Talent.com
UM Coordinator 2 - Weekend Work

UM Coordinator 2 - Weekend Work

Arizona StaffingPhoenix, AZ, US
14 hours ago
Job type
  • Full-time
Job description

UM Administration Coordinator 2

Become a part of our caring community and help us put health first. The UM Administration Coordinator 2 contributes to administration of utilization management. The UM Administration Coordinator 2 performs varied activities and moderately complex administrative / operational / customer support assignments. Performs computations. Typically works on semi-routine assignments. The UM Administration Coordinator 2 provides non-clinical support for the policies and procedures ensuring best and most appropriate treatment, care or services for members. Decisions are typically focus on interpretation of area / department policy and methods for completing assignments. Works within defined parameters to identify work expectations and quality standards, but has some latitude over prioritization / timing, and works under minimal direction. Follows standard policies / practices that allow for some opportunity for interpretation / deviation and / or independent discretion.

Required Qualifications :

  • Minimum 1 year of customer service experience, including the ability to effectively de-escalate challenging situations
  • After training, you must be available to work 4 days a week for 10 hour shifts during the hours of 6am 7pm EST. You will also be REQUIRED to work at least one weekend day (Saturday or Sunday).
  • Excellent verbal and written communication skills
  • Demonstrated attention to detail
  • Ability to navigate process flows and follow procedure documents
  • Proficient keyboarding skills for data entry and documentation
  • Capacity to multitask across various computer systems while engaging with providers or members
  • Quick aptitude for learning and navigating new technology systems and applications
  • Proficiency in Microsoft Office applications, including Word and Excel
  • A designated workspace, with a closed door, that minimizes distractions and meets leadership approval
  • Must effectively manage personal responsibilities to ensure a professional work environment conducive to achieving performance goals

Preferred Qualifications :

  • Proficient utilizing electronic medical record and documentation programs
  • Experience with Utilization Review and / or Prior Authorization, preferably within a managed care organization
  • Knowledge of Medical Terminology and / or ICD-10 codes
  • Bilingual (English & Spanish) fluent in written and verbal communication
  • Additional Information :

    Work-At-Home Requirements :

  • At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is suggested.
  • Satellite, cellular and microwave connection can be used only if approved by leadership.
  • Associates who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided with a bi-weekly payment for their internet expense.
  • Humana will provide Home or Hybrid Home / Office associates 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.
  • Interview Format :

  • As part of our hiring process for this opportunity, we will be using exciting interviewing technology called HireVue to enhance our hiring and decision-making ability.
  • HireVue allows us to quickly connect and gain valuable information for you pertaining to your relevant skills and experience at a time that is best for your schedule.
  • If you are selected for a first-round interview, you will receive an email correspondence inviting you to participate in a HireVue interview.
  • In this interview, you will receive a set of interview questions over your phone, and you will provide recorded or text message responses to each question.
  • You should anticipate this interview to take about 15-20 minutes.
  • Your recorded interview will be reviewed, and you will subsequently be informed if you will be moving forward to next round of interviews.
  • For best interview experience use a computer over a phone.
  • Humana Benefits :

  • Health benefits effective day 1
  • Paid time off, holidays, volunteer time and jury duty pay
  • Recognition pay
  • 401(k) retirement savings plan with employer match
  • Tuition assistance
  • Scholarships for eligible dependents
  • Parental and caregiver leave
  • Employee charity matching program
  • Network Resource Groups (NRGs)
  • Career development opportunities
  • Social Security Task :

    Humana value's personal identity protection. Please be aware that applicants may be asked to provide their Social Security Number, if it is not already on file. When required, an email will be sent from Humana@myworkday.com with instructions on how to add the information into your official application on Humana's secure website.

    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.

    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. Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services.

