Utilization Management Team Lead (Non-Clinical)

Imagenet Phils., Inc.; Philippines; Hybrid; PHP 900,000 - 1,100,000; Full time

Benefits offered by this job

Comprehensive HMO Coverage - Medical &

HMO coverage Day 1 + 1 dependent

Job summary

Imagenet is seeking a Team Leader for Utilization Management to guide the UM Coordinators and support staff in day-to-day operations. The role focuses on ensuring accurate, timely authorization requests, referrals, and administrative UM tasks while aligning with client policies and regulatory requirements.

The ideal candidate has 3–5 years in US healthcare operations, with leadership experience and strong knowledge of payer processes, QA collaboration, and process improvements.

Qualifications

• High School Diploma required; Bachelor's Degree preferred.
• 3-5 years of experience in healthcare operations, utilization management, prior authorization, claims, provider services, member services, or managed care.
• 1 year of Team Leader, Lead, SME, Escalation Lead, or people leadership experience.
• Strong understanding of healthcare payer operations.
• Working knowledge of medical terminology.
• Strong leadership, coaching, and communication skills.
• Strong analytical, organizational, and problem-solving abilities.
• Intermediate to advanced Microsoft Office skills.

Responsibilities

• Lead the daily activities of UM Coordinators and support staff.
• Monitor attendance, productivity, and schedule adherence.
• Conduct coaching sessions and provide ongoing feedback.
• Provide guidance, mentorship, and support to team members.
• Promote employee engagement, accountability, and teamwork.

Skills

Leadership

Coaching

Communication

Analytical skills

Organizational skills

Problem solving

Microsoft Office

Medical terminology

Payer operations

Education

High School Diploma

Bachelor's degree

Job description

Imagenet is seeking a Team Leader for Utilization Management to guide the UM Coordinators and support staff in day-to-day operations. The role focuses on ensuring accurate, timely authorization requests, referrals, and administrative UM tasks while aligning with client policies and regulatory requirements.

The ideal candidate has 3–5 years in US healthcare operations, with leadership experience and strong knowledge of payer processes, QA collaboration, and process improvements.