Contribute to administration of utilization management for Humana’s KY Medicaid plan
Provide non-clinical support for the policies and procedures ensuring best and most appropriate treatment, care or services for members
Perform varied activities and moderately complex administrative/operational/customer support assignments
Perform computations and work on semi-routine assignments
Interpret area/department policy and methods for completing assignments with some latitude over prioritization and timing
Work under minimal direction following standard policies/practices with opportunity for independent discretion
Occasional travel to Humana's offices for training or meetings may be required
Requirements
1+ year of administrative or technical support experience
Excellent verbal and written communication skills
Working knowledge of MS Office including Word, Excel, and Outlook in a Windows based environment and an ability to quickly learn new systems
Proficient utilizing electronic medical record and documentation programs (preferred)
Proficient and/or experience with medical terminology and/or ICD-10 codes (preferred)
Bachelor's Degree (preferred)
Prior member service or customer service telephone experience (preferred)
Experience with Utilization Review and/or Prior Authorization within a managed care organization (preferred)
Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information
Minimum home internet: download speed of 25 Mbps and upload speed of 10 Mbps; wireless, wired cable or DSL suggested; satellite, cellular and microwave require leadership approval
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
Humana offers many other opportunities
Employees who live and work from Home in 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
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