Remote UM Administration Coordinator

Humana; Nashville (TN); On-site; USD 39,000 - 49,000; Full time

Job summary

Humana is seeking a UM Administration Coordinator to support utilization management operations. You will handle data entry, record-keeping, and communications with internal and external stakeholders, following established policies and providing dependable administrative support.

Responsibilities include processing information accurately, coordinating with teams, and ensuring timely delivery of UM services while maintaining quality and HIPAA-compliant practices.

Qualifications

• Experience providing administrative, operational, customer service, or technical support in a professional environment.
• Strong verbal and written communication skills with diverse audiences.
• Proficiency with Microsoft Office applications (Word, Excel, Outlook) and ability to learn new systems.
• Ability to work independently in a remote environment with reliable internet.
• Strong organizational skills, attention to detail, and ability to manage multiple priorities.
• Commitment to delivering exceptional service and improving member experiences.
• Experience with EMR, healthcare documentation, or case management systems is preferred.
• Associate’s or bachelor’s degree in Business, Healthcare Administration, Finance, or related field is preferred.
• Prior customer service, member service, or call center experience is a plus.

Responsibilities

• Provide administrative support for utilization management (UM) programs and processes.
• Review, process, and maintain information and records accurately and timely.
• Coordinate communications with internal teams and external stakeholders.
• Support operational activities that facilitate appropriate care and service delivery for members.
• Follow policies, procedures, and work instructions to complete tasks.
• Prioritize workload, maintain quality standards, and meet performance expectations.
• Collaborate with team members to support departmental and business objectives.
• Perform work under general supervision with guidance for non-routine situations.

Skills

Administrative experience

Communication skills

Microsoft Office

Remote work ability

Organizational skills

Customer service focus

Education

Bachelor/Associate in Business or Healthcare Admin

Tools

EMR systems

Job description

Humana is seeking a UM Administration Coordinator to support utilization management operations. You will handle data entry, record-keeping, and communications with internal and external stakeholders, following established policies and providing dependable administrative support.

Responsibilities include processing information accurately, coordinating with teams, and ensuring timely delivery of UM services while maintaining quality and HIPAA-compliant practices.