtains all pertinent information and medical codes related to the admission, transfer, out of network provider, route of transport, type of service, type of durable medical equipment and other key information
Assists in monitoring reports and refers to appropriate UM Nurse or Manager
Responding and forwarding calls efficiently and in a timely and professional manner to appropriate nursing staff, medical staff, or other departments when appropriate
Review and process fax and telephone requests to meet departmental key metrics and productivity standards, maintain established threshold for case data entry accuracy within compliance timeframes
Actively contributes to achievement of departmental goals, as identified in Departments annual business plan, including specific departmental process improvement plans and other duties as assigned
Qualification
Required
High School Diploma or GED required
Four (4) years experience in healthcare setting such as a medical clinic, hospital, or managed care. Associate or bachelor's degree may be used in lieu of experience
Microsoft Office (Word, Excel, Outlook)
Preferred
Two (2) years college education preferred
Medicaid Coding preferred
Company
Harris Health
At Harris Health, we champion better health for our patients, their families and our community, by connecting all to an integrated healthcare system that provides high-quality healthcare.
5001-10000 employees
H1B Sponsorship
Harris Health 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 (11)
2024 (6)
2023 (6)
2022 (7)
2021 (9)
2020 (7)
Funding
Current Stage
Late StageLeadership Team
Esmaeil Porsa
President and CEO
Victoria Nikitin, CPA, MBA, FHFMA
Executive Vice President and Chief Financial Officer
Recent News
Seattle TechFlash
2025-08-05
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