Utilization Management Administration Coordinator - SNF
Humana —Remote
- $40,000 - $52,300 a year
- Full-time
- Remote
- Microsoft Word
- Microsoft Excel
- Microsoft Outlook
- Paid parental leave
- Paid holidays
Nurse Clinical Lead - Provider Education
Humana —Remote
- $104,000 - $143,000 a year
- Full-time
- Remote
- Nursing
- RN License
- 5 years
- Paid parental leave
- Paid holidays
8d
Grievances and Appeals Representative
Humana —Remote
- $43,000 - $56,200 a year
- Overtime
- Remote
- Microsoft Excel
- Mid-level
- Travel
- Paid parental leave
- Paid holidays
1d
Value-Based Programs Lead (Medicaid)
Humana —Remote
- $104,000 - $143,000 a year
- Full-time
- Remote
- 5 years
- Writing skills
- Master's degree
- Paid parental leave
- Paid holidays
Compliance Lead
Humana —Remote
- $115,200 - $158,400 a year
- Full-time
- Remote
- Research
- 8 years
- Bachelor's degree
- Paid parental leave
- Paid holidays
2d
In-Home Performance Lead
Humana —Remote
- $115,200 - $158,400 a year
- Full-time
- Remote
- 5 years
- Master's degree
- SQL
- Paid parental leave
- Paid holidays
Senior Voice of the Customer Professional
Humana —Remote
- $89,000 - $121,400 a year
- Full-time
- Remote
- Marketing
- 5 years
- Analysis skills
- Paid parental leave
- Paid holidays
4d
Medical Coding Auditor
Humana —Remote
- $59,300 - $80,900 a year
- 8 hour shift
- Remote
- Microsoft Excel
- HIPAA
- Mid-level
- Paid parental leave
- Paid holidays
Senior Compliance Professional
Humana —Remote
- $86,300 - $118,700 a year
- Full-time
- Remote
- Microsoft Word
- Research
- Bachelor's degree
- Paid parental leave
- Paid holidays
CenterWell Process Improvement Lead
Humana —Remote
- $94,900 - $130,500 a year
- Full-time
- Remote
- 7 years
- Research
- SQL
- Paid parental leave
- Paid holidays
Senior Insurance Product Content Professional
Humana —Remote
- $71,100 - $97,800 a year
- Full-time
- Remote
- Research
- Bachelor's degree
- Travel
- Paid parental leave
- Paid holidays
10d
Provider Relations Representative - PCP
Humana —Norfolk, VA
- $59,300 - $80,900 a year
- Full-time
- Mid-level
- Office
- Travel
- Paid parental leave
- Paid holidays
7d
Associate Actuary
Humana —Remote
- $106,900 - $147,000 a year
- Full-time
- Remote
- Mid-level
- SQL
- Bachelor's degree
- Paid parental leave
- Paid holidays
8d
Inpatient Medical Coding Auditor
Humana —Remote
- $71,100 - $97,800 a year
- 8 hour shift
- Remote
- Microsoft Excel
- Mid-level
- Travel
- Paid parental leave
- Paid holidays
Claims Processing Representative
Humana —Louisville, KY
- $40,000 - $52,300 a year
- Full-time
- Microsoft Excel
- Customer service
- Office
- Paid parental leave
- Paid holidays
9d
Risk Adjustment Representative
Humana —North Carolina
- $40,000 - $52,300 a year
- Full-time
- Remote
- Background check
- Microsoft Excel
- Customer service
- Paid parental leave
- Paid holidays
8d
Encounter Data Management Lead
Humana —Remote
- $94,900 - $130,500 a year
- Full-time
- Remote
- Mid-level
- Travel
- Leadership
- Paid parental leave
- Paid holidays
Lead Content Designer
Humana —Remote
- $104,000 - $143,000 a year
- Full-time
- Remote
- Continuous improvement
- Travel
- Senior level
- Paid parental leave
- Paid holidays
UM Administration Coordinator (Kentucky Medicaid)
Humana —Tennessee
- $40,000 - $52,300 a year
- Full-time
- Remote
- Microsoft Outlook
- Mid-level
- Windows
- Paid parental leave
- Paid holidays
2d
Sr Insurance Product Content Prof
Humana —Remote
- $71,100 - $97,800 a year
- Full-time
- Remote
- Writing skills
- Bachelor's degree
- Product management
- Paid parental leave
- Paid holidays
10d

