Remote Utilization Data & Admin Specialist

tango; Phoenix (AZ); Hybrid; USD 48,000 - 65,000; Full time

Job summary

tango in Phoenix, AZ is seeking a UM Clinical Support Specialist to support UM leadership by collecting, analyzing, and reporting data to drive decisions. The role maintains utilization and productivity logs, develops reports, ensures accurate documentation.

The position provides administrative support to the clinical team by handling inbound/outbound calls, reviewing referrals for completeness, obtaining clinical information, and supporting compliance, training, and appeal workflows.

Qualifications

• Proven healthcare support experience with data collection and reporting.
• Experience supporting clinical teams and handling administrative tasks.
• Associate degree in healthcare administration or related field.

Responsibilities

• Collect, analyze, and report data to support UM leadership.
• Maintain utilization and productivity logs and develop reports.
• Review referrals for completeness and obtain needed clinical information.
• Support compliance, training, and PA/RA/Appeals processes.
• Handle non-clinical inbound/outbound calls for the clinical team.
• Monitor training completion and staff compliance timelines.
• Document and communicate decisions to providers and reviewers.
• Maintain logs, identify process improvement opportunities.

Skills

Data collection

Reporting

Communication

Problem solving

Education

Associate degree in healthcare administration

Bachelor’s degree preferred

Tools

Excel

Power BI

Job description

tango in Phoenix, AZ is seeking a UM Clinical Support Specialist to support UM leadership by collecting, analyzing, and reporting data to drive decisions. The role maintains utilization and productivity logs, develops reports, ensures accurate documentation.

The position provides administrative support to the clinical team by handling inbound/outbound calls, reviewing referrals for completeness, obtaining clinical information, and supporting compliance, training, and appeal workflows.