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Added 3 mins ago
BUSINESS SERVICE SUPERVISOR - BILINGUAL
IL
Document, recommend and effectuate discipline at all levels
Added 4 mins ago
EE
Electrical Support
Engineering Economics, Inc.
Sterling, VA
- $38.58 to $54.97 USD / hour
Verify electrical installations against design specifications, industry standards, and regulatory requirements, and document findings thoroughly.
Added 4 mins ago
NG
Preschool Lead Teacher
Next Generation Children's Center
Franklin, MA
- $20.25 to $26.33 USD / hour
Plan, implement, and document developmentally appropriate curriculum aligned with Cadence educational philosophy and Signature Programs.
Added 5 mins ago
NM
Campus Safety Officer, Part-Time ($18.50/hr + DOE) - Canisius University - Buffalo, NY
NANA Management Services
Buffalo, NY
- Part-time
Respond to emergencies, take appropriate action and document all incidents.
Added 5 mins ago
Registered Nurse - Med Surg
HealthPartners
Stillwater, MN
As a Registered Nurse you will assess, plan, perform, document, and evaluate professional independent nursing practice at Lakeview Hospital; to provide work direction for and oversight of…
Added 5 mins ago
Registered Nurse - General Resource/Float Pool
HealthPartners
Stillwater, MN
As a Registered Nurse you will assess, plan, perform, document, and evaluate professional independent nursing practice at Lakeview Hospital; to provide work direction for and oversight of…
Added 6 mins ago
Registered Nurse (RN)
Discovery At Home Texas
Houston Heights, TX
Monitor and document patient progress, including vital signs, symptoms, and changes in medical conditions.
Added 6 mins ago
BUSINESS SERVICE SUPERVISOR - BILINGUAL
IL
Document, recommend and effectuate discipline at all levels
Added 6 mins ago
DF
QA Compliance Foreman
Dairy Farmers of America, Inc.
Turlock, CA
- $28 to $32 USD / hour
…specifications, and regulatory requirements. Responsible for a variety of document review functions. Participate as a member of the Food Safety (HACCP) team. Deliver training to team…
Added 6 mins ago
Claims Consultant
Starkweather & Shepley Insurance Brokerage Inc.
East Providence, RI
…This individual will follow up with independent adjusters and insurance carriers as needed, as well as assist some clients with reporting claims directly to the carrier and maintain diaries…
Added 9 mins ago
J
Associate Attorney
Jobot
New Orleans, LA
- $90,000 to $165,000 USD / year
&bullet; PPO Healthcare, vision, dental, life insurance, and AFLAC disability plans
Added 10 mins ago
Activity Security Representative (ASR) I
GD Information Technology, Inc.
United States
Assist in the maintenance of a document accountability database and associated correspondence.
Added 10 mins ago
P
Industrial Maintenance Mechanic
PeopleReady
Fresno, CA
- $23 USD / hour
As a PeopleReady associate you'll benefit from:
Added 11 mins ago
Help Desk Technician
Jacksonville, FL
Track, document, and resolve technical issues through the IT ticketing system.
Added 12 mins ago
Accounts Payable/Payroll Supervisor
Colorado Springs Utilities
Colorado Springs, CO, CO
Directs the preparation and filing of required reports and/or payments to government agencies, insurance carriers, other organizations and individual employees
Added 13 mins ago
Crisis Clinician - Rest Center
McCall Behavioral Health Network
Winstead, CT
…Licensed positions are required for day and evening shifts; associate licensed clinicians are eligible for overnight (third) shift positions under appropriate…
Added 13 mins ago
SH
Access Operations Associate
Stanford Health Care
United States
- $33.05 to $37.21 USD / hour
Obtains insurance authorization as necessary and communicate status to patients
Added 14 mins ago
US
Utilities Plant Operator 1
University System of Georgia
GA
- From $21.83 USD / hour
Document and notify supervisor of any equipment failure and/or potential failures.
Added 16 mins ago
SO
Community Corrections Officer 2 (Or CCO1) - Longview
State of Washington
Longview, WA
- $4,880 to $7,994 USD / month
…an accredited higher education institution or a placeholder document (e.g., an image of your diploma) or if your degree was awarded outside the United States, you must also include a…
Added 17 mins ago
CH
Home Health Physical Therapist Assistant-Per Diem
CenterWell Health Services (Certified), Inc.
Trenton, FL
- $64,000 to $87,500 USD / year
Document client records and submit clinical documentation to the office on time each week.
Added 18 mins ago
CH
Youth Counselor- Anchor Point
Children's Home of Poughkeepsie
Poughkeepsie, NY
- $21 to $22 USD / hour
Document observations, incidents, and progress notes in accordance with agency protocols.
Added 18 mins ago
Pathology Associate 2, Per-Diem, Day Shift, Jackson South
Jackson Health
Miami, FL
Pathology Associate 2 assumes accountability for providing critical support services which contribute to laboratory outcomes that represent the philosophy of quality and excellence at the…
Added 19 mins ago
GS
Associate - Production FT (Bandera) (35407)
Goodwill San Antonio
San Antonio, TX
- $15.62 USD / hour
…contact center customer service, career services, technology, document imaging, grounds maintenance, janitorial and facilities maintenance. Goodwill regularly partners with local, state and…
Added 19 mins ago
GS
Associate - Production FT - (Blanco North) (35406)
Goodwill San Antonio
San Antonio, TX
- $15.62 USD / hour
…contact center customer service, career services, technology, document imaging, grounds maintenance, janitorial and facilities maintenance. Goodwill regularly partners with local, state and…
Added 20 mins ago
Kitting Associate 1st shift
Welch Allyn, Inc. USA
Skaneateles, NY
The Kitting Associate at Baxter is responsible for assembling and preparing kits of materials, components, or products for custom customer requested components for distribution. This role…

Closed listing

Humana

Utilization Mgmt. Coordinator

Oklahoma City, OK, United States

$40,000 - $52,300 per year

This opening has closed.

The original listing is kept below for reference.

Find open jobs More jobs with this employer

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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