Manager, UM Administration

Humana; Brasil; Teletrabalho; BRL 80.000 - 120.000; Tempo integral

Resumo da oferta

A leading health services organization is seeking a Manager, UM Administration in Brazil. This role involves providing non-clinical support and customer assistance while leading multiple units. The ideal candidate will have a Bachelor's degree, at least two years of leadership experience, and a solid background in healthcare. The work environment is primarily home-based, with some office collaboration required.

Qualificações

• Two years of supervisory or people leadership experience.
• Experience with process improvement or design and implementation.
• Progressive experience in health service industry or healthcare consulting.

Responsabilidades

• Provide non-clinical support for policies and procedures.
• Offer customer support for authorization inquiries.
• Supervise and lead 3 units within your area.

Conhecimentos

Leadership

Process Improvement

Microsoft Office Applications

Communication

Formação académica

Bachelor's Degree

Descrição da oferta de emprego

Become a part of our caring community and help us put health first

Ready to take the next step in your career? Humana is looking for a Manager, UM Administration to join our team! In this role, you’ll use your technical know-how to tackle a variety of challenges while following established processes. You’ll set your own approach, organize resources, and work toward clear goals—making a real impact on our utilization management efforts. If you’re eager to bring your skills to a supportive team and help shape healthcare solutions, we’d love to hear from you.

Key responsibilities

• Provide non-clinical support for policies and procedures, including creating service authorizations
• Offer customer support for authorization inquiries and claim-related issues
• Make decisions related to resources, approaches, and tactical operations for projects and initiatives within your department
• Collaborate across departments and maintain frequent contact with other managers
• Conduct briefings and area meetings to ensure alignment and communication across teams
• Supervise and lead 3 units within your area, providing people management and support
• Identify inefficiencies and opportunities, develop business process improvement plans, and lead the implementation
• Conduct strategic planning efforts

Required Qualifications

• Bachelor's Degree
• Two years of supervisory or people leadership experience
• Prior demonstrated experience with process improvement or process design and implementation roles
• Must be available to work the hours of 8am to 4:30pm CST, Monday through Friday
• Comprehensive knowledge of all Microsoft Office applications
• Progressive experience in the health service industry, healthcare finance, or healthcare related consulting
• Deep understanding of strategic planning, customer loyalty and retention programs, and primary and secondary research processes
• Strategic thinking and business planning capabilities; organized and detail-oriented
• Excellent written and verbal communication skills
• Demonstrated presentation skills

Preferred Qualifications

• Master's Degree
• 3 - 5 years of Utilization Management experience
• Reside within the State of Wisconsin
• General understanding of economic, financial and operational concepts

Workstyle and Location

• Home: Associates Home office environment is their primary work location, but they will use Humana office space on an as needed basis for collaboration and other face-to-face needs.
• Work Location: Wisconsin
• Typical Work Days/Hours: Monday through Friday, 8:00 am – :30 pm CST.
• Travel: Monthly or quarterly in person meetings in WI

Equal Opportunity Employer

It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.