General Function The UM Support Analyst/Admin will be responsible for critical administrative and data entry work. This role involves supporting Utilization Management (UM) prior authorization requests, working within various systems including Facets, Filebound, and Jira, and making outbound notification calls to both providers and members regarding prior authorization status.
Key Requirements & Qualifications Mandatory/Minimum Requirements:
- Proven Data Entry Experience: Demonstrated proficiency and accuracy in high-volume data entry.
- Familiarity with Excel: Competency in using Microsoft Excel for tracking and basic reporting.
- Proficiency with Microsoft Office Suite: Solid working knowledge of the core Microsoft Office applications (Word, Outlook, etc.).
- Critical Thinking Skills: Ability to analyze information and solve problems efficiently.
- Exceptional Attention to Detail: Meticulous approach to ensure data integrity and accuracy in all tasks.
- Ability to Multitask: Excellent organizational skills to manage multiple priorities and workflows simultaneously.
- Prior HealthFirst & Anthem Experience (A Plus): Prior experience with Utilization Management or prior authorization processes specifically involving HealthFirst and/or Anthem is highly beneficial.
salary: $20 - $21.43 per hour
shift: First
work hours: 8:30 AM - 5:30 PM
education: High School
Responsibilities
Administrative and data entry work supporting UM prior authorization requests, work in Facets, Filebound, Jira, outbound notification calls to providers and members.
Skills
Qualifications
Randstad is a world leader in matching great people with great companies. Our experienced agents will listen carefully to your employment needs and then work diligently to match your skills and qualifications to the right job and company. Whether you're looking for temporary, temporary-to-permanent or permanent opportunities, no one works harder for you than Randstad.
Equal Opportunity Employer: Race, Color, Religion, Sex, Sexual Orientation, Gender Identity, National Origin, Age, Genetic Information, Disability, Protected Veteran Status, or any other legally protected group status.
At Randstad, we welcome people of all abilities and want to ensure that our hiring and interview process meets the needs of all applicants. If you require a reasonable accommodation to make your application or interview experience a great one, please contact HRsupport@randstadusa.com.
Pay offered to a successful candidate will be based on several factors including the candidate's education, work experience, work location, specific job duties, certifications, etc. In addition, Randstad offers a comprehensive benefits package, including: medical, prescription, dental, vision, AD&D, and life insurance offerings, short-term disability, and a 401K plan (all benefits are based on eligibility).
This posting is open for thirty (30) days.
