Remote Utilization Management Coordinator

Humana, Inc.; Lincoln (NE); Remote; USD 40,000 - 52,000; Full time

Job summary

Humana, Inc. is seeking an UM Administration Coordinator to support provider and member inquiries and handle back-office tasks for utilization management. This remote role reports to the Supervisor, UM Management and includes training and cross-training across lines of business.

The position requires strong communication, organization, and adaptability to support both phone and non-phone duties, with weekend and holiday rotation as part of the schedule.

Qualifications

• Minimum 2 years of customer service experience.
• Experience handling 30–50 calls daily across multiple systems.
• Typing speed of at least 30 wpm.
• Proficient in Microsoft Office.
• Wired internet connection required; no Wi‑Fi.

Responsibilities

• Handle inbound/outbound calls about prior authorizations, utilization management, and benefits.
• Process and review prior authorization requests and supporting information.
• Perform back-office administrative tasks including research and data entry.
• Verify information across multiple systems and document interactions.
• Manage work queues to meet SLA and turnaround targets.
• Collaborate with clinical and operational teams to resolve issues.

Skills

Customer service

High-volume calls

Typing 30 wpm

Microsoft Office

Wired internet

Distraction-free workspace

Healthcare customer service

Utilization Review

Prior Authorization

EMR software

Medical terminology

ICD-10

Tools

None

Job description

Humana, Inc. is seeking an UM Administration Coordinator to support provider and member inquiries and handle back-office tasks for utilization management. This remote role reports to the Supervisor, UM Management and includes training and cross-training across lines of business.

The position requires strong communication, organization, and adaptability to support both phone and non-phone duties, with weekend and holiday rotation as part of the schedule.