About this role
Role Overview
- contributes to administration of utilization management for Humana's KY Medicaid plan
- performs varied activities and moderately complex administrative/operational/customer support assignments
- provides non-clinical support for the procedures ensuring best treatment, care or services for members
- follow standard policies that allow for some opportunity for interpretation/deviation and independent
Requirements
- 2+ years administrative or similar job experience
- 2+ years of claims experience
- 2+ years' experience with Utilization Review or Prior Authorization, within a managed care organization
- Working knowledge of MS Office including Word, Excel, and Outlook in a Windows-based environment and an ability to quickly learn new systems
Benefits
- 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