Utilization Management Operations Coordinator, Full time-Day

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

We’ve been at the forefront of medicine since 1899. We provide superior healthcare with compassion, always mindful that each patient is a person, an individual. To accomplish this, we need employees with passion, talent and commitment… with patients and with each other. We’re in this together: working to advance medical innovation, serve the health needs of the community, and move our collective knowledge forward. If you’d like to add enriching human life to your profile, UChicago Medicine is for you. Here at the forefront, we’re doing work that really matters. Join us. Bring your passion.

UChicago Medicine is growing; discover how you can be a part of this pursuit of excellence at: UChicago Medicine Career Opportunities

UChicago Medicine is an equal opportunity employer. We evaluate qualified applicants without regard to race, color, ethnicity, ancestry, sex, sexual orientation, gender identity, marital status, civil union status, parental status, religion, national origin, age, disability, veteran status and other legally protected characteristics.

As a condition of employment, all employees are required to complete a pre-employment physical, background check, drug screening, and comply with the flu vaccination requirements prior to hire. Medical and religious exemptions will be considered for flu vaccination consistent with applicable law.

Compensation & Benefits Overview

UChicago Medicine is committed to transparency in compensation and benefits. The pay range provided reflects the anticipated wage or salary reasonably expected to be offered for the position.

The pay range is based on a full-time equivalent (1.0 FTE) and is reflective of current market data, reviewed on an annual basis. Compensation offered at the time of hire will vary based on candidate qualifications and experience and organizational considerations, such as internal equity. Pay ranges for employees subject to Collective Bargaining Agreements are negotiated by the medical center and their respective union.

Review the full complement of benefit options for eligible roles at Benefits - UChicago Medicine.