Unknown Company is hiring an Utilization Management Administration Coordinator III - Correspondence

Humana / CenterWell / Conviva Senior Primary Care is hiring a Utilization Management Administration Coordinator III to contribute to the administration of utilization management. You’ll provide essential non-clinical support to ensure members receive the best and most appropriate care. This advanced role requires independent initiative and judgment to perform administrative, operational, and customer support duties.

What You'll Do

• Contribute to the administration of utilization management.
• Perform advanced administrative, operational, and customer support duties requiring independent initiative and judgment.
• Provide non-clinical support for policies and procedures ensuring best and most appropriate treatment, care or services for members.
• Focus on methods, tactics and processes for completing administrative tasks and projects.
• Regularly exercise discretion and judgment in prioritizing requests and interpreting and adapting procedures, processes, and techniques.

What We're Looking For

• 3 or more years of administrative or technical support experience.
• Excellent verbal and written communication skills.
• Advanced knowledge of MS Office including Word, Excel, and Outlook in a Windows based environment and an ability to quickly learn new systems.
• Accessibility to high speed DSL or Cable modem for a home office (Satellite internet service is NOT allowed); recommended speed is 10Mx1M.
• Proficiency utilizing electronic medical record and documentation programs.
• Proficiency and/or experience with medical terminology and/or ICD-10 codes.
• A passion for contributing to an organization focused on continuously improving consumer experiences.

Nice to Have

• Bachelor's Degree in Business, Finance or a related field.
• Prior member service or customer service telephone experience.
• Experience with Utilization Review and/or Prior Authorization, preferably within a managed care organization.

Technical Stack

• MS Office (Word, Excel, Outlook)
• Electronic medical record and documentation programs

Benefits & Compensation

• Compensation: $43,000 - $56,200 per year
• 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

Work Mode

This is a remote position.

Become a part of our caring community and help us put health first. We focus on whole-person health by addressing the physical, emotional and social wellness of our patients.

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.