Note: The job is a remote job and is open to candidates in USA. Humana is a healthcare company providing insurance and healthcare services. The UM Administration Coordinator provides administrative support for utilization management operations by processing information, maintaining records, coordinating communications, and supporting care delivery activities. The role performs routine assignments under general supervision while ensuring accuracy, timeliness, and adherence to established procedures.
Responsibilities
• 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
Skills
• 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
• 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
Benefits
• 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
• 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.
• Remote position
Company Overview
• Humana is a health insurance provider for individuals, families, and businesses. It was founded in 1964, and is headquartered in Louisville, Kentucky, USA, with a workforce of 10001+ employees. Its website is http://www.humana.com.
Company H1B Sponsorship
• Humana has a track record of offering H1B sponsorships, with 149 in 2026, 282 in 2025, 246 in 2024, 284 in 2023, 274 in 2022, 212 in 2021, 84 in 2020. Please note that this does not guarantee sponsorship for this specific role.