Utilization and Care Management Coordinator

Job Summary: The Utilization and Care Management Coordinator is responsible for managing, analyzing, and coordinating data to support the UM department at ArchWell Health. This role will work closely with clinical and administrative teams to ensure accurate and timely handling of data that improves member outcomes and operational efficiency. An ideal candidate will have an understanding of utilization management and case management, have strong attention to detail, and be system-oriented and flexible to operate within a new and developing infrastructure.

Duties/Responsibilities:

• Work closely with Utilization Management and Care Management team to support data related projects and initiatives.
• Routinely review data for accuracy. Verify any updates submitted and correct current rosters. Resolve any discrepancies found.
• Research, validate, and input data from multiple sources.
• Coordinate with market resources to identify gaps in network resources, source new resources, and update all relatable files.
• Generate actionable insights based off analysis that assist markets in aligning with enterprise goals and initiatives.
• Create and maintain a repository of files for department, ensuring data is reliable and consistently available for use and/or review.

Required Skills/Abilities:

• Strong analytical skills and proficiency in Microsoft applications, specifically excel and SharePoint.
• Deep understanding of the healthcare system, specifically utilization management and/or case management.
• Ability to work independently in a fast-paced environment.
• Ability to multi-task and manage competing priorities with high attention to detail.
• Passion for helping our senior population.
• Ability to manipulate excel documents, run reports, and create meaningful output.

Minimum Qualifications:

• Bachelor's degree in healthcare administration, healthcare information systems, or related field, preferred.
• Minimum of 2-3 years of experience in data coordination, analysis, or related role.
• Embodies and serves as a role model of ArchWell Health’s Values:
• Be compassionate
• Strive for excellence
• Earn trust
• Show respect
• Stay resilient
• Always do the right thing

About ArchWell Health:

At ArchWell Health, we’re creating a community of caring designed to help our members stay healthy and engaged. By focusing on a strong provider-patient relationship, routine wellness, and staying active, our members enjoy a higher level of care and better quality of life after the age of 60. Everything we do is for seniors. We believe seniors should be heard, listened to, and given ample time by their physicians to live well later in life. Our value-based care model is designed to prevent illnesses while keeping members healthy and happy in every aspect of their life. We deliver best-in-class primary care at comfortable, accessible neighborhood centers where older adults can feel at home and become part of a vibrant, wellness-focused community. We’re passionate about caring for older adults and united by the belief that caring has the power to change everything for our members.

ArchWell Health is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to their race, color, religion, age, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other protected classification.