• Assist in managing the administration of licensing processes with 3rd party vendors and consulting companies working with Verisk customers • Advise on the practices and processes involving 3rd party vendors, assist in developing and improving standard processes to maximize contracting efficiency and effectiveness • Manage amendments to licenses when working with 3rd party vendors • Draft and negotiate licensing contracts as necessary • Work with various levels of management and departments including: Law Department, Business and Product areas, Sales, Finance, Accounting, Internal Audit, Customer Service • Manage and increase strategic integrations of ISO & Verisk products with technology vendors and reporting results and revenue to Verisk departments • Monitor and resolve intellectual property compliance issues on the internet, marketing materials and various media • Support and/or manage other compliance functions related to vendor licensing • Build and maintain positive relationships both internally and externally, to help ensure customer satisfaction for the purpose of maintaining or growing their revenue base with ISO/Verisk • Assists Relationship Managers and Team in executing goals, exhibiting a strong team participation • Assist the VSA Team in other areas including: • Participate in the research, design and implementation of new products and services that meet customer needs • Research market and industry trends

• Provide strategic leadership and executive oversight of all Default operations, including Collections, Loss Mitigation, Reimbursements, and Foreclosure/Bankruptcy. • Ensure operational performance, regulatory compliance, investor adherence, portfolio risk mitigation, quality assurance, and financial outcomes within the Default portfolio. • Lead and develop departmental supervisors and managers to ensure operational excellence, scalability, and alignment with corporate objectives. • Responsible for all staffing functions such as training, coaching, disciplinary actions, hiring, and terminations. • Monitor processes to ensure functions are performed at a high level of quality. • Work with internal & external staff and investor contacts to maximize potential for collection. • Develop and execute strategic initiatives to improve delinquency cure rates, reduce servicing losses, and optimize Default pipeline performance.

• Provide quality instruction in each assigned course within the approved academic program curriculum. • Participate in institution/school/department committees. • Respond timely to information requests from various stakeholders. • Promote appropriate standards of linguistic expression. • Ensure all academic program requirements and forms of documentation are completed as required for each student. • Ensure all faculty expectations are met on a weekly basis. • Manage all classroom activities and be accessible to students. • Monitor educational and professional literature for best practices. • Assist with curriculum and policy changes as requested. • Participate in professional development activities – minimum of 1 per year. • Adhere to all institutional and School/Department policies as described in the job description or employee/faculty handbook.

This description is a summary of our understanding of the job description. Click on 'Apply' button to find out more. Role Description The Utilization Management Coordinator is responsible for supporting clinical, management, and client activities, comprising the UM Program. The Utilization Management Coordinator must be proficient in all UM processes such as pre-authorizations, claim reviews, practitioner outreach calls, grievance and appeals, triage and case assignments. - Process documents through UM systems; CareRadius, CareAfiliate, RightFax, and Orion. - Track initial/concurrent service authorizations, denials, authorization gaps, and appeals status. - Manage and process case assignments for Clinical Peer Reviewers and Clinical Staff. - Process practitioner pre-authorization requests while adhering to administrative guidelines, policies and procedures. - Monitor turnaround time of tasks to meet regulatory requirements as well as specific state and federal requirements. - Maintain a high level of accuracy when processing letters in coordination with clinical peer reviewers. - Coordinate letter QA with clinical peer reviewers to meet turnaround time requirements. - Maintain understanding of business rules and regulatory requirements pertaining to UM processes and operations. - Support departmental initiatives such as policy/procedure review, audit preparation, and work instruction updates. - Assist with monitoring client escalation mailboxes and responding to requests in a timely manner. - Practitioner outreach calls to meet regulatory requirements. - Conduct or support UM system testing (as needed). - Self-assign and complete tasks as they appear in assigned buckets in CareRadius and Orion. - Assist in processing Grievances and Appeals (as needed). - Other duties as assigned. Qualifications - High school diploma/GED required. - One or more years’ experience in a health care related field, preferably in managed care or utilization review. - Ability to read, analyze and interpret documents such as company policies, procedures, and operating instructions; ability to write routine correspondence. - Ability to solve practical problems and deal with variables. - Ability to interpret various instructions furnished in written, oral, schedule, or electronic form. - Ability to prioritize to meet deadlines and required turnaround times. - Ability to use computer software, including email, word processing and spreadsheets. - Experience using CareRadius, CareAfiliate, RightFax, Orion is a plus. - Must exhibit strong interpersonal skills and professionalism. - Strong verbal, telephonic and written communication skills are required. - Ability to work under pressure; must have strong listening skills. - Ability to build relationships with internal/external customers. - Ability to work with practitioners and office managers in an educational and in a problem-solving role. - Ability to work remotely in a dedicated workspace with a door to protect company data and PHI. Must have high-speed internet. - Ability to support team goals and initiatives. - Must be collaborative with team members while operating in a fast-paced regulatory environment. Requirements - This is a part-time role, 20 hours per week, working Monday-Friday 1p to 5p Eastern time. - The hourly wage for this opportunity is $17.00 to $22.00. Compensation depends on several factors: qualifications, skills, competencies, and experience. Benefits - Robust benefits package, which includes a competitive salary. - Company bonus potential. - Medical, dental, vision. - 401k with match. - Generous paid time off. - Free gym membership to over 13,000 fitness locations in the US. - Other great benefits.