UM Coordinator - Denials

Astrana Health is seeking a dedicated Utilization Management (UM) Coordinator - Denials to join our Denial Department. This role ensures timely and accurate processing of all deferrals and denials in compliance with Astrana Health policies, NCQA standards, health plan requirements, and federal and state regulations. The UM Coordinator - Denials will review, monitor, and process prior authorization denials requests while maintaining strict adherence to regulatory and health plan guidelines.

This is a hybrid position out of our Monterey Park office that requires open availability between M-Su 8 A - 8 P. You would be scheduled for 5 shifts per week, weekends and holidays are rotated amongst the team, and there is overtime in this position. We are seeking candidates who are flexible and interested in working additional hours, including overtime. Overtime need is determined each day based on volume.

Our Values:

• Put Patients First
• Empower Entrepreneurial Provider and Care Teams
• Operate with Integrity & Excellence
• Be Innovative
• Work As One Team