
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.
🔥 4 minutes ago
🚗 Michigan – Remote
💵 $40k - $52.3k / year
⏰ Full Time
🟢 Junior
🖥️ Administration
🚫👨🎓 No degree required
🦅 H1B Visa Sponsor
👻 Ghost score 0%
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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 and enter data into work queues and/or 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 • Work with care coordinators and internal and external stakeholders to connect members and families with appropriate resources • Perform clerical activities, computations, reporting, data tracking, report pulling, and email monitoring/management • Make, receive, and soft-transfer calls to members, families, and providers • Ensure timely communication and follow-up with care management • Work on semi-routine assignments subject to change
• 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 • Proficiency using electronic medical record and documentation programs • Proficiency or experience with medical terminology and/or ICD-10 codes • Prior member service or customer service telephone experience • 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-to-6-week onboarding and training period
• Medical, dental and vision benefits • 401(k) retirement savings plan • Paid time off • Company and personal holidays • Paid parental and caregiver leave • Short-term and long-term disability • Life insurance • Flexible work schedule/additional hours as needed to support business priorities • Remote work arrangement • Training and onboarding program • Internet service and dedicated workspace requirements for home working
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