Utilization & Disease Management Administration Coordinator - Census Management

Are you passionate about improving healthcare outcomes and ensuring effective utilization of resources? Do you have strong organizational skills and a keen eye for detail? If so, Humana is looking for you to join our team as a Utilization & Disease Management Administration Coordinator - Census Management. In this role, you will play a crucial role in managing and monitoring the utilization and disease management processes, while also overseeing census management activities. With your expertise and dedication, you will help us provide high-quality, cost-effective care to our members. If you have a background in healthcare administration and are ready to take the next step in your career, we encourage you to apply now.

1. Manage and monitor utilization and disease management processes to ensure efficient and effective use of resources.
2. Oversee and coordinate census management activities to maintain accurate and up-to-date member data.
3. Collaborate with healthcare providers and internal teams to ensure timely and appropriate care for members.
4. Conduct regular audits and reviews to identify areas for improvement and implement necessary changes.
5. Develop and maintain comprehensive documentation and reporting systems to track utilization and disease management metrics.
6. Train and support team members on utilization and disease management processes and procedures.
7. Stay up-to-date on industry trends and best practices related to utilization and disease management.
8. Identify and implement strategies to improve healthcare outcomes and reduce costs.
9. Coordinate with other departments to ensure seamless integration of utilization and disease management efforts.
10. Communicate and collaborate with external stakeholders, such as health plans and regulatory agencies.
11. Monitor and analyze data to identify patterns and trends to inform decision making.
12. Participate in quality improvement initiatives to enhance the overall effectiveness of utilization and disease management processes.
13. Adhere to all relevant regulations and compliance guidelines related to utilization and disease management.
14. Provide exceptional customer service to internal and external stakeholders.
15. Assist with special projects and other duties as assigned by management.

According to JobzMall, the average salary range for a Utilization & Disease Management Administration Coordinator - Census Management is $45,000-$65,000 per year. However, this can vary depending on factors such as location, experience, and specific job responsibilities.

Humana Inc. is a for-profit American health insurance company based in Louisville, Kentucky. Its strategy integrates care delivery, the member experience, and clinical and consumer insights to encourage engagement, behavior change, proactive clinical outreach and wellness for the millions of people they serve across the country. The company operates its business through the following segments: Retail, Group, and Healthcare Services.