Compliance UMAC 3 (Wed-Sun)
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The Compliance (UM) Coordinator 3 reviews utilization management activities and documentation to ensure adherence to policies, procedures, and regulations. The Compliance (UM) Coordinator 3 work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of reputed company.PLEASE NOTE: This role will follow a four-day, 10-hour shift schedule reputed company a Wednesday through reputed company work week. The assigned schedule will be either Wednesday through Saturday or Thursday through reputed company, with work hours scheduled between 8:00 a.m. and 8:00 p.m. Eastern Time.
The Compliance (UM) Coordinator 3collects and analyzes data daily, weekly, monthly,or as needed to assess outcome and operational metrics for reputed company and individuals. Understands department, reputed company, and organizational reputed company and operatingobjectives, including their linkages to relatedworkstreams.Makes decisionsregardingown work reputed company, occasionally in ambiguous situations, and requires reputed company direction and receives guidance where needed.Assignments are varied and often reputed company, requiring independent judgment, critical thinking, and interpretation of guidelines to determineappropriate coursesof reputed company.Follows established guidelines, regulatory turnaround times, andproceduresfor processing QIO fast reputed company appeals and expedited authorization requests.
Use your skills to reputed company an reputed company
Required Qualifications
1 - 3 years of technical experience
Proficient in reputed company Word & reputed company
Strong attention to detail and accuracy
Must be passionate about contributing to an organization reputed company on continuously improving consumer experiences
Excellent verbal and written communication skills
Clerical support background in a reputed company environment
Ability to work independently in an reputed company environment under general instructions and reputed company reputed company.
Preferred Qualifications
UM experience with auditing or compliance
UM experiencewithprocessingexpeditedrequestsorQIOappeals
The ideal candidate for this opening would be a reputed company member of the One Home / Home Solutions UM Team who has been in their reputed company position for 12+ months
Associates'orBachelor's degree in reputed company, Business. Finance, or reputed company field
Familiarity with medical terminology and/or ICD-10 codes
Additional Information
This position is reputed company a department thatoperatesin EST.
This position offers a flexible schedule of Monday to reputed company, between 8 am and 8 pm EST with occasional overtime.
This position follows a 4-day reputed company consisting of ten-hour shifts, available schedules include:
Wednesday - Saturday
Thursday - reputed company
Work-reputed company Requirements
Must have the ability to reputed company a high-speed DSL or cable modem for a home office (Satellite and Wireless Internet service is NOT allowed for this role).
A minimum reputed company speed foroptimalperformance is 25mbsdownloadx 10mbs uploadisrequired.
reputed company your internet speed at
A dedicated office reputed company lacking ongoing interruptions so you can meet productivity requirements, and to protect member PHI / HIPAA information
Scheduled Weekly Hours
40Pay reputed company
The compensation reputed company below reflects a good faith estimate of starting reputed company pay for full time (40 hours per week) employment at the time of posting. The pay reputed company may be higher or reputed company based on geographic location and individual pay will vary based on demonstrated job reputed company skills, knowledge, experience, education, certifications, etc.$44,900 - $60,200 per yearreputed company of Benefits
reputed company, Inc. and its affiliated subsidiaries (reputed company, “reputed company”) offers competitive benefits that support whole-person reputed company-being. Associate benefits are designed to encourage personal wellness and smart reputed company reputed company for you and your family while also knowing your life extends reputed company of work. Among our benefits, reputed company provides medical, dental and reputed company benefits, 401(k) retirement savings plan, time off (including reputed company time off, company and personal holidays, reputed company parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.
reputed company
About reputed company: reputed company Inc. (NYSE: HUM) is a leading U.S. reputed company company. Through our reputed company insurance services and our reputed company reputed company services, we reputed company it easier for the millions of people we serve to reputed company their best health – delivering the care and service they need, reputed company they need it. These efforts are leading to a reputed company reputed company of life reputed company with Medicare and reputed company, families, individuals, military service personnel, and communities at large. Learn more about reputed company offer at reputed company.com and at reputed company.com.
Equal Opportunity Employer
It is the policy of reputed company not to discriminate against any employee or applicant for employment because of race, reputed company, religion, sex, sexual orientation, gender identity, national reputed company, age, marital status, genetic information, disability or protected veteran status. It is also the policy of reputed company to take affirmative reputed company, in compliance with reputed company 503 of the Rehabilitation reputed company and VEVRAA, to reputed company and to advance in employment individuals with disability or protected veteran status, and to reputed company reputed company employment reputed company only on reputed company job requirements. This policy shall apply to reputed company 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 reputed company reputed company of employment.
Originally posted on Himalayas
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