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Added 2 mins ago
Front End Entry Level
Albertsons Companies
SALEM, OR · Salem, OR
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 2 mins ago
Front End Entry Level
Albertsons Companies
EUGENE, OR · Eugene, OR
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 2 mins ago
Front End Entry Level
Albertsons Companies
ROWLETT, TX · Rowlett, TX
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 2 mins ago
Front End Entry Level
Albertsons Companies
MESQUITE, TX · Mesquite, TX
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 2 mins ago
Deli Clerk
Albertsons Companies
WAKEFIELD, RI · Wakefield, RI
Organization & Time Management: Managing multiple tasks while maintaining workflow and service speed
Added 2 mins ago
Deli Clerk
Albertsons Companies
MILFORD, NH · Milford, NH
Organization & Time Management: Managing multiple tasks while maintaining workflow and service speed
Added 2 mins ago
Deli Clerk
Albertsons Companies
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Organization & Time Management: Managing multiple tasks while maintaining workflow and service speed
Added 2 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 2 mins ago
Deli Clerk
Albertsons Companies
NILES, IL · Niles, IL
Organization & Time Management: Managing multiple tasks while maintaining workflow and service speed
Added 2 mins ago
Deli Clerk
Albertsons Companies
SEATTLE, WA · Seattle, WA
Organization & Time Management: Managing multiple tasks while maintaining workflow and service speed
Added 3 mins ago
SOIL SORTER
NOVO Health Services, LLC
DuBois, PA
What we can offer you as a full-time associate:
Added 3 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 3 mins ago
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Administrative Program Specialist B
State of Louisiana
Baton Rouge, LA
- $19.3 to $37.88 USD / hour
…Program Specialist! In this role, you will play an essential part in supporting the department’s daily operations, coordinating administrative functions, and ensuring programs and…
Added 6 mins ago
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Overnight Sales Associate
Stop In
Charlottesville, VA
- From $14 USD / hour
Operate the point-of-sale (POS) system, processing purchases quickly and accurately, and handling cash, credit, or debit card transactions with attention to detail.
Added 6 mins ago
Aerie - Stock Associate - Evening (Off-Hours)
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NY
You can't buy product if it's not on the floor, right?! As a part-time stock brand Ambassador, you're an expert at keeping product moving from the Stockroom to the Salesfloor through…
Added 8 mins ago
Secretary to the Graduate Programs Director
Ball State University
United States
The university offers excellent benefits, including health care and retirement plans, tuition assistance for employees and dependents, and generous time off with pay.
Added 8 mins ago
SPS Resource Associate
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New Britain, CT
…knowing every moment matters here. We invite you to become part of Connecticut’s most comprehensive healthcare…
Added 9 mins ago
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Sales Support Coordinator- Southeast/Tampa
Labcorp
Tampa, FL
- $19 to $28 USD / hour
…including: Medical, Dental, Vision, Life, STD/LTD, 401(k), Paid Time Off (PTO) or Flexible Time Off (FTO), Tuition Reimbursement and Employee Stock Purchase Plan. Casual, PRN & Part Time…
Added 9 mins ago
Technologist MRI
Ascension
Tulsa, OK
Schedule: Full-time | Saturday / Sunday 9:00am - 9:30pm, Monday 7:00am - 7:30pm
Added 10 mins ago
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Produce Associate Team Leader (Assistant Department Manager)
Whole Foods Market
New Orleans, LA
- $20.05 to $35 USD / hour
…Whole Benefits offers a wide range of benefits for Full and Part-Time Team Members, including eligibility for a store discount, paid time off, financial wellness, health & wellness support…
Added 12 mins ago
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Retail Lead Store Associate
Curaleaf
2151 Elida Rd Lima, OH
- $17.5 to $19.25 USD / hour
Join us at Curaleaf to be part of a high-growth, purpose-driven company that champions corporate social responsibility through our Rooted in Good initiative, supporting community outreach…
Added 12 mins ago
Accountant IV
MassCareers
MA
Applicants must have at least (A) five years of full-time, or equivalent part-time, professional experience in accounting or auditing, of which at least (B) three years must have been in a…
Added 13 mins ago
MS
Wealth Management Associate
MS Smith Barney, LLC
Baltimore, MD
- $51,000 to $82,500 USD / year
Capital Markets, Core Processing and Risk provide Operational support to the Capital Markets business within Morgan Stanley Wealth Management. As part of their support model, CMCPR has an…
Added 13 mins ago
Research Professional II
University of Georgia Staff
GA
Added 14 mins ago
UP
Business Development Associate - Bilingual in Chinese
Universal Processing
New York, NY
- $27 USD / hour
Role Summary: The Business Development Associate role is a fully onsite position, 5 days a week. This position serves as the first point of contact to our clients, as part of our sales…

Closed listing

Humana

Utilization Mgmt. Coordinator

Albany, NY, 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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