Elevance Health

Elevance Health

Utilization Management Representative II

OH-MASON, 4361 IRWIN SIMPSON RD, USA · Mid · Full-time

Sponsorship not specifiedDetected 23 hours ago
AccessibilityHRISCustomer SupportCommunicationProblem Solving

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odds of building a lasting career here

42Risky
Cap-exempt (no lottery)0
Sponsors this role100
Entry-level history0
PERM / green-card track0
Lottery odds40
Fits your clock70

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About the role

  • Managing incoming calls or incoming post services claims work.
  • Determines contract and benefit eligibility; provides authorization for inpatient admission, outpatient precertification, prior authorization, and post service requests.
  • Obtains intake (demographic) information from caller.

Requirements

  • Certain contracts require a Master's degree.

Nice to have

  • Even within the range, the actual compensation will vary depending on the above factors as well as market/business considerations.
  • No amount is wages or compensation until such amount is earned, vested, and determinable under the terms and conditions of the applicable policies and plans.

Compensation

  • 401K match, Paid Time Off, Holiday PayAnnual incentive bonus and annual increases plan based on performance.

Benefits

  • Affordable Health Insurance, Dental, Vision and Basic Life.
  • 401K match, Paid Time Off, Holiday PayAnnual incentive bonus and annual increases plan based on performance.
  • Here's what Elevance Health offers:
  • At Elevance Health, the team is comprised of the best and the brightest from diverse experiences, cultures, and backgrounds.

Company info

  • Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.
  • How We Work
  • At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business.
  • We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.
  • Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler.
  • We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.
  • At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates.
  • Our values and behaviors are the root of our culture.
  • They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business.
  • Elevance Health operates in a Hybrid Workforce Strategy.
  • Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week.
  • Specific requirements and expectations for time onsite will be discussed as part of the hiring process.
  • The health of our associates and communities is a top priority for Elevance Health.
  • We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza.

Visa & Work Authorization

  • ent Opportunity employer, and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gend

This listing is sourced directly from Elevance Health's careers page and normalized into a canonical job model.