Comagine Health is a national, nonprofit, health care consulting firm. We work collaboratively with patients, providers, payers, and other stakeholders to reimagine, redesign and implement sustainable improvements in the health care system.

As a trusted, neutral party, we work in our communities to address key, complex health, and health care delivery problems. In all our engagements and initiatives, we draw upon our expertise in quality improvement, care management, health information technology, analytics, and research.

We invite our partners and communities to work with us to improve health and redesign the health care delivery system.

This role is remote; however, applicants must reside within a commutable distance to Albuquerque, NM for occasional work in the office.

Job Duties:

• Assist providers with questions/educate on the portal application.
• Enter documentation of requests for, utilization review, and other medical management services (collect/enter information into the system that is limited to non-clinical data or is structured clinical data).
• Convey case information and other notifications via inbound and outbound calls.
• Assist providers to upload the documentation of requests for, utilization review, and other medical management services
• Respond to inbound telephone requests.
• Enter case information from original source documentation.
• Make courtesy calls with case reference numbers.
• Provide notification of completed review and NRD, when applicable
• Contribute to orientation and training of other non-clinical employees
• As requested, create templates for complex reviews, perform internal quality reviews, and/or participate in provider outreach activities.
• Create, develop, and mail letters.

Required Skills

Education:

• High school diploma or equivalent
  • Equivalent combination of education and/or work experience in related field may be substituted

Preferred

Post-secondary education or certification in a related field preferred

Required Experience

• 2 years of related work experience or customer service experience
• 1 year of work experience in healthcare

A background working with adults who have intellectual and/or developmental disabilities, or experience providing administrative support and customer service as a point of contact

Education:

• High school diploma or equivalent
  • Equivalent combination of education and/or work experience in related field may be substituted

Preferred

Post-secondary education or certification in a related field preferred