Utilization Management Technician Sr
United States · FlexibleJobSeen todaySeen in employer's feed today
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At a glance
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Requirements
Credentials this posting asks for.
Job overview
The Utilization Management Technician Sr. coordinates and tracks correspondence, faxes, and authorizations for utilization review functions under a supervisor’s direction. The role supports daily operations, trains and mentors associates, and helps develop and implement workflows. It also interacts with facilities, vendors, providers, and staff to obtain information and records for timely review and response.
Skills & qualifications
Skills
Qualifications
Benefits
Full job description
Your career starts now. We’re looking for the next generation of health care leaders.
At AmeriHealth Caritas, we’re passionate about helping people get care, stay well and build healthy communities. As one of the nation's leaders in health care solutions, we offer our associates the opportunity to impact the lives of millions of people through our national footprint of products, services and award-winning programs. AmeriHealth Caritas is seeking talented, passionate individuals to join our team. Together we can build healthier communities. If you want to make a difference, we’d like to hear from you.
Headquartered in Newtown Square, AmeriHealth Caritas is a mission-driven organization with more than 30 years of experience. We deliver comprehensive, outcomes-driven care to those who need it most. We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral health services, and other administrative services.
Discover more about us at www.amerihealthcaritas.com .
Responsibilities:
The Utilization Management Technician Sr. functions under the direction of the Supervisor to coordinate, generate and track both incoming and outgoing correspondence, faxes and authorizations related to prospective, concurrent and post service review functions. Interacts with facilities, vendors, providers, and other staff to facilitate receipt of information, and /or records for prompt review and response. The Utilization Management Technician Sr. also performs the following:
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Is responsible for assisting the supervisor in the daily operation of the assigned area.
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Responsible for training and mentoring new and existing associates utilizing UM departmental training guides and tools.
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May participate in workflow development, training and implementation for the UM Technician associates.
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Performs and remains knowledgeable in all workflow and timeliness requirements for all areas in Utilization Management.
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Performs non-clinical duties outside the standard UM Technician role as assigned by the UM Supervisor as needed.
Education/Experience:
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High School Diploma required.
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Medical Terminology highly recommended.
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Behavioral Health experience a plus
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Valid driver’s license with car insurance.
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3-5 yearsUM Tech, Medical office and or Managed Care experience.
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Call center of provider services or previous insurance or hospital experience preferred.
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Proficiency with Microsoft Office Suite (Word, Excel, Power Point).
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Consistent word processing speed and accuracy of 50 or more words per minute.
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Proven proficiency in UM Tech role and expertise with medical management data system.
Our Comprehensive Benefits Package
Flexible work solutions including remote options, hybrid work schedules, Competitive pay, Paid time off including holidays and volunteer events, Health insurance coverage for you and your dependents on Day 1, 401(k) Tuition reimbursement and more.
As a company, we support internal diversity through:
Recruiting. We are an equal opportunity employer. We do not discriminate on the basis of age, race, ethnicity, gender, religion, sexual orientation, or disability. Our inclusive, equitable approach to recruiting and hiring reinforces our commitment to DEI.
How this job compares
Set against the 1,106 open Healthcare Administration jobs on Olive Jobs, counted November 8, 2026.
- Pay
- This postingNot listed
- US median$87–122K/yr240 salary ranges
- US median$20–28/hr399 hourly ranges
- Openings
- Olive Jobs lists 1,106 open Healthcare Administration jobs across the US. 6% of them nationwide are listed as remote or flexible.
- Hiring the most across the US
- AdventHealth39 open
- HCA Healthcare36 open
- UnitedHealth Group33 open
- Experience
- This posting asks for at least 30 years of experience — more than three in four Healthcare Administration postings that state a minimum ask for (median 2 years, across 756 postings).
- Education
- This posting asks for a high school diploma; 591 of the 1,106 open Healthcare Administration jobs (53%) ask for a high school diploma or higher.
Counted across the open, public US postings on Olive Jobs on November 8, 2026. Pay medians are the middle values of the low ends and of the high ends of postings that list both ends of a range in the same cadence (a yearly salary or an hourly rate); a range's midpoint is halfway between its ends. Pay and experience figures resting on fewer than 20 postings are left out.
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