UM Coordinator Supervisor

Job Description

Job Description

The Utilization Management (UM) Coordinator Supervisor oversees the day-to-day operations and performance of the UM Coordinator team. This position ensures that all intake, triage, and administrative functions are completed accurately and in accordance with health plan, regulatory, and NCQA standards. The Supervisor provides daily coaching, quality review, and workflow oversight while fostering collaboration, accountability, and teamwork across the department.

Salary : $65,000 / annual

JOB QUALIFICATIONS : KNOWLEDGE / SKILLS / ABILITIES

UM Coordinator Supervisor responsibilities include but are not limited to :

• Supervises UM Coordinators (UMCs) who are responsible for intake, case creation, data entry, and letter generation.
• Monitors daily queues, workloads, and turnaround times to ensure compliance with contractual and regulatory standards.
• Provides training, coaching, and feedback to staff, promoting consistent application of policies and procedures.
• Reviews coordinator work for completeness, accuracy, and compliance with documentation and letter requirements.
• Runs and analyzes daily and weekly reports in Excel to assess productivity, volume, and performance trends.
• Identifies workflow barriers and collaborates with leadership to improve efficiency and accuracy.
• Serves as the first line of escalation for operational and system workflow questions.
• Supports the Manager in scheduling, coverage planning, and workload balancing across health plans.
• Coordinates closely with UM Nurses, Medical Directors, and other internal departments to ensure timely case processing.
• Participates in audits, record reviews, and quality improvement initiatives as needed.
• Supports onboarding and continuing education for UM Coordinators.
• Promotes a positive, collaborative environment focused on accountability and service excellence.
• Works variable hours, including weekends and extended hours, as business needs require.

REQUIREMENTS

Associate degree or equivalent healthcare experience required; bachelor’s degree preferred.

Intermediate proficiency in Microsoft Excel (e.g., pivot tables, formulas, data validation).

Strong understanding of utilization management processes including reviews, authorizations, and appeals.

Benefits Offered

Remote Opportunities

We are actively seeking new colleagues in : Arizona, Colorado, Connecticut, Florida, Georgia, Idaho, Illinois, Kentucky, Massachusetts, Michigan, North Carolina, New Jersey, New York, Ohio, Pennsylvania, South Carolina, Tennessee, Texas, Virginia, Vermont, and Washington.

Our Story

Founded in 2005, Integra Partners is a leading national durable medical equipment, prosthetic, and orthotic supplies (DMEPOS) network administrator. Our mission is to improve the quality of life for the communities we serve by reimagining access to in-home healthcare. We connect Payers, Providers, and Members through innovative technology and streamlined workflows affording Members access to top local Providers and culturally competent care. By focusing on transparency, accountability, and adaptability, we help deliver better health outcomes and more efficient management of complex healthcare benefits. Integra Partners is a wholly owned subsidiary of Point32Health.

With a location in Michigan plus a remote workforce across the United States, Integra has a culture focused on collaboration, teamwork, and our values : One Team, Drive Results, Push the Boundaries, Value Others, and Build Community. We’re looking for energetic, talented, and dedicated individuals to join our team. See what opportunities we have available; there may be a role for you to engage in a challenging yet rewarding career in healthcare. We look forward to learning more about you.

Integra Partners is an equal opportunity employer. We are committed to providing reasonable accommodations and will work with you to meet your needs. If you are a person with a disability and require assistance during the application process, please don’t hesitate to reach out. We celebrate our inclusive work environment and welcome members of all backgrounds and perspectives.

Powered by JazzHR

mm1FzUloOj