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Added 1 min ago
MS
Clinical Nurse-Mount Sinai Hospital-Full Time- Nights- MICU
Mount Sinai Health System
New York, NY
- $64.85 USD / hour
- Full-time
9. Utilizes institutional information technology by documenting nursing practice to support quality and performance improvement initiatives.
Added 1 min ago
MS
Staff Nurse - Radiation Oncology- Mount Sinai West- Full Time Days (8:30AM-4:30PM)
Mount Sinai Health System
New York, NY
- $64.24 USD / hour
- Full-time
Associate’s Degree in Nursing (ADN) RN who is matriculated in a BSN Program with a graduation date within the year.
Added 2 mins ago
CA
Payroll Administrator
CO-100 AMS Impact Group
Tempe, AZ · Tucson, AZ
- $60,000 to $80,000 USD / year
…every child has access to an exceptional education by providing operational, financial, talent, and strategic support to schools and educational organizations committed to student…
Added 3 mins ago
Senior Director, Engineering
Scout Clean Energy
Boulder, CO
…engineering teams deliver consistent, high-quality technical support that improves project execution, enhances operational reliability, and supports Scout's long-term growth…
Added 3 mins ago
Senior Internal Auditor
Univest Financial Corporation
Souderton, PA
Provide operational support to the Director of Internal Audit including assistance with the day-to-day coordination for the outsourced internal audit service provider.
Added 8 mins ago
M
Administrative Assistant
Manpower
Fremont, CA
- $25 USD / hour
Provide administrative support to the property management team, keeping daily operations running smoothly.
Added 12 mins ago
Administrative Specialist
State of Delaware
Dover, DE
Assists higher-level staff with decision making and monitoring of key operational/program indicators by collecting/organizing data, preparing reports, supporting performance tracking and…
Added 14 mins ago
FS
School Bus Driver
First Student
Tucson, AZ
- $21.5 to $27 USD / hour
Career Advancement Opportunities: Advance into operational, maintenance, management, and leadership roles in over 540 locations across the U.S. & Canada!
Added 14 mins ago
FS
School Bus Driver
First Student
Chicago, IL
- $25.75 USD / hour
Career Advancement Opportunities: Advance into operational, maintenance, management, and leadership roles in over 540 locations across the U.S. & Canada!
Added 15 mins ago
PO
Assistant Store Manager - Shops at Willow Bend
Penney OpCo LLC
Plano, TX
- $18 to $25.25 USD / hour
As an Assistant Store Manager, you will support the Store Manager to build a team that delivers results through providing an amazing customer experience. You also share the responsibility…
Added 15 mins ago
PO
Assistant Store Manager - Great Lakes Crossing Outlets
Penney OpCo LLC
Auburn Hills, MI
- $19.5 to $27.25 USD / hour
As an Assistant Store Manager, you will support the Store Manager to build a team that delivers results through providing an amazing customer experience. You also share the responsibility…
Added 15 mins ago
PO
Assistant Store Manager - Palisades Center
Penney OpCo LLC
West Nyack, NY
- $18.5 to $25.5 USD / hour
As an Assistant Store Manager, you will support the Store Manager to build a team that delivers results through providing an amazing customer experience. You also share the responsibility…
Added 15 mins ago
PO
Assistant Store Manager - Shops at Nanuet
Penney OpCo LLC
Nanuet, NY
- $18.5 to $25.5 USD / hour
As an Assistant Store Manager, you will support the Store Manager to build a team that delivers results through providing an amazing customer experience. You also share the responsibility…
Added 15 mins ago
YO
AVP, Information Technology & Enterprise Systems
YMCA Of Greater Seattle
Seattle, WA
- $122,235 to $160,000 USD / year
…and branch operations to ensure that technology investments support organizational strategy, operational excellence, member experience, and mission…
Added 17 mins ago
J
Microsoft .NET Software Engineer
Jobgether
Remote, United States
- $115,000 to $175,000 USD / year
…software solutions while ensuring performance, security, and operational reliability. Your responsibilities will…
Added 17 mins ago
Lead ML/AI Engineer
Jobgether
Remote, United States
Design event-driven, real-time integrations between model outputs and operational systems, including streaming pipelines, versioned schemas, data contracts, replay mechanisms, event…
Added 17 mins ago
Founders Associate
Jobgether
Remote, United States
As a Founders Associate, you will work directly with the CEO to drive the company's most important strategic and operational priorities from concept to execution. You will take ownership of…
Added 17 mins ago
MO
Part Time Merchandise Associate
Marmaxx Operating Corp
Fort Worth, TX
- $13 to $13.5 USD / hour
- Part-time
…maintaining a clean and organized store environment. Adheres to all operational, merchandise, and loss prevention standards. May be cross-trained to work in multiple areas of the store in…
Added 21 mins ago
Assistant Branch Manager
QXO
Taylor, MI
As an Assistant Branch Manager at QXO, you’ll support daily operations, lead the team, and ensure safety and service excellence.
Added 21 mins ago
Assistant Branch Manager
QXO
Kingston, MA
As an Assistant Branch Manager at QXO, you’ll support daily operations, lead the team, and ensure safety and service excellence.
Added 31 mins ago
PT Support Associate - Seasonal
Tory Burch LLC
Naples, FL
…runner, cashier, answering phones, understanding and executing operational policies and procedures, packing/unpacking shipments, and organizing the stock room to support product flow and…
Added 31 mins ago
PT Sales Associate - Seasonal
Tory Burch LLC
Naples, FL
…(just to name a few) and supportive Retail Leaders are there to support you each step of the…
Added 34 mins ago
CG
ROUTE ANALYTICS MANAGER - HOUSTON, TX
Compass Group
KATY, TX
- $60,000 to $65,000 USD / year
The Route Analytics Manager is responsible for route scheduling, workforce planning, forecasting, and operational analytics to ensure efficient, cost-effective, and customer-focused route…
Added 35 mins ago
Shift Leader, Engines Manufacturing - Assembly (B Shift)
Blue Origin Personnel, LLC
United States
…Mission Assurance. This includes Manufacturing and Supply Chain support across all Blue Origin…
Added 41 mins ago
Lead Certified Midwife (CM/ CNM)
Oula
Southern Westchester, NY · Yonkers, NY
Collaborates with Associate Medical Director and CX team members to facilitate care management for patients who need additional support and medical care

Closed listing

Humana

Utilization Mgmt. Coordinator

Charleston, WV, 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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