Top 26 Evolent health Jobs

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Coordinator, UM Intake
Evolent Health —Remote
- $18 - $20 an hour
- Full-time
- Background check
- Computer literacy
- Pass drug screening
- Health insurance
Product Owner
Evolent Health —Remote
- $90,000 - $120,000 a year
- Full-time
- Background check
- Microsoft Excel
- Pass drug screening
- Health insurance
10d
Software Engineer
Evolent Health —Remote
- $90,000 - $115,000 a year
- Full-time
- Background check
- Computer science
- Computer Science
- Health insurance
Physician Reviewer-Radiology (Part Time)
Evolent Health —Remote
- $95 - $100 a day
- Part-time
- Background check
- Medicine
- Computer literacy
- Health insurance
Family Medicine-Physician Reviewer-Radiology (Full-Time or Part-time)
Evolent Health —Remote
- $95 - $96 an hour
- Full-time
- Background check
- Medicine
- Computer literacy
- Health insurance
BI Engineer , BI Center of Excellence
Evolent Health —Remote
- $90,000 - $100,000 a year
- Full-time
- Background check
- Computer science
- Computer Science
- Health insurance
Platform Engineer (Network)
Evolent Health —Remote
- $120,000 - $135,000 a year
- Full-time
- Background check
- 5 years
- Pass drug screening
- Health insurance
Analyst, Strategic Accounts
Evolent Health —Remote
- $75,000 - $80,000 a year
- Full-time
- Background check
- Pass drug screening
- Mid-level
- Health insurance
5d
Senior Product Owner
Evolent Health —Remote
- $115,000 - $125,000 a year
- Full-time
- Background check
- Microsoft Excel
- 5 years
- Health insurance
Director, Provider Engagement - Vascular
Evolent Health —Remote
- $130,000 a year
- Full-time
- Background check
- Microsoft Excel
- Pass drug screening
- Health insurance
Associate Director, Revenue
Evolent Health —Remote
- $130,000 a year
- Full-time
- Background check
- 6 years
- Management
- Health insurance
Manager, Software Engineering
Evolent Health —Remote
- $120,000 - $150,000 a year
- Full-time
- Background check
- Azure
- Computer Science
- Health insurance
Otolaryngologist-Physician Reviewer-Radiology (Full-Time)
Evolent Health —Remote
- $95 - $109 an hour
- Full-time
- Background check
- Medicine
- Computer literacy
- Health insurance
Sr Analyst, AI Transformation
Evolent Health —Remote
- $80,000 - $110,000 a year
- Full-time
- Background check
- Computer science
- Computer Science
- Health insurance
Physician Reviewer Internal Medicine-Field Medical Director, Radiology (Part Time)
Evolent Health —Remote
- $95 - $100 a day
- Part-time
- Background check
- Medicine
- Computer literacy
- Health insurance
Endocrinology-Physician Reviewer-Radiology (Full-Time)
Evolent Health —Remote
- $95 - $109 an hour
- Full-time
- Background check
- Medicine
- Computer literacy
- Health insurance
Senior Product Manager - AI & Healthcare Innovation
Evolent Health —Remote
- $125,000 - $135,000 a year
- Full-time
- Background check
- Computer Science
- Pass drug screening
- Health insurance
Strategy & Performance Lead, MSK/RBM
Evolent Health —Remote
- $70,000 - $100,000 a year
- Full-time
- Background check
- Pass drug screening
- Bachelor's degree
- Health insurance
VP, Cardiovascular Medicine
Evolent Health —Remote
- Full-time
- Remote
- Background check
- Medicine
- BC/BE
- Health insurance
Director, Strategic Accounts
Evolent Health —Remote
- $125,000 - $135,000 a year
- Full-time
- Background check
- 5 years
- Pass drug screening
- Health insurance
5d

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Coordinator, UM Intake

Evolent Health -
Remote

Apply Now

Job Details

Full-time
$18 - $20 an hour

Benefits

Health insurance

Qualifications

Computer operation
English
Windows
High school diploma or GED
Desktop applications
Typing

Full Job Description

Your Future Evolves Here

Evolent partners with health plans and providers to achieve better outcomes for people with most complex and costly health conditions. Working across specialties and primary care, we seek to connect the pieces of fragmented health care system and ensure people get the same level of care and compassion we would want for our loved ones.

