Remote Medicaid Claims & UM Coordinator

Socket.dev; United States; Remote; USD 40,000 - 52,000; Full time

Job summary

Humana is seeking a UM Administration Coordinator 2 to support utilization management for the Kentucky Medicaid plan. This non‑clinical role handles moderately complex administrative and operational tasks, including computations and semi‑routine duties.

The position is remote with standard hours; requires experience in medical claims, Medicaid, and UR/PA processes, plus strong MS Office skills to support members and care teams.

Qualifications

• 2+ years of experience in medical claims.
• 1+ years Medicaid experience.
• 2+ years of UR and/or PA processes in a managed care setting.
• 2+ years administrative experience in healthcare or related field.
• Proficient with MS Office (Word/Excel/Outlook).

Skills

Medical claims experience

Medicaid experience

UR/PA processes

Administrative experience

MS Office proficiency

Tools

MS Office

EMR software

Job description

Humana is seeking a UM Administration Coordinator 2 to support utilization management for the Kentucky Medicaid plan. This non‑clinical role handles moderately complex administrative and operational tasks, including computations and semi‑routine duties.

The position is remote with standard hours; requires experience in medical claims, Medicaid, and UR/PA processes, plus strong MS Office skills to support members and care teams.