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Authorization Coordinator

COPE Health Solutions is a national tech-enabled services firm that partners with healthcare payers and providers to succeed in value-based care arrangements through consulting, analytics, and workforce development.

COPE Health Solutions

Employee count: 201-500

Salary: 50k-58k USD

United States only

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The Authorization Coordinator supports the Utilization management department by processing prior authorization and service requests for members in accordance with policies, regulatory requirements, and clinical guidelines.

Requirements

  • Minimum 2–3 years of experience in healthcare customer service, authorization processing, or utilization management
  • Experience working in a Managed Care or Health Plan environment
  • Familiarity with prior authorization workflows
  • Strong written and verbal communication skills
  • Prior experience in Utilization Management intake or prior authorization within a health plan

Benefits

  • Comprehensive, affordable insurance plans
  • Yearly stipend for wellness-related activities
  • Paid parental leave program

About the job

Apply before

Posted on

Job type

Full Time

Experience level

Salary

Salary: 50k-58k USD

Location requirements

Hiring timezones

United States +/- 0 hours

About COPE Health Solutions

Learn more about COPE Health Solutions and their company culture.

View company profile

COPE Health Solutions is a national, tech-enabled services firm dedicated to powering success for health plans and providers in risk-based arrangements. The company collaborates with clients to implement proven solutions that enhance financial performance and quality outcomes across all lines of business. With a deep understanding of the evolving healthcare landscape, COPE Health Solutions de-risks the transition to advanced value-based payment models for providers, health plans, and self-insured employers. The firm's expertise encompasses a wide range of advisory services, including strategic planning, value-based payment strategies, financial modeling, network development, and quality program optimization. They also offer robust support for utilization and care management services, ensuring that clients are well-equipped to manage patient populations effectively.

A key differentiator for COPE Health Solutions is its comprehensive population health management platform, Analytics for Risk Contracting (ARC), which is NCQA certified. This platform, combined with the firm's experienced team, provides the necessary tools and processes to drive meaningful improvements in healthcare delivery. In addition to its consulting and technology offerings, COPE Health Solutions is a prominent national leader in healthcare workforce development. They manage one of the largest healthcare talent pipelines in the United States, offering a variety of programs from pre-health experiential education to training for community health workers, medical assistants, and certified nursing aides. These initiatives are designed to build a skilled and prepared workforce that can meet the current and future demands of a value-based healthcare system. The firm's roots as a non-profit organization focused on health education for underserved communities continue to inform its mission-driven approach to transforming healthcare.

Claim this profileCS

COPE Health Solutions

Company size

201-500 employees

Founded in

1995

Chief executive officer

Allen Miller

Employees live in

View company profile

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