Job Description

Utilization Reviewer Developmental Disabilities Services

Human services professionals are encouraged to consider an outstanding career opportunity with Liberty Healthcare Corporation.

In partnership with Maryland's Developmental Disabilities Administration, Liberty Healthcare operates a statewide program which endeavors to develop continuous quality improvement processes that enhance person-centered service delivery and support to people who are living with intellectual and developmental disabilities, so they may live their best lives.

To support this initiative, Liberty is now hiring for a full-time Utilization Reviewer position.

As a Utilization Reviewer, your daily work will involve:

• Conducting audits of services provided to people with developmental disabilities
• Heavy database usage
• Reviewing and analyzing Medicaid claims
• Analyzing actual services provided against contracted service levels and hours
• Conducting in-person and phone/video interviews of individuals served as well as their caregivers
• Writing summary reports

You can expect:

• $55,000 annual salary
• 30 days of paid time off annually
• Health insurance and other perks
• Reimbursement for approved work-related mileage

This is a remote first position which will allow you to primarily work from your home office.

Travel throughout the Maryland Eastern Shore, Anne Arundel County, and other locations throughout Maryland is required and estimated at 15%.

The work schedule for this position is primarily Monday through Friday from 8:30 am until 5:30 pm with occasional requirements for after-hours work.

You are a good fit for this position if you have a bachelor's degree and solid computer skills.

• Three or more years of experience in human services required, ideally in one of these areas:
• Supporting people who are living with developmental disabilities
• Service coordination
• Case management
• Utilization review
• Prior authorizations
• Claims reviews
• Healthcare billing
• Analyzing healthcare or human services data
• Familiarity with the State of Maryland's Developmental Disabilities Administration as well as Home and Community Based Services is helpful.

Utilization Reviewers with Liberty Healthcare work through a collaborative partnership with Precision Management Solutions a minority and women-owned small business.

Click "Apply" and submit your resume for immediate consideration.

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