Utilization Management Services Specialist ; Remote

Excellus Health Plan Inc. is seeking a level I–III Utilization Management Administrative Support role to enhance UM workflows. You will handle inbound/outbound calls, create authorizations via phone, Care Advance Provider Tool, and fax for inpatient/outpatient procedures, behavioral health, and DME.

You will support providers and members, triage UM services, and back up team leads while interfacing with Claims, Customer Service and care management units to ensure accurate end-to-end processes.

Join us at Excellus Health Plan Inc. as our next Utilization Management Services Specialist I (Remote) in City of Rochester, NY, United States.

For the Utilization Management Services Specialist I (Remote) position at Excellus Health Plan Inc., we are reviewing applications now.

Step into the Utilization Management Services Specialist I (Remote) role at Excellus Health Plan Inc. in City of Rochester, NY, United States and grow with us.