MedStar Health is seeking a Utilization Management Specialist to support concurrent and retrospective utilization management processes. The role collaborates with payors, MedStar Financial Services, and Case Management staff to help ensure certification and payment of acute care days.
The position also supports denial outcomes analysis, database development, reporting, and performance improvement efforts across care management and related service lines.
Requirements & Qualifications
Required
- High school diploma or GED
- Knowledge of third-party reimbursement and medical terminology
- 2 years of related experience
- 1 year of experience in case management or utilization review
Preferred
- Associate degree in business or a healthcare field
Location
Baltimore, Maryland, US
Employment Type
Full-time
Experience Level
Associate
Remote work allowed
No
Posted
1 month ago