Administration Coordinator - Remote

About The Company Humana Inc. is a leading healthcare organization dedicated to improving the health and well-being of its members. As a prominent provider of insurance services and healthcare solutions through its subsidiaries, including CenterWell, Humana strives to deliver accessible, high-quality care tailored to the diverse needs of individuals and communities across the United States. With a commitment to innovation and compassion, Humana seeks to make healthcare simpler, more affordable, and more personalized, fostering healthier lives and stronger communities. The company's mission emphasizes supporting whole-person well-being, integrating health and wellness services to create meaningful impacts on people's lives. About The Role The UM Administration Coordinator plays a vital role within Humana’s healthcare operations, primarily contributing to the administration of utilization management processes. This position involves performing a variety of administrative, operational, and customer support activities that are moderately complex, ensuring the efficient management of member care and services. The coordinator provides non-clinical support to ensure adherence to policies and procedures that promote appropriate treatment, care, and service delivery for members. Working under minimal supervision, the role requires interpreting policies, prioritizing tasks, and making independent decisions within defined parameters. The coordinator works within standard practices but has some discretion over work prioritization and timing, contributing to the overall effectiveness of the utilization management team. Qualifications Minimum of 1 year of experience in an administrative or technical support role within a healthcare organizationExcellent verbal and written communication skillsProficiency in MS Office Suite including Word, Excel, and Outlook in a Windows environmentAbility to quickly learn new systems and electronic documentation toolsPreferred: Experience with electronic medical records and documentation programsPreferred: Knowledge of medical terminology and ICD-10 codingBachelor’s Degree in Business, Finance, or related fieldPrior experience in member or customer service via telephone is desirableExperience with Utilization Review and/or Prior Authorization processes within managed care organizations is a plus Responsibilities Assist in the administration of utilization management activities to ensure compliance with organizational policiesSupport the review and processing of prior authorization requests and utilization reviewsMaintain accurate and timely documentation within electronic medical records systemsCommunicate effectively with members, providers, and internal teams to facilitate care coordinationPerform computations and data entry tasks related to utilization management metricsInterpret policies and procedures to support appropriate member care decisionsPrioritize and manage multiple tasks efficiently within established deadlinesAssist in generating reports and analyzing data related to utilization management activitiesSupport training and onboarding activities as needed, including participation in meetings and training sessionsEnsure compliance with HIPAA and other privacy regulations to protect member information Benefits Competitive annual salary ranging from $40,000 to $52,300, commensurate with experience and locationComprehensive health benefits, including medical, dental, and vision coverage401(k) retirement savings plan with company contributionsPaid time off, including holidays, personal days, and paid parental/caregiver leaveShort-term and long-term disability insuranceLife insurance and wellness programsOpportunities for professional development and career growthRemote work flexibility with required home office setup Equal Opportunity Humana is an Equal Opportunity Employer. We are committed to creating an inclusive environment where all employees and applicants are treated with respect and fairness. We do not discriminate based on race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability, or protected veteran status. Humana actively promotes affirmative action and ensures employment decisions are based solely on valid job requirements. We support diversity and inclusion at all levels of our organization, fostering a workplace where everyone can thrive and contribute to our mission of making healthcare better for all.