• UM Coordinator

    Brighton Health Plan Solutions, LLC (Chapel Hill, NC)
    About The Role The UM Coordinator is responsible for coordinating all aspects of the prior authorization process, including member eligibility and benefit ... verification, gathering necessary clinical information from electronic medical record, and timely communication with members, providers and facility staff. Candidates should possess knowledge of third-party reimbursement regulations and medical terminology.… more
    Brighton Health Plan Solutions, LLC (09/18/25)
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  • Utilization Management Administration…

    Humana (Raleigh, NC)
    …a part of our caring community and help us put health first** The UM Administration Coordinator contributes to administration of utilization management. The ... UM Administration Coordinator 2 performs varied activities and moderately complex administrative/operational/customer support assignments. Performs computations.… more
    Humana (10/10/25)
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