I want to receive the latest job alert for Humana

By signing in to your account, you agree to SimplyHired's Terms of Service and consent to our Cookie and Privacy Policy.

Utilization Management Administration Coordinator - SNF

Humana -
Remote

Apply Now

Job Details

Full-time
$40,000 - $52,300 a year

Benefits

Paid parental leave
Caregiver leave
Paid holidays
Disability insurance
Health insurance
Dental insurance
401(k)
Paid time off
Work from home
Parental leave
Vision insurance
Life insurance

Qualifications

Microsoft Word
Microsoft Excel
Microsoft Outlook
Administrative experience
Data entry
Typing

Full Job Description

Become a part of our caring community

The UM Administration Coordinator (UMAC) provides non-clinical support for policies ensuring the most appropriate treatment, care or services for members using services. Reporting to the Manager of Utilization Management, you will work fully remote. You are part of the Home Solutions organization, which contributes to the Skilled Nursing Facility segment. This segment partners with CenterWell and Onehome.

As a Utilization Management Administration Coordinator, you will work within defined parameters to meet work expectations and quality standards.

You will manage NLP's for chart reviews for the nursing team
You will build and pend authorizations for review
You will perform inbound and outbound calls to engage providers and members to verify clinical information/discharge date and admission status throughout the day and will document completed calls and attach clinical information received.
You will request clinical information from providers/facilities
You will create written correspondence
You will create and distribute determination letters
And you will collaborate with multiple roles/departments/providers/team members

Use your skills to make an impact

Required Qualifications:

1+ years' experience working in an administrative support capacity
Prior professional experience of Microsoft Word, Outlook and Excel with the ability to type and enter data
Ability to new systems (proficient to advanced)

Preferred Qualifications:

Experience with Utilization Review or Prior Authorization within a managed care organization
Proficient using electronic medical record and documentation programs
Experience with medical terminology or ICD-10 codes
Prior member service or customer service telephone experience
Experience with SNF or Home Health
Prior experience with CGX, SRO and HCHB
Prior experience in a metric driven environment
Prior experience in the healthcare industry

Additional Information

Work-at-Home Information:

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.

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. In certain roles, the minimum recommended internet speed required by Humana may not be sufficient for business needs. Humana reserves the right to require associates to upgrade their internet service if necessary. Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.

Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.

Scheduled Weekly Hours

Pay 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.

$40,000 - $52,300 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, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.

About us

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.

Apply Now

Refine Your Search

Humana jobs

Utilization Management Administration Coordinator - SNF

Nurse Clinical Lead - Provider Education

Grievances and Appeals Representative

Value-Based Programs Lead (Medicaid)

Compliance Lead

In-Home Performance Lead

Senior Voice of the Customer Professional

Medical Coding Auditor

Senior Compliance Professional

CenterWell Process Improvement Lead

Senior Insurance Product Content Professional

Provider Relations Representative - PCP

Associate Actuary

Inpatient Medical Coding Auditor

Claims Processing Representative

Risk Adjustment Representative

Encounter Data Management Lead

Lead Content Designer

UM Administration Coordinator (Kentucky Medicaid)

Sr Insurance Product Content Prof

I want to receive the latest job alert for Humana

Related Searches

Explore jobs in more locations

Become a part of our caring community

Use your skills to make an impact

Required Qualifications:

Preferred Qualifications:

Additional Information

Work-at-Home Information:

About us

Job Seeker Tools

Employer Tools

Browse

Stay Connected