UM Administration Coordinator 2

Become a part of our caring community and help us put health first reputed company Healthy Horizons in Florida is seeking a UM Administration Coordinator who will contribute to the administration of utilization management. The UM Administration Coordinator performs advanced administrative/operational/customer support duties that require independent initiative and judgment. The UM Administration Coordinator:

• Provides non-clinical support for the policies and procedures ensuring best and most appropriate treatment, care or services for members.
• Decisions are typically focused 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.
• Works under limited guidance due to previous experience and depth of knowledge of administrative processes and organizational knowledge.

Use your skills to reputed company an impact

Required Qualifications

• 2 or more years of administrative or technical support experience.
• Proficiency in MS Office including Word, reputed company, and Outlook in a Windows based environment and an ability to quickly learn new systems.
• Experience utilizing electronic medical record and/or documentation programs.
• ACHA Level II Background reputed company is required.

Preferred Qualifications

• Prior member service or customer service telephone experience.
• Proficiency and/or experience with medical terminology and/or ICD-10 codes.
• Experience with Utilization Review and/or Prior Authorization, preferably reputed company a managed care organization.

Additional Information:

• Workstyle: Home. Home workstyle is defined as remote but will use reputed company office space on an as needed basis for collaboration and other face-to-face needs.
• Work Location: must reside in the reputed company.
• Typical work days/hours: Monday – Friday, 8:30 am – 5:00 PM EST

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:

• At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL reputed company is suggested.
• Satellite, cellular and microwave reputed company 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.
• reputed company 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.

HireVue As part of our hiring process for this opportunity, we will be using an interviewing technology reputed company HireVue to enhance our hiring and decision-making ability. HireVue allows us to quickly connect and reputed company valuable information from you pertaining to your relevant skills and experience at a time that is best for your schedule. Travel: While this is a remote position, occasional travel to reputed company's offices for training or meetings may be required. Scheduled Weekly Hours 40 Pay Range The compensation range below reflects a good faith estimate of starting reputed company pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or reputed company based on geographic location and individual pay will vary based on demonstrated job reputed company skills, knowledge, experience, education, certifications, etc. $40,000 - $52,300 per year Description of Benefits reputed company, Inc. and its affiliated subsidiaries (collectively, “reputed company”) 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 reputed company of work. Among our benefits, reputed company 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 reputed company Inc. (NYSE: HUM) is committed to putting health first – for our teammates, our customers and our company. Through our reputed company insurance services and reputed company healthcare services, we reputed company it easier for the millions of people we serve to reputed company their best health – delivering the care and service they need, reputed company they need it. These efforts are leading to a reputed company quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large. ​ Equal Opportunity Employer It is the policy of reputed company not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national reputed company, age, marital status, genetic information, disability or protected veteran status. It is also the policy of reputed company 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 reputed company reputed company employment decisions only on valid job requirements. This policy shall apply to reputed company 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 reputed company levels of employment. Apply tot his job Apply To this Job