Medicaid Claims Administration Coordinator (UM, UR, PA)

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The UM Administration Coordinator 2 contributes to administration of utilization management for Humana 's KY Medicaid plan. The UM Administration Coordinator 2 performs varied activities and moderately complex administrative/operational/customer support assignments. Perform computations. Typically work on semi-routine assignments. The UM Administration Coordinator 2 provides non-clinical support for the procedures ensuring best treatment, care or services for members. Decisions are typically focus on interpretation of area/department policy and methods for completing assignments. Work within defined parameters to identify work expectations and quality standards, but has some latitude over prioritization/timing. Follow standard policies that allow for some opportunity for interpretation/deviation and independent.