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

Humana Healthy Horizons in Oklahoma is seeking a Utilization Management (UM) Coordinator who will contribute to administration of utilization management. The UM Coordinator performs varied activities and moderately complex administrative, operational, and Enrollee support assignments. They will perform computations and typically works on semi-routine assignments.

The UM Administration Coordinator:

• Provides nonclinical support for the policies and procedures, ensuring best and most appropriate treatment, care, or services for our Enrollees
• Assists Providers with discharge planning for Enrollees with inpatient stay or outpatient physical health
• Works on special projects with the clinical team

Use your skills to make an impact

Required Qualifications

• Must reside in the state of Oklahoma
• One (1) or more years of experience working in a healthcare environment
• Proficient or Intermediate experience with medical terminology or ICD-10 codes
• Proficient using electronic health record and documentation programs

Preferred Qualifications

• Experience in customer service
• Experience working in Medicaid or Medicare settings

Additional Information

• Workstyle: This is a remote position
• Typical Workdays and Hours: Monday – Friday; 8:00am – 5:00pm Central Standard Time (CST)
• Weekend Work Schedule Rotation: Associates in this role may work one weekend every 4 weeks Leadership will discuss more details in interview

Work at Home 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.

Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.

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.

$40,000 - $52,300 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 extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 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

Humana Inc. (NYSE: HUM) is committed to putting health first – for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large.

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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 to advance in employment 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 but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.