Interested in working from home? Interested in being and advocate and making a difference in the lives of others. Join our contact center and experience a supportive team environment as a pharmacy authorization specialist (also known as a UM Administration Coordinator 1.) The UM Administration Coordinator 1 contributes to the administration of utilization management and performs basic administrative/clerical/operational/customer support/computational tasks. Typically works on routine and patterned assignments. This role is a VSP (Variable Seasonal Position), which means this role is seasonal from hire through at least March of the following year and typically offers a path to full time employment with demonstrated performance.
A pharmacy authorization specialist or UM Administration Coordinator 1 provides non-clinical support for policies and procedures ensuring the best and most appropriate treatment, care and services for customers. Decisions in this role are limited to defined parameters around work expectations, quality standards, priorities, and timing, and works under close supervision and/or within established policies/practices and guidelines with minimal opportunity for deviation.
Location: Remote position, with a preference for candidates within AZ, CO, ID, MT, NM, UT, & WY
Schedule: The hours of operations for this department are 8:00AM-11:00PM EST. Your 8 hour shift will fall within this timeframe based upon the business needs determined after training. There is a high probability for a mid or evening shift. Schedules can be M-F or include a Saturday or Sunday (not both). Candidates must be open to these schedule possibilities.
Position Type: This role is a VSP (Variable Seasonal Position), which means this role is seasonal from hire through at least March of the following year and typically offers a path to full time employment with demonstrated performance.
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
Must have accessibility to high speed DSL or Cable modem for a home office (Satellite internet service is NOT allowed for this role), recommended speed is 10Mx1M
Must be passionate about contributing to an organization focused on continuously improving consumer experiences
Proficient utilizing electronic medical record and documentation programs
Proficient and/or experience with medical terminology and/or ICD-10 codes
Bachelor’s Degree in Business, Finance or a related field
Prior member service or customer service telephone experience desired
Experience with Utilization Review and/or Prior Authorization, preferably within a managed care organization
As part of our hiring process for this opportunity, we will be using an exciting interviewing technology called Modern Hire to enhance our hiring and decision-making ability. Modern Hire 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/text correspondence inviting you to participate in a Modern Hire interview. In this interview, you will listen to a set of interview questions over your phone and you will provide recorded responses to each question. You should anticipate this interview to take about 15 minutes. Your recorded interview will be reviewed and you will subsequently be informed if you will be moving forward to next round of interviews.
Alert: Humana values personal identity protection. Please be aware that applicants selected for leader review may be asked to provide a social security number, if it is not already on file. When required, an email will be sent from [email protected] with instructions to add the information into the application at Humana’s secure website.
WAH requirements: Must have the ability to provide a high speed DSL or cable modem for a home office. Associates or contractors who live and work from home in the state of California will be provided payment for their internet expense.
A minimum standard speed for optimal performance of 25×10 (25mpbs download x 10mpbs upload) is required.
Satellite and Wireless Internet service is NOT allowed for this role.
A dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information
Scheduled Weekly Hours