Become a part of our caring community
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The UM Administration Coordinator 2 contributes to administration of utilization management. The UM Administration Coordinator 2 performs varied activities and moderately complex administrative/operational/customer support assignments. Perform computations. Typically work on semi\-routine assignments.
The UM Administration Coordinator 2 contributes to the administration of care management and provides non\-clinical support to the assessment and evaluation of members' needs and requirements to achieve and maintain optimal wellness by guiding members/families toward and facilitate interaction with resources appropriate for the care and wellbeing of members.
- The UM Administration Coordinator performs computations and varied activities with moderately complex administrative, operational, and customer support assignments.
- The decisions are typically focused on interpretation of area/department policy and methods for completing assignments.
- Work within defined parameters to identify work expectations and quality standards, but has some latitude over prioritization/timing.
- Follow standard policies that allow for some opportunity for interpretation/deviation.
- Must reside in the Greater Chicago area/suburban Cook or nearby surrounding counties in the State of Illinois.
- 2\+ years of administrative support experience in the healthcare industry.
- 1\+ years of customer service experience.
- Previous experience working with Medicaid, Long\-term Care, or Medicare members.
- A minimum of an Associate's degree.
- Prior billing/claims or authorization experience
- Proficient using electronic medical record and documentation programs.
- Proficient with medical terminology and ICD\-10 codes.
- Experience with Utilization Review and Prior Authorization within a managed care organization.
- 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.
Use your skills to make an impact
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Required Qualifications
Preferred Qualifications
Additional Information
* Schedule: Monday through Friday, 8:00 AM – 5:00 PM with flexibility to work overtime as needed.
* Work Location (Address): Schaumburg, IL
* Work Style: Hybrid Office. Required to work in the office at least two days per week
Work\-at\-Home (WAH) Internet Statement
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:
Interview Format
As part of our hiring process for this opportunity, we will be using an interviewing technology called HireVue to enhance our hiring and decision\-making ability. HireVue 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.
Scheduled Weekly Hours
40Pay 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.
$44,000 \- $57,500 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 while also knowing your life extends outside of work. Among our benefits, Humana provides 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 and many other opportunities.About Us
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About Humana: Humana Inc. (NYSE: HUM) is a leading U.S. healthcare company. Through our Humana insurance services and our CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare and Medicaid, families, individuals, military service personnel, and communities at large. Learn more about what we offer at Humana.com and at CenterWell.com.
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.