Utilization Reviewer – developmental disabilities services

Liberty Healthcare Corporation; Remote; GBP 42,000; Full time

Job summary

A healthcare service provider is looking for a full-time Utilization Reviewer to conduct audits and analyze services for individuals with developmental disabilities. The position is remote-first, requiring occasional travel in Maryland. Candidates must have a bachelor's degree and at least three years of experience in human services. Compensation includes a $55,000 annual salary, health insurance, and paid time off.

Benefits

30 days of paid time off annually

Health insurance

Reimbursement for work-related mileage

Qualifications

• Bachelor’s degree required, solid computer skills essential.
• Three or more years of experience in human services.
• Familiarity with Maryland’s Developmental Disabilities Administration is helpful.

Responsibilities

• Conduct audits of services for individuals with developmental disabilities.
• Review and analyze Medicaid claims.
• Write summary reports.

Skills

Solid computer skills

Experience in human services

Service coordination

Case management

Utilization review

Education

Bachelor’s degree

Job description

Human services professionals are encouraged to consider an outstanding career opportunity with Liberty Healthcare Corporation.

In partnership with Maryland’s Developmental Disabilities Administration, Liberty Healthcare operates a statewide program which endeavors to develop continuous quality improvement processes that enhance person-centered service delivery and support to people who are living with intellectual and developmental disabilities so they may live their best lives.

To support this initiative, Liberty is now hiring for a full-time Utilization Reviewer position.

As a Utilization Reviewer your daily work will involve:

• Conducting audits of services provided to people with developmental disabilities
• Heavy database usage
• Reviewing and analyzing Medicaid claims
• Analyzing actual services provided against contracted service levels and hours
• Conducting in-person and phone/video interviews of individuals served as well as their caregivers
• Writing summary reports

You can expect:

• $55,000 annual salary
• 30 days of paid time off annually
• Health insurance and other perks
• Reimbursement for approved work-related mileage

This is a remote-first position which will allow you to primarily work from your home office.

Travel throughout the Maryland Eastern Shore, Anne Arundel County, and other locations throughout Maryland is required and estimated at 15%.

The work schedule for this position is primarily Monday through Friday from 8:30 am until 5:30 pm with occasional requirements for after-hours work.

Qualifications:

• Bachelor’s degree required, solid computer skills essential
• Three or more years of experience in human services, ideally in at least one of the following areas:
  • Supporting people who are living with developmental disabilities
  • Service coordination
  • Case management
  • Utilization review
  • Prior authorizations
  • Claims reviews
  • Healthcare billing
  • Analyzing healthcare or human services data
• Familiarity with the State of Maryland’s Developmental Disabilities Administration and Home and Community-Based Services is helpful

Utilization Reviewers with Liberty Healthcare work through a collaborative partnership with Precision Management Solutions, a minority and women-owned small business.

Click Apply and submit your resume for immediate consideration.

Employment Type: Full-Time

Experience: 3+ years

Vacancy: 1