UM Administration Coordinator

Humana; Oklahoma; A distancia; USD 40.000 - 52.000; Jornada completa

Descripción de la vacante

Humana is seeking an UM Coordinator to support utilization management administration. This role provides nonclinical support, assists with discharge planning, and collaborates with the clinical team on special projects to improve enrollee care.

The position requires at least one year of administrative or technical support experience, strong MS Office skills, and a commitment to delivering quality member experiences. Remote work with occasional travel may be required.

Formación

• Must reside in Oklahoma.
• 1 or more years administrative or technical support experience.
• Working knowledge of MS Office including Word, Excel, and Outlook in a Windows based environment and an ability to quickly learn new systems.
• Must be passionate about contributing to an organization focused on improving consumer experiences.

Responsabilidades

• Provide nonclinical support for the policies and procedures, ensuring best and most appropriate treatment, care, or services for our Enrollees.
• Assist Providers with discharge planning for Enrollees with inpatient stay or outpatient physical health.
• Work on special projects with the clinical team.
• Complete Provider-facing responsibilities.

Conocimientos

Administrative experience

Educación

Bachelor’s Degree in Business/Finance or related field

Herramientas

MS Office Word

MS Office Excel

MS Outlook

Descripción del empleo

Become a part of our caring community

The Utilization Management (UM) Coordinator contributes to administration of UM. The UM Coordinator performs varied activities and moderately complex administrative, operational, and Enrollee support assignments. You will performs computations and typically works on semi-routine assignments.

POSITION RESPONSIBILITIES:

• Provide nonclinical support for the policies and procedures, ensuring best and most appropriate treatment, care, or services for our Enrollees
• Assist Providers with discharge planning for Enrollees with inpatient stay or outpatient physical health
• Work on special projects with the clinical team
• Complete Provider-facing responsibilities

Use your skills to make an impact

Required Qualifications

• Must reside in Oklahoma
• 1 or more years administrative or technical support experience
• Working knowledge of MS Office including Word, Excel, and Outlook in a Windows based environment and an ability to quickly learn new systems
• Must be passionate about contributing to an organization focused on improving consumer experiences

Preferred Qualifications

• Proficient using electronic medical record and documentation programs
• Experience with Utilization Review and/or Prior Authorization, preferably within a managed care organization
• Proficient and/or experience with medical terminology and/or ICD-10 codes
• Bachelor’s Degree in Business, Finance or a related field
• Prior member service or customer service telephone experience desired

Additional Information

• Must be able to work occasional Saturday rotations

Work at Home Requirements: To ensure Home or Hybrid Home/Office employees’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. In certain roles, the minimum recommended internet speed required by Humana may not be sufficient for business needs. Humana reserves the right to require associates to upgrade their internet service if necessary. Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.

Travel: While this is a remote position, occasional travel to Humana’s offices for training or meetings may be required.

Scheduled Weekly Hours

40

Pay Range

The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.

$40,000 - $52,300 per year

Description of Benefits

Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.

About us

About Humana: Humana Inc. (NYSE: HUM) is a leading U.S. healthcare company. Through our Humana insurance services and our CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare and Medicaid, families, individuals, military service personnel, and communities at large. Learn more about what we offer atHumana.comand atCenterWell.com.

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.