Utilization Management Specialist

Our client, a leader in the healthcare industry, is seeking an Utilization Management Specialist to join their team. The ideal candidate will have strong organizational skills, strong attention to detail, and proficiency in Microsoft Office Suite, which will align successfully within the organization.

Job Title: Utilization Management Specialist

Location: Meridian, ID

Pay Range:

$25.27 per hour

What's the Job?

Coordinate and manage incoming/outgoing correspondence such as referrals, prior authorizations and provider reconsiderations.

Review member eligibility and benefit structure for requested referrals or prior authorizations.

Initializes, routes, and complete, as appropriate, request for services.

Review documentation and request additional information needed to complete review of requested services.

Enter and maintain documentation per policy and procedures.

What's Needed?

2 years relevant experience.

Familiar with ICD10 and CPT coding.

Medical terminology.

Strong organizational skills to manage multiple tasks efficiently.

Ability to work Monday through Friday from 8 AM to 5 PM.

What's in it for me?

Opportunity to gain valuable experience in the healthcare industry.

Work in a supportive team environment.

Engage in meaningful work that contributes to quality management.

Develop your administrative skills and enhance your professional growth.

Be part of a diverse and inclusive workplace.

If this is a role that interests you and you'd like to learn more, click apply now and a recruiter will be in touch with you to discuss this great opportunity. We look forward to speaking with you!

About ManpowerGroup, Parent Company of:

Manpower, Experis, Talent Solutions, and Jefferson Wells

ManpowerGroup (NYSE: MAN), the leading global workforce solutions company, helps organizations transform in a fast-changing world of work by sourcing, assessing, developing, and managing the talent that enables them to win. We develop innovative solutions for hundreds of thousands of organizations every year, providing them with skilled talent while finding meaningful, sustainable employment for millions of people across a wide range of industries and skills. Our expert family of brands

Manpower, Experis, Talent Solutions, and Jefferson Wells


creates substantial value for candidates and clients across more than 75 countries and territories and has done so for over 70 years. We are recognized consistently for our diversity - as a best place to work for Women, Inclusion, Equality and Disability and in 2023 ManpowerGroup was named one of the World's Most Ethical Companies for the 14th year - all confirming our position as the brand of choice for in-demand talent.

ManpowerGroup is committed to providing equal employment opportunities in a professional, high quality work environment. It is the policy of ManpowerGroup and all of its subsidiaries to recruit, train, promote, transfer, pay and take all employment actions without regard to an employee's race, color, national origin, ancestry, sex, sexual orientation, gender identity, genetic information, religion, age, disability, protected veteran status, or any other basis protected by applicable law.