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Added 1 min ago
KA
Warehouse Worker - 3PL Nightshift
Keystone Automotive Operations, Inc.
Exeter, PA
- $18 USD / hour
Keystone Automotive Operations, Inc. is hiring a dependable, detail-oriented Warehouse Associate – 3PL for our Exeter, PA distribution center. This active role is ideal for someone who…
Added 1 min ago
Store Associate Rx
Vermont CVS Pharmacy, L.L.C.
South Burlington, VT
…prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a…
Added 1 min ago
Seasonal Associate
Sephora
Buford, GA
As a Seasonal Associate, you'll be responsible for providing an outstanding client experience by supporting both store operations and onstage service during peak business moments. You'll…
Added 1 min ago
Technician, Pharmacy Warehouse L1, Dispensing - C Shift
Caremark, L.L.C.
Wilkes Barre, PA
…prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a…
Added 2 mins ago
Retail Associate (PT)- Spanish Bilingual Preferred
Red Wing Shoe Company
Granada Hills, CA
The targeted hiring range for this part-time position is $17.87 - $22.26 plus commission depending on qualifications; however, the expanded salary range provides opportunities for…
Added 2 mins ago
Client Service Associate
Choreo
Charlotte, NC
As a Client Service Associate, you will be responsible for managing client communications and support. In this role you will work with Wealth Advisors, Associate Advisors, and Operations…
Added 3 mins ago
Bakery Clerk
Albertsons Companies
ASHLAND, OR · Ashland, OR
The Bakery Clerk plays a key role in the day to day bakery operations. This position involves preparing dough, glazing pastries, and assisting with baking tasks from start to finish.…
Added 3 mins ago
Starbucks Barista
Albertsons Companies
PLEASANTON, CA · Pleasanton, CA
Customer interaction is a key part of the role; you’ll greet customers, take orders, answer questions, and help make each visit a positive experience. Whether it’s a regular stopping by or…
Added 3 mins ago
Starbucks Barista
Albertsons Companies
BATON ROUGE, LA · Baton Rouge, LA
Customer interaction is a key part of the role; you’ll greet customers, take orders, answer questions, and help make each visit a positive experience. Whether it’s a regular stopping by or…
Added 3 mins ago
Bakery Manager-Eagle River
Albertsons Companies
EAGLE RIVER, AK · Eagle River, AK
Plans, organizes and directs day-to-day operations of the Bakery Department, exercising independent judgment and discretion. Conducts daily inspections of all Bakery department sections and…
Added 3 mins ago
Starbucks Barista
Albertsons Companies
OXNARD, CA · Oxnard, CA
Customer interaction is a key part of the role; you’ll greet customers, take orders, answer questions, and help make each visit a positive experience. Whether it’s a regular stopping by or…
Added 3 mins ago
Deli Clerk
Albertsons Companies
WAKEFIELD, RI · Wakefield, RI
Organization & Time Management: Managing multiple tasks while maintaining workflow and service speed
Added 3 mins ago
Deli Clerk
Albertsons Companies
MILFORD, NH · Milford, NH
Organization & Time Management: Managing multiple tasks while maintaining workflow and service speed
Added 3 mins ago
Deli Clerk
Albertsons Companies
ANTHEM, AZ · Anthem, AZ
Organization & Time Management: Managing multiple tasks while maintaining workflow and service speed
Added 3 mins ago
Deli Clerk
Albertsons Companies
HIGHLANDS RANCH, CO · Highlands Ranch, CO
Organization & Time Management: Managing multiple tasks while maintaining workflow and service speed
Added 3 mins ago
Assistant Deli Manager
Albertsons Companies
WEST LEBANON, NH · West Lebanon, NH
…performance. As a Deli Department Manager, you will oversee daily deli operations, drive sales, and ensure high standards for food safety, merchandising, and service. This role offers a…
Added 3 mins ago
Deli Clerk
Albertsons Companies
NILES, IL · Niles, IL
Organization & Time Management: Managing multiple tasks while maintaining workflow and service speed
Added 3 mins ago
Deli Clerk
Albertsons Companies
SEATTLE, WA · Seattle, WA
Organization & Time Management: Managing multiple tasks while maintaining workflow and service speed
Added 4 mins ago
Customer Service Associate - Automotive Finishes
Sherwin-Williams
Knoxville, TN
The Customer Service Associate is responsible for delivering products to customers from Sherwin-Williams branches using Company vans or pick-up trucks. The Customer Service Associate…
Added 4 mins ago
A
Manufacturing Technician
Actalent
FREDERICK, MD
- $24.2 USD / hour
Satisfactorily complete all required training on time and operate in compliance with ISO, GMP, and FDA standards applicable to manufacturing operations.
Added 4 mins ago
S
Human Resources and Faculty Affairs Administrator
Stanford
Stanford, CA
- $33.65 to $41.75 USD / hour
…concert and in perpetuity. The school is made up of a three-part structure to drive global impact: Our academic departments and programs educate students and create new knowledge across…
Added 4 mins ago
SO
Administrative Program Specialist B
State of Louisiana
Baton Rouge, LA
- $19.3 to $37.88 USD / hour
…with the natural ability to be flexible to varying program operations and responsibilities? Are you ready to make a meaningful impact on Louisiana’s workforce and organizational culture?…
Added 5 mins ago
Supervisor, Signals - 3+ Years Signal Maintenance or Signal Construction required!
Learn more about G&W today!
Roseburg, OR
Are you ready to build a rewarding career in the railroad industry? Join the Genesee & Wyoming Inc. (G&W) team - part of a legacy that is over 125 years old. With a network of 100+…
Added 6 mins ago
HVAC Service Receptionist & Administrative Support
Marvair
Houston, TX
…manufacturing, mechanical field services, and parts distribution. As part of AirX Climate Solutions, we are committed to safety, quality, and customer satisfaction - creating a…
Added 6 mins ago
RP
Shuttle Operations Supervisor Denver Int'l Airport
Reimagined Parking
Aurora, CO
- $24.5 USD / hour
Position: Shuttle Operations Supervisor ( Non CDL )

Closed listing

Humana

Utilization Mgmt. Coordinator

Pierre, SD, United States

$40,000 - $52,300 per year

This opening has closed.

The original listing is kept below for reference.

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About employer

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

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Original job description

Archived listing. The details below describe a past opening.

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.

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More about this job

Skills

Documentation
Evaluate information
Research
Organizational skills
Attention to detail
Customer service
Microsoft Office
Medical terminology
Medical coding

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