Coordinator, UM Intake

What You’ll Be Doing

The Coordinator, Intake Utilization Management at Evolent will serve as a point of contact for processing prior authorization requests in accordance with departmental policies, regulatory requirements, and client contractual agreements.

Collaboration Opportunities

• Serving as a point of contact for processing prior authorization requests
• Collaborating with the clinical team, including LVNs, LPNs, RNs, LMSWs, LCSW, LPCs, and Clinical Reviewers
• Working with Utilization Management Leaders, including the Associate Director and Director

Work Schedule

8:30 am until 5 pm PST with rotating weekends

Qualifications Required and Preferred

• A high school diploma or GED
• 1 – 3 years of experience in a Coordinator role or relevant health care experience in claims or appeal & grievance
• Previous background/experience with Oncology
• Ability to read, write, and speak the English language fluently with patients and providers
• Adaptable to fluctuating situations and perform work of a detailed nature, while avoiding errors
• Proficient in using computer and Windows PC applications, which includes strong keyboard and navigation skills
• Team-oriented, demonstrates a strong work ethic, and is committed to productivity
• Demonstrated ability to meet established goals while balancing a workload and prioritizing assignments in a remote environment

Technical Requirements

• High speed internet over 10 Mbps
• Specifically for all call center employees, the ability to plug in directly to the home internet router