Manager of UM Administration

Job Summary

A company is looking for a Manager, UM Administration.

Key Responsibilities

• Provide non-clinical support for policies and procedures related to treatment and care for members
• Support Clinical Pharmacy Review Appeals and Reimbursement departments for prior authorizations on pharmaceuticals
• Facilitate cross-departmental collaboration and conduct briefings and area meetings

Required Qualifications

• Bachelor's Degree
• Experience in process improvement or process design and implementation
• Proficiency in Microsoft Office applications and strong database software skills
• Experience in the health service industry or healthcare finance
• Understanding of strategic planning and customer loyalty programs