Utilization Management Analyst

A company is looking for an Analyst, UM. Key Responsibilities Serve as the subject matter expert for configuration in the prior authorization (PA) system and report on PA-related information Maintain and audit prior authorization benefit designs, ensuring compliance with regulatory requirements Implement new client prior authorization benefit designs and support capacity planning for systems and software Required Qualifications College degree in a science or business-related field, CPhT, or at least 2 years' experience in a related field Experience in working across multiple departments with technical and business acumen Prior experience with Prior Authorization or within a PBM preferred Intermediate to expert knowledge of the Microsoft Office Suite Knowledge of Medicare D regulatory requirements required prior to or soon after hire