Humana Healthy Horizons in Kentucky is seeking a UM Administration Coordinator who will contribute to the administration of utilization management. Reporting to the UM Behavioral Manager, you will perform varied activities and moderately complex administrative/operational/customer support assignments as well as perform computations and work on semi-routine assignments.
UM Adm Coord Responsibilities:
o Provides non-clinical support for the policies and procedures ensuring best and most appropriate treatment, care or services for members.
o Decisions are typically focused on interpretation of area/department policy and methods for completing assignments.
o Works within defined parameters to identify work expectations and quality standards, but has some latitude over prioritization/timing
o Works under minimal direction
o Follows standard policies/practices that allow for some opportunity for interpretation/deviation and/or independent discretion.
Use your skills to make an impact
Required Qualifications
o 1 or more years administrative, customer service or technical support experience
o Excellent verbal and written communication skills
o Working knowledge of Word, Excel, and Outlook in a Windows-based environment and an ability to quickly learn new systems
o Can attend 4-week training process with no absences
Preferred Qualifications
o Proficient utilizing electronic medical record and documentation programs
o Proficient and/or experience with medical terminology and/or ICD-10 codes
o Bachelor's Degree
o Prior member service or customer service telephone experience
o Experience with Utilization Review and/or Prior Authorization, preferably within a managed care organization
Additional Information
Workstyle: Remote Nationwide
Work Hours: 8 – 4:30 EST with occasional weekends as business needs dictate
Interview Format:
As part of our hiring process for this opportunity, we will use an interviewing technology called HireVue to enhance our hiring. HireVue allows us to quickly connect and gain valuable information from you about your relevant experience at a time that is best for your schedule.
Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.Scheduled Weekly Hours
40Pay 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.
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, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.Application Deadline: 06-05-2026About 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.
Skills Required
- 1 or more years administrative, customer service or technical support experience
- Excellent verbal and written communication skills
- Working knowledge of Word, Excel, and Outlook in a Windows-based environment
- Ability to quickly learn new systems
Humana Compensation & Benefits Highlights
The following summarizes recurring compensation and benefits themes identified from responses generated by popular LLMs to common candidate questions about Humana and has not been reviewed or approved by Humana.
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Healthcare Strength — Medical, dental, vision, supplemental health, and long-term care insurance are offered alongside on-site/virtual wellness resources and weekly paid well-being time, indicating a whole-person focus.
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Leave & Time Off Breadth — Paid PTO and holidays, volunteer time, and formal leave options such as parental and caregiver time provide broad time-away support. Adoption assistance and lactation rooms extend coverage for key life events.
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Retirement Support — A 401(k) with company match anchors long-term savings. Employer-matched emergency savings programs complement retirement planning.
Humana Insights
What We Do
At Humana, our cultural foundation is aligned to helping members achieve their best health by delivering personalized, simplified, whole-person healthcare experiences. Recognizing healthcare needs continue to evolve for each person, for each family and for each community, Humana continuously creates innovative solutions and resources that help people live their healthiest lives on their terms –when and where they need it. Our employees are at the heart of making this happen and that’s why we are dedicated to building an organization of dynamic talent whose experience and passion center on putting the customer first.
