Clinical Pharmacy Review Production Lead, UM Administrator Coordinator 4

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  • United States, Tampa, FL View on Map
  • Post Date : September 16, 2020
  • Apply Before : October 16, 2020
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Job Description

The UM Administration Coordinator 4 contributes to administration of utilization management. The UM Administration Coordinator 4 assumes ownership and leads advanced and highly specialized administrative/operational/customer support duties that require independent initiative and judgment.


Responsibilities

The UM Administration Coordinator 4 provides non-clinical support for the policies and procedures ensuring best and most appropriate treatment, care or services for members. Decisions are regarding the daily priorities for an administrative work group and/or external vendors including coordinating work activities and monitoring progress towards schedules/goals, and often oversees work of others and/or is the primary administrative owner of a main process, program, product or technology. Works within broad guidelines with little oversight.


Required Qualifications

  • High School Diploma
  • 5 or more years Administrative or technical support experience
  • Valid Pharmacy Technician License in the state of Florida
  • Excellent verbal and written communication skills
  • Proven ability as a mentor, trainer or preceptor
  • Excellent verbal and written communication skills
  • Advanced knowledge of MS Office including Word, Excel, and Outlook in a Windows based environment and an ability to quickly learn new systems
  • Proficient utilizing electronic medical record and documentation programs
  • Proficient and/or experience with medical terminology and/or ICD-10 codes
  • Must have accessibility to high speed DSL or Cable modem for a home office (Satellite internet service is NOT allowed for this role); recommended speed is 10Mx1M. This role will return to the office eventually.
  • Must be passionate about contributing to an organization focused on continuously improving consumer experiences


Preferred Qualifications

  • Bachelor’s Degree in Business, Finance or a related field
  • Prior member service or customer service telephone experience desired
  • Experience with Utilization Review and/or Prior Authorization, preferably within a managed care organization


Additional Information


Scheduled Weekly Hours

40

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