Utilization Management Assistant

Description

The primary responsibility of the position is to maintain standard compliance and performance‑related utilization management data. You will process daily, weekly, and monthly UM reports; establish and maintain an efficient filing system in paper and electronic formats; maintain health‑plan audit tools, including distribution and collection of data and documentation; assist in data collection for all health‑plan audits and in necessary compilation of data for NCQA, DMHC and CMS focused audits and unplanned audits of the delegated Medical Group as downstream providers;

perform other duties as assigned by the immediate supervisor, the UM Compliance Manager, in support of compliance timelines.

• Associate's degree in health care, business or related field preferred, or equivalent education/experience.

Our best‑in‑class benefits are uniquely designed to support you and your family in staying well, growing professionally, and achieving financial security. We offer a comprehensive benefits package including a retirement 401(k) savings plan with employer matching, medical, dental, vision, life and disability insurance, paid parental leave, vacations, holidays, health‑issue leave, voluntary benefits, well‑being resources, and more. You can learn more about our benefits at Providence Jobs.

Job Category:
Health Information Management
Job Function:
Revenue Cycle

Job Schedule:

Per‑Diem

Job Shift: Day
Workplace Type:
On‑site

Work Location:

Everett Medical Center, Colby‑Everett
Pay Range: $21.30 - $31.54 (base pay; additional compensation may be available for shift differentials, standby/on‑call, overtime, premiums, extra shift incentives, or bonus opportunities).

Providence is proud to be an Equal Opportunity Employer. We are committed to the principle that every workforce member has the right to work in surroundings that are free from all forms of unlawful discrimination and harassment on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, sexual identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law.

We believe diversity makes us stronger, so we are dedicated to shaping an inclusive workforce, learning from each other, and creating equal opportunities for advancement.

Applicants in the Unincorporated County of Los Angeles:
Qualified applications with arrest or conviction records will be considered for employment in accordance with the Unincorporated Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act.