    Create a job alert for this search

    Um Coordinator • Phoenix, AZ, US

    Related jobs
    • Promoted
    • New!
    Retention Rep (Six-Figure Opportunity)

    Retention Rep (Six-Figure Opportunity)

    EchoStarCASA GRANDE, Arizona, United States
    Full-time
    Are you highly competitive, motivated by results, and looking for a role where your earning potential has no limits? Our award-winning Inside Sales & Retention teams excel at driving customer decis...Show moreLast updated: 7 hours ago
    • Promoted
    Student Services Manager (Asst Director of First Year Success) (Academic Advisement)

    Student Services Manager (Asst Director of First Year Success) (Academic Advisement)

    Maricopa Community College DistrictMesa, AZ, United States
    Full-time +1
    Student Services Manager (Asst Director of First Year Success) (Academic Advisement).Monday - Friday, 8am - 5pm; some evenings and weekends may be required. Summer Hours : Monday - Thursday, 7am-6pm....Show moreLast updated: 16 days ago
    • Promoted
    • New!
    PT Seasonal Operations Sup (Coordinator)

    PT Seasonal Operations Sup (Coordinator)

    UPSPhoenix, AZ, US
    Permanent
    Explore your next opportunity at a Fortune Global 500 organization.Envision innovative possibilities, experience our rewarding culture, and work with talented teams that help you become better ever...Show moreLast updated: 14 hours ago
    • Promoted
    • New!
    Seasonal Support Driver

    Seasonal Support Driver

    United Parcel ServiceFountain Hills, AZ, US
    Part-time +1
    As a seasonal support driver (SSD), you’ll deliver packages to communities and businesses in the comfort of your own vehicle. This is a friendly, physically active role, so you’ll need to enjoy fast...Show moreLast updated: 12 hours ago
    • Promoted
    • New!
    Credentialing, Prior Authorizations, & Intake Coordinator

    Credentialing, Prior Authorizations, & Intake Coordinator

    Inspire HorizonsPhoenix, AZ, United States
    Full-time
    Credentialing, Prior Authorizations, & Intake Coordinator.Be among the first 25 applicants.Get AI-powered advice on this job and more exclusive features. Were a clinician-led pediatric therapy organ...Show moreLast updated: 17 hours ago
    • Promoted
    CSLP Student Worker - Human Services Intake Coordinator (FWS-CSLP)

    CSLP Student Worker - Human Services Intake Coordinator (FWS-CSLP)

    Grand Canyon UniversityPhoenix, AZ, United States
    Full-time
    Grand Canyon University (GCU) maintains relationships with nonprofit organizations identified by the IRS as 501(c)(3) by virtue of their charitable programs. The collective mission of 501(c)(3) orga...Show moreLast updated: 23 hours ago
    • Promoted
    • New!
    Temporary Delivery Support Associate (SCOTTSDALE)

    Temporary Delivery Support Associate (SCOTTSDALE)

    United Parcel ServiceFountain Hills, AZ, United States
    Part-time +1
    As a seasonal support driver (SSD), youll deliver packages to communities and businesses in the comfort of your own vehicle. This is a friendly, physically active role, so youll need to enjoy fast-p...Show moreLast updated: 4 hours ago
    • Promoted
    RN PCU Clinical Coordinator FT Nights

    RN PCU Clinical Coordinator FT Nights

    Abrazo West CampusGOODYEAR, Arizona, United States
    Full-time
    We are a community built on care.Our caregivers and supporting staff extend compassion to those in need, helping to improve the health and well-being of those we serve, and provide comfort and heal...Show moreLast updated: 30+ days ago
    • Promoted
    Administrative Associate Coordinator

    Administrative Associate Coordinator

    Maricopa Community College DistrictMesa, AZ, United States
    Full-time +1
    Administrative Associate Coordinator.Summer Hours : Monday - Thursday, 7am-6pm.The Maricopa County Community College District is one of the largest community college systems in the nation.Home to 10...Show moreLast updated: 30+ days ago
    • Promoted
    Student Services Manager (Student Success Initiatives)

    Student Services Manager (Student Success Initiatives)

