Strategic Utilization Review Specialist

Arcare; Paducah (KY); On-site; USD 25,000 - 39,000; Full time

Benefits offered by this job

Company-paid health insurance

Paid time off

License renewal paid

Continuing education reimbursement

Loan repayment opportunities

Job summary

Arcare is seeking a Utilization Review Associate in Paducah to assist with planning and coordinating Utilization Review duties, including HEDIS measures, reporting, and collaboration with internal and external entities such as third-party payers.

The role requires high school diploma and two years of experience with Microsoft Office and office work, with a focus on accurate records management and timely reporting. On-site position with full-time hours and a comprehensive benefits package.

Qualifications

• High school diploma required.
• Two years experience with Microsoft Office and office work.
• Proficient in Microsoft Office.

Responsibilities

• Assist with maintaining records and reporting related to Utilization Review.
• Upload all required information including annual wellness supporting documents.
• Prepare reports on status of programs, services and quality initiatives.
• Assist in scheduling and coordinating for Utilization Review.
• Track and report on documentation for collaborative projects.
• Provide patients and families information about Arcare initiatives and services.
• Meet deadlines and maintain schedules.

Skills

Microsoft Office

Office work experience

Education

High school diploma

Tools

EMR systems

Electronic data systems

Job description

Arcare is seeking a Utilization Review Associate in Paducah to assist with planning and coordinating Utilization Review duties, including HEDIS measures, reporting, and collaboration with internal and external entities such as third-party payers.

The role requires high school diploma and two years of experience with Microsoft Office and office work, with a focus on accurate records management and timely reporting. On-site position with full-time hours and a comprehensive benefits package.