Remote Utilization Management Coordinator

Humana; Annapolis (MD); Remote; USD 40,000 - 52,000; Full time

Job summary

Humana is seeking a remote Utilization Management Administration Coordinator to support UM operations via phone and back-office tasks. You will report to the Supervisor, UM Management, and help providers and members navigate processes with high attention to accuracy and service quality.

The role requires 40 hours per week, with shifts ending 7:00pm CST/8:00 PM EST and includes weekend/holiday rotation. A wired internet connection, a distraction-free workspace, and 30 wpm typing are expected.

Qualifications

• Minimum of 2 years of customer service experience.
• Experience managing a high-volume of calls (approximately 30 to 50 calls daily) using multiple computer systems.
• Typing proficiency of at least 30 words per minute.
• Proficient experience using Microsoft Office.
• A dedicated, wired internet connection is required.
• Professional workspace with webcam for meetings and training.

Responsibilities

• Handle inbound and outbound calls about prior authorizations and benefits; 30–50 daily interactions.
• Process and review prior authorization requests, supporting medical necessity determinations.
• Perform back-office administrative tasks, including case research and updates.
• Verify and enter accurate information across multiple systems with proper documentation.
• Meet service levels by monitoring work queues and turnaround times.
• Collaborate with clinical and operational teams to resolve issues.

Skills

Customer service

Phone support

Typing 30 wpm

Microsoft Office

Stable internet

Tools

Microsoft Office

Job description

Humana is seeking a remote Utilization Management Administration Coordinator to support UM operations via phone and back-office tasks. You will report to the Supervisor, UM Management, and help providers and members navigate processes with high attention to accuracy and service quality.

The role requires 40 hours per week, with shifts ending 7:00pm CST/8:00 PM EST and includes weekend/holiday rotation. A wired internet connection, a distraction-free workspace, and 30 wpm typing are expected.