Company:
UnitedHealthcare
Location: Henley
Closing Date: 25/10/2024
Hours: Full Time
Type: Permanent
Job Requirements / Description
As a Healthcare Utilization Coordinator, you will work under the direction of the Associate Director Clinical Utilization & Analysis. With a focus on reviewing claims data of medically complex individuals experiencing significant addiction and/or behavioral health conditions, attention to detail is crucial for this role. The position is full-time (40 hours /week) Monday - Friday. Travel is 0-10% within the state. The role offers the flexibility of telecommuting from anywhere within the U.S.
- Review member's claims data
- Collaborate with the Medical Director to discuss member utilization patterns
- Educate providers on health plan Lock-In program
- Partner with care team (community, providers, internal staff)
- Develop knowledge of community cultures and values
Preferred Qualifications:
- Bachelor's Degree (or higher) in a health-related field
- Previous care management experience
- Experience in Managed Care and knowledge of Medicaid and/or Medicare population
- Familiarity with vulnerable subpopulations including members with homelessness, substance use disorders, and complex chronic conditions
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UnitedHealthcare