Hiring: Utilization Management Rep I (US) Company: Elevance Health Location: Louisville, KY Job Posted Time: 2026-09-12 11:27:36 Employment Type: Full-time / Hybrid Target Skills & Keywords : Accessibility, Prior Authorization About the job Experience: •1 year of customer service or call-center experience; or any combination of education and experience which would provide an equivalent background. Required Skills: •The is responsible for coordinating cases for precertification and prior authorization review. •How You Will Make An Impact •Lead and oversee the identification and data entry of referral requests into the UM system in accordance with the plan certificate. •Associates in this role will have a structured work schedule with occasional overtime or flexibility based on business needs, including the ability to work from the office as necessary. Qualifications: •HS diploma or GED. •Minimum of 1 year of customer service or call-center experience; or any combination of education and experience which would provide an equivalent background. •Preferred Skills, Capabilities And Experiences •Medical terminology training and experience in medical or insurance field preferred. •For URAC accredited areas, the following professional competencies apply: Associates in this role are expected to have strong oral, written and interpersonal communication skills, problem-solving skills, facilitation skills, and analytical skills. •Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health. •Elevance Health is a health company dedicated to improving lives and communities – and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. •Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. •Prospective employees required to be screened under Florida law should review the education and awareness resources at HB531 | Florida Agency for Health Care Administration. Compensation: •Flexible work environment (work from home / hybrid options) Interested candidates, please apply directly through the job posting on company's career page or try via AI auto apply on this platform. Don't miss this opportunity to join a forward-thinking team!