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The Manager, UM Administration contributes to administration of utilization management. The Manager, UM Administration works within specific guidelines and procedures; apply advanced technical knowledge to solve moderately complex problems; receive assignments in the form of goals and determines approach, resources, schedules and goals.The Manager, UM Administration provides non-clinical support for the procedures ensuring best treatment, care or services for members. Decisions are typically related to resources, approach, and tactical operations for projects and initiatives involving own departmental area. Requires cross departmental collaboration, and conducts briefings and area meetings; maintain frequent contact with other managers across the department.
Use your skills to make an impact
Required Qualifications
- Prior demonstrated experience with process improvement or process design and implementation roles
- Comprehensive knowledge of all Microsoft Office applications and database software proficiency
- Progressive experience in the health service industry, healthcare finance or healthcare related consulting
- Experience with strategic planning, customer retention programs, and primary and secondary research processes
- Strategic thinking and business planning capabilities; organized and detail-oriented
- Demonstrated presentation skills
- Willingness to manage and prioritize diverse projects & reports
- Must be passionate about contributing to an organization focused on improving consumer experiences
Preferred Qualifications
- Master's Degree
- 3 - 5 years of work experience in an operational setting
- Experience with economic, financial and operational concepts
- Previous management experience in a call center setting
Additional Information
- Requires rotational weekend and holiday work
Scheduled Weekly Hours
40Pay Range
The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.$86,300 - $118,700 per yearThis job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.Description of Benefits
Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides 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 and many other opportunities.Application Deadline: 06-04-2026
About us
About Humana: Humana Inc. (NYSE: HUM) is a leading U.S. healthcare company. Through our Humana insurance services and our CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare and Medicaid, families, individuals, military service personnel, and communities at large. Learn more about what we offer at Humana.com and at CenterWell.com.
Equal Opportunity Employer
It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all 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 all levels of employment.
