Utilization Management Operations Coordinator, Full time-Day

Job description

Be a part of a world-class academic healthcare system, UChicago Medicine , as an Utilization Management Operations Coordinator with the Revenue Cycle Department. This position is Remote Flexible and will be primarily a work from home opportunity with the requirement to come onsite as needed. You may be based outside of the greater Chicagoland area.
The Utilization Management Operations Coordinator 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. This position serves as a key operational partner to UM leadership by coordinating meetings, managing reports and presentations, supporting payer communication workflows, and assisting with implementation of departmental initiatives.
Essential Functions
Operational Coordination
• Coordinate and schedule meetings with Physician Advisors, payer representatives, vendors, and internal stakeholders.
• Develop meeting agendas and distribute supporting materials.
• Record meeting minutes and maintain action-item logs.
• Track project timelines, deliverables, and follow-up activities.
• Support department workflow documentation and standard operating procedures.

Payer and Vendor Operations
• 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 communication activities.
• Contact insurance companies to obtain operational information, verify workflow requirements, and support escalation processes.
• Maintain payer contact lists, escalation pathways, and reference materials.
• Support vendor management activities, including tracking open issues, enhancement requests, and operational opportunities.

Reporting and Analytics
• 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 with 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.

Presentation and Communication Support
• Develop PowerPoint presentations for leadership meetings, operational workgroups, and project updates.
• Create communication materials, educational resources, and departmental updates.
• Assist with preparation of executive summaries and project status reports.
• Maintain departmental SharePoint and communication repositories.

Project Management Support
• Assist with implementation of strategic initiatives including payer optimization, utilization management process improvements, physician advisor programs, and operational pilots.
• Coordinate stakeholder meetings and project communications.
• Maintain project plans and implementation documentation.
• Track project milestones and report progress to leadership.

Required Qualifications
• Bachelor’s degree in Healthcare Administration, Business Administration, Public Health, Nursing, or related field; equivalent experience may be considered.
• Three years of healthcare operations, revenue cycle, utilization management, case management, payer operations, project coordination, or related experience.
• Experience with Epic preferred.

Skills
• Proficiency with Microsoft Office Suite, including Excel and PowerPoint.
• Strong organizational, communication, and analytical skills.
• Project Management Skills

Position Details:
• Job Type/FTE: Full Time (1.0 FTE)
• Shift: Days, Monday-Friday
• Unit/Department: Revenue Cycle
• Work Location: Flexible Remote (This position will be primarily a work from home opportunity with the requirement to come onsite as needed.)
• CBA Code: Non-Union