Utilization Management Assistant
Apply Job ID 29114 Date posted 05/09/2025Job Family:
Medical Assistant
Travel Required:
Clearance Required:
What You Will Do:
The Utilization Management Assistant's will work in collaboration with Nursing staff on appeal follow ups. This includes communicating with insurance companies and other departments in the institution. Under limited supervision, independently provides broad-scale administrative, project and operational support affecting multiple complex departments and/or the organization, which require high level skills and knowledge of departmental and organizational policies and procedures. Utilizes considerable judgment in interpreting departmental policies to resolve routine to complex inquiries or problems, serves as primary liaison with other departments and agencies. Develops, recommends, and implements administrative and operational protocols for the department. Prepares a wide range of documents; composes, edits, and proofreads correspondence & reports; creates and maintains spreadsheets and databases and produces reports; edits and proofreads documents to ensure accuracy. This position is 100% remote.
What You Will Need:
Minimum of high school diploma or GED equivalent
3-4 years previous healthcare experience
What Would Be Nice To Have:
Knowledge of medical terminology
Proficiency utilizing excel, Word, One-Note, Outlook
Strong attention to detail
Strong verbal and written communication
Flexibility, our priorities may change depending on the client needs
What We Offer:
Guidehouse offers a comprehensive, total rewards package that includes competitive compensation and a flexible benefits package that reflects our commitment to creating a diverse and supportive workplace.
Benefits include:
Medical, Rx, Dental & Vision Insurance
Personal and Family Sick Time & Company Paid Holidays
Position may be eligible for a discretionary variable incentive bonus
Parental Leave
401(k) Retirement Plan
Basic Life & Supplemental Life
Health Savings Account, Dental/Vision & Dependent Care Flexible Spending Accounts
Short-Term & Long-Term Disability
Tuition Reimbursement, Personal Development & Learning Opportunities
Skills Development & Certifications
Employee Referral Program
Corporate Sponsored Events & Community Outreach
Emergency Back-Up Childcare Program
About Guidehouse
Guidehouse is an Equal Opportunity Employer–Protected Veterans, Individuals with Disabilities or any other basis protected by law, ordinance, or regulation.
Guidehouse will consider for employment qualified applicants with criminal histories in a manner consistent with the requirements of applicable law or ordinance including the Fair Chance Ordinance of Los Angeles and San Francisco.
If you have visited our website for information about employment opportunities, or to apply for a position, and you require an accommodation, please contact Guidehouse Recruiting at 1-571-633-1711 or via email at RecruitingAccommodation@guidehouse.com. All information you provide will be kept confidential and will be used only to the extent required to provide needed reasonable accommodation.
All communication regarding recruitment for a Guidehouse position will be sent from Guidehouse email domains including @guidehouse.com or guidehouse@myworkday.com. Correspondence received by an applicant from any other domain should be considered unauthorized and will not be honored by Guidehouse. Note that Guidehouse will never charge a fee or require a money transfer at any stage of the recruitment process and does not collect fees from educational institutions for participation in a recruitment event. Never provide your banking information to a third party purporting to need that information to proceed in the hiring process.
If any person or organization demands money related to a job opportunity with Guidehouse, please report the matter to Guidehouse’s Ethics Hotline. If you want to check the validity of correspondence you have received, please contact recruiting@guidehouse.com. Guidehouse is not responsible for losses incurred (monetary or otherwise) from an applicant’s dealings with unauthorized third parties.
Guidehouse does not accept unsolicited resumes through or from search firms or staffing agencies. All unsolicited resumes will be considered the property of Guidehouse and Guidehouse will not be obligated to pay a placement fee.