Supervisor UM Administration - Doral Florida

Profile

Description

The Supervisor, UM Administration contributes to administration of utilization management. The Supervisor, UM Administration works within thorough, prescribed guidelines and procedures; uses independent judgment requiring analysis of variable factors to solve basic problems; collaborates with management and top professionals/specialists in selection of methods, techniques, and analytical approach.

Responsibilities

The Supervisor, UM Administration provides non-clinical support for the policies and procedures ensuring best and most appropriate treatment, care or services for members. Decisions are typically are related to schedule, plans and daily operations. Performs escalated or more complex work of a similar nature, and supervises a group of typically support and technical associates; coordinates and provides day-to-day oversight to associates. Ensures consistency in execution across team. Holds team members accountable for following established policies.

Required Qualifications

Associate Degree

1 - 3 years’ experience in a supervisory position to include hiring, training, coaching and up to termination.1-3 years of utilization management or health plan experience

Strong skills in Microsoft Office Word, Excel and PowerPoint

Able to give direction and make sound business decisions

Ability to exercise sound judgement and engage in ethical behavior

Exceptional verbal and written communication skills

Strong attention to detail

Must be passionate about contributing to an organization focused on continuously improving consumer experiences.

Hours: The hours are Mon-Fri, 8am-5pm EST, with weekend and overtime coverage as needed based on the needs of the business shared responsibility between four other leaders within the team

Location: Miami, Doral, Florida

* Please review the below temporary work at home requirements Humana has implemented in accordance with CDC guidelines

Preferred Qualifications

Experience in an operational setting

General understanding of economic, financial and operational concepts

Experience working with CMS guidance (i.e. criteria, CMS chapters, regulations)

Previous supervisory experience in a call center setting

Bilingual (English and Spanish) – Language Proficiency Assessment will be performed to test fluency in reading, writing and speaking in both languages.

Additional Information

In order to support the CDC recommendations on social distancing and reduce health risks for associates, members and public health, Humana is deploying virtual and video technologies for all hiring activities.

This position may be subject to temporary work at home requirements for an indefinite period of time. These requirements include access to:

A personal computing device with a camera, a minimum internet connection speed of 10m x 1m,

A dedicated secure home workspace for interview or work purposes.

Humana continues to monitor the situation, and will adjust service levels as the coronavirus situation evolves. The following changes are temporary and will be evaluated frequently with the goal of returning to normal operations as soon as possible. Your Talent Acquisition representative will advise on the latest recommendations to protect your health and wellbeing during the hiring process.

Scheduled Weekly Hours

40

About Us

Mission: 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.

Equal Opportunity Employer

It is our policy to recruit, hire, train, and promote people without regard to race, color, religion, sex, national origin, age, sexual orientation, gender identity or expression, disability, or veteran status, except where age, sex, or physical status is a bona fide occupational qualification. View the EEO is the Law poster.

If you are an individual with a disability and require a reasonable accommodation to complete any part of the application process, or are limited in the ability or unable to access or use this online application process and need an alternative method for applying, you may contact mailboxtasrecruit@humana.com for assistance.

Humana Safety and Security

Humana will never ask, nor require a candidate provide money for work equipment and network access during the application process. If you become aware of any instances where you as a candidate are asked to provide information and do not believe it is a legitimate request from Humana or affiliate, please contact mailboxtasrecruit@humana.com to validate the request.

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Company info

Humana Inc.
Website : http://www.humana.com