UM Intake Coordinator - Health Plan Admin & Review

Evolent; United States; Remote; USD 21,000 - 29,000; Full time

Job summary

Evolent is seeking a Coordinator, UM Intake to support the Utilization Management Team. The role handles intake, review and processing of documents, and provides essential administrative support to keep UM operations efficient.

Work hours are 9:30 am - 6 pm Pacific with rotating weekends and holidays; collaboration with prioritization teams, access to QA and leadership. This position emphasizes accuracy, attention to detail, and remote-friendly work environment.

Qualifications

• High school diploma or GED required.
• 1–3 years of experience in population management, managed care, or hospital medical management.
• Familiarity with health insurance lines of business (Commercial, Medicare, Medicaid).
• Knowledge of CPT/HCPCS codes to differentiate medical vs pharmacy prior authorization.
• Proficient with Outlook, Word, Excel and OneNote.

Responsibilities

• Prepare inbound faxes for coordinator processing with content review and accurate classification.
• Review Service Level Agreement (SLA) grids to determine turnaround times and document the TAT.
• Monitor the failed fax dashboard and coordinate re-sending of transmissions.
• Oversee shared email inbox, review clinician inquiries, retrieve documents and attach them for timely review.
• Assist with additional administrative tasks and adapt to evolving department needs.
• Meet established UM Intake Objectives and Key Results.

Skills

Attention to detail

Remote collaboration

Team oriented

Time management

Microsoft Office proficiency

Communication skills

Education

High school diploma or GED

Tools

Outlook

Word

Excel

OneNote

Job description

Evolent is seeking a Coordinator, UM Intake to support the Utilization Management Team. The role handles intake, review and processing of documents, and provides essential administrative support to keep UM operations efficient.

Work hours are 9:30 am - 6 pm Pacific with rotating weekends and holidays; collaboration with prioritization teams, access to QA and leadership. This position emphasizes accuracy, attention to detail, and remote-friendly work environment.