Search the 3 jobs at Brighton Health Plan Solutions

The UM Coordinator Supervisor manages the UM Coordinator team, providing guidance in authorization processes, staffing, and quality monitoring. Responsibilities include mentoring staff, resolving escalations, and collaborating with clinical teams to enhance operational effectiveness. Additionally, the supervisor manages departmental activities and participates in performance improvement initiatives.

The Programmer Analyst will focus on benefits and claims process programming, manage eligibility files, troubleshoot errors, interact with system vendors, and collaborate with IT and non-IT personnel, all while ensuring effective solution designs and data transformation activities.

The UM Coordinator oversees the prior authorization process, verifying member eligibility, gathering clinical information, communicating with members and providers, and ensuring documentation accuracy. They support quality initiatives and address questions from internal and external stakeholders about care requests and authorization.