Utilization Management Operations Coordinator, Full time-Day
About The Position
UChicago Medicine is seeking a Utilization Management Operations Coordinator for the Revenue Cycle Department. The position provides operational, analytical, administrative, and project management support for Utilization Management programs, Physician Advisor activities, vendor management initiatives, payer operations, and strategic revenue cycle projects. It partners with UM leadership by coordinating meetings, managing reports and presentations, supporting payer communication workflows, and helping implement departmental initiatives. The role is primarily work from home, with onsite attendance as needed. The employee may be based outside the greater Chicagoland area. The position is full-time (1.0 FTE), works days Monday through Friday, and is non-union. UChicago Medicine describes itself as an academic healthcare system focused on compassionate care, medical innovation, and community health. Employment is subject to a pre-employment physical, background check, drug screening, and compliance with flu vaccination requirements; medical and religious exemptions will be considered as permitted by law. Compensation is based on qualifications, experience, and organizational considerations. Benefits information is available for eligible roles.
Requirements
- Bachelor’s degree in Healthcare Administration, Business Administration, Public Health, Nursing, or a related field; equivalent experience may be considered.
- Three years of experience in healthcare operations, revenue cycle, utilization management, case management, payer operations, project coordination, or a related area.
- Proficiency with Microsoft Office Suite, including Excel and PowerPoint.
- Strong organizational, communication, and analytical skills.
- Project management skills.
Nice To Haves
- Experience with Epic.
Responsibilities
- Coordinate and schedule meetings with Physician Advisors, payer representatives, vendors, and internal stakeholders; prepare agendas and supporting materials, record minutes, and maintain action-item logs.
- Track project timelines, deliverables, milestones, follow-up activities, and progress for leadership.
- Support departmental workflow documentation and standard operating procedures.
- Monitor payer portals for authorization updates, correspondence, denials, approvals, and requests for additional information.
- Facilitate payer portal access requests and maintain user access inventories.
- Assist with payer outreach and communications, contact insurance companies for operational information and workflow requirements, and support escalation processes.
- Maintain payer contact lists, escalation pathways, and reference materials.
- Support vendor management by tracking open issues, enhancement requests, and operational opportunities.
- Pull and compile operational reports from Epic, payer portals, vendor platforms, and other reporting systems.
- Prepare recurring monthly, quarterly, and ad hoc leadership reports; assist in tracking authorization metrics, denial trends, payer performance, and departmental KPIs.
- Maintain departmental dashboards and data trackers; validate and organize data for presentations and executive reviews.
- Develop PowerPoint presentations, communication materials, educational resources, departmental updates, executive summaries, and project status reports.
- Maintain departmental SharePoint and communication repositories.
- Support strategic initiatives, including payer optimization, utilization management process improvements, physician advisor programs, and operational pilots.
- Coordinate stakeholder meetings and project communications, and maintain project plans and implementation documentation.
Benefits
- Benefit options are available for eligible roles; the posting refers applicants to UChicago Medicine’s benefits information.
Stand Out From the Crowd
Upload your resume and get instant feedback on how well it matches this job.
What This Job Offers
Job Type
Full-time
Career Level
Mid Level
