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Become a part of our caring community and help us put health first

Humana Gold Plus Integrated is seeking a UM Administration Coordinator who typically focuses on interpretation of department policy and methods for completing assignments, helps to create authorizations, and works within defined parameters to identify work expectations and quality standards but has some latitude over prioritization and timing.

The UM Administration Coordinator contributes to the administration of care management and provides non-clinical support to the assessment and evaluation of members' needs and requirements to achieve and maintain optimal wellness by guiding members/families toward and facilitate interaction with resources appropriate for the care and wellbeing of members. The UM Administration Coordinator performs computations and varied activities with moderately complex administrative, operational, and customer support assignments.

Use your skills to make an impact

Required Qualifications

+ **Must reside in the Greater Chicago area/suburban Cook or nearby surrounding counties in the State of Illinois.**

+ **Work Location: Hybrid Office,** the office location is in Schaumburg, IL with a requirement to work in the office at least two days per week.

+ 2+ years of administrative support experience in the healthcare industry.

+ 1+ years of customer service experience.

+ Previous experience working with Medicaid, Long Term Care, or Medicare members.

+ Intermediate to advanced knowledge of Microsoft Office programs specifically, Word, Excel, Outlook.

+ Prior billing/claims or authorization experience.

Preferred Qualifications

+ Associate's or higher degree.

+ Proficient utilizing electronic medical record and documentation programs.

+ Proficient and/or experience with medical terminology and/or ICD-10 codes.

+ Experience with Utilization Review and/or Prior Authorization, preferably within a managed care organization.

Work at Home Requirements

+ At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is suggested.

+ Satellite, cellular and microwave connection can be used only if approved by leadership.

+ Associates who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided with a bi-weekly payment for their internet expense.

+ Humana will provide Home or Hybrid Home/Office associates 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.

Additional Information

+ **Work Location: Hybrid Office,** the office location is in Schaumburg, IL.

+ **Workstyle:** Hybrid Office with a requirement to work in the office at least two days per week.

+ **Core Workdays & Hours:** 8-5 pm Monday – Friday; Central Standard Time (CST) with flexible scheduling (i.e. occasional nights and weekends)

+ **Benefits:** Benefits are effective on day 1. Full time Associates enjoy competitive pay and a comprehensive benefits package that includes 401k, Medical, Dental, Vision and a variety of supplemental insurances, tuition assistance and much more.....

Interview Format

As part of our hiring process, we will be using exciting interviewing technology provided by Hire Vue, a third-party vendor. This technology provides our team of recruiters and hiring managers with an enhanced method for decision-making.

If you are selected to move forward from your application prescreen, you will receive correspondence inviting you to participate in a pre-recorded Voice Interview and/or an SMS Text Messaging interview. If participating in a pre-recorded interview, you will respond to a set of interview questions via your phone. You should anticipate this interview to take approximately 10-15 minutes.

If participating in a SMS Text interview, you will be asked a series of questions to which you will be using your cell phone or computer to answer the questions provided. Expect this type of interview to last anywhere from 5-10 minutes. Your recorded interview(s) via text and/or pre-recorded voice will be reviewed, and you will subsequently be informed if you will be moving forward to the next round of interviews.

Scheduled Weekly Hours

40

Pay Range

The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.

$44,000 - $57,500 per year

Description of Benefits

Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) 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 outside of work. Among our benefits, Humana 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

Humana Inc. (NYSE: HUM) is committed to putting health first – for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large.

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Equal Opportunity Employer

It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana 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 base all employment decisions only on valid job requirements. This policy shall apply to all 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 all levels of employment.

Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our https://www.humana.com/legal/accessibility-resources?source=Humana_Website.