UM Administration Coordinator

Humana Inc; Orlando (FL); Remote; USD 40,000 - 53,000; Full time

Job summary

Humana Healthy Horizons in Florida is looking for a UM Administration Coordinator 2. The role involves providing non-clinical support within utilization management, requiring independent judgment and administrative capabilities. Ideal candidates will have at least 2 years of experience and proficiency in MS Office.

Qualifications

• Minimum 2 ans d'expérience en support administratif.
• Connaissance des dossiers médicaux électroniques sera considérée.
• Capacité à apprendre rapidement de nouveaux systèmes.

Responsibilities

• Fournir un soutien non clinique pour les politiques et procédures.
• Exercer un jugement dans la priorisation des demandes.
• Travailler sous une supervision limitée.

Skills

MS Office proficiency

customer service

Job description

Job Profile

UM Administration Coordinator 2

Job Level

Representative 2

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

Humana Healthy Horizons in Florida is seeking a UM Administration Coordinator who will contribute to the administration of utilization management. The UM Administration Coordinator performs advanced administrative/operational/customer support duties that require independent initiative and judgment.

The UM Administration Coordinator:

• Provides non-clinical support for the policies and procedures ensuring best and most appropriate treatment, care or services for members.
• Decisions are typically focused on methods, tactics and processes for completing administrative tasks/projects.
• Regularly exercises discretion and judgment in prioritizing requests and interpreting and adapting procedures, processes and techniques.
• Works under limited guidance due to previous experience and depth of knowledge of administrative processes and organizational knowledge.

Use your skills to make an impact

Required Qualifications

• 2 or more years of administrative or technical support experience.
• Proficiency in MS Office including Word, Excel, and Outlook in a Windows based environment and an ability to quickly learn new systems.
• Experience utilizing electronic medical record and/or documentation programs.
• ACHA Level II Background Check is required.

Preferred Qualifications

• Prior member service or customer service telephone experience.
• Proficiency and/or experience with medical terminology and/or ICD-10 codes.
• Experience with Utilization Review and/or Prior Authorization, preferably within a managed care organization.

Additional Information:

• Workstyle: Home. Home workstyle is defined as remote but will use Humana office space on an as needed basis for collaboration and other face-to-face needs.
• Work Location: must reside in the state of Florida.
• Typical work days/hours: Monday – Friday, 8:30 am – 5:00 PM EST

WAH Internet Statement

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 recommended; wireless, wired cable or DSL connection is suggested.
• Satellite, cellular and microwave connection can be used only if approved by leadership.
• Employees who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense.
• Humana will provide Home or Hybrid Home/Office employees with telephone equipment appropriate to meet the business requirements for their position/job.
• Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.

HireVue

As part of our hiring process for this opportunity, we will be using an interviewing technology called HireVue to enhance our hiring and decision-making ability. HireVue allows us to quickly connect and gain valuable information from you pertaining to your relevant skills and experience at a time that is best for your schedule.

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

Referral Bonus Information

This requisition is not eligible for a referral bonus.

About us

Humana Inc. (NYSE: HUM) is committed to putting health first – for our teammates, our customers and our company. Through our Humana insurance services and 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, Medicaid, families, individuals, military service personnel, and communities at large.

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.