[Remote] UM Administration Coordinator

Note: The job is a remote job and is open to candidates in USA. Humana is committed to putting health first, and they are seeking a UM Administration Coordinator to contribute to the administration of utilization management. This role involves providing non-clinical support for policies and procedures, ensuring appropriate treatment and care for members while working under defined parameters with some degree of independence.

Responsibilities

• Provides non-clinical support for the policies and procedures ensuring best and most appropriate treatment, care or services for members
• Decisions are typically focus on interpretation of area/department policy and methods for completing assignments
• Works within defined parameters to identify work expectations and quality standards, but has some latitude over prioritization/timing, and works under minimal direction
• Follows standard policies/practices that allow for some opportunity for interpretation/deviation and/or independent discretion

Skills

• Must Reside in Oklahoma
• 1+ years administrative or technical support experience
• Excellent verbal and written communication skills
• Working knowledge of MS Office including Word, Excel, and Outlook in a Windows based environment and an ability to quickly learn new systems
• Bachelors Degree
• Experience with Utilization Review and/or Prior Authorization, preferably within a managed care organization
• Proficient utilizing electronic medical record and documentation programs
• Proficient and/or experience with medical terminology and/or ICD-10 codes
• 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, volunteer time off, paid parental and caregiver leave)
• Short-term and long-term disability
• Life insurance

Company Overview

Company H1B Sponsorship