Find work in the United States.

A simpler way to find your next job.

Jobs in the United States

25+ jobs

Save this search

Added 40 mins ago
AI Program Analyst
InterImage
Remote, United States
This role is the connective tissue of the program: part business analyst, part tester, part program coordinator. You will keep delivery organized and be trusted with real program-management…
Added 1 hour ago
Patient Registration Coordinator
AdventHealth
Overland Park, KS
General knowledge of medical terminology, coding/billing (Preferred).
Added 3 hours ago
SA
Supervisor Customer Service - CMH
Southwest Airlines Co.
Columbus, OH
- $36 to $37.5 USD / hour
…parties accountable for results, review and ensure accurate delay…
Added 3 hours ago
Student Data, Federal, State, Local, and Data Programs Reporting Coordinator
Ruidoso Municipal Schools
Ruidoso, NM
Experience with SQL Coding, Power Scheduler, Word Mail Merge, desirable.
Added 4 hours ago
Manager, Financial Transplant Specialist, Transplant Cellular Therapy
Jobgether
Remote, United States
Lead and supervise the financial transplant coordinator team, ensuring appropriate staffing, balanced workloads, and consistent service delivery.
Added 4 hours ago
T
Claims Customer Service Representative
TEKsystems
Enfield, CT
- $20 to $22 USD / hour
…Medical Billing Specialist Claims Intake Representative Claims Coordinator Insurance Verification…
Added 6 hours ago
AR Coordinator
HOA Talent
Remote, United States
The Accounts Receivable Coordinator is an entry-level position responsible for supporting the daily
Added 6 hours ago
RH
Accounts Payable Coordinator
Robert Half
Desoto, KS
- $22 to $25 USD / hour
We are looking for an Accounts Payable Coordinator to support day-to-day invoice processing and payment activities for a paper and packaging operation in DeSoto, Kansas. This Long-term…
Added 7 hours ago
SA
Supervisor Customer Service - SFO
Southwest Airlines
San Francisco, CA
- $36 to $37.5 USD / hour
…parties accountable for results, review and ensure accurate delay…
Added 7 hours ago
Patient Service Coordinator
CenterWell Certified Healthcare Corp.
St Louis, MO
The Patient Services Coordinator 3 acts as a vital link between clinical staff and patients, along with their families and caregivers. Responsible for scheduling, organizing and managing…
Added 7 hours ago
Temporary Employment Services (TES) Medical Office Service Coordinator Pool
University of California, Davis
CA
Medical Office Service Coordinator (MOSC) OR Patient Service Rep (PSR)
Added 8 hours ago
Temporary Employment Services (TES) Medical Office Service Coordinator Pool
UC Davis Health
CA
Medical Office Service Coordinator (MOSC) OR Patient Service Rep (PSR)
Added 8 hours ago
JH
Sr. Research Project Coordinator II (Emergency Medicine)
Johns Hopkins University
Baltimore
- $49,200 to $86,200 USD / year
The Department of Emergency Medicine is seeking a Sr. Research Project Coordinator II to support a dynamic portfolio of federally funded and investigator-initiated implementation science…
Added 8 hours ago
SH
Authorization Coordinator II
Sutter Health
Remote, United States
- $28.75 to $40.24 USD / hour
Medical terminology, Current Procedural Terminology (CPT)/Healthcare Common Procedure Coding System (HCPCS)/International Classification of Diseases (ICD)-9 coding knowledge.
Added 8 hours ago
AG
Social and Community Launch Coordinator
Azra Games - Open Application
CA
- $20 to $25 USD / hour
With our upcoming game launch, The UnGodly, we are looking for a Social and Community Launch Coordinator
Added 8 hours ago
SF
MDS Nurse Assistant
Spokane Falls Care
Spokane, WA
- $45 to $55 USD / hour
Job Title: MDS Nurse Assistant (Minimum Data Set Coordinator Assistant)
Added 8 hours ago
PRN (as needed) RN and LPN Positions Available
Sapphire Shores Health and Rehab
Sarasota, FL
Flexible Scheduling: Employees may select available shifts through our electronic system or coordinate directly with the Staffing Coordinator.
Added 9 hours ago
Home Infusion Intake Coordinator
AIS Healthcare
Dallas, TX
Advanced Infusion Care is looking for an experienced and motivated Intake Coordinator to join our dynamic team! The Intake Coordinator role is a full-time position responsible for providing…
Added 9 hours ago
Referral Coordinator
CHC of Snohomish County
Everett, WA
The Referral Coordinator works as part of the healthcare team and collaborates with other support staff and clinic healthcare providers. The Referral department coordinates with healthcare…
Added 9 hours ago
SC
Insurance Processing Coordinator
Seattle Children's Hospital
Remote, United States
- $25.39 to $38.09 USD / hour
…insurance authorizations; OR six months in the Revenue Cycle Coordinator position and completion of the full Revenue Cycle…
Added 9 hours ago
Job Cost Coordinator
Alliance 2020
Atlanta, GA
Coding, routing, sorting, and filing all job cost documentation
Added 9 hours ago
MDS Coordinator (RN)
Forest Hill Health & Rehabilitation
Richmond, VA
…accuracy in patient care planning? Join our team as an MDS Coordinator and play a critical role in ensuring residents receive the care they deserve - while helping our facility…
Added 10 hours ago
Patient Care Coordinator (Front Desk) [Float]
Upperline Health
Myrtle Beach, SC · Little River, SC
Upperline Health is seeking an energetic, compassionate, and driven Patient Care Coordinator to support our physicians and care teams in delivering an outstanding patient experience. This…
Added 10 hours ago
UG
Associate Patient Care Coordinator
UnitedHealth Group
Las Vegas, NV
- $16 to $29 USD / hour
The Associate Patient Care Coordinator is responsible for the completion of set processes and protocols. Works cooperatively with all members of the care team to support the vision and…
Added 10 hours ago
HL
Engagement Coordinator
Homegoods LLC
Sheboygan Falls, WI
- $14.25 to $14.75 USD / hour
Adheres to all operational, merchandise, and loss prevention policies and procedures (i.e. merchandise ticketing, EAS tagging - if applicable, and coding standards)

