Utilization Review Coordinator at Cigna Healthcare, Des Moines, Iowa

Company Overview:
Cigna Healthcare is a renowned leader in the healthcare administration industry, dedicated to improving the health, well-being, and peace of mind of those we serve. With a commitment to innovation and excellence, Cigna Healthcare offers a wide range of health insurance products and services that prioritize customer-centric care and holistic wellness solutions.

Key Responsibilities For Utilization Review Coordinator:
- Conduct utilization reviews to assess the medical necessity and efficiency of healthcare services provided
- Collaborate with healthcare providers to ensure appropriate utilization of resources and adherence to established guidelines
- Evaluate patient records and treatment plans to determine the most effective and cost-efficient care options
- Communicate review outcomes and recommendations to healthcare teams and insurance providers
- Stay abreast of industry regulations and guidelines to ensure compliance in utilization review processes
- Participate in quality improvement initiatives to enhance the overall healthcare delivery system

Required Qualifications:
- Bachelor's degree in Nursing, Healthcare Administration, or a related field
- Proven experience in utilization review or healthcare management role
- Strong knowledge of medical terminology, healthcare regulations, and insurance practices
- Excellent analytical skills with the ability to interpret complex healthcare data
- Effective communication and interpersonal abilities to engage with diverse stakeholders
- Detail-oriented mindset with a focus on accuracy and efficiency in review processes

Desired Skills:
- Certification in Utilization Review (URAC) or Case Management
- Experience with electronic health record (EHR) systems and utilization review software
- Familiarity with value-based care models and population health management strategies
- Ability to work effectively in a fast-paced, dynamic healthcare environment
- Continuous learning mindset with a passion for professional development

Compensation & Benefits:
The annual salary range for the Utilization Review Coordinator position at Cigna Healthcare in Des Moines, Iowa is $55,000 to $75,000, commensurate with experience and qualifications. In addition to competitive pay, Cigna Healthcare offers a comprehensive benefits package, including health insurance, retirement plans, paid time off, and professional development opportunities.

How to Apply:
To apply for the Utilization Review Coordinator role at Cigna Healthcare, please visit our company website and submit your application online through the careers portal. We look forward to reviewing your qualifications and potentially welcoming you to our dedicated team of healthcare professionals committed to making a positive impact on the lives of our members.