OneMain Financial Jobs

Utilization Management Technician What's in it for you: Use your skills and experience to help others as well take advantage of our Comprehensive Benefits Package: Flexible work solutions including remote options, hybrid work schedules, Competitive pay, Paid time off including holidays and volunteer events, Health insurance coverage for you and your dependents on Day 1, 401(k) Tuition reimbursement and more.

Application Instructions:

• Make sure your resume has been customized to the Utilization Management Technician role showing you are a good fit for the role.
• Email your custom resume to me: thomas.lepera@montgomerycountypa.gov.
• I will review your resume.
• If there is a match then I will email you a link to the application with further instruction.
• When applying remember to select PACareerlink as your referral.
• After I sent the link and you apply then email to let me know so I can follow up on your application.

Must be able to work rotating holidays and weekends.

This position is 100% remote

Responsibilities:

The Utilization Management Tech functions under the direction of the Supervisor to coordinate, generate, and track both incoming and outgoing correspondence, faxes, and authorizations related to prospective, concurrent, and post-service review functions. Interacts with facilities, vendors, providers, and other staff to facilitate receipt of information and /or records for prompt review and response. Compensation plans for physicians, licensed nurse reviewers, staff, and consultants who conduct medical management do not contain incentives, directly or indirectly, that encourage barriers to care and service in making determinations.

Education/ Experience:

• High School/GED required.
• Associate's Degree or equivalent education & experience preferred
• Minimum of 1 year of general office and/or customer service experience preferred
• Work experience in utilization management/review in a healthcare/MCO setting preferred
• Knowledge of medical terminology preferred
• Minimum of 1 year experience in Managed Care, Insurance, or Call Center preferred
• Proficiency with Microsoft Office Suite (Word, Excel, PowerPoint) required

Our Comprehensive Benefits

Competitive pay, Paid time off including holidays and volunteer events, Health insurance coverage for you and your dependents on Day 1, 401(k) Tuition reimbursement and more. Your career starts now. We are looking for the next generation of health care leaders.

At AmeriHealth Caritas, we are passionate about helping people get care, stay well and build healthy communities. As one of the nations leaders in health care solutions, we offer our associates the opportunity to impact the lives of millions of people through our national footprint of products, services and award-winning programs. AmeriHealth Caritas is seeking talented, passionate individuals to join our team. Together we can build healthier communities. If you want to make a difference, we would like to hear you.

Headquartered in Newtown Square, Pennsylvania, AmeriHealth Caritas is a mission-driven organization with more than 30 years of experience. We deliver comprehensive, outcomes-driven care to those who need it most. We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral health services, and other administrative services.