Overview
Become a part of our caring community The UM Administration Coordinator 2 contributes to administration of utilization management for Humana 's KY Medicaid plan. The UM Administration Coordinator 2 performs varied activities and moderately complex administrative/operational/customer support assignments. Perform computations. Typically work on semi-routine assignments. The UM Administration Coordin
Full job description
Become a part of our caring community The UM Administration Coordinator 2 contributes to administration of utilization management for Humana 's KY Medicaid plan. The UM Administration Coordinator 2 performs varied activities and moderately complex administrative/operational/customer support assignments. Perform computations. Typically work on semi-routine assignments. The UM Administration Coordinator 2 provides non-clinical support for the procedures ensuring best treatment, care or services for members. Decisions are typically focus on interpretation of area/department policy and methods for completing assignments. Work within defined parameters to identify work expectations and quality standards, but has some latitude over prioritization/timing. Follow standard policies that allow for some opportunity for interpretation/deviation and independent. Use your skills to make an impact Required Qualifications 2+ years of experience in medical claims. 1+ years of Medicaid experience. 2+ years of experience with Utilization Review (UR) and/or Prior Authorization (PA) processes within a managed care organization. 2+ years of administrative experience or experience in a similar healthcare
How to apply: https://himalayas.app/companies/humana/jobs/medicaid-claims-administration-coordinator-um-ur-pa-4766676040
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