HealthPlan Administrative Support Analyst (UMPA)

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)

PREFERRED SKILLS (NICE-TO-HAVE)

Key Skills

Business,Baan,Communication,Corporate Advisory,HSSE

Employment Type : Full Time

Experience : years

Vacancy : 1