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The parent companies of Rady Children’s and Children’s Hospital of Orange County (CHOC) have merged, creating a new combined healthcare system called Rady Children’s Health. To see our career opportunities at CHOC, visit choc.org/careers.

UM Operations Specialist - Utilization Management

San Diego, California
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Job ID 16275 Date posted 03/23/2025 Schedule Full-Time Shift Day Department Utilization Management

JOB SUMMARY:

Under the supervision of the Director, Utilization Management (UM) Operations & Member Services, the UM Operations Specialist will provide administrative support regarding operational aspects of UM requirements. Work shall include extensive computer work in Excel, Word, Outlook, PowerPoint and data entry in other software systems. Will be working primarily with the Director, UM Operations & Member Services, but will also assist with projects or activities of related departments, including UM Operations, and UM Clinical. The UM Operations Specialist is expected to have strong computer skills, the ability to communicate in a collaborative and efficient manner, and the ability to effectively prioritize projects and work independently.

MINIMUM QUALIFICATIONS:

H.S. Diploma,GED,or Equivalent

3 Years of Experience

Experience should be in health care related field

Ability to work accurately with numbers and general knowledge of mathematical calculations including fractions, ratios, percentages, graphs and the metric system.

Strong analytical and problem-solving skills

Ability to use good judgment and demonstrate discretion in the handling of confidential and or sensitive information

Ability to operate office equipment including PC computer, photocopiers, fax machines, and multi-line phone systems. Knowledge of Microsoft Office including Excel, Word and Outlook. Excellent keyboard skills including numbers and accuracy of entries.

Associate's Degree or Bachelor's Degree can be accepted in lieu of experience

Demonstrated commitment to valuing diversity and contributing to an inclusive working and learning environment.

PREFERRED QUALIFICATIONS:

Associate's Degree

The current salary range for this position is $23.10 to $31.77

Rady Children’s Hospital is committed to compensation that is externally competitive and internally equitable. We demonstrate this commitment by conducting regular market reviews to remain competitive with organizations of similar size in the nonprofit, healthcare sector. The range listed above does not represent the full salary range for the position but is the expected hiring range for qualified candidates. Compensation decisions consider a variety of factors including experience, education, licensure, unique skillsets, organizational need, and internal equity. This posting will remain open from the “date posted” until the hiring manager has determined there is a sufficient applicant pool or until the position is filled.

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