Utilization Management Clinical Processor

Join us for an exciting career with the leading provider of supplemental benefits! As a Utilization Management Clinical Dental Processor, you will leverage your dental clinical expertise to review dental x-rays and documentation, assessing medical necessity for prior authorizations.

Requirements

• Conducts reviews of prior authorizations by providers
• Ensures that the right systems, processes, and measurements are in place to assist with accurate clinical determinations
• Understands and upholds Avesis’ policies and obligations relative to the UM reviews required by each client contract
• Documents approval decisions for treatment in accordance with prescribed UM department procedural guidance
• Maintains a daily level of productivity in accordance with departmental requirements for production and quality standards

Benefits

• Meaningful and challenging work opportunities
• Competitive compensation package
• Excellent medical, dental, supplemental health, life and vision coverage for you and your dependents with no wait period
• Life and disability insurance
• A great 401(k) with company match
• Tuition assistance, paid parental leave and backup family care
• Dynamic, modern work environments that promote collaboration and creativity
• Flexible time off, dress code, and work location policies
• Employee Resource Groups that advocate for inclusion and diversity
• Social responsibility in all aspects of our work