Remote Utilization Management Admin Coordinator

Humana; Kentucky; On-site; USD 40,000 - 52,000; Full time

Job summary

Humana is seeking an UM Administration Coordinator to support utilization management administration. The role involves handling provider communications, documenting interactions, and preparing authorization requests for clinical review while maintaining compliance with policies and procedures.

The position requires at least 1 year of healthcare administrative experience, strong written and verbal communication skills, and proficiency with MS Office tools.

Qualifications

• 1 year of administrative experience in healthcare
• Excellent verbal and written communication skills
• Proficient in MS Office (Word, Excel, Outlook) in Windows environment and able to troubleshoot basic technical issues in a remote setting

Responsibilities

• Handle inbound and outbound provider calls to answer UM questions and prepare authorization requests for clinical review
• Document calls and attach clinical information to the member’s medical record
• Create and send written correspondence
• Ability to multitask and prioritize with defined parameters
• Collaborate with multiple roles/departments/providers/team members

Skills

administrative experience

communication skills

MS Office

Job description

Humana is seeking an UM Administration Coordinator to support utilization management administration. The role involves handling provider communications, documenting interactions, and preparing authorization requests for clinical review while maintaining compliance with policies and procedures.

The position requires at least 1 year of healthcare administrative experience, strong written and verbal communication skills, and proficiency with MS Office tools.