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 typically focus on interpretation of area/department policy and methods for completing assignments. You will work within defined parameters to identify work expectations and quality standards, but have some latitude over prioritization/timing, and works under minimal direction. You will follow standard policies and practices that allow for some opportunity for interpretation/deviation and independent discretion.
- Provide Long- Term Services and Supports (LTSS) UM support by managing shared mailboxes and entering data into work queues and/or clinical documentation systems.
- Mail letters/educational material, prepare documents for LTSS UM (Utilization Management) reviewers and Medical Directors, and perform other administrative responsibilities as assigned.
- Ensure the timely and correct submission of state-required deliverables.
- Work with care coordinators and other internal and external stakeholders who guide members and their families toward and facilitate interaction with resources appropriate for care and well-being.
- Perform varied activities of clerical activities including perform computations, reporting data, tracking data, pulling reports and monitoring/managing email.
- Typically work on semi-routine assignments that are subject to change.
- May make, receive, and soft transfer calls to and from members, member's families and providers.
- Ensure timely communication and follow up occurs with care management.
Use your skills to make an impact
Required Qualifications
- Must reside in Michigan.
- One (1) or more years of administrative experience in a healthcare environment.
- Strong verbal and written communication skills to support stakeholder communication and coordination.
- Working knowledge of Microsoft Word, Excel, and Outlook in a Windows-based environment and the ability to learn new software and systems.
Preferred Qualifications
- Experience with LTSS programs.
- Experience with LTSS Utilization Review and/or Prior Authorization, preferably within a managed care organization.
- Proficient using electronic medical record and documentation programs.
- Proficient or experienced with medical terminology and/or ICD-10 codes.
- Prior member service or customer service telephone experience.
Additional Information
- Workstyle: This position is remote.
- Work Schedule: Monday through Friday; 8:00 a.m. to 4:30 p.m. Eastern Time (ET), with flexibility to work additional hours as needed to support business priorities and operational demands.
- Training: The training period for this position is approximately 4 to 6 weeks and may require attendance outside of standard working schedule. We require full participation throughout onboarding and training to ensure successful completion of the program. While time off is generally not permitted during this period, we consider limited accommodations for essential needs on a case-by-case basis.
Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.
Scheduled Weekly Hours
40Pay 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.
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, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.About us
About Humana: Humana Inc. (NYSE: HUM) is a leading U.S. healthcare company. Through our Humana insurance services and our 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 and Medicaid, families, individuals, military service personnel, and communities at large. Learn more about what we offer at Humana.com and at CenterWell.com.
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.
Skills Required
- Must reside in Michigan
- At least one year of administrative experience in a healthcare environment
- Strong verbal and written communication skills for stakeholder communication and coordination
- Working knowledge of Microsoft Word, Excel, and Outlook in a Windows-based environment
- Ability to learn new software and systems
- Experience with Long-Term Services and Supports programs
- Experience with Long-Term Services and Supports utilization review or prior authorization, preferably within a managed care organization
- Proficiency using electronic medical record and documentation programs
- Proficiency or experience with medical terminology and/or ICD-10 codes
- Prior member service or customer service telephone experience
Humana Compensation & Benefits Highlights
The following summarizes recurring compensation and benefits themes identified from responses generated by popular LLMs to common candidate questions about Humana and has not been reviewed or approved by Humana.
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Healthcare Strength — Medical, dental, vision, supplemental health, and long-term care insurance are offered alongside on-site/virtual wellness resources and weekly paid well-being time, indicating a whole-person focus.
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Leave & Time Off Breadth — Paid PTO and holidays, volunteer time, and formal leave options such as parental and caregiver time provide broad time-away support. Adoption assistance and lactation rooms extend coverage for key life events.
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Retirement Support — A 401(k) with company match anchors long-term savings. Employer-matched emergency savings programs complement retirement planning.
Humana Insights
What We Do
At Humana, our cultural foundation is aligned to helping members achieve their best health by delivering personalized, simplified, whole-person healthcare experiences. Recognizing healthcare needs continue to evolve for each person, for each family and for each community, Humana continuously creates innovative solutions and resources that help people live their healthiest lives on their terms –when and where they need it. Our employees are at the heart of making this happen and that’s why we are dedicated to building an organization of dynamic talent whose experience and passion center on putting the customer first.
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