Find work in the United States.

A simpler way to find your next job.

Jobs in the United States

25+ jobs

Save this search

Added just now
VO
Vans: Sales Lead - Haywood Mall
VF Outdoor, LLC
United States
- $16 to $19.66 USD / hour
…voice of our brand and provide sales-related feedback and coach associate performance. As a part of the team, you will foster and thrive in an environment where individuality and…
Added just now
SD
Inside Sales Associate
SCP Distributors LLC
Atlanta, GA
- $19 to $22 USD / hour
As an Inside Sales Associate at POOLCORP, you will be an important part of the customer experience. In this fast-paced, customer-facing role, you will assist customers at the counter and…
Added just now
Business Office Manager
Grandview Healthcare Center
New Britain, CT
…collections, insurance verification, Medicare and Medicaid processing, resident trust accounts, financial reporting, and administrative…
Added 1 min ago
Seasonal CLUB Customer Service Associate
Bass Pro Outdoor World LLC
Denham Springs, LA
Provides full CLUB Member experience including service processes such as processing payments, answering account questions, and processing applications.
Added 1 min ago
Hunting Team Lead
Bass Pro Outdoor World LLC
Gurnee, IL
Resolves customer and associate opportunities with GSM / DM and HR Manager.
Added 1 min ago
BP
BOSS Fulfillment Associate - Part Time
Bass Pro Outdoor World LLC
East Peoria, IL
- Part-time
…needed. In fulfillment of these duties may spend majority of time in one of the following areas, but has knowledge and experience to move among multiple area functions as…
Added 1 min ago
TI
Warehouse Associate - Order Processing (5:00 a.m. - 1:00 p.m.) Monday - Friday 6131
TTI, Inc.
Fort Worth, TX
- $18 USD / hour
…to modify or amend accountabilities and requirements at any time at its sole discretion based on business needs. Any part of this job description is subject to possible modification to…
Added 3 mins ago
Chinese Operational Language Analyst (OLA2)
CACI, INC.-FEDERAL
Wahiawa, HI
Minimum of four (4) years full-time experience performing cryptologic language processing in the required language with an associate's degree
Added 3 mins ago
Cyber Analytics Application Engineer
CACI, INC.-FEDERAL
CYC LINTHICUM HEIGHTS, MD
Design and implement scalable data processing and ingestion solutions to support enterprise cybersecurity initiatives.
Added 4 mins ago
SF
Associate Director, Secondary Education
SAN FRANCISCO SYMPHONY
San Francisco, CA
- $77,850 to $84,720 USD / year
Associate Director, Secondary Education Programs
Added 4 mins ago
Interventional Procedures Tech - Cath Lab & Interventional Radiology
Endeavor Health
United States
Benefits (For full time or part time positions):
Added 4 mins ago
Clinical Engineering, Business Office Coordinator
Endeavor Health Clinical Operations
United States
Benefits (For full time or part time positions):
Added 4 mins ago
Clinical Engineering, Business Office Coordinator
Endeavor Health Clinical Operations
United States
Benefits (For full time or part time positions):
Added 5 mins ago
HTST Operator
About Us
High Point, NC
Closely monitor the dairy production process and follow Standard Operating Procedures for batching and processing products. Monitor fats, total solids, allergen, cryoscopy and other related…
Added 7 mins ago
IP
Warehouse Associate â No Overnight Shifts!
Industrial Packaging Supplies Inc
Northlake, TX
- $19 USD / hour
Looking for a full-time warehouse position with a consistent daytime schedule and great benefits? Join IPS Packaging & Automation and become part of a team that keeps businesses moving!
Added 7 mins ago
T
Warehouse Worker I
Terumo
Phoenix, AZ
- $18.3 USD / hour
…outcomes and improved quality of life for patients. TMC is part of Tokyo-based Terumo Corporation; one of the world’s leading medical device manufacturers with $6+ billion in sales, 30,000+…
Added 7 mins ago
Associate Banker, 30 Hours, Amarillo, TX - I 40 Bell Branch
JPMorgan Chase
Amarillo, TX
As an Associate Banker within Chase, you will represent our brand and culture with the utmost hospitality, using the latest banking solutions and cutting-edge financial technology combined…
Added 7 mins ago
Associate Banker, 30 Hours, Amarillo, TX - I 40 Bell Branch
JPMorgan Chase
Amarillo, TX
As an Associate Banker within Chase, you will represent our brand and culture with the utmost hospitality, using the latest banking solutions and cutting-edge financial technology combined…
Added 8 mins ago
W
(USA) Tire & Battery Technician - Automotive
Walmart
SAN ANTONIO, TX
- $19 to $27 USD / hour
…and drive sales improve the service experience and elevate associate engagement utilizing hand held technology and systems to make immediate business decisions related to services safety…
Added 8 mins ago
VO
Vans: Sales Lead - Haywood Mall
VF Outdoor, LLC
United States
- $16 to $19.66 USD / hour
…voice of our brand and provide sales-related feedback and coach associate performance. As a part of the team, you will foster and thrive in an environment where individuality and…
Added 8 mins ago
Associate Banker, 30 Hours, Southwest Houston, TX Area - Multiple Locations
JPMorgan Chase
Houston, TX · Bellaire, TX
As an Associate Banker within Chase, you will represent our brand and culture with the utmost hospitality, using the latest banking solutions and cutting-edge financial technology combined…
Added 8 mins ago
Associate Banker, 30 Hours, Houston Gulf Coast Area - Multiple Locations
JPMorgan Chase
Pasadena, TX · League City, TX · Deer Park, TX · Houston, TX · Webster, TX
As an Associate Banker within Chase, you will represent our brand and culture with the utmost hospitality, using the latest banking solutions and cutting-edge financial technology combined…
Added 8 mins ago
Senior Associate, Corporate Development
IREN
San Francisco, CA
As IREN scales its AI Cloud business, the Associate / Senior Associate, Corporate Development will work closely with the Head of AI Ecosystem to help shape and execute IREN's strategy…
Added 8 mins ago
SAP Product Costing Manager - CMT (High Tech)
Accenture
Austin, TX · Irving, TX · Houston, TX
…Product costing (additional experience with Cost Accounting processing including, but not limited to: Inventory Valuation, Margin Analysis, Overhead Accounting or Project Accounting…
Added 8 mins ago
Utilization Mgmt. Coordinator
Humana
Austin, TX
…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…

Closed listing

Humana

Utilization Mgmt. Coordinator

Washington, DC, 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

Similar jobs hiring now

Search current openings

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

Report this job