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Remote Utilization Management Specialist
Remote / Online - Candidates ideally in
Fall River, Bristol County, Massachusetts, 02720, USA
Listed on 2026-07-14
Fall River, Bristol County, Massachusetts, 02720, USA
Listing for:
P32HS Point32Health Services Inc
Remote/Work from Home
position Listed on 2026-07-14
Job specializations:
-
Healthcare
Healthcare Administration
Job Description & How to Apply Below
Point
32
Health is seeking an UM Specialist to manage daily non-clinical reviews within the Utilization Management department under the Precertification Team Manager. You will coordinate coverage determinations for designated products, handle medical necessity denial letters, and monitor processes performed by coordinators.
The role emphasizes clear written and verbal communication with internal teams and providers, multi-tasking, and strict adherence to deadlines in a fast-paced health‑care
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