Remote Utilization Management Coordinator

Humana Inc; Carson City (NV); On-site; USD 39,000 - 49,000; Full time

Job summary

Humana Inc. is seeking a UM Administration Coordinator to support utilization management operations, handling data entry, records maintenance, and stakeholder communications under general supervision.

You will perform routine administrative tasks, prioritize workload, and work independently in a remote environment while upholding privacy and service standards in a fast-paced healthcare setting. Experience with MS Office required; EMR familiarity a plus.

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 (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, ability to manage multiple priorities.
• Commitment to delivering exceptional service and customer experiences.

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 care and service delivery for members.
• Follow policies, procedures and instructions to complete tasks.
• Prioritize workload, maintain quality, and meet performance expectations.
• Collaborate with team members to support departmental objectives.
• Perform work under general supervision with guidance for non-routine situations.

Skills

Admin experience

Communication skills

MS Office

Remote work

Organizational skills

Customer service

Education

Associate/Bachelor degree

Tools

EMR systems

Job description

Humana Inc. is seeking a UM Administration Coordinator to support utilization management operations, handling data entry, records maintenance, and stakeholder communications under general supervision.

You will perform routine administrative tasks, prioritize workload, and work independently in a remote environment while upholding privacy and service standards in a fast-paced healthcare setting. Experience with MS Office required; EMR familiarity a plus.