UM Administration Coordinator

** Become a part of our caring community*
* The UM Administration Coordinator 1 contributes to administration of utilization management. The UM Administration Coordinator 1 performs basic administrative/clerical/operational/customer support/computational tasks. Typically works on routine and patterned assignments.

The  
** UM Administration Coordinator
** provides non-clinical administrative support for utilization management activities that help ensure members receive appropriate care and services. This role follows established processes, policies, and quality standards while supporting efficient and accurate operational workflows.

** Key Responsibilities*
* + Support utilization management policies, procedures, and operations.

+ Assist with activities that promote appropriate member care and services.

+ Complete administrative tasks following established guidelines and procedures.

+ Maintain accurate records and documentation.

+ Meet quality, productivity, and timeliness expectations.

+ Prioritize and complete assigned work within designated time frames.

+ Adhere to departmental policies, compliance requirements, and performance standards.

+ Escalate issues that fall outside established guidelines.

+ Collaborate with internal teams to support operational goals.

+ Perform work under close supervision and within defined processes.

** Use your skills to make an impact*
* ** Required Qualifications** :

+ Administrative or technical support experience

+ Excellent verbal and written communication skills

+ Strong attention to detail

+ Strong typing and computer navigation skills

+ Ability to manage multiple or competing priorities, including use of multiple computer applications simultaneously

+ Must be passionate about contributing to an organization focused on continuously improving consumer experiences

** Preferred Qualifications*
* + Previous contact center or related customer service experience with telephone experience desired

+ Healthcare experience

+ High School diploma

+ Proficient utilizing electronic medical record and documentation programs

+ Proficient 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

+ Previous employment with work at home background

** Additional Information:*
* As part of our hiring process for this opportunity, we will be using an interviewing technology called Hire Vue to enhance our hiring and decision-making ability. Hire Vue 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.

** 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.

+ 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.

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.

$39,000 - $49,400 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…