[Remote] Utilization Management Administration Coordinator (SNF) at Humana

San Antonio, Texas, United States

Apply Now

Not SpecifiedCompensation

Entry Level & New GradExperience Level

Full TimeJob Type

UnknownVisa

Health Insurance, HealthcareIndustries

Skills

Key technologies and capabilities for this role

Utilization ManagementAdministrationAuthorization ManagementClinical DocumentationProvider EngagementMember EngagementCommunicationCollaborationNLP

Questions & Answers

Common questions about this position

What benefits does Humana offer for this position?

Humana offers industry-leading benefits starting on the first day, including medical, dental, and vision benefits, health savings and flex spending accounts, life insurance, 401(k), and PTO with 8 paid holidays, one personal holiday, one volunteer day, 23 days of annual PTO, parental leave, caregiving leave, and weekly well-being time.

What are the required qualifications for the UM Administration Coordinator role?

Required qualifications include 1+ years of administrative support experience, professional experience with Microsoft Word, Outlook, and Excel with accurate typing and data entry, and the ability to quickly learn new systems at a proficient to advanced level.

Is the salary specified for this position?

This information is not specified in the job description.

What is the work arrangement or location for this role?

This information is not specified in the job description.

What makes a strong candidate for this UM Administration Coordinator position?

Strong candidates will have the required 1+ years of administrative experience and Microsoft Office proficiency, plus preferred experience in utilization review, prior authorizations, medical terminology, customer service calls, SNF/Home Health, and healthcare systems like CGX, SRO, and HCHB. Attaching a resume is emphasized as a reminder.

Humana

Health insurance provider for seniors and military

About Humana

Humana provides health and well-being services, focusing on Medicare Advantage plans for seniors, military personnel, and communities. Their plans include HMO, PPO, and PFFS options, designed to improve health outcomes through comprehensive and flexible coverage. Humana's revenue comes from government contracts and member premiums, and they aim to maintain high renewal rates by offering quality service and competitive benefits. The company stands out by fostering a culture of inclusivity and belonging among its employees, while also ensuring accessibility for all members, including offering free language interpreter services. Humana's goal is to deliver value to its members through an extensive provider network and innovative health solutions.

Louisville, KentuckyHeadquarters

1961Year Founded

IPOCompany Stage

Social Impact, HealthcareIndustries

10,001+Employees

Risks

Potential over-reliance on AI could disrupt operations if systems fail or are compromised.

Rising medical costs and tightening Medicare reimbursements may strain financial performance.

Leadership change with new CEO Jim Rechtin could lead to strategic disruptions.

Differentiation

Humana is a leader in Medicare Advantage plans, focusing on seniors and military personnel.

The company emphasizes inclusivity, offering free language interpreter services for accessibility.

Humana leverages AI and cloud technologies through a partnership with Google Cloud.

Upsides

Humana's investment in Healthpilot enhances digital enrollment for Medicare options.

The company is the first insurer to cover TMS therapy for adolescent depression.

Humana's focus on value-based care aims to improve outcomes for kidney disease patients.

Land your dream remote job 3x faster with AI

Try Jobo Free