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.