UM Administration Coordinator

Humana

1d • $43,000 - $56,200 • Remote

About The Position

The UM Administration Coordinator 3 contributes to the administration of utilization management. This role performs advanced administrative/operational/customer support duties that require independent initiative and judgment. The UM Administration Coordinator 3 will report to the Manager, UM Administration and provide non-clinical support for policies and procedures, ensuring the best and most appropriate treatment, care, or services for members. Decisions are typically focused on methods, tactics, and processes for completing administrative tasks/projects. The role regularly exercises discretion and judgment in prioritizing requests and interpreting and adapting procedures, processes, and techniques, working under limited guidance due to previous experience, breadth and depth of knowledge of administrative processes, and organizational knowledge. This is a remote position with specific work-at-home requirements, including a dedicated space and minimum internet speeds. Occasional travel to Humana's offices for training or meetings may be required.

Requirements

• 3 or more years administrative or technical support experience
• Demonstrated ability to articulate ideas effectively in both written and oral forms
• Advanced knowledge of MS Office including Word, Excel, and Outlook in a Windows based environment
• Ability to quickly learn new systems
• 25 mbps download speeds or higher to ensure connectivity and 10 upload
• Proficient utilizing electronic medical record and documentation programs
• Proficient and/or experience with medical terminology and/or ICD-10 codes

Nice To Haves

• Prior member service or customer service telephone experience
• Experience with Utilization Review and/or Prior Authorization, preferably within a managed care organization

Responsibilities

• Administer utilization management.
• Perform advanced administrative/operational/customer support duties.
• Apply intermediate mathematical skills.
• Provide non-clinical support for policies and procedures.
• Ensure best and most appropriate treatment, care, or services for members.
• Make decisions focused on methods, tactics, and processes for completing administrative tasks/projects.
• Regularly exercise discretion and judgment in prioritizing requests and interpreting and adapting procedures, processes, and techniques.
• Work under limited guidance due to previous experience/breadth and depth of knowledge of administrative processes and organizational knowledge.

Benefits

• medical
• dental
• 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

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: No Education Listed