UM Administration Coordinator
$40k - $52.3kHumana Inc
- # UM Administration CoordinatorApply: Remote Oklahoma: Full time: Posted Today: R-433845# **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.
- J-18808-Ljbffr Humana Inc
Vacancy posted 15 hours ago
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