This position is an onsite role working out of our Appleton office located at 1025 West Navitus Drive, Appleton, WI 54913.
Navitus Health Solutions is seeking a UM Operations Coordinator to join our Prior Authorization department!
The Coordinator, Utilization Management (UM) Operations role is to support the operational work of the Utilization Management Program. Job duties will include reporting and administrative functions. Specifically, the Coordinator will ensure timely and accurate fulfillment of Prior Authorization Member and Prescriber notifications. The Coordinator will troubleshoot communications that have failed and ensure the communications are processed timely and accurately. This role requires a high attention to detail within short turnaround times. The coordinator will develop and maintain a working knowledge of Prior Authorization systems and workflows. The ability to work collaboratively with others, problem solve and troubleshoot, focus and prioritize work, and understand specific client or regulatory variations is critical.
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