Utilization Management Administration Coordinator III - Correspondence
Conviva Senior Primary Care
Pay Range
$43,000.00/yr - $56,200.00/yr
Responsibilities
The UM Administration Coordinator 3 contributes to the administration of utilization management. The coordinator performs advanced administrative, operational, and customer support duties that require independent initiative and judgment. This role may apply intermediate mathematical skills. The coordinator provides non‑clinical support for policies and procedures that ensure the best and most appropriate treatment, care, or services for members. Decisions typically focus on methods, tactics, and processes for completing administrative tasks and projects. The coordinator regularly exercises discretion and judgment in prioritizing requests, interpreting and adapting procedures, processes, and techniques, and works under limited guidance due to previous experience, breadth, and depth of knowledge of administrative processes and organizational knowledge.
Required Qualifications
3 or more years of administrative or technical support experience
Excellent verbal and written communication skills
Advanced knowledge of MS Office (Word, Excel, Outlook) in a Windows environment and an ability to quickly learn new systems
Must have accessibility to high‑speed DSL or cable modem for a home office (satellite internet service is NOT allowed); recommended speed is 10 Megabits/s
Proficient utilizing electronic medical record and documentation programs
Proficient in medical terminology and/or ICD‑10 codes
Must be passionate about contributing to an organization focused on continuously improving consumer experiences
Preferred Qualifications
Bachelor's Degree in Business, Finance, or a related field
Prior member service or customer service telephone experience desired
Experience with Utilization Review and/or Prior Authorization, preferably within a managed care organization
Additional Information
As part of the hiring process, we will be using Montage Voice, a technology that allows us to quickly connect and gain valuable information about your relevant experience.
If selected for a phone screen, you will receive an email inviting you to participate in a Montage Voice interview. During this call you will answer a set of questions pertaining to this role. The entire process takes about 15‑20 minutes and can be completed at your convenience. Your responses will be reviewed, and you will be informed if you were selected for an in‑person or video interview, depending on your location.
Travel
This is a remote position, but occasional travel to Humana’s offices for training or meetings may be required.
Scheduled Weekly Hours
40
Description of Benefits
Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offer 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 recognizing your life outside of work. Benefits include medical, dental, and vision coverage, a 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
Conviva Senior Primary Care provides proactive, preventive care to seniors, including wellness visits, physical exams, chronic condition management, screenings, minor injury treatment, and more. As part of CenterWell Senior Primary Care, Conviva’s innovative, value‑based approach means each patient gets the best care, when needed most, and for the lowest cost. We go beyond physical health by addressing the social, emotional, behavioral, and financial needs that can impact our patients’ well‑being.
CenterWell, a Humana company, creates experiences that put patients at the center. As the nation’s largest provider of senior‑focused primary care, a leading provider of home health services, and a top pharmacy benefit manager, CenterWell focuses on whole‑person health by addressing the physical, emotional, and social wellness of our patients. As part of Humana Inc., CenterWell offers stability, industry‑leading benefits, and opportunities to grow.
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 advance 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 recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay, or other forms of compensation and selection for training.
Seniority Level
Mid‑Senior level
Employment Type
Full‑time
Job Function
Administrative
Industries
Hospitals and Health Care
Location
Texas, United States
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