UM Administration Coordinator Team Lead One Weekend Day Required - Work at Home AZ CO NM

Profile

Description

The UM Administration Coordinator 3 contributes to administration of utilization management. The UM Administration Coordinator 3 performs advanced administrative/operational/customer support duties that require independent initiative and judgment. May apply intermediate mathematical skills.

How we Value You

Benefits starting day 1 of employment

Competitive 401k match

Generous Paid Time Off accrual

Tuition Reimbursement

Parent Leave

Go365 perks for well-being

Responsibilities

The UM Administration Coordinator 3 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 methods, tactics and processes for completing administrative tasks/projects. Regularly exercises discretion and judgment in prioritizing requests and interpreting and adapting procedures, processes and techniques, and works under limited guidance due to previous experience/breadth and depth of knowledge of administrative processes and organizational knowledge.

Role Responsibilities


Update and maintain regional UMAC process guides.
Make updates to regional facility contact guide as needed.
Monitor daily work volumes and assist with coverage coordination.
Collaborate with leader on processes flows and integrations, reviewing best practices, and identifying team needs.
Assist with team meetings as needed such as presenting items, taking notes, capturing team questions, etc.
Team Lead will maintain some capacity to assist with UMAC work as needed.


Required Qualifications


3 or more years Administrative, Healthcare or Customer Service support experience
Excellent verbal and written communication skills
Advanced knowledge of Microsoft Office :Word, Excel, and Outlook in a Windows based environment
Ability to quickly learn new systems
Must be passionate about contributing to an organization focused on continuously improving consumer experiences
Must have accessibility to high speed DSL or Cable modem for a home office (Satellite internet service is NOT allowed for this role); recommended speed is 10Mx1M


Preferred Qualifications


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
Experience with Utilization Review and/or Prior Authorization, preferably within a managed care organization


Additional Information


Business hours are from 8am-6pm MST and PST, One weekend day (Sunday) is required as part of the weekly routine schedule.


As part of our hiring process for this opportunity, we may contact you via text message and email to gather more information using a software platform called Modern Hire. Modern Hire Text, Scheduling and Video technologies allow you to interact with us at the time and location most convenient for you.

If you are selected to move forward from your application prescreen, you may receive correspondence inviting you to participate in a pre-recorded Voice, Text Messaging and/or Video interview. Your recorded interview will be reviewed and you will subsequently be informed if you will be moving forward to next round of interviews.

Alert: Humana values personal identity protection. Please be aware that applicants selected for leader review may be asked to provide a social security number, if it is not already on file. When required, an email will be sent from **** with instructions to add the information into the application at Humana's secure website

The following policy applies ONLY to associates working in the state of Arizona: Humana is committed to providing a safe and healthy work environment and to promoting the health and well-being of its associates. Effective April 1, 2011, Humana has adopted a tobacco-free hiring policy that will promote a healthier workplace and will not hire users of tobacco and nicotine products. If you have any questions, please consult with your recruiter.

If you are an Internal Candidate and you have additional questions regarding this role posting, please send them to the Ask A Recruiter persona by visiting go/Buzz and searching Ask A Recruiter! Please be sure to provide the requisition number so we may be able to research your request quicker.

Scheduled Weekly Hours

40

Company info

Sign Up Now - MiamiCrossing.com