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Utilization Management Administrative Support

Avēsis
Work From Home - AZ, United States, United StatesRemotefull_timeVerifiedPosted 13 Feb 2026

About the role

Join us for an exciting career with the leading provider of supplemental benefits!

Our Promise


Through skill-building, leadership development and philanthropic opportunities, we provide opportunities to build communities and grow your career, surrounded by diverse colleagues with high ethical standards.

In this role, you will assist with basic UM administrative functions, including provider outreach, fax and email processing, documentation collection, and letter creation, while learning the department’s systems and procedures.

You will be expected to complete over 7–12 calls or attempts per hour while maintaining accuracy and timeliness. As a Level 1 team member, you will rely on established guidelines and close supervision to perform tasks, escalating complex issues to senior staff. This role provides the foundation for growth into higher-level administrative positions.

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.

Competencies:

  • 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.

Functional:   

  • 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.
  • Other duties as assigned.

Core:

  • Ability to operate in a fast-paced environment under tight deadlines.
  • Ability to multi-task.
  • 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.

Behavioral:

  • 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.

Minimum Qualifications:

  • High School Diploma or GED required.
  • Basic administrative, clerical, or customer service experience.
  • Proficiency in basic computer skills (data entry, email platforms, Microsoft Office).
  • 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 ski

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Company

Avēsis

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