Providence Health & Services
Associate Utilization Review Specialist *Remote*
This job is now closed
Job Description
- Req#: 293782
Employer Industry: Healthcare Services
Why consider this job opportunity:
- Competitive salary up to $80,000
- Opportunity for career advancement and growth within the organization
- Remote work available for residents in Oregon, Washington, and California
- Comprehensive benefits package to support overall well-being
- Chance to make a positive impact on patient care and community health
What to Expect (Job Responsibilities):
- Coordinate and execute medical reviews for various clinical teams
- Investigate and prepare requests for coverage across multiple lines of business
- Assess cases for RN/MD review based on medical necessity and eligibility
- Review and approve specific service requests using medical knowledge and plan design
- Resolve operational issues related to coverage policy, coding, and regulations
What is Required (Qualifications):
- Bachelor's Degree in a Health-related field of study or equivalent education and experience
- 2+ years of experience in a healthcare-related field
- 1+ years of experience researching and resolving complex problems
- 2+ years of experience working in a fast-paced environment
- 2+ years of experience prioritizing and resolving issues to meet timelines and quality metrics
How to Stand Out (Preferred Qualifications):
- 3+ years of experience in a healthcare-related field
#HealthcareServices #RemoteWork #CareerGrowth #CompetitivePay #EmployeeBenefits
We prioritize candidate privacy and champion equal-opportunity employment. Central to our mission is our partnership with companies that share this commitment. We aim to foster a fair, transparent, and secure hiring environment for all. If you encounter any employer not adhering to these principles, please bring it to our attention immediately. We are not the EOR (Employer of Record) for this position. Our role in this specific opportunity is to connect outstanding candidates with a top-tier employer.About the company
Providence Health & Services is a not-for-profit, Catholic health care system operating multiple hospitals across seven states, with headquarters in Renton, Washington. The Providence affiliate family includes: Covenant Health, Facey Medical Group, Kadlec, Pacific Medical Centers and Swedish Health Services.
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