Utilization Management Administrative Support - Remote

Job Summary

Homeland has partnered with a leading provider of employee benefits, specializing in dental health coverage for millions across the U.

S. Our client is looking for a Utilization Management (UM) Administrative Support team member to join their team.

In this role, you will play a vital part in the UM department’s operations by ensuring the prompt and efficient processing of email requests from provider offices.

Your duties will include collecting missing information for claims, preparing correspondence for providers and members, and ensuring documentation is accurately submitted to assist clinical processors in making informed decisions.

The UM department is responsible for evaluating healthcare services to ensure they meet clinical standards of appropriateness, efficiency, and effectiveness.

By supporting these operations, you will contribute to improved department workflow and play a key role in enhancing the quality of care provided to members.

Responsibilities

• Assist with data entry and communications within the Utilization Management (UM) Department, managing correspondence for enrollees and providers
• Ensure timely and accurate entry of ad-hoc notifications, meeting federal, state, NCQA, or contractual requirements
• Perform outreach to providers for correction and resubmission of requests with insufficient information
• Create manual letter requests for communication with enrollees and / or providers, ensuring compliance with regulatory, accreditation, or contractual guidelines
• Provide clerical support, including managing incoming and outgoing faxes, emails, drafting meeting agendas, and maintaining meeting minutes
• Collaborate with UM leadership and the communication team to review and maintain accuracy of letter templates
• Handle urgent mailings, including light travel to the post office for same-day delivery of time-sensitive materials
• Participate in virtual collaboration platforms (Teams, Microsoft Outlook), and attend regular check-ins and department meetings
• Maintain confidentiality of all the company and customer information, adhering to security policies
• Ability to work autonomously and stay highly organized
• Consistently meet deadlines and deliver high-quality work
• Effectively collaborate using virtual tools for communication and alignment
• Operate efficiently in a fast-paced environment under tight deadlines
• Multi-task effectively, managing various tasks simultaneously
• Handle outgoing correspondence, draft, and proofread documents
• Organize and maintain digital files and records for easy access
• Assist with special projects, ensuring timely and high-quality completion
• Build strong relationships across the company, mentor, and support team growth
• Take proactive action to achieve goals
• Effectively communicate concepts and ideas both orally and in writing
• Provide exceptional service, making members feel valued
• Complete assignments with accuracy and minimal oversight
• Adapt to new demands and changing situations
• Troubleshoot complex issues and problem-solve effectively
• Own your actions and decisions, maintaining confidentiality
• Work fairly with others to find solutions that benefit all parties involved

Requirements

• High School Diploma or GED required
• Proficient in accurate data entry with minimal errors
• Strong reading and writing skills, with the ability to communicate professionally across all levels of the organization
• Excellent organizational and time-management skills, capable of managing multiple tasks and priorities effectively
• Analytical thinking and ability to make independent decisions
• Ability to meet or exceed quality, accuracy, and production standards as set by the company
• Reliable internet connection (minimum 25 MBPS upload / 50 MBPS download speed) and a suitable remote workspace are required

Preferred Qualifications :

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

Benefits

Our client provides meaningful and challenging work that fosters innovation in a secure and compliant environment, alongside a competitive compensation package.

Benefits include comprehensive medical, dental, vision, life, and disability coverage for employees and their dependents with no waiting period, a 401(k) plan with company match, tuition assistance, paid parental leave, and backup family care.

Their collaborative workspaces encourage creativity and talent development, while flexible time off, dress code, and work location policies promote work-life balance.

The company values inclusion and diversity through Employee Resource Groups and is dedicated to social responsibility, community outreach, educational partnerships, and sustainability efforts.

Summary

Apply today!

EEO Notice

Homeland LLC is an Equal Opportunity Employer. Homeland LLC provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, gender, sexual orientation, national origin, age, disability, genetic information, marital status, amnesty, or status as a covered veteran in accordance with applicable federal, state, and local laws.

Homeland LLC complies with applicable state and local laws governing nondiscrimination in employment in every location in which the company has facilities.

Reasonable accommodation is available for qualified individuals with disabilities, upon request.