UM Coordinator - Denials

Astrana Health Inc
  • Monterey Park, CA
    30+ days ago

    Job Description

    Astrana Health is seeking a dedicated Utilization Management (UM) Coordinator - Denials to join our Denial Department. This role ensures timely and accurate processing of all deferrals and denials in compliance with Astrana Health policies, NCQA standards, health plan requirements, and federal and state regulations. The UM Coordinator - Denials will review, monitor, and process prior authorization denials requests while maintaining strict adherence to regulatory and health plan guidelines.

    Our Values:

    • Put Patients First
    • Empower Entrepreneurial Provider and Care Teams
    • Operate with Integrity & Excellence
    • Be Innovative
    • Work As One Team

    Numbers & Facts

    LocationMonterey Park, CA

    Skills

    • Entrepreneurshipunmatched
    • Federal Laws and Regulationsunmatched
    • Health Planunmatched
    • Maintain Complianceunmatched
    • National Committee for Quality Assurance (NCQA)unmatched
    • Organizational Skillsunmatched
    • Regulatory Complianceunmatched
    • State Laws and Regulationsunmatched
    • Time Managementunmatched
    • Utilization Managementunmatched

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