Job Description
**Utilization Management Representative I**
**Location** : This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development.
Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law.
The **Utilization Management Representative I** is responsible for coordinating cases for precertification and prior authorization review.
**How you will make an impact:**
+ Managing incoming calls or incoming post services claims work.
+ Determines contract and benefit eligibility; provides authorization for inpatient admission, outpatient precertificatio...
**Location** : This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development.
Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law.
The **Utilization Management Representative I** is responsible for coordinating cases for precertification and prior authorization review.
**How you will make an impact:**
+ Managing incoming calls or incoming post services claims work.
+ Determines contract and benefit eligibility; provides authorization for inpatient admission, outpatient precertificatio...
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