More jobs:
Utilization Management Specialist I (Hybrid
Job in
Raleigh, Wake County, North Carolina, 27601, USA
Listed on 2026-08-21
Listing for:
Elevance Health
Full Time
position Listed on 2026-08-21
Job specializations:
-
Administrative/Clerical
Healthcare Administration -
Healthcare
Healthcare Administration
Job Description & How to Apply Below
Elevance Health is seeking an Utilization Management Representative I to coordinate precertification and prior authorization reviews. The role supports hybrid/virtual work with required in-person training and occasional office days.
Responsibilities include processing calls, handling referrals, authorizing initial provider sessions, and ensuring accurate data entry and timely responses. Strong communication, empathy, and problem-solving are essential in a fast-paced environment.
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