UM Administration Coordinator, Claims, UR, PA

🔥 2 minutes ago

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Logo of Humana

Humana

10,000+ employees

Founded 1961

⚕️ Healthcare Insurance

Healthcare Insurance

Humana is a healthcare company dedicated to making a positive impact on the health of individuals, communities, and the healthcare system as a whole. With a focus on putting health first, Humana serves a diverse range of populations, including seniors and the military, providing Medicare Advantage HMO, PPO, and PFFS plans. Humana is committed to fostering a culture of belonging and mutual respect, offering competitive and flexible benefits to ensure the financial security of its employees and their families. The company prides itself on creating an inclusive workplace where everyone has the opportunity to succeed.

📋 Description

• contributes to administration of utilization management for Humana's KY Medicaid plan • performs varied activities and moderately complex administrative/operational/customer support assignments • provides non-clinical support for the procedures ensuring best treatment, care or services for members • follow standard policies that allow for some opportunity for interpretation/deviation and independent

🎯 Requirements

• 2+ years administrative or similar job experience • 2+ years of claims experience • 2+ years' experience with Utilization Review or Prior Authorization, within a managed care organization • Working knowledge of MS Office including Word, Excel, and Outlook in a Windows-based environment and an ability to quickly learn new systems

🏖️ Benefits

• 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

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