UM Administration Coordinator 2
Humana Inc, Oklahoma City, OK, United States
Become a Part of Our Caring Community
The Utilization Management (UM) Coordinator contributes to the administration of UM. The UM Coordinator performs varied activities and moderately complex administrative, operational, and Enrollee support assignments. The individual in this role performs computations and typically works on semi‑routine assignments.
Position Responsibilities
Provides nonclinical support for the policies and procedures, ensuring the best and most appropriate treatment, care, or services for our enrollees.
Assists providers with discharge planning for enrollees with inpatient stay or outpatient physical health.
Works on special projects with the clinical team.
Completes provider‑facing responsibilities.
Required Qualifications
1 or more years of administrative or technical support experience.
Working knowledge of MS Office (Word, Excel, Outlook) in a Windows‑based environment and the ability to learn new systems quickly.
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 or experienced 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.
Benefits
Health benefits effective day one.
Paid time off, holidays, volunteer time and jury duty pay.
Recognition pay.
401(k) retirement savings plan with employer match.
Tuition assistance.
Scholarships for eligible dependents.
Parental and caregiver leave.
Employee charity matching program.
Network Resource Groups (NRGs).
Career development opportunities.
Equal Opportunity Employer
It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.
Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See https://www.humana.com/legal/accessibility-resources?source=Humana_Website.
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The Utilization Management (UM) Coordinator contributes to the administration of UM. The UM Coordinator performs varied activities and moderately complex administrative, operational, and Enrollee support assignments. The individual in this role performs computations and typically works on semi‑routine assignments.
Position Responsibilities
Provides nonclinical support for the policies and procedures, ensuring the best and most appropriate treatment, care, or services for our enrollees.
Assists providers with discharge planning for enrollees with inpatient stay or outpatient physical health.
Works on special projects with the clinical team.
Completes provider‑facing responsibilities.
Required Qualifications
1 or more years of administrative or technical support experience.
Working knowledge of MS Office (Word, Excel, Outlook) in a Windows‑based environment and the ability to learn new systems quickly.
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 or experienced 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.
Benefits
Health benefits effective day one.
Paid time off, holidays, volunteer time and jury duty pay.
Recognition pay.
401(k) retirement savings plan with employer match.
Tuition assistance.
Scholarships for eligible dependents.
Parental and caregiver leave.
Employee charity matching program.
Network Resource Groups (NRGs).
Career development opportunities.
Equal Opportunity Employer
It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.
Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See https://www.humana.com/legal/accessibility-resources?source=Humana_Website.
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