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Licensed Mental Health Clinician - First Responders - Behavioral Health Services
Fort Bend County
Richmond, TX
- $36.49 to $45.62 USD / hour
All full-time and part-time employees are members of the Texas County District Retirement System (TCDRS). Full-time employees also enjoy a wide-range of great benefits.
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Lead Cake Decorator
Festival Foods
Eau Claire, WI
Weekly Pay & Premium Pay: Hourly associates are paid weekly, providing more frequent access to their funds. Part-time store associates are paid a $1 premium per hour on Sundays and select…
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Zoological Manager, Small Mammal Ectotherms
The Walt Disney Company
Lake Buena Vista, FL
- $76,800 to $102,900 USD / year
…partnership with a team of Zoological Managers and the Animal Operations Manager, is responsible for the day-to-day management of the Small Mammal Ectotherm collection and staff. Duties…
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Receiving Specialist Part Time (Draft)
Ollie's Bargain Outlet
Orange City, FL
- Part-time
20% Associate discount on all Ollie’s purchases.
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CT Technologist FT Nights
AdventHealth
Tavares, FL
Joining AdventHealth is about being part of something bigger. It’s about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind…
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Registered Nurse, Assistant Nurse Manager | Connerton
AdventHealth
Land O Lakes, FL
Joining AdventHealth is about being part of something bigger. It’s about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind…
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Health Unit Coordinator CNA / Unit Clerk, Medical Surgical, Evenings
AdventHealth
Dade City, FL
Joining AdventHealth is about being part of something bigger. It’s about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind…
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Director of Practice Operations Orthopedics
AdventHealth
Maitland, FL
Joining AdventHealth is about being part of something bigger. It’s about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind…
Added 1 min ago
Assistant Nurse Manager Med Surg Tele Days
AdventHealth
Palm Coast, FL
Joining AdventHealth is about being part of something bigger. It’s about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind…
Added 1 min ago
Retail Warehouse Associate
Best Buy
Columbia, SC
…your LOA depends on your situation, where you live, your full-time or part-time employment status, and federal and state regulations. Intermittent or reduced-schedule leave is also…
Added 1 min ago
Associate, Process Improvement Engineering
West Pharmaceutical Services
St. Petersburg, FL
…innovative processes and technologies in cooperation with the Operations, Quality and other plant…
Added 1 min ago
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EKG Technologist Part Time
AdventHealth
Ocala, FL
- Part-time
Joining AdventHealth is about being part of something bigger. It’s about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind…
Added 1 min ago
Utilization Mgmt. Coordinator
Humana
Tallahassee, FL
…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 1 min ago
Senior Analyst, IT Change Management
Raymond James & Associates, Inc.
Saint Petersburg, FL
This role is a hybrid workstyle: with the associate expected to work from a Raymond James office location at least three days per week, including either Monday or Friday.
Added 1 min ago
Manager, Tech Infrastructure (Messaging & Collaboration Operations)
Raymond James & Associates, Inc.
Saint Petersburg, FL
The Manager, Technology Infrastructure is responsible for leading the Messaging & Collaboration Operations team and ensuring the stability, security, and performance of enterprise…
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Lead, Conditions Management Marketing
Humana
Tallahassee, FL
…predictability while maximizing platform capabilities, accelerating time-to-market, and contributing to improved member and business…
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Product Repair/Modification Technicians - Structures (Associate Level)
The Boeing Company
Jacksonville, FL
The professionals chosen to fill these positions will join our MRO and Component Operations F/A-18 organization, working as part of a team in support of our key programs such as military…
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Credentialing Coordinator
AdventHealth
Tampa, FL
Joining AdventHealth is about being part of something bigger. It’s about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind…
Added 1 min ago
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Retail Front End Supervisor - Full-Time
Burlington
Tampa, FL
- $17 to $19 USD / hour
- Full-time
As a Retail Front End Supervisor, you’ll be an integral part of the store leadership team, working closely with Store Management in the areas of Merchandising, Customer Service, Operations,…
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Referral Specialist
AdventHealth
Tampa, FL
Joining AdventHealth is about being part of something bigger. It’s about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind…
Added 1 min ago
Pharmacy Technician III Certified
AdventHealth
Orlando, FL
Joining AdventHealth is about being part of something bigger. It’s about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind…
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Intake Coordinator
AdventHealth
Orlando, FL
Joining AdventHealth is about being part of something bigger. It’s about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind…
Added 1 min ago
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Breakfast Attendant
Peregrine Hospitality
Breckenridge, CO
- $19 USD / hour
Serve food and meals in employee cafeteria for associate meals.
Added 1 min ago
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Customer Service Representative I
Bourns
Riverside, CA
- $19 to $21 USD / hour
…business environment. This is a business to business (B2B) operations role (not a call center position). In this role, you will act as a key point of contact for customers, distributors,…
Added 1 min ago
Home Health RN Branch Director in Seattle WA (Relocation Provided)
CenterWell
Miami, FL · Tampa, FL
The Branch Director assumes responsibility for managing the day-to-day branch operations to ensure the following: operational efficiencies, quality of patient care, regulatory compliance,…

Closed listing

Humana

Utilization Mgmt. Coordinator

Richmond, VA, 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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