
10,000+ employees
Founded 1961
🏥 Healthcare
🛡️ Insurance
⚕️ Healthcare Insurance
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.
🔥 0 minutes ago
🚗 Michigan – Remote
💵 $40k - $52.3k / year
⏰ Full Time
🟢 Junior
🖥️ Administration
🚫👨🎓 No degree required
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10,000+ employees
Founded 1961
🏥 Healthcare
🛡️ Insurance
⚕️ Healthcare Insurance
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.
• Provide non-clinical support for utilization management policies and procedures • Provide Long-Term Services and Supports (LTSS) utilization management support • Manage shared mailboxes • Enter data into work queues and clinical documentation systems • Mail letters and educational materials • Prepare documents for LTSS utilization management reviewers and Medical Directors • Ensure timely and correct submission of state-required deliverables • Coordinate with care coordinators and internal and external stakeholders • Perform clerical activities, computations, reporting, data tracking, report pulling, and email monitoring/management • Make, receive, and soft transfer calls with members, families, and providers • Ensure timely communication and follow-up with care management • Work on semi-routine assignments subject to change • Occasionally travel to Humana offices for training or meetings
• Must reside in Michigan • One (1) or more years of administrative experience in a healthcare environment • Strong verbal and written communication skills • Working knowledge of Microsoft Word, Excel, and Outlook in a Windows-based environment • Ability to learn new software and systems • Experience with LTSS programs (preferred) • Experience with LTSS Utilization Review and/or Prior Authorization, preferably within a managed care organization (preferred) • Proficient using electronic medical record and documentation programs (preferred) • Proficient or experienced with medical terminology and/or ICD-10 codes (preferred) • Prior member service or customer service telephone experience (preferred) • Minimum home internet speed of 25 Mbps download and 10 Mbps upload • Dedicated workspace without ongoing interruptions to protect member PHI/HIPAA information • Full participation throughout the 4–6 week onboarding and training period
• Medical benefits • Dental benefits • Vision benefits • 401(k) retirement savings plan • Paid time off • Company holidays • Personal holidays • Paid parental leave • Paid caregiver leave • Short-term disability • Long-term disability • Life insurance • Remote work • Flexible schedule/additional hours as needed • Training and onboarding program
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