Clinical Pharmacy Review Supervisor, UM Administration

Supervisor, UM Administration

Become a part of our caring community and join a team that is passionate about contributing to an organization focused on continuously improving consumer experiences.

The Supervisor, UM Administration contributes to administration of utilization management. The Supervisor, UM Administration works within thorough, prescribed guidelines and procedures; uses independent judgment requiring analysis of variable factors to solve basic problems; collaborates with management and top professionals/specialists in selection of methods, techniques, and analytical approach.

The Supervisor, UM Administration provides support for and supervises a group of typically support and technical associates; coordinates and provides day-to-day oversight to associates. Ensures consistency in execution across team. Holds team members accountable for following established policies. The Supervisor, UM Administration leads a team of 14-25 associates. Decisions are typically related to schedule, plans and daily operations.

Responsibilities include but are not limited to the following:

• Performs escalated or more complex work of a similar nature, and supervises others.
• Coordinates and provides day-to-day oversight to associates.
• Ensures consistency in execution across team.
• Holds team members accountable for following established policies.
• Communicates regularly and effectively with associates, and works to remove obstacles for staff.
• Leads and empowers direct reports in a way that supports the growth and development of both competencies and contributions.
• Utilizes knowledge and experience to provide on-going training and support to team members.
• Helps team achieve goals and has responsibility for personnel issues, including required discipline.
• Identify projects and process improvements to drive business forward.

Use your skills to make an impact

Required Qualifications:

• + Associate Degree or 1 – 3 years experience in a team leadership or supervisory position
• + Proficiency in Microsoft Office Word, Excel and Power Point
• + Able to give direction and make sound business decisions
• + Ability to exercise sound judgement and engage in ethical behavior
• + Exceptional verbal and written communication skills
• + Strong attention to detail
• + Must be passionate about contributing to an organization focused on continuously improving consumer experiences

Preferred Qualifications:

• + Experience in an operational setting
• + General understanding of economic, financial and operational concepts
• + Previous supervisory experience in a call center setting

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.

SSN Alert:

Humana values personal identity protection. Please be aware that applicants may be asked to provide their Social Security Number, if it is not already on file. When required, an email will be sent from  with instructions on how to add the information into your official application on Humana's secure website.

Travel:
While this is a remote position, occasional travel to Humana's offices for…