UM Administration Coordinator

Beschreibung:

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Job Profile
UM Administration Coordinator 1

Job Level
Representative 1

Become a part of our caring community

As a remote Utilization Management (UM) Administrative Coordinator you will report to a Supervisor of Referrals and support the Behavioral Health (BH) UM department and perform varied activities with a focus on administrative and supportive assignments.
* You will monitor the BH UM phone queue
* You will enter data into medical management system
* You will provide non-clinical overview of documentation to pend tasks to appropriate queues who can complete or request additional information

Use your skills to make an impact

Required Qualifications
* Our Department of Defense Contract requires U.S. citizenship for this position
* Successfully receive interim approval for government security clearance (NBIS - National Background Investigation Service)
* HGB is not authorized to do work in Puerto Rico per our government contract. We are not able to hire candidates that are currently living in Puerto Rico.
* Must be able to work 9:30 - 6 p.m. and live in the central, mountain or pacific time zone
* 2 years of experience with administrative support, including data entry
* 2 years of customer service telephone experience
* 2 years of experience with medical terminology and/or ICD-10 codes
* 2 years of experience with electronic medical record and documentation programs

Preferred Qualifications
* Behavioral health experience
* Experience with Utilization Review and/or Prior Authorization in a managed care organization

Work at Home Requirements

To ensure Hybrid Office/Home associates' ability to work effectively, the self-provided internet service of Hybrid Office/Home associates must meet the following criteria:
* At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is suggested
* Satellite, cellular and microwave connection can be used only if approved by leadership
* Associates who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense.
* Humana will provide Home or Hybrid Home/Office associates with telephone equipment appropriate to meet the business requirements for their position/job.
* 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
40

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.

$39,000 - $49,400 per year

Referral Bonus Information
This requisition is not eligible for a referral bonus.

Application Deadline: 06-19-2026

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.

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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