Backend UM Coordinator

About this role

Become a part of our caring community   The UM Administration Coordinator 1 contributes to administration of utilization management. The UM Administration Coordinator 1 performs basic administrative/clerical/operational/customer support/computational tasks. Typically works on routine and patterned assignments.

UM Administration Coordinator The Backend UM Administration Coordinator provides administrative support for utilization management operations and processes. This role reviews and processes information, maintains records, performs data entry, and supports communications with internal and external stakeholders. Working within established policies and procedures, the coordinator completes routine assignments, ensures accuracy and timeliness, and contributes to the efficient delivery of utilization management services. Work is performed under general supervision with guidance provided for non-routine situations.

As a UM Administration Coordinator, you will: • Provide administrative support for utilization management (UM) programs and processes. • Review, process, and maintain information and records accurately and in a timely manner. • Coordinate communications with internal teams and external stakeholders. • Support operational activities that help facilitate appropriate care and service delivery for members. • Follow established policies, procedures, and work instructions to complete assigned tasks. • Prioritize workload, maintain quality standards, and meet performance expectations. • Collaborate effectively with team members to support departmental and business objectives. • Perform work under general supervision, exercising judgment within established guidelines.

Use your skills to make an impact     Required Qualifications • Experience providing administrative, operational, customer service, or technical support in a professional environment. • Strong verbal and written communication skills with the ability to interact effectively with diverse audiences. • Proficiency with Microsoft Office applications, including Word, Excel, and Outlook, and the ability to learn new systems and technologies. • Ability to work independently in a remote environment and maintain a reliable internet connection that meets company requirements. • Strong organizational skills, attention to detail, and ability to manage multiple priorities in a fast-paced setting. • Commitment to delivering exceptional service and contributing to a culture focused on improving customer and member experiences.

Preferred Qualifications • Experience using electronic medical record (EMR), healthcare documentation, or case management systems. • Familiarity with medical terminology, healthcare coding, or ICD-10 classifications. • Associate's or bachelor's degree in Business, Healthcare Administration, Finance, or a related field. • Prior customer service, member service, or call center experience. • Experience supporting Utilization Management, Prior Authorization, Care Management, or related healthcare operations, preferably within a health plan or managed care environment.

Additional Information Interview Process: As part of our hiring process for this opportunity, we will be using an interviewing technology called HireVue to enhance our hiring and decision-making ability. HireVue allows us to quickly connect and gain valuable information from you pertaining to your relevant skills and experience at a time that is best for your schedule. 

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.  • Satellite, cellular and microwave connection can be used only if approved by leadership.  • Employees 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 employees 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. 

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

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  

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 (

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