    Maricopa Community College DistrictMesa, AZ, United States
    Full-time +1
    Student Services Manager (Student Success Initiatives).Monday - Friday, 8am - 5pm; some evenings and weekends may be required. Summer Hours : Monday - Thursday, 7am-6pm.The Maricopa County Community ...Show moreLast updated: 16 days ago
    • Promoted
    Student Services Specialist Senior (Specially Funded)

    Student Services Specialist Senior (Specially Funded)

    Maricopa Community College DistrictTempe, AZ, United States
    Full-time +2
    Student Services Specialist Senior (Specially Funded).The standard work schedule will be Monday - Friday 8 : 00am - 5 : 00pm during the Academic Year. This position offers remote work allowing employees...Show moreLast updated: 30+ days ago
    • Promoted
    • New!
    Part-Time Driver - $10,000 Guarantee - Morning / Afternoon

    Part-Time Driver - $10,000 Guarantee - Morning / Afternoon

    VeyoRio Verde, Arizona, US
    Part-time +1
    Have a car? Earn a $1,500 BONUS + $10,000 GUARANTEE • when you sign up to drive your own vehicle and help transport others to healthcare appointments around Phoenix!. If your skills, experience, and ...Show moreLast updated: 18 hours ago
    • Promoted
    Travel Nurse RN - PCU - Progressive Care Unit

    Travel Nurse RN - PCU - Progressive Care Unit

    Nationwide Therapy GroupCasa Grande, AZ, US
    Full-time
    Nationwide Therapy Group is seeking a travel nurse RN PCU - Progressive Care Unit for a travel nursing job in Casa Grande, Arizona. Job Description & Requirements.NTG is committed to matching yo...Show moreLast updated: 30+ days ago
    • Promoted
    Travel Progressive Care Unit RN

    Travel Progressive Care Unit RN

    Ethos Medical StaffingCasa Grande, AZ, US
    Full-time
    Ethos Medical Staffing is seeking a travel nurse RN PCU - Progressive Care Unit for a travel nursing job in Casa Grande, Arizona. Job Description & Requirements.Ethos Medical Staffing Job ID #34...Show moreLast updated: 30+ days ago
    • Promoted
    Student Services Analyst

    Student Services Analyst

    Maricopa Community College DistrictAvondale, AZ, United States
    Full-time +1
    Estrella Mountain Comm College.Monday - Thursday, 9am - 6pm, Friday, 8am - 5pm; some evenings and weekends may be required. Summer Hours : Monday - Thursday, 7 : 30am-6 : 30pm.Schedule is based on the op...Show moreLast updated: 30+ days ago
    • Promoted
    Student Services Analyst-Navigator (Multiple Positions Available)

    Student Services Analyst-Navigator (Multiple Positions Available)

    Maricopa Community College DistrictMesa, AZ, United States
    Full-time +1
    Student Services Analyst-Navigator (Multiple Positions Available).Monday - Friday, 8am - 5pm; some evenings and weekends may be required. Summer Hours : Monday - Thursday, 7am-6pm.The Maricopa County...Show moreLast updated: 15 days ago
    • Promoted
    Speech Language Pathologist

    Speech Language Pathologist

    Premere Rehab LLC, (dba Infinity Rehab)Casa Grande, AZ, United States
    Full-time +1
    MIR Oasis Pavilion Nursing & Rehabilitation - Casa Grande, AZ.Management by Infinity Rehab is seeking a top-caliber speech-language pathologist for one of our in-house therapy partners, Oasis Pavil...Show moreLast updated: 30+ days ago
    • Promoted
    • New!
    Student Services Specialist Senior (Admissions, Records, and Registration)

    Student Services Specialist Senior (Admissions, Records, and Registration)

    Maricopa Community College DistrictGlendale, AZ, United States
    Full-time +1
    Student Services Specialist Senior (Admissions, Records, and Registration).Summer Hours : Monday - Thursday, 7am-6pm.The Maricopa County Community College District is one of the largest community co...Show moreLast updated: 19 hours ago