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Added 1 min ago
Customer service Associate II
Dollar Tree
Lawrenceville, GA
Your positive, friendly disposition and eagerness to get things done make you the right person for our Customer Service Associate II position. Join our team today and let’s create an…
Added 1 min ago
TL
Rooms Manager - Club Wyndham Waikiki Marina
Travel Leisure Resort Development Inc
United States
- $85,000 to $95,000 USD / year
…accounting, property guest service, property housekeeping, associate development and other such functions as required for the two disciplines. The Rooms Manager will ensure the successful…
Added 3 mins ago
ER
Public Benefit Specialist
Ensemble RCM LLC
Jupiter, FL
- $18.65 to $20.5 USD / hour
Associate Benefits – We offer a comprehensive benefits package designed to support the physical, emotional, and financial health of you and your family, including healthcare, time off,…
Added 3 mins ago
Public Benefit Specialist
Ensemble RCM LLC
Sandusky, OH
Associate Benefits – We offer a comprehensive benefits package designed to support the physical, emotional, and financial health of you and your family, including healthcare, time off,…
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Public Benefit Specialist
Ensemble RCM LLC
Roanoke, VA
- $18.65 to $20.5 USD / hour
Associate Benefits – We offer a comprehensive benefits package designed to support the physical, emotional, and financial health of you and your family, including healthcare, time off,…
Added 3 mins ago
Public Benefit Specialist
Ensemble RCM LLC
Johnson City, TN
Associate Benefits – We offer a comprehensive benefits package designed to support the physical, emotional, and financial health of you and your family, including healthcare, time off,…
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Public Benefit Specialist
Ensemble RCM LLC
Wyomissing, PA
- $18.65 to $20.5 USD / hour
Associate Benefits – We offer a comprehensive benefits package designed to support the physical, emotional, and financial health of you and your family, including healthcare, time off,…
Added 3 mins ago
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Bilingual Public Benefit Specialist
Ensemble RCM LLC
Work at Home, IN
- $16.5 to $20.5 USD / hour
Associate Benefits – We offer a comprehensive benefits package designed to support the physical, emotional, and financial health of you and your family, including healthcare, time off,…
Added 3 mins ago
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Bilingual Public Benefit Specialist
Ensemble RCM LLC
Wyomissing, PA
- $18.65 to $20.5 USD / hour
Associate Benefits – We offer a comprehensive benefits package designed to support the physical, emotional, and financial health of you and your family, including healthcare, time off,…
Added 5 mins ago
DB
Store Associate *DAYTIME SHIFTS AVAILABLE*
Default Brand
Greece, Town of, NY
- $18.25 to $18.75 USD / hour
As a front-line representative of Delta Sonic, the Store Associate is responsible for ensuring that every customer receives a personalized, fast, and friendly service experience. Store…
Added 9 mins ago
Sr Clinical Specialist, Cranial & Spinal Technologies - Las Vegas, NV
MDU Medtronic USA Inc
Remote, United States
Educates and trains physicians and hospital personnel – OR, Radiology, Central Sterile Processing, Biomedical and Information Technologies – on technical matters relating to our…
Added 10 mins ago
Junior R&D / Pilot Plant Technician
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Strong problem-solving, organizational, and time-management skills.
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Senior Specialist, Manufacturing NPI & Clinical Readiness
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Employment of resources and processes (OPEX etc.) to improve processing efficiency and to ensure optimized technical support for manufacturing, technical transfer and scale-up of processes…
Added 13 mins ago
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Reimbursement Analyst
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- $40 to $50 USD / hour
…methodologies, and identifies discrepancies and compliance issues as part of a large-scale healthcare reimbursement and cost report review…
Added 13 mins ago
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Full Time Branch Ambassador - Eastern Maryland (District Center Cluster)
Capital One
Bowie, MD · Beltsville, MD · Silver Spring, MD · Laurel, MD · Burtonsville, MD · Hyattsville, MD · Greenbelt, MD
- Full-time
The minimum and maximum full-time annual salaries for this role are listed below, by location. Please note that this salary information is solely for candidates hired to perform work within…
Added 13 mins ago
Bilingual Compliance UM Coordinator 3
Humana
Annapolis, MD
…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…
Added 13 mins ago
Utilization Mgmt. Coordinator
Humana
Annapolis, MD
…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…
Added 14 mins ago
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Seasonal Full-Time Loss Prevention Associate - 2nd Shift
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Kohl’s offers a variety of benefits to associates depending on full-time/part-time status and work hours, including: WORK LIFE BALANCE (PTO, Vacation Buy Program, Parental Leave), HEALTH &…
Added 14 mins ago
Guest Service Specialist
Mister Car Wash
Rockford, MI
customer service, customer support, retail, retail associate, sales associate, cashier, team member, store associate, customer service, customer support, customer care, customer experience,…
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Customer Service Advisor
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Sr. Manufacturing Associate, cGMP Manufacturing
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The Senior Manufacturing Associate (Sr. MA) is a key contributor within the cGMP Manufacturing organization and plays a critical role in supporting Sumitomo Pharma America (SMPA) by…
Added 15 mins ago
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Freight Flow Associate-3
Sam's East, Inc.
LA
- $19 to $27 USD / hour
…ensuring prominent display of promotional and seasonal merchandise processing defective merchandise following company and regulatory policies and procedures for sanitation and food safety…
Added 15 mins ago
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(USA) Asset Protection Operations Coach
Wal-Mart Stores East, LP
East Setauket, NY
- $67,000 to $100,000 USD / year
…associates assigning duties settingclear expectations providing associate recognition communicating expectations consistently and effectively ensuring awareness and recruiting and…
Added 16 mins ago
CT
Mental Health Specialist I, II or III-Closing Date: 11/16/2026
Confederated Tribes of Siletz Indians
Eugene, OR
- $38.39 to $42.85 USD / hour
…case management, and discharge plans in both paper form and as part of the electronic health records system accurately and on…

Closed listing

Humana

Utilization Mgmt. Coordinator

Madison, WI, 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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