Remote Utilization Management Coordinator

Humana; United States; Remote; USD 40,000 - 52,000; Full time

Benefits offered by this job

Medical benefits

Dental benefits

Vision benefits

401(k) retirement savings

Paid time off

Job summary

Humana is seeking a Utilization Management (UM) Coordinator to join the Wisconsin Medicaid iCare team. This non-clinical role supports prior authorization processing and provider communication to ensure appropriate care for members.

You will document requests in TruCare, coordinate with staff for clinical review, and maintain timely responses. Remote-friendly workstyle with occasional office collaboration, typical hours 8:30–5 CST, Mon–Fri.

Qualifications

• 1 year of health care or health plan experience.
• 1–2 years using Word, Excel, and PowerPoint.
• 1 year of customer service with inbound/outbound calls.
• Hours 8:30–5:00 CST, Mon–Fri, with rotated holiday coverage

Responsibilities

• Process and document all incoming PA requests per Humana policies.
• Contact providers by phone or fax for information or clarification.
• Conduct inbound and outbound calls.
• Enter PA requests into TruCare and route for clinical review.
• Multitask to support multiple stakeholders throughout the day.

Skills

Healthcare experience

Customer service

Tools

Microsoft Office (Word, Excel, PowerPoint)

Job description

Humana is seeking a Utilization Management (UM) Coordinator to join the Wisconsin Medicaid iCare team. This non-clinical role supports prior authorization processing and provider communication to ensure appropriate care for members.

You will document requests in TruCare, coordinate with staff for clinical review, and maintain timely responses. Remote-friendly workstyle with occasional office collaboration, typical hours 8:30–5 CST, Mon–Fri.