Utilization Management Representative I
Elevance Health, Meridian, ID
Utilization Management Representative I in Meridian, ID, with virtual full-time work except required in-person training. The employer states it follows fair chance laws, considering applicants with arrest or conviction records under federal, state, and local laws. Requires rotating weekends, holidays, overtime, and COVID-19 and influenza vaccination for patient-facing roles.
What the posting says about criminal records
The employer states it follows fair chance hiring laws. This is a legal compliance statement and does not necessarily mean records are welcomed, so expect a background check after a conditional offer.
Last checked Oct 23, 2026. Policies can change, so confirm with the employer before you apply.
Overview
Coordinate cases for precertification and prior authorization review, managing incoming calls and claims work. Determine contract and benefit eligibility, refer cases to nurse reviewers, and respond to inquiries from clients and providers. Requires HS diploma or GED and at least 1 year of customer service or call-center experience.
Requirements
- HS diploma or GED
- Minimum 1 year customer service or call-center experience, or equivalent combination
- Inbound call center experience strongly preferred
- Medical terminology training and experience in medical or insurance field strongly preferred
- Ability to work rotating weekends, select holidays, and overtime
- COVID-19 and influenza vaccination required for certain patient/member-facing roles
Benefits
- Merit increases
- Paid holidays
- Paid Time Off
- Incentive bonus programs (unless covered by a collective bargaining agreement)
- Medical, dental, vision, short and long term disability benefits
- 401(k) + match
- Stock purchase plan
- Life insurance
- Wellness programs
- Financial education resources
Job details
- Location
- Meridian, ID
- Job type
- Full-time
- Industry
- Healthcare and Social Services
- Posted
- Oct 20, 2026
- Drug test
- Not stated