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Remote Utilization Management Representative
Remote / Online - Candidates ideally in
Miami, Miami-Dade County, Florida, 33222, USA
Listed on 2026-07-14
Miami, Miami-Dade County, Florida, 33222, USA
Listing for:
The Elevance Health Companies, Inc.
Remote/Work from Home
position Listed on 2026-07-14
Job specializations:
-
Healthcare
Healthcare Administration
Job Description & How to Apply Below
Elevance Health in Miami, FL seeks an Utilization Management Representative I to handle calls and post-services claims, determine eligibility, and authorize services. You will refer clinical cases to a nurse reviewer and coordinate with providers to ensure timely benefit determinations.
The role is largely virtual with required in-person training; a high school diploma and at least one year of customer service experience are required, with bilingual ability and medical terminology knowledge
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