UM Administration Coordinator

UM Administration Coordinator 1

Become a part of our caring community and help ensure members receive appropriate care and services.

The UM Administration Coordinator provides non-clinical administrative support for utilization management activities. This role follows established processes, policies, and quality standards while supporting efficient and accurate operational workflows.

Key Responsibilities:

• Support utilization management policies, procedures, and operations.
• Assist with activities that promote appropriate member care and services.
• Complete administrative tasks following established guidelines and procedures.
• Maintain accurate records and documentation.
• Meet quality, productivity, and timeliness expectations.
• Prioritize and complete assigned work within designated timeframes.
• Adhere to departmental policies, compliance requirements, and performance standards.
• Escalate issues that fall outside established guidelines.
• Collaborate with internal teams to support operational goals.
• Perform work under close supervision and within defined processes.

Use your skills to make an impact.

Required Qualifications:

• Administrative or technical support experience.
• Excellent verbal and written communication skills.
• Strong attention to detail.
• Strong typing and computer navigation skills.
• Ability to manage multiple or competing priorities, including use of multiple computer applications simultaneously.
• Must be passionate about contributing to an organization focused on continuously improving consumer experiences.

Preferred Qualifications:

• Previous contact center or related customer service experience with telephone experience desired.
• Healthcare experience.
• High School diploma.
• Proficient utilizing electronic medical record and documentation programs.
• Proficient and/or experience with medical terminology and/or ICD -10 codes.
• Experience with Utilization Review and/or Prior Authorization, preferably within a managed care organization.
• Previous employment with work at home background.

Additional Information:

As part of our hiring process for this opportunity, we will be using an interviewing technology called HireVue to enhance our hiring and decision-making ability. Work at home requirements include a minimum download speed of 25 Mbps and an upload speed of 10 Mbps. In certain roles, the minimum recommended internet speed required by Humana may not be sufficient for business needs. Humana reserves the right to require associates to upgrade their internet service if necessary. Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.

Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.

Scheduled Weekly Hours: 40

Pay Range: $39,000 $49,400 per year

Description of Benefits: Humana, Inc. and its affiliated subsidiaries offer 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.

About Humana: Humana Inc. 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.

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. Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services.