Utilization Review Associate

Full-time position, Monday–Friday, 8:00 AM – 5:00 PM with 0–25% travel.

About the role

Assist with planning and coordinating Utilization Review duties, including HEDIS measures, GICA, Annual Wellness Visits (AWVs), reporting, and collaborative projects with internal teams and external third-party payers.

Responsibilities

• Assist with maintaining records and reporting related to Utilization Review.
• Upload all required information, including annual wellness supporting documents.
• Prepare reports providing status of programs, services, and quality initiatives related to Utilization Review.
• Assist in scheduling and coordinating for Utilization Review.
• Track and report on all required documentation for collaborative projects.
• Provide patients and families information about available ARcare initiatives and services.
• Meet professional obligations through efficient work habits such as meeting deadlines, honoring schedules, coordinating resources, and attending meetings in an effective and timely manner.
• Perform all duties relevant to the position as requested.

Requirements

• High school diploma or equivalent.
• Two years of experience with Microsoft Office and general office work.
• Able to learn and utilize electronic medical records, electronic data systems, and electronic communications.
• Proficient in Microsoft Office.

About ARcare

Founded on the belief that healthcare is a right, not a privilege, ARcare exists to make comprehensive, high-quality care accessible to everyone, especially in rural and underserved communities. What began in the rural Arkansas delta has grown into a multi-state healthcare network, but our mission remains the same: Health for All. That mission drives everything we do, from accepting every patient regardless of insurance status or ability to pay, to expanding access to care and improving health outcomes in the communities we serve.

We believe strong communities start with strong teams. We foster a supportive, collaborative environment where employees are valued, encouraged to grow, and empowered to make a meaningful impact through their work. We invest in our people by supporting professional development, encouraging leadership growth, and providing opportunities to build long-term careers within the organization. A healthy work-life balance and a predictable schedule are part of our workplace culture.

Benefits

• Company-paid employee medical, dental, and vision insurance.
• Free care at any ARcare clinic for employees and covered family members enrolled in the ARcare health plan, starting the first day of employment.
• Company-paid life insurance and long-term disability coverage.
• 96 hours of paid vacation time for full-time employees (40 hours/week); accrual begins on the first day of employment.
• 96 hours of paid sick time for full-time employees (40 hours/week); accrual begins on the first day of employment.
• Paid holidays, including one floating holiday and one birthday holiday to be used during the month of the employee’s birthday.
• 401(k) retirement plan with company matching up to 200% of the employee’s contribution of up to 4% after one year of employment.
• Company-paid renewal of applicable licenses and certifications, subject to supervisor and HR approval.
• Possible Continuing Education reimbursement for current employees, subject to supervisor and HR approval.
• Loan Repayment Opportunities: Eligible clinical team members may qualify for federal loan repayment programs through HRSA, including the National Health Service Corps Loan Repayment Program and the Nurse Corps Loan Repayment Program.