25 Administration jobs in Caldwell

**Become a part of our caring community and help us put health first**
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.
+ Provide LTSS UM support by managing shared mailboxes and entering data into work queues and/or clinical documentation systems, mailing letters/educational material, preparing documents to LTSS UM reviewers and Medical Directors, and other administrative functions, as assigned.
+ Ensure the timely and correct submission of state-required deliverables.
+ Interact 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 clerical activities including reporting data, tracking data, pulling reports and monitoring/managing email.
+ Perform computations.
+ Typically work on semi-routine assignments that are subject to change.
+ May make, receive, and soft transfer calls to and from members, providers, family, etc.Ensure timely communication and follow up occurs with care management.
**Use your skills to make an impact**
**Required Qualifications**
+ Minimum of one (1) year of administrative experience working in a healthcare setting.
+ Must be able to work EST hours, Monday - Friday; 8:00am - 5:00pm Eastern Standard Time (EST).
+ 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.
**Preferred Qualifications**
+ 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 health-related field.
+ Prior member service or customer service telephone experience desired.
+ Experience with LTSS Utilization Review and/or Prior Authorization, preferably within a managed care organization.
**Additional Information**
+ Workstyle: This is a remote position.
+ Travel: May need to attend onsite meetings in Humana
+ Workdays and Hours: Monday - Friday; 8:00am - 5:00pm Eastern Standard Time (EST).
**WAH 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.
⦁ Humana will provide Home or Hybrid Home/Office employees with telephone equipment appropriate to meet the business requirements for their position/job.
⦁ Must work from a dedicated space that is 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.
Application Deadline:
**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.

**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. See our