[Remote] UM Administration Coordinator

Note: The job is a remote job and is open to candidates in USA. Humana is hiring a UM Administration Coordinator to support the administration of utilization management through moderately complex administrative, operational, and Enrollee support assignments. The role provides nonclinical support and assists Providers with discharge planning and other Provider-facing responsibilities.

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

Skills

• 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
• 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

Benefits

• 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
• Remote position; occasional travel to Humana's offices for training or meetings may be required

Company Overview

Company H1B Sponsorship