Compliance UM Letters Coordinator 2 Tuesday-Saturday

Profile

Description

Compliance (UM) Letters Coordinator 2 conducts and summarizes compliance audits. Compliance (UM) Letters Coordinator 2 performs varied activities and moderately complex administrative/operational/customer support assignments.

How We Value You

Benefits starting day 1 of employment

Competitive 401k match

Generous Paid Time Off accrual

Tuition Reimbursement

Parent Leave

Go365 perks for well-being

Responsibilities

Tuesday - Saturday 9am-6pm CST

The Compliance (UM) Letters Coordinator 2 collects and analyzes data daily, weekly, monthly or as needed to assess outcome and operational metrics for the team and individuals.


Ensures mandatory reporting completed.
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.
Mandatory weekend/holiday On Call rotation for compliance timeframes and QIO appeals


Required Qualifications


1 or more years of Administrative Support experience in a healthcare setting
Hours for this role are: Tuesday - Saturday 9am-6pm CSTStrong attention to detail with excellent organizational and time management skills
Excellent communication skills both verbal and written
Proficiency in all Microsoft Office applications, including Word, Excel and Outlook
Working knowledge of computers, or a demonstrated technical aptitude and an ability to quickly learn new systems
Ability to work independently under general instructions and with a small team to meet compliance timeframes
Humana and its subsidiaries require vaccinated associates who work outside of their home to submit proof of vaccination, including COVID-19 boosters. Associates who remain unvaccinated must either undergo weekly negative COVID testing OR wear a mask at all times while in a Humana facility or while working in the field. Every associate and contractor who work inside a Humana facility or in the field, regardless of vaccination status, must complete a daily health screening questionnaire.
Must be passionate about contributing to an organization focused on continuously improving consumer experiences


Preferred Qualifications


Familiarity with CMS guidelines, Medicare experience, knowledge of appeal process
Previous experience working in a compliance or utilization review setting


Additional Information

Hours for this role are: Tuesday - Saturday 9am-6pm CST

Mandatory weekend/holiday On Call rotation for compliance timeframes and QIO appeals

As part of our hiring process, we will be using an exciting interviewing technology provided by Modern Hire, a third-party vendor. This technology provides our team of recruiters and hiring managers an enhanced method for decision-making.

If you are selected to move forward from your application prescreen, you will receive correspondence inviting you to participate in a pre-recorded Voice Interview and/or an SMS Text Messaging interview. If participating in a pre-recorded interview, you will respond to a set of interview questions via your phone. You should anticipate this interview to take approximately 10-15 minutes.

If participating in a SMS Text interview, you will be asked a series of questions to which you will be using your cell phone or computer to answer the questions provided. Expect this type of interview to last anywhere from 5-10 minutes. Your recorded interview(s) via text and/or pre-recorded voice will be reviewed and you will subsequently be informed if you will be moving forward to next round of interviews.

Work-At-Home Requirements


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 25x10 (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

40

Company info

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