Utilization Management Administrative Support

Avesis

2d•$14 - $24•Remote

About The Position

In the Utilization Management Administrative Support role, detail matters and you will assist in data entry, and communication required by Utilization Management Department involving correspondence for enrollees and providers. You will ensure that entry and manual creation of these ad hoc notifications are completed in a timely manner and meets federal, state, NCQA or contractual requirements.

Requirements

Self-Motivation & Organization: Must be self-motivated and highly organized with the ability to work autonomously without direct supervision.
Flexible Hours: Work hours will be determined by your manager and may vary based on location, department needs, and workflow. Mandatory overtime may be required during peak seasons.
Deadline Adherence: Expected to meet established deadlines and deliver high-quality work consistently.
Virtual Collaboration: Use virtual platforms like Teams and Microsoft Outlook for collaboration. Participate in regular monthly check-ins and bi-weekly department touch bases for market updates and team alignment.
Confidentiality: Maintain strict confidentiality of information related to Avēsis and its customers, following our information security policies. This obligation continues even after employment ends, including secure handling of data and access management.
Ability to operate in a fast-paced environment under tight deadlines.
Ability to multi-task.
Collegiality: building strong relationships on company-wide, approachable, and helpful, ability to mentor and support team growth.
Initiative: readiness to lead or take action to achieve goals.
Communicative: ability to relay issues, concepts, and ideas to others easily orally and in writing.
Member-focused: going above and beyond to make our members feel seen, valued, and appreciated.
Detail-oriented and thorough: managing and completing details of assignments without too much oversight.
Flexible and responsive: managing new demands, changes, and situations.
Critical Thinking: effectively troubleshoot complex issues, problem solve and multi-task.
Integrity & responsibility: acting with a clear sense of ownership for actions, decisions and to keep information confidential when required.
Collaborative: ability to represent your own interests while being fair to those representing other or competing ideas in search of a workable solution for all parties.
High School Diploma or GED is required.
Proficiency in accurate data entry, with minimal to no errors.
Exceptional reading and writing with the ability to communicate at a professional level appropriately at all levels of the organization.
Strong organizational and time-management skills, with the ability to manage multiple tasks and priorities effectively.
Ability to think analytically and make independent decisions.
Ability to meet or exceed quality, accuracy, and production standards as determined by Avēsis.
A reliable internet connection (25 MBPS upload/50 MBPS download speed) and an appropriate workspace are essential for success in this remote role.

Nice To Haves

Previous Administrative Support experience.
High level of accuracy and attention to detail in all aspects of work.
Strong interpersonal skills, with the ability to work well both independently and as part of a team.
Flexibility and adaptability to handle changing priorities and tasks.
Ability to handle sensitive information with discretion and maintain confidentiality
Proficient with Microsoft applications, SharePoint technology, Teams, and Outlook.

Responsibilities

Perform outreach to providers for correction and resubmission if a request is submitted with insufficient information.
Create ad-hoc manual letter requests utilized to communicate with an enrollee and/or provider. These communications are time sensitive and must meet regulatory, accreditation or contractual requirements.
Handle clerical support for the department, including but not limited to receipt and response of incoming and outgoing fax, email transmissions both internal and external, draft/upkeep meeting agendas, meeting minutes.
Support UM leadership and Avēsis’ communication team in the review and routine maintenance of letter template library for accuracy.
Light travel and delivery to local post office to ensure same day mailing for urgent mailings.
Other duties as assigned.
Handle outgoing correspondence, including emails, phone calls, and mail.
Draft and proofread documents.
Organize and maintain digital files and records, ensuring they are easily accessible and up to date.
Assist with special projects and tasks as assigned, ensuring they are completed on time and to a high standard.

Benefits

Meaningful and challenging work opportunities to accelerate innovation in a secure and compliant way.
Competitive compensation package.
Excellent medical, dental, supplemental health, life and vision coverage for you and your dependents with no wait period.
Life and disability insurance.
A great 401(k) with company match.
Tuition assistance, paid parental leave and backup family care.
Dynamic, modern work environments that promote collaboration and creativity to develop and empower talent.
Flexible time off, dress code, and work location policies to balance your work and life in the ways that suit you best.
Employee Resource Groups that advocate for inclusion and diversity in all that we do.
Social responsibility in all aspects of our work. We volunteer within our local communities, create educational alliances with colleges, drive a variety of initiatives in sustainability.