Remote Utilization Management Coordinator

Humana Inc; Oklahoma; Remote; USD 40,000 - 52,000; Full time

Job summary

Humana Inc. in Oklahoma is seeking a dedicated UM Administration Coordinator to support utilization management operations from a remote setting. You will perform semi-routine administrative tasks, help ensure appropriate care, and assist with provider-facing responsibilities.

Requirements include residing in Oklahoma, 1+ year administrative experience, proficiency in MS Office, and a willingness to learn EMR systems. The role offers 40 hours weekly and qualifies for Humana benefits.

Qualifications

• Must reside in Oklahoma.
• 1+ years in administrative or technical support.
• MS Office (Word, Excel, Outlook) in Windows environment.
• Passionate about improving consumer experiences.
• Preferred: EMR/documentation proficiency.
• Preferred: Utilization Review / Prior Authorization experience.
• Preferred: medical terminology and ICD-10 knowledge.
• Bachelor's degree in Business, Finance or related field.
• Prior member service or customer service experience by phone.

Responsibilities

• Provide nonclinical support for policies and procedures.
• Assist Providers with discharge planning for inpatients or outpatients.
• Work on special projects with the clinical team.
• Complete Provider-facing responsibilities.

Skills

Administrative support

MS Office

Detail oriented

Customer service

Education

Bachelor's Degree in Business, Finance or related field

Tools

EMR systems

ICD-10 knowledge

Job description

Humana Inc. in Oklahoma is seeking a dedicated UM Administration Coordinator to support utilization management operations from a remote setting. You will perform semi-routine administrative tasks, help ensure appropriate care, and assist with provider-facing responsibilities.

Requirements include residing in Oklahoma, 1+ year administrative experience, proficiency in MS Office, and a willingness to learn EMR systems. The role offers 40 hours weekly and qualifies for Humana benefits.