UM Administration Coordinator, Claims, UR, PA

Humana

UM Administration Coordinator contributing to utilization management for Humana's KY Medicaid plan. Providing administrative support and ensuring best services for members with a focus on claims and prior authorization.

Posted 6/25/2026full-timeRemote • 🇺🇸 United StatesJuniorMid-Level💰 $40,000 - $52,300 per yearWebsite

About the role

Key responsibilities & impact

contributes to administration of utilization management for Humana's KY Medicaid plan
performs varied activities and moderately complex administrative/operational/customer support assignments
provides non-clinical support for the procedures ensuring best treatment, care or services for members
follow standard policies that allow for some opportunity for interpretation/deviation and independent

Requirements

What you’ll need

2+ years administrative or similar job experience
2+ years of claims experience
2+ years' experience with Utilization Review or Prior Authorization, within a managed care organization
Working knowledge of MS Office including Word, Excel, and Outlook in a Windows-based environment and an ability to quickly learn new systems

Benefits

Comp & perks

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

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

administrative supportclaims processingutilization reviewprior authorizationmanaged careMS OfficeWordExcelOutlookWindows

Soft Skills

customer supportinterpretationindependence