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Added 1 min ago
SR
Training Specialists Operations & Technical (Associate - Senior level Trainers)
Savannah River Mission Completion
Aiken, SC
- $69,100 to $153,200 USD / year
Savannah River Mission Completion (SRMC) is seeking multiple Training Specialists Operations & Technical (Associate - Senior level Trainers) to be based in our Aiken, SC location on the…
Added 1 min ago
Actuarial Analyst
Humana
Columbia, SC
Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal…
Added 1 min ago
Genesys Cloud Access Management
Humana
Columbia, SC
In addition to access administration responsibilities, the associate contributes to the ongoing maintenance, enhancement, and support of Genesys Cloud solutions that enable service…
Added 1 min ago
Senior Product Manager, Value realization
Humana
Columbia, SC
…measurement across business outcomes, model performance, and operational metrics. You will focus on delivery execution - ensuring requirements are clear, dependencies are managed, and…
Added 1 min ago
Lead Product Manager, Value realization
Humana
Columbia, SC
…capability that spans business outcomes, model performance, and operational…
Added 1 min ago
Lead, Conditions Management Marketing
Humana
Columbia, SC
The CRM Marketing Lead (Pod Lead) for Conditions Management Marketing serves as the operational leader of an assigned marketing pod, translating journey strategies into high-quality,…
Added 1 min ago
Bilingual Compliance UM Coordinator 3
Humana
Columbia, SC
Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal…
Added 1 min ago
Senior Workforce Management Professional, Tactical
Humana
Columbia, SC
Collaborate with leadership and teams to support operational execution and strategic initiatives, applying strong communication and interpersonal skills.
Added 1 min ago
Utilization Mgmt. Coordinator
Humana
Columbia, SC
Performance Goals: Meet productivity, quality, service, and attendance expectations. Adapt to changing priorities and support both phone and non-phone responsibilities as operational needs…
Added 6 mins ago
Seasonal Sales Associate Stylist
Cole Haan
Sunbury, OH
As a Stylist (Sales Associate) you are more than a sales professional. You are a trusted advisor, fit expert, and brand ambassador who brings out "#RUOBSESSED?" Selling Program to life in…
Added 7 mins ago
CH
Store Associate
CVS Health
Ocala, FL
- $15 to $18 USD / hour
Providing customer support to all departments, including photo and beauty, ensuring departments are fully stocked and operational while remaining current with all updated services and tools
Added 7 mins ago
CH
Store Associate
CVS Health
Ocala, FL
- $15 to $18 USD / hour
Providing customer support to all departments, including photo and beauty, ensuring departments are fully stocked and operational while remaining current with all updated services and tools
Added 13 mins ago
CE
Preschool Teacher
Cadence Education
Seekonk, MA
- $17 to $22.1 USD / hour
- Support a positive, inclusive classroom environment where children are treated with dignity, respect, and care.
Added 17 mins ago
Program Services Director
Vizient, Inc.
Centennial, CO
Added 17 mins ago
FM
Biomedical Technician
Fresenius Medical Care
Colorado Springs, CO
- $20 to $32 USD / hour
…care clinics. You will also train and educate colleagues on operational maintenance of our dialysis machines to ensure the safety of our dialysis patients, as well as manage the medical…
Added 17 mins ago
Outsourced Accounting Senior Accountant-Senor Living/Home Health
Wipfli Advisory LLC
Denver, CO
In this role, you’ll provide assistant controller-level support to healthcare clients, helping them navigate complex financial needs with confidence. This position can be worked remotely…
Added 17 mins ago
Irrigation Specialist
Arapahoe County Government
Centennial, CO
Implements irrigation operational plans and water conservation programs for divisional properties.
Added 18 mins ago
Configuration Management Analyst (Job 1510)
DLH
North Charleston, SC
Support various aspects of DoD Configuration Management (CM), which may include the development of CM documentation such as Configuration Management Plans (CMP) and Configuration Status…
Added 28 mins ago
Guest Service Representative
FAIRFIELD INN & SUITES - SAVANNAH I-95 N
Port Wentworth, GA
…reservations and payments, and uses effective selling strategies to support hotel revenue. This position may also serve as Manager on Duty when…
Added 47 mins ago
Associate Director, Planned Giving
African Wildlife Foundation
Washington, DC
Posting Title: Associate Director, Planned Giving
Added 56 mins ago
CO
WTE Electrical & Instrumentation Technician
City of Spokane
Spokane, WA
- $58,818.96 to $96,904.08 USD / year
…Programs and modifies PLCs to improve system efficiency and meet operational…
Added 1 hour ago
Sales Associate
Petco Animal Supplies Stores, Inc.
Normal, IL
Support daily operational routines and task execution.
Added 1 hour ago
Sales Associate
Petco Animal Supplies Stores, Inc.
Wausau, WI
Support daily operational routines and task execution.
Added 1 hour ago
Capital Markets Syndicated Loan Services Analyst
Regions Bank
Hoover, AL
…Operations, and Loan Trading Operations. These teams provide operational and risk management support for the $11B Regions-led syndication portfolio, syndicated participation bought…
Added 1 hour ago
Rare Disease Key Account Manager - Neurology - Delta South
Amgen
Birmingham, AL
…Disease Key Account Manager (KAM) is responsible for unlocking operational and access challenges related to appropriate therapies across assigned health systems, specialty clinics, infusion…

Closed listing

Humana

Utilization Mgmt. Coordinator

Boise, ID, 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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