Utilization Management Administrative Support

Job Overview

Assist with basic utilization management administrative functions, including provider outreach, fax and email processing, documentation collection, and letter creation. Learn department systems and procedures while completing 7–12 calls or attempts per hour under supervision. This entry-level role supports growth into higher administrative positions in a fast-paced environment with potential mandatory overtime during peak seasons.

Responsibilities

• Perform outreach to providers for correction and resubmission of requests with insufficient information.
• Create ad-hoc manual letter requests for time-sensitive communications with enrollees and providers, meeting regulatory requirements.
• Handle clerical support, including receipt and response to incoming and outgoing faxes and emails, drafting meeting agendas, and taking minutes.
• Support leadership in reviewing and maintaining letter template library for accuracy.
• Operate under tight deadlines, handling outgoing correspondence via emails, phone calls, and mail; draft and proofread documents.
• Organize and maintain digital files and records for accessibility and up-to-date status.
• Assist with special projects and tasks as assigned, ensuring timely and high-standard completion.
• Other duties as assigned.

Qualifications

• Self-motivated and highly organized, able to work autonomously without direct supervision.
• Flexible with varying work hours determined by manager, including mandatory overtime during peak seasons.
• Able to meet deadlines and deliver high-quality work consistently.
• Proficient in virtual collaboration tools like Teams and Microsoft Outlook; participate in regular check-ins.
• Maintain strict confidentiality of company and customer information per security policies.
• Demonstrate collegiality, initiative, communication skills, member focus, detail-orientation, flexibility, critical thinking, integrity, and collaboration.