Backend UM Coordinator

Humana

19h • $39,000 - $49,400 • Remote

About The Position

The UM Administration Coordinator 1 contributes to administration of utilization management. The UM Administration Coordinator 1 performs basic administrative/clerical/operational/customer support/computational tasks. Typically works on routine and patterned assignments.
The Backend UM Administration Coordinator provides administrative support for utilization management operations and processes. This role reviews and processes information, maintains records, performs data entry, and supports communications with internal and external stakeholders. Working within established policies and procedures, the coordinator completes routine assignments, ensures accuracy and timeliness, and contributes to the efficient delivery of utilization management services. Work is performed under general supervision with guidance provided for non-routine situations.

Requirements

• Experience providing administrative, operational, customer service, or technical support in a professional environment.
• Strong verbal and written communication skills with the ability to interact effectively with diverse audiences.
• Proficiency with Microsoft Office applications, including Word, Excel, and Outlook, and the ability to learn new systems and technologies.
• Ability to work independently in a remote environment and maintain a reliable internet connection that meets company requirements.
• Strong organizational skills, attention to detail, and ability to manage multiple priorities in a fast-paced setting.
• Commitment to delivering exceptional service and contributing to a culture focused on improving customer and member experiences.

Nice To Haves

• Experience using electronic medical record (EMR), healthcare documentation, or case management systems.
• Familiarity with medical terminology, healthcare coding, or ICD-10 classifications.
• Associate's or bachelor's degree in Business, Healthcare Administration, Finance, or a related field.
• Prior customer service, member service, or call center experience.
• Experience supporting Utilization Management, Prior Authorization, Care Management, or related healthcare operations, preferably within a health plan or managed care environment.

Responsibilities

• Provide administrative support for utilization management (UM) programs and processes.
• Review, process, and maintain information and records accurately and in a timely manner.
• Coordinate communications with internal teams and external stakeholders.
• Support operational activities that help facilitate appropriate care and service delivery for members.
• Follow established policies, procedures, and work instructions to complete assigned tasks.
• Prioritize workload, maintain quality standards, and meet performance expectations.
• Collaborate effectively with team members to support departmental and business objectives.
• Perform work under general supervision, exercising judgment within established guidelines.

Benefits

• medical
• dental
• vision benefits
• 401(k) retirement savings plan
• time off (including paid time off, company and personal holidays, paid parental and caregiver leave)
• short-term and long-term disability
• life insurance

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: Associate degree