Remote Utilization Management Admin Coordinator

Humana, Inc.; Trenton (NJ); Remote; USD 40,000 - 52,000; Full time

Job summary

Humana, Inc. is seeking a remote UM Administration Coordinator to support utilization management operations through provider and member phone support and back-office tasks.

You will report to the Supervisor, UM Management and work from a dedicated home workspace with a reliable wired internet connection. You will handle high-volume calls, assist with prior authorizations, document activities in multiple systems, and collaborate with clinical and operational teams to meet service levels.

Qualifications

• Minimum of 2 years of customer service experience.
• Experience managing a high-volume of calls (30–50 daily).
• Typing proficiency of at least 30 words per minute.
• Proficient use of Microsoft Office to locate documents.
• Direct wired internet connection required; no Wi‑Fi.
• Professional, distraction-free remote workspace with webcam.

Responsibilities

• Handle inbound and outbound calls about prior authorizations and benefits.
• Process and review prior authorization requests and documentation.
• Perform back-office administrative tasks and case research.
• Review, verify, and enter information across multiple systems.
• Complete and monitor work queues to meet SLAs.
• Collaborate with clinical and operational teams to resolve issues.

Skills

Customer service

Phone handling

Typing 30 wpm

Microsoft Office

Wired internet

Dedicated home workspace

Tools

Microsoft Office

Job description

Humana, Inc. is seeking a remote UM Administration Coordinator to support utilization management operations through provider and member phone support and back-office tasks.

You will report to the Supervisor, UM Management and work from a dedicated home workspace with a reliable wired internet connection. You will handle high-volume calls, assist with prior authorizations, document activities in multiple systems, and collaborate with clinical and operational teams to meet service levels.