Healthcare Utilization Management Intake Analyst

Healthcare Utilization Management Intake Analyst

Associate I – BPM

Who We Are

UST HealthProof is a dynamic company with a mission to lower the cost of care and deliver the future of healthcare. Our consumer-centric approach gives our health plan customers a modern infrastructure and reduced administrative costs, helping to drive better business results for our customers — and better outcomes for our communities.

We achieve this mission together through teamwork, communication, collaboration, and focus. Our employees are our greatest assets, and we invite you to apply to be a part of our journey toward making a difference in healthcare in the United States.

You Are

UST HealthProof is searching for a Healthcare Utilization Management Intake Analyst who will support coordination of medical services including utilization management intake, requesting medical records, and provider requests to promote effective utilization of healthcare services. Promotes and supports utilization management team as required.

The Opportunity

• Maintain accurate and complete documentation of required information that meets quality standards.
• Generate UM letters for members and providers when authorizations are not required.
• Protect the confidentiality of the member information and adheres to the company policies regarding confidentiality.
• Perform other duties as assigned.
• Requesting medical records for pending authorizations or continued stay authorizations.
• Provide support services to team members by answering incoming telephone calls, taking messages, researching information, and building authorizations in the UM system.
• Refers to needed services in accordance to benefit plan.

This position description identifies the responsibilities and tasks typically associated with the performance of the position. Other relevant essential functions may be required.

What You Need

• Computer literacy to include Microsoft Office products,
• Effective written and verbal communication and feedback.
• Knowledge of educational assessments and learning strategies.
• Strong customer service skills to assist members and/or providers with understanding healthcare information and coordinate issue resolution.
• Effective organizational skills with the ability to be flexible and prioritize tasks.
• Ability to manage significant workload, and to work efficiently under pressure, meeting established deadlines with minimal supervision.
• Strong time management skills.
• High school diploma or G.E.D. required.
• Experience with medical terminology and concepts used in the healthcare delivery system, provider office, or the insurance industry is required.
• Excellent oral and written communication skills for representation of clear and concise results.
• Advanced technical skills in the use of hardware and software with a high degree of accuracy.
• The preferred setting is a hospital, medical doctor’s office, or health insurance company.
• Minimum of one year experience in a healthcare-related field.
• Must be knowledgeable of and able to use standard, basic grammar, punctuation, and spelling.
• Must possess a high degree of accuracy, efficiency, and dependability.
• An associate's or bachelor’s degree in a healthcare-related field is preferred. Current unrestricted LPN license or certified Medical Assistant designation preferred.

Compensation can differ depending on factors including but not limited to the specific office location, role, skill set, education, and level of experience.  As required by local law, UST provides a reasonable range of compensation for roles that may be hired in California, Colorado, New York City, or Washington as set forth below.

Role Location: Range of Starting Pay for Role

Remote: $28,000-$42,000

Our full-time, regular associates are eligible for 401K matching, and vacation accrual and are covered from day 1 for paid sick time, healthcare, dental, vision, life, and disability insurance benefits. Depending on the role, some associates may also be eligible for stock options.

What We Believe

We’re proud to embrace the same values that have shaped UST and its subsidiaries since the beginning. Since day one, we’ve been building enduring relationships and a culture of integrity. And today, it's those same values that are inspiring us to encourage innovation from everyone to champion diversity and inclusion and place people at the center of everything we do.

Humility: We will listen, learn, be empathetic, and help selflessly in our interactions with everyone.

Humanity: Through business, we will better the lives of those less fortunate than ourselves.

Integrity: We honor our commitments and act with responsibility in all our relationships.

Equal Employment Opportunity Statement

UST HealthProof is an Equal Opportunity Employer.

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.

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