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Added 1 min ago
Utilization Mgmt. Coordinator
Humana
Madison, WI
Perform back-office administrative tasks, including case research, record updates, error resolution, and timely case processing.
Added 7 mins ago
Senior Associate, Paid Social ~ Card Acquisitions
JPMC page
New York, NY · Wilmington, DE · NY
As a Senior Associate Paid Social in Card Acquisitions, you support the strategy, execution, optimization, and measurement of paid social campaigns that drive efficient customer acquisition…
Added 7 mins ago
Associate Engineer
Insight
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The Associate Engineer supports the safe, accurate, and timely integration, configuration, validation, and documentation of customer technology solutions in Insight’s lab environment. The…
Added 7 mins ago
Associate Engineer
Insight
Fort Worth
The Associate Engineer supports the safe, accurate, and timely integration, configuration, validation, and documentation of customer technology solutions in Insight’s lab environment. The…
Added 7 mins ago
Associate Engineer Integration Lab
Insight
Fort Worth
The Associate Engineer supports the safe, accurate, and timely integration, configuration, validation, and documentation of customer technology solutions in Insight’s lab environment. The…
Added 8 mins ago
UT
Senior Cell Manufacturing Associate (iPSC)
United Therapeutics Corporation
Silver Spring, MD
- $36.06 to $43.27 USD / hour
Join our Cell Manufacturing team as a Senior Cell Manufacturing Associate and play a key role in the startup and operation of induced pluripotent stem cell (iPSC) manufacturing. As part of…
Added 9 mins ago
RD
Document Production Associate - 2nd Shift
RR Donnelley
Wheeling, WV
- $15.91 to $21.63 USD / hour
The Document Production Associate position is responsible for providing word processing and/or document production services for our clients.
Added 14 mins ago
LU
College Career Center Technician
Lynwood USD
Lynwood, CA
- $21.49 to $26.83 USD / hour
DOCUMENT SUBMISSION OPTIONS BELOW: Unofficial documents/transcripts will be accepted for initial consideration. If a job offer is extended and accepted, official documents/transcripts will…
Added 16 mins ago
Real Estate Coordinator
Lamar Advertising
BATON ROUGE, LA
Perform core clerical duties, including document management, file organization, mailing, and processing.
Added 17 mins ago
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Legal Front Desk Administrator
Staffmark
Tucson, AZ
- $20 to $23 USD / hour
Assist with processing client payments and check logging.
Added 20 mins ago
Shipping and Receiving Associate
Morris & Associates
Garner, NC
Document packed cargo and trucks after they have been loaded and uploaded it to the database.
Added 20 mins ago
Associate Engineer
Insight Enterprises, Inc.
Ft Worth, TX
The Associate Engineer supports the safe, accurate, and timely integration, configuration, validation, and documentation of customer technology solutions in Insight’s lab environment. The…
Added 20 mins ago
Associate Engineer
Insight Enterprises, Inc.
Ft Worth, TX
The Associate Engineer supports the safe, accurate, and timely integration, configuration, validation, and documentation of customer technology solutions in Insight’s lab environment. The…
Added 20 mins ago
Associate Engineer Integration Lab
Insight Enterprises, Inc.
Ft Worth, TX
The Associate Engineer supports the safe, accurate, and timely integration, configuration, validation, and documentation of customer technology solutions in Insight’s lab environment. The…
Added 23 mins ago
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Inventory Specialist (2nd Shift)
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Tupelo, MS
- $19 to $23 USD / hour
Maintain accurate inventory records by processing adjustments, transfers, and corrections in the WMS
Added 28 mins ago
Financial Reporting Analyst (Hybrid)
Securian Financial Group
Saint Paul, MN
Prepares EBS division financial reporting and ensures timely and accurate processing.
Added 28 mins ago
Data Scientist - Asset Management (Hybrid)
Securian Asset Management
Saint Paul, MN
Develop and enhance AI-enabled workflows, including document processing, information extraction, summarization, and knowledge retrieval.
Added 28 mins ago
Customer Operations Spec
Securian Financial Group
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…transactions, allocation changes, website navigation, transaction processing, and…
Added 30 mins ago
Laboratory Technician I
Sanguine Biosciences, Inc.
San Diego, CA
Document all work completely, accurately, and at the time it is performed, including sample processing, specimen storage, distribution and transfers, and LIMS entries, in accordance with…
Added 33 mins ago
Clinical Laboratory Scientist I - 3rd Shift
Exact Sciences Labs, LLC
United States
…Laboratory Scientist I duties will include, but are not limited to, processing of specimens, performance of moderate and highly complex analytical testing, establishing, performing, and…
Added 33 mins ago
Certified Pharmacy Technician (CPhT) - Inpatient - St. Joseph Warren Hospital
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Under general supervision, assist the pharmacist in processing of medication orders by selecting, assembling, and preparing medications to be dispensed for inpatient (acute care; hospital)…
Added 33 mins ago
Sterile Processing Technician - Central Sterile - St. Elizabeth Boardman Hospital
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Youngstown, OH
The Sterile Processing Technician Certified, under general supervision, will inspect, clean, assemble, test, and processes patient care equipment, supplies, and instruments according to…
Added 33 mins ago
Senior Patient Access Specialist - St. Elizabeth Youngstown Hospital
Bon Secours Mercy Health Inc
Youngstown, OH
…instructions, collecting insurance information, receiving, and processing physician order while utilizing an overlay tool and providing excellent customer service as measured by Press…
Added 33 mins ago
Certified Pharmacy Technician (CPhT) - Inpatient - Lorain Hospital (PRN)
Bon Secours Mercy Health Inc
Lorain, OH
Under general supervision, assist the pharmacist in processing of medication orders by selecting, assembling, and preparing medications to be dispensed for inpatient (acute care; hospital)…
Added 34 mins ago
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Animal Research Associate
Actalent
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- $25 to $28 USD / hour
…scientific study. This role involves performing essential tasks for processing these animals, including animal identification, breeding, weaning, and the collection of tissue samples for…

Closed listing

Humana

Utilization Mgmt. Coordinator

Salt Lake City, UT, 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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