Remote Utilization Management Coordinator

Humana Inc; Topeka (KS); On-site; USD 39,000 - 49,000; Full time

Job summary

Humana Inc. is seeking a UM Administration Coordinator to support utilization management operations and provide essential administrative assistance.

The role involves processing information, coordinating with internal teams and external stakeholders, and ensuring timely, accurate records within established policies. As a remote position, it requires strong communication, organizational skills, and the ability to manage multiple priorities.

Qualifications

• Experience providing administrative, operational, customer service, or technical support in a professional environment.
• Strong verbal and written communication skills with the ability to interact effectively with diverse audiences.
• Proficiency with Microsoft Office applications, including Word, Excel, and Outlook, and the ability to learn new systems and technologies.
• Ability to work independently in a remote environment and maintain a reliable internet connection that meets company requirements.
• Strong organizational skills, attention to detail, and ability to manage multiple priorities in a fast-paced setting.
• Commitment to delivering exceptional service and contributing to a culture focused on improving customer and member experiences.

Responsibilities

• Provide administrative support for utilization management (UM) programs and processes.
• Review, process, and maintain information and records accurately and in a timely manner.
• Coordinate communications with internal teams and external stakeholders.
• Support operational activities that help facilitate appropriate care and service delivery for members.
• Follow established policies, procedures, and work instructions to complete assigned tasks.
• Prioritize workload, maintain quality standards, and meet performance expectations.
• Collaborate effectively with team members to support departmental and business objectives.
• Perform work under general supervision, exercising judgment within established guidelines.

Skills

Administrative experience

Customer service

Communication skills

Microsoft Office

Remote work

Organizational skills

Education

Associate's or Bachelor's degree in Business, Healthcare Administration, Finance, or related field

Tools

EMR systems

Healthcare coding ICD-10

Job description

Humana Inc. is seeking a UM Administration Coordinator to support utilization management operations and provide essential administrative assistance.

The role involves processing information, coordinating with internal teams and external stakeholders, and ensuring timely, accurate records within established policies. As a remote position, it requires strong communication, organizational skills, and the ability to manage multiple priorities.