Lead, Care Coordinator
NeueHealthValue-Based Care company
RemoteLead
New Enterprise Associates
Bessemer Venture Partners
Cigna Ventures
Operations & Strategy
About the role
TL;DR
Lead UM Coordinator oversees UM Coordinator team operations and processes authorization requests.
- •The Lead Utilization Management (UM) Coordinator provides operational leadership and oversight for the Utilization Management Coordinator team while supporting the coordination, processing, and administrative functions of the utilization review process.
- •Key Responsibilities Lead the daily operations and workflow of the UM Coordinator team to ensure timely processing of authorization requests.
- •Serve as the primary resource and subject matter expert for UM Coordinators, providing guidance, coaching, and support on complex cases.
- •Monitor team productivity, work queues, turnaround times, and workload distribution to ensure compliance.
- •Receive, review, and process incoming requests for authorization of medical services.
- •Coordinate with providers, members, and internal clinical staff to obtain required documentation.
- •Requirements High School Diploma or equivalent required; Associate's degree in Healthcare Administration or a related field preferred.
- •Minimum of 3–5 years of experience in a health plan or managed care environment.
- •At least 2 years of Utilization Management, Prior Authorization, or Case Management support experience required.
- •Previous experience serving as a team lead, trainer, mentor, or in an informal leadership role strongly preferred.
- •Bilingual (English/Spanish) required.
Required skills
HIPAA
Domain expertise
healthcare
