Job Title: Health Coordinator - Utilization Management
Location: Remote in Alb NM
Pay: $25.45/hr on W2
Duration: November 2025 to April 2026 (possible extension)
This position is responsible for contacting members to inform and educate them on our medical management programs; conducting research, performing data entry, responding to inquires from members, and supporting the clinicians in the Medical Management department with their provider and member activities.
JOB REQUIREMENTS:
? 1 year of college and 2 years experience with automated systems OR 3 years experience with automated systems.
? 1 year experience with managed care system(s).
? Experience coordinating member needs, providing assistance to members, and analyzing member needs.
? Knowledge of medical terminology.
? Knowledge of managed care claims systems.
? PC proficiency including Microsoft Office applications.
? Customer service skills.
? Verbal and written communications skills including developing written correspondence to members and to other department personnel and coaching skills to educate members on medical issues.
PREFERRED JOB REQUIREMENTS:
? College courses in computer science or the medical field.