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Utilization Review Specialist

Location Philadelphia, PA 19107
Date Posted May 26, 2026
Job ID 14349
Employment Type Direct Hire
Scion Staffing has been engaged to conduct a search for a Utilization Review Specialist for a rapidly growing, innovative healthcare technology organization. This is a direct hire, remote opportunity (U.S.-based, EST or CST preferred).

POSITION OVERVIEW:
The Utilization Review Specialist will play a key role in supporting revenue cycle operations, with a focus on authorizations and payer communication. This individual will work cross-functionally to ensure timely and accurate utilization review processes while contributing to the buildout of internal systems and workflows. This is an exciting opportunity to join a fast-paced, startup-style environment where innovation and process improvement are highly encouraged.

PERKS:
  • Competitive salary in the $50,000–$65,000 range with growth potential
  • Fully remote flexibility with company-provided equipment 
  • Unlimited PTO and a results-driven, no clock-in/out work environment
  • Comprehensive health coverage support, plus 100% employer-paid dental and vision for employees
  • Opportunity to help build and shape internal systems within a growing, forward-thinking organization

RESPONSIBILITIES:
  • Manage utilization review and authorization processes across behavioral health services and levels of care
  • Communicate with commercial insurance providers and navigate payer portals to secure approvals
  • Monitor authorization statuses, ensure timely submissions, and maintain accurate documentation
  • Collaborate with internal teams to support revenue cycle workflows and process improvements
  • Identify issues, troubleshoot challenges, and proactively recommend solutions
  • Contribute to the development and optimization of internal systems and procedures

QUALIFICATIONS:
  • Experience with utilization review and/or authorizations in a behavioral or mental health setting
  • Familiarity working with commercial insurance payers and navigating payer portals
  • Exposure to multiple levels of care (e.g., inpatient, outpatient, IOP, detox)
  • Strong problem-solving skills with a proactive, solutions-oriented mindset
  • Comfortable working in a fast-changing, high-growth environment with evolving processes

COMPENSATION AND BENEFITS:
This position offers a salary range of $50,000–$65,000, along with unlimited PTO, health insurance contributions, a 401(k) program, and employer-paid dental and vision coverage for employees (with partial dependent coverage).

HOW TO APPLY:
For immediate consideration, please submit your resume here!

ABOUT OUR SEARCH FIRM:
Scion Staffing is a national award-winning staffing firm! Since 2006, we have had the pleasure of successfully placing thousands of talented professionals with amazing career opportunities. Through our innovative team building and recruiting solutions, we bridge the gap in executive leadership searches, direct hire recruiting, interim leadership placement, and temporary professional staffing. We are proud to be part of the Forbes lists of the Best Recruitment Firms and the Best Executive Search Firms in America. Additionally, Scion has been recognized as a ClearlyRated Best of Staffing firm as well as a top recruitment firm by The Business Times. Additional information about our firm can also be found online.

Scion Staffing, Inc. is an equal opportunity employer and service provider and does not discriminate based on race, religion, gender, gender identity, national origin, citizenship status, sexual orientation, disability, political affiliation or belief, or any other protected class. We are committed to the principles of Equal Opportunity Employment and are dedicated to making employment decisions based on merit and value, for ourselves, our client companies, and the candidates we represent. For opportunities located in a region that have enacted fair chance, arrest or conviction-based employment ordinances, Scion Staffing proactively follows the enacted guidance and considers for employment all qualified applications with arrest and conviction records. We engage in socially conscious business practices and believe that diverse, equitable, inclusive, and non-biased talent and recruitment processes are foundational to the success of Scion as well as every client organization with whom we partner.

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