Humana

Utilization Mgmt. Coordinator

Baton Rouge, LA, United States

$40,000 - $52,300 per year

Apply About employer

Applications open in a new tab.

Job details

Pay: $40,000 - $52,300 per year
Experience: Minimum of 2 years of customer service experience
Working hours: 40 hours per week
Posting language: English
Posted: Oct 28, 2026

Original job description

Become a part of our caring community

At Humana, we work collaboratively to provide solutions and fulfill our commitment to serving members. The UM Administration Coordinator role supports UM operations through provider/member-facing phone support and back-office administrative responsibilities. As a UMAC 2, you will report to the Supervisor, UM Management, and support UM processes while working remotely.

Schedule: 8-hour shifts ending no later than 7:00pmCST/8:00 PM EST, including one weekend day (Saturday or Sunday) and holiday rotation. Scheduled breaks and meal periods are assigned to ensure adequate staffing and maintain service levels for providers and members.

Training Schedule

The first month consists of mandatory training conducted Monday through Friday from 8:00 AM to 4:30 PM CST

Key Responsibilities

As a Utilization Management Administration Coordinator, you will:

Handle inbound and outbound calls about prior authorizations, utilization management services, and benefits; help providers and members navigate these processes, with approximately 30 to 50 phone interactions daily when assigned to phone support.
Process and review prior authorization requests and documentation, researching and evaluating information to support medical necessity determinations and authorization workflows.
Perform back-office administrative tasks, including case research, record updates, error resolution, and timely case processing.
Review, verify, and enter accurate information across multiple systems; document all interactions, research findings, and case activities while following established procedures, process flows, and work instructions.
Complete and monitor assigned work queues to meet service level agreements and turnaround time requirements.
Collaborate with clinical and operational teams and internal partners to resolve issues and address escalated concerns.

Performance Goals: Meet productivity, quality, service, and attendance expectations. Adapt to changing priorities and support both phone and non-phone responsibilities as operational needs evolve.

You will receive cross-training to support multiple lines of business and utilization management functions. Success in this role requires adaptability, strong organizational skills, attention to detail, and a commitment to delivering exceptional service to providers, members, and internal partners.

Use your skills to make an impact

Required Qualifications:

Minimum of 2 years of customer service experience
Experience managing a high-volume of calls (approximately 30 to 50 calls daily) using multiple computer systems while engaging callers
Typing proficiency of at least 30 words per minute
Proficient experience using Microsoft Office (including using toolbars, menus, and system features to locate documents)
A direct wired connection to an internet router is required (Wi-Fi is not permitted)
A dedicated, distraction-free, professional workspace with a closed door (ability to participate in meetings and training with a webcam)

Preferred Qualifications:

Customer service experience within healthcare, insurance, or health services.
Experience with Utilization Review and Prior Authorization within a managed care organization
Proficient using electronic medical record and documentation programs
Experience with Utilization Review and Prior Authorization
Knowledge of Medical Terminology and ICD-10 codes

Successful candidates will demonstrate:

Exceptional attendance and reliability.
Professionalism while working remotely.
A dedicated and distraction-free workspace.
Comfort appearing on camera when required.
Comfort learning complex information through virtual training
Strong customer service experience, preferably in healthcare or insurance.
Knowledge of utilization management concepts, prior authorization processes, and medical coding.
Ability to learn new systems quickly and adapt to changing business needs.

Additional Information

Work at Home Requirements: To ensure Home or Hybrid Home/Office employees’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. In certain roles, the minimum recommended internet speed required by Humana may not be sufficient for business needs. Humana reserves the right to require associates to upgrade their internet service if necessary. Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.

Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.

Scheduled Weekly Hours

Pay Range

The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.

$40,000 - $52,300 per year

Description of Benefits

Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.

About us

About Humana: Humana Inc. (NYSE: HUM) is a leading U.S. healthcare company. Through our Humana insurance services and our CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare and Medicaid, families, individuals, military service personnel, and communities at large. Learn more about what we offer at Humana.com and at CenterWell.com.

Equal Opportunity Employer

It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.

Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our https://www.humana.com/legal/accessibility-resources?source=Humana_Website.

Apply About employer

Report this job