Strategic Utilization Management Coordinator

Montage Health; United States; Remote; USD 28,000 - 36,000; Full time

Job summary

Montage Health is seeking an UM Health Services Coordinator to provide operational support for Utilization Management and Health Services within the health plan. You will coordinate authorization intake and processing, manage UM correspondence and reporting, and support provider and member inquiries in a regulated, fast-paced environment.

Responsibilities include coordinating intake, conducting preliminary reviews, routing for clinical review, and maintaining documentation across health plan

Qualifications

• Associate degree or equivalent combination of education and experience.
• 3–5 years of experience in managed care, health insurance, utilization management, medical office operations, claims, or provider services.
• Proficiency with Microsoft Office applications and strong written/verbal communication.
• Ability to handle high-volume administrative workflows with accuracy and attention to detail.

Responsibilities

• Coordinate intake, entry, and processing of utilization management requests.
• Perform preliminary review of authorization requests for completeness and eligibility.
• Route requests requiring clinical review to the appropriate nurse or medical director.
• Process expedited authorizations and assist with outreach and documentation.
• Assist with denial/modification workflows and audit-ready documentation.

Skills

Microsoft Office

Communication skills

Time management

Detail oriented

Regulatory compliance

Customer service

Education

Associate degree or equivalent

Tools

Authorization platforms

Electronic medical records

Health plan systems

Job description

Montage Health is seeking an UM Health Services Coordinator to provide operational support for Utilization Management and Health Services within the health plan. You will coordinate authorization intake and processing, manage UM correspondence and reporting, and support provider and member inquiries in a regulated, fast-paced environment.

Responsibilities include coordinating intake, conducting preliminary reviews, routing for clinical review, and maintaining documentation across health plan