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

The UM Administration Coordinator 2 contributes to administration of utilization management. The UM Administration Coordinator 2 performs varied activities and moderately complex administrative/operational/customer support assignments. Performs computations. Typically works on semi-routine assignments.

The UM Administration Coordinator 2 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.
• The decisions are typically focused on interpretation of area/department policy and methods for completing assignments.
• Works within defined parameters to identify work expectations and quality standards, but has some latitude over prioritization/timing, and works under minimal direction.
• Follows standard policies/practices that allow for some opportunity for interpretation/deviation and/or independent discretion.

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.
• 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

Preferred Qualifications

• A minimum of an Associate's degree.
• Prior billing/claims or authorization experience
• 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

Additional Information

• Schedule: Monday through Friday, 8:00 AM – 5:00 PM with flexibility to work overtime as needed.
• Work Location (Address): Schaumburg, IL
• Work Style: Hybrid Office. Required to work in the office at least two days per week

Work-at-Home (WAH) Internet Statement

To ensure Home or Hybrid Home/Office employees’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria:

• At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested.
• Satellite, cellular and microwave connection can be used only if approved by leadership.
• Employees who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense.
• Humana will provide Home or Hybrid Home/Office employees 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.

Interview Format

As part of our hiring process for this opportunity, we will be using an interviewing technology called HireVue to enhance our hiring and decision-making ability. HireVue allows us to quickly connect and gain valuable information from you pertaining to your relevant skills and experience at a time that is best for your schedule.

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 extend