UM Administration Coordinator

Humana

1d • $39,000 - $49,400 • Hybrid

About The Position

The UM Administration Coordinator 1 contributes to the 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 UM Administration Coordinator provides non-clinical administrative support for utilization management activities that help ensure members receive appropriate care and services. This role follows established processes, policies, and quality standards while supporting efficient and accurate operational workflows.

Requirements

• 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

Nice To Haves

• 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

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.

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: High school or GED