HealthPlan Administrative Support Analyst (UMPA)
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Job Location:
Monthly Salary:
Posted on:
9 hours ago
Vacancies:
1 Vacancy
Job Summary
HealthPlan Administrative Support Analyst (UM/PA)
Location: Mason OH 45040 (100% Onsite)
Duration: 3 months with possible extension
Pay Rate: $21.43/hr. W2 All Inclusive
Hours: 40 hours/week
Schedule: 8:30 AM 5:30 PM (flexible)
Preferred Start Date: ASAP
JOB SUMMARY
The HealthPlan Administrative Support Analyst (UM/PA) is responsible for providing administrative and data entry support for Utilization Management (UM) prior authorization workflows. This role includes processing and routing Prior Authorization (PA) requests working within systems such as Facets Filebound and Jira and conducting outbound notification calls to providers and members. The position is 100% onsite in Mason OH and supports client operations.
PRIMARY RESPONSIBILITIES
- Perform administrative and data entry tasks related to UM prior authorization requests.
- Process track and manage Prior Authorization (PA) requests in Facets Filebound and Jira.
- Make outbound notification calls to members and providers.
- Maintain accuracy completeness and data integrity in all documentation.
- Support (UM) Utilization Management Operations especially during state program go-lives (Kansas Florida Michigan).
- Work within established turnaround times and compliance requirements.
REQUIRED SKILLS (MANDATORY)
- Data entry experience
- Proficiency with Microsoft Excel and Microsoft Office
- Accuracy and attention to detail
- Ability to multitask
- Strong critical thinking skills
PREFERRED SKILLS (NICE-TO-HAVE)
- Prior authorization (PA) experience
- HealthFirst & Anthem PA experience
- Familiarity with Utilization Management (UM) workflows
- Provider/member communication experience
- Knowledge of Facets Filebound Jira
Key Skills
- Business
- Baan
- Communication
- Corporate Advisory
- HSSE
