Referrals Supervisor

Job not on LinkedIn

🔥 6 minutes ago

🇺🇸 United States – Remote

💵 $71.1k - $97.8k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

🦅 H1B Visa Sponsor

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Logo of Humana

Humana

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.

📋 Description

• Supervise processing of referrals and authorizations • Serve as a resource for the team • Monitor and coordinate referral and authorization activities • Prioritize caseload among associates to optimize available resources • Implement contingency operations to meet performance standards • Research and resolve referral and authorization issues • Facilitate training requirements for non-clinical associates • Coach associates and complete performance management plans • Develop associates for future growth opportunities • Report to a Manager of Referrals

🎯 Requirements

• U.S. Citizenship required • Successfully receive interim approval for government security clearance (NBIS - National Background Investigation Services) • Must not currently live in Puerto Rico • 3 years of supervisory, management, or Team Lead experience • 5 years of referral and authorization management experience • Previous or current TRICARE experience • Minimum home internet speed of 25 Mbps download and 10 Mbps upload • Work from a dedicated space without ongoing interruptions to protect member PHI/HIPAA information • Ability to work 40 hours per week

🏖️ Benefits

• Bonus incentive plan based on company and/or individual performance • 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 • Wellness and smart healthcare decision support • Occasional travel to Humana offices for training or meetings

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