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Added 5 mins ago
JP
Warehouse Associate
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Des Plaines, IL
- $20 USD / hour
Added 5 mins ago
W
Tire & Battery Technician - Automotive
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- $19 to $27 USD / hour
…and drive sales improve the service experience and elevate associate engagement utilizing hand held technology and systems to make immediate business decisions related to services safety…
Added 10 mins ago
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Join FDOT and be part of the team that works as one to improve safety, enhance mobility and inspire innovation in the Florida transportation system.
Added 10 mins ago
Equity Middle Office, Senior Associate
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We are seeking a highly qualified Senior Associate to join our Equities Middle Office team. This team is responsible for building scalable and efficient trade support solutions and offering…
Added 11 mins ago
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- $16.5 USD / hour
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Added 13 mins ago
Accounts Payable Clerk
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The Accounts Payable Clerk reports to the Controller and is responsible for the efficient and accurate processing of vendor invoices, reconciliation of purchase orders, and execution of…
Added 14 mins ago
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Added 17 mins ago
Health Information Coding Analyst
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Graduate from an associate or bachelor’s degree program in health information, completion of a coding specialist program or successful completion of AHIMA or AAPC coding credential exam.
Added 23 mins ago
Laboratory Front Desk Coordinator
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…Dermatology Laboratory. Responsibilities include answering phones, processing laboratory documentation, coordinating consultation cases, managing slide and block requests, maintaining…
Added 25 mins ago
RN Medical Reviewer II
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Remote, United States
…family of companies? Other companies come and go, but we’ve been part of the national landscape for more than seven decades, with our roots firmly embedded in the South Carolina community.…
Added 25 mins ago
Front End Entry Level
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NASHUA, NH · Nashua, NH
Another part of the role is keeping the front end organized, clean, and running consistently throughout the day. You’ll rotate between tasks like handling transactions, collecting carts,…
Added 28 mins ago
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Retail Key Holder - Full-Time
The Vitamin Shoppe
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- Full-time
Ability to work a flexible schedule (i.e. Holidays, weekends, locations) depending on business needs as a part-time associate
Added 28 mins ago
ES
Administrative Assistant 1, Administrative Assistant Trainee 1/ Trainee 2 (NY HELPS)
Empire State Development, NYS
Albany, NY
- $49,841 to $61,076 USD / year
Use various information technology applications such as Outlook email, Peoplesoft, Excel spreadsheets and Word processing applications.
Added 34 mins ago
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Receiving Specialist Part Time
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Winston Salem, NC
- Part-time
20% Associate discount on all Ollie’s purchases.
Added 38 mins ago
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Retail Stocking Team Supervisor - Full-Time
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Salina, KS
- $15 to $17 USD / hour
- Full-time
You will enjoy a competitive wage, flexible hours, and an associate discount. Burlington's benefits package includes medical, dental, and vision coverage including life and disability…
Added 40 mins ago
Administrative Assistant II - Health Services
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MA
Coordinates general department purchasing, including ordering supplies and equipment and processing purchase requisitions.
Added 44 mins ago
Security Control Assessor II
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United States
Bachelor’s degree in a related discipline OR Associate’s degree in a related area + 2 years’ experience OR equivalent experience (4 years)
Added 44 mins ago
Activity Security Representative (ASR) II
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As part of the hiring process, we will ask you to complete an identity verification process that leverages advanced biometrics and artificial intelligence to ensure authenticity and protect…
Added 44 mins ago
Program Security Representative (PSR) III - Palmdale, CA
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As part of the hiring process, we will ask you to complete an identity verification process that leverages advanced biometrics and artificial intelligence to ensure authenticity and protect…
Added 46 mins ago
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GMP Scientist I
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- $24 USD / hour
Spend approximately 5075% of work time in the laboratory and clean room performing hands-on production and operational tasks.
Added 46 mins ago
Site Materials Handler
Jobgether
Remote, United States
…construction projects. In this role, you will play an essential part in ensuring construction teams have timely access to the resources they need to operate efficiently and safely. You will…
Added 49 mins ago
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Geospatial & Reality Capture Manager
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- $31,533 USD / year
…implementation, and delivery of advanced spatial data acquisition and processing services, including UAV (drone) surveying, LiDAR (aerial and terrestrial), photogrammetry, terrestrial laser…
Added 52 mins ago
2026 Associate Hardware Engineer - San Diego CA
CORP-Corporate Office
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…what others think is impossible. Our employees are not only part of history, they're making…
Added 1 hour ago
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Part-Time Sales Associate
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- $15 USD / hour
- Part-time
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Added 1 hour ago
Production Lead
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Assists with supervising the work of retail store staff in various roles on shift; Typically, between 4 – 12 full and part time employees per shift

Closed listing

Humana

Utilization Mgmt. Coordinator

Helena, MT, 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.

About employer

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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