This job has closed.

Liberty Healthcare Corporation · 1 day ago

Utilization Reviewer � developmental disabilities services

MD - Annapolis

Full-time

Hybrid

Mid Level

$55K/yr - $55K/yr

3+ years exp

Liberty Healthcare Corporation is seeking a full-time Utilization Reviewer to support their partnership with Maryland’s Developmental Disabilities Administration. The role involves conducting audits of services, reviewing Medicaid claims, and analyzing service levels to enhance quality improvement processes for individuals with developmental disabilities.

Health CareHospitalMedical

Responsibilities

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

Qualification

Utilization reviewClaims reviewsHealthcare billingCase managementAnalyzing healthcare dataSolid computer skillsService coordinationPrior authorizationsMaryland DDS

Required

Bachelor's degree

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