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UM Coordinator - Denials

astranahealth

Monterey Park · CA · us Full-time 20 – 24 USD 2d ago

Job description

Astrana Health is seeking a dedicated Utilization Management (UM) Coordinator – Denials to join our Denial Department. This role ensures timely and accurate processing of all deferrals and denials in compliance with Astrana Health policies, NCQA standards, health plan requirements, and federal and state regulations. The UM Coordinator – Denials will review, monitor, and process prior authorization denials requests while maintaining strict adherence to regulatory and health plan guidelines. Our Values: Put Patients First Empower Entrepreneurial Provider and Care Teams Operate with Integrity & Excellence Be Innovative Work As One Team