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Added 14 mins ago
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Lab Assistant
Actalent
Johnston, IA
- $20 USD / hour
Support plant growth operations in the chamber facility by assisting with routine physical tasks such as lifting, moving materials, and setting up work areas.
Added 28 mins ago
STORE MANAGER-BERWICK LOCATION
Goodwill Southeast Georgia
Savannah, GA
As a Store Manager for Goodwill, you will oversee store operations and ensure that our company standards and expectations are consistently met. The Store Manager will implement business…
Added 35 mins ago
Program Operations Manager RP70
People Incorporated
Fall River, MA
Schedule: Monday -Friday 9am-5pm with 2 weekend shifts per month, flexibility required outside of regular schedule
Added 1 hour ago
Production Lead
GOODWILL IND OF THE CHESAPEAKE INC
Baltimore, MD
Weekend availability (both Saturday and Sunday) is an essential requirement of this role to be fully staffed to meet customer demand. Reliable transportation for each scheduled shift is…
Added 1 hour ago
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Research Data Associate - ECHO * must have ARRT Certification (American Registry of Radiologic Technologists) and licensed by NYS to practice as a diagnostic radiologic technologist *
NYU Langone Medical Center
New York, NY
- $67,771.14 to $86,625 USD / year
We have an exciting opportunity to join our team as a Research Data Associate ECHO. The Research Data Associate-ECHO will support the Environmental Influences on Child Health Outcomes…
Added 1 hour ago
Customer Service Representative Intermediate
University of Michigan
Ann Arbor, MI
…processing of referrals and authorizations to ensure optimum operations for all department…
Added 1 hour ago
W
Customer Service Associate - Temporary
Walgreens
MARSHALL, TX
- $15 to $19 USD / hour
Requires willingness to work flexible schedule, including evenings and weekend hours.
Added 1 hour ago
W
Pharmacy Customer Service Associate
Walgreens
MARSHALL, TX
- $16 to $20 USD / hour
Requires willingness to work flexible schedule, including evenings and weekend hours.
Added 1 hour ago
W
Customer Service Associate
Walgreens
BRONX, NY
- $17 to $18 USD / hour
Requires willingness to work flexible schedule, including evenings and weekend hours
Added 1 hour ago
W
Pharmacy Customer Service Associate
Walgreens
BRONX, NY
- $18 to $19 USD / hour
Requires willingness to work flexible schedule, including evenings and weekend hours.
Added 1 hour ago
W
Pharmacy Customer Service Associate
Walgreens
DANIA, FL
- $16 to $20 USD / hour
Requires willingness to work flexible schedule, including evenings and weekend hours.
Added 1 hour ago
W
Customer Service Associate - Temporary
Walgreens
FT LAUDERDALE, FL
- $15 to $19 USD / hour
Requires willingness to work flexible schedule, including evenings and weekend hours.
Added 1 hour ago
W
Customer Service Associate - Temporary
Walgreens
HALLANDALE BEACH, FL
- $15 to $19 USD / hour
Requires willingness to work flexible schedule, including evenings and weekend hours.
Added 1 hour ago
W
Customer Service Associate - Temporary
Walgreens
HALLANDALE BEACH, FL
- $15 to $19 USD / hour
Requires willingness to work flexible schedule, including evenings and weekend hours.
Added 2 hours ago
FM
Biomedical Technician
Fresenius Medical Care
Colorado Springs, CO
- $20 to $32 USD / hour
…Technician role as well as a leadership path from Area Technical Operations Manager, Regional Technical Operations Manager, and Senior Director Technical Services, overseen by a Vice…
Added 3 hours ago
Account Manager/Specialty Account Manager -KRYSTEXXA (Rare Disease)- Ann Arbor, MI
Amgen
Detroit, MI
Associate degree and 6 years of sales experience within pharmaceutical, biotech or medical device industry or hospital sales experience
Added 3 hours ago
Account Manager/Specialty Account Manager -KRYSTEXXA (Rare Disease) - Central Michigan
Amgen
Detroit, MI
Associate degree and 6 years of sales experience within pharmaceutical, biotech or medical device industry or hospital sales experience
Added 3 hours ago
Analyst I, Falcon Complete (Remote, PST/MST)
CrowdStrike, Inc.
Remote, United States
…advanced attackers in the world. Our CrowdStrike virtual security operations center offers opportunities to expand your skill set through a wide variety of experiences, detecting and…
Added 3 hours ago
Analyst I, Falcon Complete (Remote, PST/MST)
CrowdStrike, Inc.
Remote, United States
…advanced attackers in the world. Our CrowdStrike virtual security operations center offers opportunities to expand your skill set through a wide variety of experiences, detecting and…
Added 3 hours ago
M
Retail Fragrances Sales Associate - Mens, Augusta Mall - Part Time
Macy's
Augusta, GA
- Part-time
As a Fragrance Sales Associate, you create a warm, welcoming environment through genuine hospitality and exceptional customer service. You engage customers with personalized fragrance…
Added 3 hours ago
M
Retail Customer Experience Associate, Ingram Park Mall - Full Time
Macy's
San Antonio, TX
- Full-time
…typically scheduled 12-24 hours per week. All schedules contain weekend shifts as part of the requirements. Hours are dependent on business needs and colleague availability. Information…
Added 3 hours ago
M
Retail Sales Associate, Barton Creek Square Mall - Full Time
Macy's
Austin, TX
- Full-time
…typically scheduled 12-24 hours per week. All schedules contain weekend shifts as part of the requirements. Hours are dependent on business needs and colleague availability. Information…
Added 3 hours ago
M
Retail Sales Associate, Green Acres - Full Time
Macy's
Valley Stream, NY
- Full-time
…typically scheduled 12-24 hours per week. All schedules contain weekend shifts as part of the requirements. Hours are dependent on business needs and colleague availability. Information…
Added 3 hours ago
Seasonal Retail Cosmetics Sales Associate - Origins, Sherman Oaks Fashion Square
Macy's
Sherman Oaks, CA
…typically scheduled 12-24 hours per week. All schedules contain weekend shifts as part of the requirements. Hours are dependent on business needs and colleague availability. Information…
Added 3 hours ago
M
Retail Sales Associate, Barton Creek Square Mall - Part Time
Macy's
Austin, TX
- Part-time
…typically scheduled 12-24 hours per week. All schedules contain weekend shifts as part of the requirements. Hours are dependent on business needs and colleague availability. Information…

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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