Utilization Management Specialist II

This position is listed on behalf of a partner company, who manages all applications and next steps. Our partner is looking for a Utilization Management Specialist II based in the United States.

• This role supports the coordination and administrative accuracy of utilization management and service authorization processes.
• You will validate authorization requests and ensure submissions meet applicable benefit and documentation requirements.
• The position plays an important role in keeping clinical review workflows accurate, organized, and timely.
• You will collaborate with providers and clinical reviewers to resolve missing or inconsistent information.
• The role offers an opportunity to contribute to services supporting individuals with behavioral health and intellectual/developmental needs.
• You will work in a collaborative, mission-driven environment with opportunities for professional growth.
• The position is remote within North Carolina, with flexibility and travel requirements as applicable.