Bilingual Supervisor UM Administration - Doral FL - Hybrid Remote/Office

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Job Information

Humana

Bilingual Supervisor, UM Administration - Doral, FL - Hybrid (Remote/Office)

in

Doral

Florida

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

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

Position will be remote as well as in office (Doral, FL) on a rotating schedule, Monday - Friday 8am-5pm, rotating weekends and overtime as needed to support business needs.

Required Qualifications

1 year experience as a project lead, subject matter expert, production lead, and/or supervisory role

Bilingual (English/Spanish) with ability to pass language assessment

Experience with Utilization Review and/or Prior Authorization, preferably within a managed care organization.

Proficiency in Microsoft Office Word, Excel and PowerPoint

Able to give direction and make sound business decisions

Exceptional verbal and written communication skills

Strong attention to detail

Proficient utilizing electronic medical record and documentation programs.

Preferred Qualifications

Associates Degree

Working knowledge within health insurance

Experience in an operational setting

General understanding of economic, financial and operational concepts

Additional Information

For this job, associates are required to be fully COVID vaccinated or undergo weekly COVID testing and wear a face covering while at work. The weekly testing will need to be done through an approved Humana vendor, and unvaccinated associates should follow all social distancing and masking protocols if they are required to come into a Humana facility or work outside of their home. We are a healthcare company committed to putting health and safety first for our members, patients, associates, and the communities we serve.

If progressed to offer, you will be required to:

Provide proof of full vaccination or commit to testing protocols

*OR  *

Provide proof of applicable exemption including any required supporting documentation

​​Medical, religious, state and remote-only work exemptions are available.

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, and 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. #ThriveTogether #WorkAtHome

Scheduled Weekly Hours

40

Company info

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