Care Management Coordinator
CVS HealthSalary not specified
- Full Time
- Junior (1 to 2 years)
Not SpecifiedCompensation
Junior (1 to 2 years)Experience Level
Full TimeJob Type
UnknownVisa
Healthcare, Managed Care, MedicaidIndustries
Requirements
Candidates must have a minimum of one year of administrative, customer service, patient care, or technical support experience in an office environment, excellent verbal and written communication skills, and be self-motivated with a strong sense of self-discipline. They should possess working knowledge of MS Office (Word, Excel, Outlook) and the ability to quickly learn new systems. Some college or higher education is preferred. Prior experience with medical terminology and/or ICD-10 codes is also beneficial.
Responsibilities
The Utilization Management Coordinator provides non-clinical support for Humana’s KY Medicaid plan by ensuring best and most appropriate treatment, care, or services for members. They monitor and interpret changes in employment legislation across North America and develop HR policies to ensure compliance. The role involves performing varied administrative, operational, and customer support assignments, conducting audits, delivering training, and advising management on HR-related risk mitigation strategies. They will utilize electronic medical record and documentation programs, and may be required to travel quarterly for training or meetings.
Skills
MS Office
Word
Excel
Outlook
Customer Service
Administrative Support
Communication Skills
Self-Motivation
Discipline
Electronic Medical Records
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