Utilization Management Coordinator

Humana

Humana healthcare coordinator processing physical-health utilization-management authorizations remotely in Ohio. Supporting nurses and medical directors while protecting member PHI and HIPAA information.

Posted 8/14/2026full-timeRemote • Ohio • 🇺🇸 United StatesJunior💰 $40,000 - $52,300 per yearWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates proficiency in administrative support within utilization management, with a strong understanding of medical terminology and experience in processing authorization requests. Committed to protecting member PHI/HIPAA information while contributing to continuous improvement in consumer experiences.

Highest-signal resume keywords

Utilization Review ExperiencePrior Authorization ExperienceProficiency in MS OfficeKnowledge of Medical TerminologyBachelor's Degree in Business or Related Field

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Administrative SupportAuthorization ProcessingUtilization ManagementICD-10 CodesElectronic Medical Record Proficiency

Soft Skills

Customer ServiceAttention to DetailIndependent DiscretionContinuous Improvement Mindset

Tools & Technologies

MS OfficeWindows-Based EnvironmentDocumentation Programs

Industry Keywords

PHIHIPAAManaged Care OrganizationConsumer Experience

About the role

Key responsibilities & impact

Contribute to administration of Physical Health utilization management
Provide non-clinical support for Utilization Management Nurses and Physical Health Medical Directors
Process requests for authorization of health services
Interpret area and department policies and methods for completing assignments
Identify work expectations and quality standards within defined parameters
Prioritize and schedule work with some independent discretion
Support appropriate treatment, care, and services for members
Protect member PHI/HIPAA information while working from a dedicated space
Travel occasionally to Humana offices for training or meetings when required

Requirements

What you’ll need

1 or more years of administrative or technical support experience
Working knowledge of MS Office, including Word, Excel, and Outlook
Ability to work in a Windows-based environment
Ability to quickly learn new systems
Passion for contributing to continuous improvement of consumer experiences
Proficiency using electronic medical record and documentation programs preferred
Proficiency and/or experience with medical terminology and/or ICD-10 codes preferred
Bachelor's Degree in Business, Finance, or a related field preferred
Prior member service or customer service telephone experience desired
Experience with Utilization Review and/or Prior Authorization, preferably within a managed care organization
Minimum download speed of 25 Mbps and upload speed of 10 Mbps for home internet
Dedicated work space without ongoing interruptions to protect member PHI/HIPAA information

Benefits

Comp & perks

Medical benefits
Dental benefits
Vision benefits
401(k) retirement savings plan
Paid time off
Company holidays
Personal holidays
Paid parental leave
Paid caregiver leave
Short-term disability
Long-term disability
Life insurance
Competitive benefits supporting whole-person well-being
Personal wellness support
Home-based work arrangement