Evolent employees enjoy work/life balance, the flexibility to suit their work to their lives, and autonomy they need to get things done. We believe that people do their best work when they're supported to live their best lives, and when they feel welcome to bring their whole selves to work. That's one reason why diversity and inclusion are core to our business.

Join Evolent for the mission. Stay for the culture.

What You’ll Be Doing:

The Coordinator, Intake Utilization Management at Evolent will serve as a point of contact for processing prior authorization requests in accordance with departmental policies, regulatory requirements, and client contractual agreements.

Collaboration Opportunities:

The Coordinator, Intake Utilization Management reports directly to the Manager, Utilization Management. In support of our daily operations, this individual also works with our clinical team, which includes our medical reviews: LVNs, LPNs, and RNs along with our behavioral health reviewers: LMSWs, LCSW, and LPCs, and Clinical Reviewers. Opportunities to work collaboratively with other Utilization Management Leaders including our Associate Director and Director may also be available.

Work Schedule: 8:30 am until 5 pm PST with rotating weekends

What You Will Be Doing:

Reviewing internal workflows and policies to determine if submitted requests require a prior authorization review or redirect as required.
Entering data into a proprietary system generates cases for both the medical and behavioral health reviewers. These requests may be submitted via fax, email, or provider portal.
Working directly with physician’s offices to obtain missing information required to submit a prior authorization request.
Submitting IT tickets to address barriers to generating cases for clinical review and following the ticket through to completion.
Addressing requests promptly and courteously, honoring commitments, and displays persistence in obtaining necessary information to address issues and problems.
Meeting established Utilization Management Intake Objectives and Key Results.

Qualifications Required and Preferred:

A high school diploma or GED - Required
1 – 3 years of experience in a Coordinator role either requesting or submitting prior authorization requests. Or relevant health care experience in claims or appeal & grievance. Required
Previous background/experience with Oncology.
Ability to read, write, and speak the English language fluently with patients and providers. - Required
Ability to adapt to fluctuating situations and perform work of a detailed nature, while avoiding errors. - Required
Proficient in using computer and Windows PC applications, which includes strong keyboard and navigation skills. - Required
Team-oriented demonstrates a strong work ethic and is committed to productivity. - Required
Demonstrated ability to meet established goals while balancing a workload and prioritizing assignments in a remote environment. - Required

To ensure a secure hiring process we have implemented several identity verification steps, including submission of a government issued photo ID. We conduct identity verification during interviews, and final interviews may require onsite attendance. All candidates must complete a comprehensive background check, in-person I-9 verification, and may be subject to drug screening prior to employment. The use of artificial intelligence tools during interviews is prohibited and monitored. Misrepresentation will result in immediate disqualification from consideration.

Technical Requirements:

We require that all employees have the following technical capability at their home: High speed internet over 10 Mbps and, specifically for all call center employees, the ability to plug in directly to the home internet router.

Evolent is an equal opportunity employer and considers all qualified applicants equally without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran status, or disability status. If you need reasonable accommodation to access the information provided on this website, please contact [email protected] for further assistance.

The expected base salary/wage range for this position is $18.00 - 20.00. As part of our total compensation package, Evolent is proud to offer comprehensive benefits (including health insurance benefits) to qualifying employees. All compensation determinations are based on the skills and experience required for the position and commensurate with experience of selected individuals, which may vary above and below the stated amounts.

Apply Now

Refine Your Search

evolent health jobs

Coordinator, UM Intake

Product Owner

Software Engineer

Physician Reviewer-Radiology (Part Time)

Family Medicine-Physician Reviewer-Radiology (Full-Time or Part-time)

BI Engineer , BI Center of Excellence

Platform Engineer (Network)

Analyst, Strategic Accounts

Senior Product Owner

Director, Provider Engagement - Vascular

Associate Director, Revenue

Manager, Software Engineering

Otolaryngologist-Physician Reviewer-Radiology (Full-Time)

Sr Analyst, AI Transformation

Physician Reviewer Internal Medicine-Field Medical Director, Radiology (Part Time)

Endocrinology-Physician Reviewer-Radiology (Full-Time)

Senior Product Manager - AI & Healthcare Innovation

Strategy & Performance Lead, MSK/RBM

VP, Cardiovascular Medicine

Director, Strategic Accounts

I want to receive the latest job alert for evolent health

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