UM Administration Coordinator

UM Administration Coordinator

Humana Healthy Horizons in Kentucky is seeking a UM Administration Coordinator who will contribute to the administration of utilization management. Reporting to the UM Behavioral Manager, you will perform varied activities and moderately complex administrative/operational/customer support assignments as well as perform computations and work on semi-routine assignments.

UM Adm Coord Responsibilities:

• Provides non-clinical support for the policies and procedures ensuring best and most appropriate treatment, care or services for members.
• Decisions are typically focused on interpretation of area/department policy and methods for completing assignments.
• Works within defined parameters to identify work expectations and quality standards, but has some latitude over prioritization/timing.
• Works under minimal direction.
• Follows standard policies/practices that allow for some opportunity for interpretation/deviation and/or independent discretion.

Use your skills to make an impact

Required Qualifications:

• 1 or more years administrative, customer service or technical support experience
• Excellent verbal and written communication skills
• Working knowledge of Word, Excel, and Outlook in a Windows-based environment and an ability to quickly learn new systems
• Can attend 4-week training process with no absences

Preferred Qualifications:

• Proficient utilizing electronic medical record and documentation programs
• Proficient and/or experience with medical terminology and/or ICD-10 codes
• Bachelor's Degree
• Prior member service or customer service telephone experience
• Experience with Utilization Review and/or Prior Authorization, preferably within a managed care organization

Additional Information:

• Workstyle: Remote Nationwide
• Work Hours: 8 4:30 EST with occasional weekends as business needs dictate
• Interview Format: As part of our hiring process for this opportunity, we will use an interviewing technology called HireVue to enhance our hiring. HireVue allows us to quickly connect and gain valuable information from you about your relevant experience at a time that is best for your schedule.
• 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: $40,000 - $52,300 per year

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: 06-05-2026

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.

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. See our