Utilization & Disease Management Administration Coordinator - Phone Intake - Remote

Conviva Senior Primary Care; Kansas; Remote; USD 40,000 - 53,000; Full time

Job summary

Conviva Senior Primary Care is seeking a dedicated Utilization & Disease Management Administration Coordinator for remote work. In this full-time role, you will support utilization management activities, ensure effective communication with providers and members, and assist with referrals, while enjoying competitive benefits and a proactive work environment.

Benefits

Medical insurance

Dental insurance

Vision insurance

401(k)

Paid time off

Disability insurance

Life insurance

Qualifications

• At least 1 year of healthcare administrative experience.
• Experience with HMO and utilization review processes.
• Proficient in MS Office and quick learner of new systems.

Responsibilities

• Support utilization management through administrative and customer support activities.
• Handle incoming calls and process referrals and authorizations.
• Assist with clinical case triaging.

Skills

Healthcare administration or technical support experience

Communication skills

Proficiency in MS Office

Experience with utilization review processes

Education

Bachelor's degree in Business, Finance, or related field

Job description

Utilization & Disease Management Administration Coordinator - Phone Intake - Remote

Join to apply for the Utilization & Disease Management Administration Coordinator - Phone Intake - Remote role at Conviva Senior Primary Care.

This position is a remote opportunity available in TX, FL, KS, KY, and NV.

Pay Range

Base pay: $40,000.00/yr - $52,300.00/yr

Role Overview

The UM Administration Coordinator supports utilization management through administrative and customer support activities, including handling incoming calls, processing referrals and authorizations, and assisting with clinical case triaging. The role requires working within defined policies with some discretion over prioritization, mainly supporting provider and member inquiries.

Shift Hours

8 am - 5 pm

Qualifications

• At least 1 year healthcare administrative or technical support experience
• Experience with HMO and utilization review processes
• Excellent communication skills
• Proficiency in MS Office and ability to learn new systems quickly
• High-speed internet access (minimum 25 Mbps download, 10 Mbps upload)

Preferred Skills

• Experience with electronic medical records and medical terminology
• Bachelor's degree in Business, Finance, or related field
• Customer service or member support experience

Additional Details

This is a full-time, remote role with occasional travel for training or meetings. The role involves using HireVue for interviews and may require providing social security information during the application process.

Benefits

Competitive benefits including medical, dental, vision, 401(k), paid time off, disability, and life insurance.

About Us

Conviva Senior Primary Care provides proactive, value-based care to seniors, addressing physical, social, emotional, and financial needs.