Utilization Management Assistant

Utilization Management Assistant (279237)

Schedule: FTE 1.0, Monday-Friday 08:00AM - 4:30PM PST (8HR SHIFT), Day

The primary responsibility of the position is to maintain standard compliance and performance related utilization management data. Process of daily, weekly and monthly UM reports.

Establishes and maintains efficient filing system in paper and electronic. Maintains Health Plan audit tools including distribution and collection of data and documentation. Assists in data collection for all Health Plan audits and in necessary compilation of data for NCQA, DMHC and CMS focused audits and unplanned audits of the delegated Medical Group as downstream providers.

Performs other duties as assigned by immediate Supervisor UM Compliance Manager and in support of compliance timelines. Under the supervision of Administrative Director of Health Services. The position requires strong analytical and utilization modeling skills employing data from the Referral, Beddays and claims data bases published by Decision Support.

Requires strong interpersonal, professional communication skills. Answers and screens phones. Schedules and coordinates all Health Plan audits attended by Administrative Director of Health Services, Sr Contract Manager, Case Managers and UM Directors, Managers and Supervisors. Provides vacation coverage for Executive Administrative Assistant duties as assigned.

Providence caregivers are not simply valued - they're invaluable. Join our team at Providence Regional Medical Center Everett and thrive in our culture of patient-focused, whole-person care built on understanding, commitment, and mutual respect. Your voice matters here, because we know that to inspire and retain the best people, we must empower them.

Providence Regional Medical Center Everett received the HealthGrades Distinguished Hospital Award for Clinical Excellence four years in a row.

Required Qualification:

• Associate's Degree in Health care, business or related field preferred Or equivalent educ/experience

Why Join Providence?

Our best-in-class benefits are uniquely designed to support you and your family in staying well, growing professionally, and achieving financial security. We take care of you, so you can focus on delivering our Mission of caring for everyone, especially the most vulnerable in our communities.

Accepting a new position at another facility that is part of the Providence family of organizations may change your current benefits. Changes in benefits, including paid time-off, happen for various reasons. These reasons can include changes of Legal Employer, FTE, Union, location, time-off plan policies, availability of health and welfare benefit plan offerings, and other various reasons.

Apply Today! Applicants that meet qualifications will receive a text with some additional questions from our Modern Hire system.