Remote Utilization Management Coordinator

Humana, Inc.; Montpelier (VT); Remote; USD 40,000 - 52,000; Full time

Job summary

Humana, Inc. is seeking a remote UM Administration Coordinator to support utilization management operations and member/provider communications. The role requires strong customer service skills, accuracy, and the ability to work from a dedicated home workspace.

You will join a team focused on delivering timely prior authorizations, documentation review, and cross-functional collaboration. Schedule includes 8-hour shifts with weekends and holiday rotation, plus mandatory training.

Qualifications

• Minimum 2 years of customer service experience.
• Experience handling a high volume of calls (30–50 daily) across multiple systems.
• Typing proficiency of at least 30 WPM.
• Proficient in Microsoft Office; ability to locate documents quickly.
• Direct wired internet connection required (no Wi-Fi).
• Dedicated, distraction-free home workspace with webcam for meetings.

Responsibilities

• Handle inbound and outbound calls about prior authorizations and benefits.
• Review and process prior authorization requests and related documentation.
• Perform back-office tasks: research, updates, and timely case processing.
• Verify and enter information across multiple systems with accurate documentation.
• Monitor work queues to meet SLAs and turnaround times.
• Collaborate with clinical/operational teams to resolve issues.

Skills

Customer service

Phone support

Typing 30 wpm

MS Office

Wired internet

Remote work setup

Job description

Humana, Inc. is seeking a remote UM Administration Coordinator to support utilization management operations and member/provider communications. The role requires strong customer service skills, accuracy, and the ability to work from a dedicated home workspace.

You will join a team focused on delivering timely prior authorizations, documentation review, and cross-functional collaboration. Schedule includes 8-hour shifts with weekends and holiday rotation, plus mandatory training.