Offshore Um coordinator Staffing
Physician- Trained Clinical Intelligence
Co-Ordinator Level Cost.
Ajira america HealthCare delivers highly skilled Utilization Management (UM) Coordinators – Medical Officers (MBChB) and Registered Nurses – from Kenya to support your managed care operations with accuracy, efficiency and measurable cost savings.
Save 45-55%
VS. domestic UMC staffing without compromising quality.
Specialized Support for Managed Care Utilization Management
Prior Authorization Support
Accurate intake, criteria review, and documentation for faster approvals.
Con-current Review Support
Timely clinical review and documentation to ensure continuity of care.
Retrospective Review Support
Thorough chart reviews and audit support to ensure compliance and accuracy.
Performance That Drives Results
Higher first-pass accuracy, lower escalation rates, and improved TAT performance.
The Credential Arbitrage
Role
Typical U.S. UMC Credential
Ajira Kenya UMC Credential
Clinical Knowledge Base
MA/LVN/Experienced Admin
MBChB Medical Officer or RN
Creteria Application Accuracy
Variable - training - dependent
High - Physician - trained reasoning
Documentation Quality
Moderate - frequent rework
High - structured clinical training
Escalation Rate to Licensed RN
High - frequent clarification needed
Low - resolves more at intake level
Why Partner with Ajira America HealthCare?
- Physician-Trained Medical Officers (MBChB) and RNs
- Deep Expertise in Managed Care Um Workflows
- Cost Advantage Without Compromising Quality
- Kenya-Based Talent. U.S. Time Zone Advantage
- Scalable Teams That Grow With Your Needs
Internationally Credentaled Kenyan Talent
Fluent in English & U.S. Healthcare Processes
Aligned with U.S. Regulations & Standards
Reliable, Responsive, Result-Driven.
- High clinical intelligence. Fewer escalations. Better outcomes at a lower cost.
45 - 55% Cost Saving
Lower fully-loaded cost per FTE
Higher Quality
Physician-trained staff deliver superior accuray
Faster Turnaround
Support early queues and improve TAT compliance
Lower Escalation
Resolve more at intake, reduce RN workload
Built for Compliance. Focused on Security.
- HIPAA Compliant with signed BAA
- Secure Infrastructure with Encrypted Access
- Documented Scope of Practice & Handoff Protocols
- Ongoing Training, Audits & Quality Monitoring
- U.S. Healthcare compliance & IT Security Standards
Your Trusted Partner for Offshore UM Coordinator Staffing
Reduce costs. Improve quality. Strengthen compliance, Let’s build a better UM operation-together
Per-FTE Cost Analysis
Cost Component
- Base compensation
- Benefits Payroll Taxes (30%)
- Training & Onboarding (amortized)
- HIPAA Compliance & IT Security
- Vendor Margin/Operating Overhead
- Total Fully-Loaded Cost Per FTE
Domestic UMC (via U.S Vendor)
- $52,000
- $15,600
- $2,400
- $0 (client bears)
- $17,000
- ~$87,000
Ajira Offshore UMC (Kenya)
- $25,000
- $3,500
- $4,000
- $2,500
- $5,000
- ~$40,000
Annual Savings per FTE
- $27,000
- $12,100
- (51,600)
- (52,500)
- $12,000
- ~$47,000
% Reduction
- 52%
- 78%
- -67%
- _
- 71%
- ~~54%
Frequently Asked Questions
Explore how Utilization Review, Claims Review, and Healthcare Staffing solutions work, and discover what it’s like to partner with our experienced team. If additional guidance is needed or a question isn’t listed, specialists are available to provide direct support.
Do you handle prior authorizations for Medicare Advantage and Medicaid MCOs?
Yes, our team navigates payer-specific requirements to ensure timely approvals.
Can you assist with claims review for MCO and government programs?
Absolutely. We specialize in compliance, accuracy, and reimbursement optimization.
Do you provide healthcare staffing for utilization review and case management roles?
Yes, we place skilled professionals trained in clinical and administrative workflows.
How fast is your turnaround for utilization reviews and claims support?
We prioritize efficiency without compromising compliance, delivering quick and accurate results.