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Added 1 min ago
L
Full Time - Sales Specialist - Flooring - Day
Lowes
Manchester, NJ
- $17.5 to $19.6 USD / hour
- Full-time
Whether you need a part-time position or a place to plant yourself and grow, Lowe's is ready to support your goals. As a Lowe's associate, you'll gain access to a variety of benefits beyond…
Added 1 min ago
L
Full Time - Sales Specialist - Flooring - Day
Lowes
Middletown, OH
- Full-time
Whether you need a part-time position or a place to plant yourself and grow, Lowe's is ready to support your goals. As a Lowe's associate, you'll gain access to a variety of benefits beyond…
Added 1 min ago
L
Full Time - Sales Specialist - Flooring - Day
Lowes
Yukon, OK
- Full-time
Whether you need a part-time position or a place to plant yourself and grow, Lowe's is ready to support your goals. As a Lowe's associate, you'll gain access to a variety of benefits beyond…
Added 1 min ago
L
Full Time - Sales Specialist - Flooring - Closing
Lowes
Kokomo, IN
- Full-time
Whether you need a part-time position or a place to plant yourself and grow, Lowe's is ready to support your goals. As a Lowe's associate, you'll gain access to a variety of benefits beyond…
Added 1 min ago
L
Full Time - Sales Specialist - Millwork - Day
Lowes
West Chester, OH
- Full-time
Whether you need a part-time position or a place to plant yourself and grow, Lowe's is ready to support your goals. As a Lowe's associate, you'll gain access to a variety of benefits beyond…
Added 1 min ago
L
Full Time - Sales Specialist - Cabinets - Day
Lowes
San Antonio, TX
- Full-time
Whether you need a part-time position or a place to plant yourself and grow, Lowe's is ready to support your goals. As a Lowe's associate, you'll gain access to a variety of benefits beyond…
Added 1 min ago
L
Full Time - Sales Specialist - Cabinets - Closing
Lowes
Chandler, AZ
- Full-time
Whether you need a part-time position or a place to plant yourself and grow, Lowe's is ready to support your goals. As a Lowe's associate, you'll gain access to a variety of benefits beyond…
Added 1 min ago
L
Full Time - Sales Specialist - Millwork - Day
Lowes
Walton, KY
- Full-time
Whether you need a part-time position or a place to plant yourself and grow, Lowe's is ready to support your goals. As a Lowe's associate, you'll gain access to a variety of benefits beyond…
Added 3 mins ago
Pharmacy Technician
Albertsons Companies
EVANSTON, IL · Evanston, IL
…working under the supervision of a pharmacist. You assist with processing prescriptions, entering data, and preparing medications within regulatory guidelines. Customer interaction is a…
Added 3 mins ago
Front End Entry Level
Albertsons Companies
GUNNISON, CO · Gunnison, CO
Another part of the role is keeping the front end organized, clean, and running consistently throughout the day. You’ll rotate between tasks like handling transactions, collecting carts,…
Added 3 mins ago
Front End Entry Level
Albertsons Companies
CLOVIS, NM · Clovis, NM
Another part of the role is keeping the front end organized, clean, and running consistently throughout the day. You’ll rotate between tasks like handling transactions, collecting carts,…
Added 5 mins ago
2nd shift Supervisor
MILWAUKEE ELECTRIC TOOL CORP
Olive Branch, MS
…sure our customers receive the right products at the right time. As part of this team, you'll help carry out the logistics of receiving, processing, storing, and shipping our…
Added 8 mins ago
SO
Law Office Assistant 1 (PCN031353)
State of Alaska
Palmer, AK
- $22.81 USD / hour
…resources, and holds offenders accountable while at the same time protecting the constitutional and legal rights of the accused. Benefits of Joining Our…
Added 8 mins ago
SO
Accounting Technician 3 (PCN 10-0225)
State of Alaska
Anchorage, AK
- $31.54 USD / hour
…position provides lead-level oversight of accounting technicians processing payables and travel…
Added 8 mins ago
SO
Accounting Technician 1/2/3 (PCN 061060)
State of Alaska
Anchorage, AK
- $24.15 to $31.54 USD / hour
When you join the Public Health Laboratory administrative team, you’ll be part of a fun, supportive, and collaborative group dedicated to making Alaska an even better place to live, work,…
Added 9 mins ago
RT
Operations Supervisor
RIVERSIDE TRANSIT AGENCY
Riverside, CA · Hemet, CA
- $39.53 to $59.3 USD / hour
Assigns work runs and buses, ensuring that bus rollout adheres to prepared schedules and meets on time performance objectives. Recommends and employs procedures for more efficient…
Added 11 mins ago
NR
Off-Site Linen Worker – Northside Atlanta Hospital | 3rd Shift (11:00 PM–7:30 AM) | 3-Month Contract
NOVO Rockmart, LLC
Atlanta, GA
- $17.25 USD / hour
What we can offer you as a full-time associate:
Added 11 mins ago
NR
Off-Site Linen Worker – Northside Atlanta Hospital | 2nd Shift (3:00 PM–11:30 PM) | 3-Month Contract
NOVO Rockmart, LLC
Atlanta, GA
- $17.25 USD / hour
What we can offer you as a full-time associate:
Added 11 mins ago
NH
Laundry Production Worker - 2nd Shift
NOVO Health Services, LLC
Williamsport, PA
- $15 USD / hour
Novo Health Services is accepting applications for entry level production personnel. Part-time and full-time employment opportunities are available at our Healthcare Linen Services facility…
Added 11 mins ago
NH
Production Team Member
NOVO Health Services, LLC
Louisville, KY
- $16.5 USD / hour
What we can offer you as a full-time associate:
Added 11 mins ago
LL
Sales Support Coordinator- Southeast/Tampa
LCA Lab. Corp. of America
Tampa, FL
- $19 to $28 USD / hour
…including: Medical, Dental, Vision, Life, STD/LTD, 401(k), Paid Time Off (PTO) or Flexible Time Off (FTO), Tuition Reimbursement and Employee Stock Purchase Plan. Casual, PRN & Part Time…
Added 11 mins ago
Retail Associate
Goodwill Industries of Northwest Texas
Plainview, TX
Retail Associates are responsible for handling a variety of donated goods, collecting donations at the donor’s door, processing, pricing, stocking, merchandising, performing cash register…
Added 12 mins ago
Retail Sales Associate
Texas EZPAWN L.P.
Laredo, TX
Here's what you can expect as a Retail Sales Associate / Retail Customer Service (Pawnbroker): This role will give you the opportunity to interact with customers daily, helping with sales…
Added 14 mins ago
HL
Weekend Truck Processing Associate
Homegoods LLC
Yukon, OK
- $12.75 to $13.25 USD / hour
Benefits include: Associate discount; EAP; smoking cessation; bereavement; 401(k) Associate contributions; child care & cell phone discounts; pet & legal insurance; credit union; referral…
Added 15 mins ago
MU
Part-Time Shift Leader
MINISO USA
Happy Valley, OR
- $19 USD / hour
- Part-time
…customer engagement, cash management, store upkeep, and shipment processing. Additionally, the Shift Leader will actively promote the store’s membership program to foster customer loyalty.…

Closed listing

Humana

Utilization Mgmt. Coordinator

Des Moines, IA, 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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