Administrative Coordinator - Remote

About The Company
Humana Inc. (NYSE: HUM) is a leading healthcare company dedicated to making it easier for individuals and families to achieve their best health. Through its comprehensive insurance services and healthcare solutions via CenterWell, Humana provides innovative health plans and services tailored to meet the diverse needs of its members. The company is committed to improving quality of life, especially for those enrolled in Medicare and Medicaid programs, as well as serving military personnel, families, and communities at large. With a focus on delivering personalized care and support, Humana strives to create a healthier future for all its stakeholders.
About The Role
The UM Administration Coordinator 2 plays a vital role within Humana’s Medicaid Utilization Management (UM) team by providing non-clinical administrative support to ensure the efficient processing of utilization reviews and prior authorizations. Reporting directly to the Behavioral Health Manager, this position involves performing a variety of moderately complex administrative, operational, and customer support activities. The coordinator is responsible for interpreting policies, managing documentation, and supporting the team to deliver appropriate care and services to members. This role requires a detail-oriented individual who can work semi-routine assignments within defined policies, exercising independent judgment to prioritize tasks and interpret procedures. The position is remote, based in Louisiana, with the opportunity to contribute to a caring community that emphasizes quality, compliance, and member-centered support.
Qualifications
One or more years of administrative or technical support experience in an office environment
Proficiency in utilizing electronic medical record systems and documentation programs
Excellent verbal and written communication skills
Working knowledge of MS Office suite, including Word, Excel, and Outlook in a Windows environment
Ability to quickly learn new systems and adapt to technological updates
Proficient and/or experience with medical terminology and ICD-10 coding (preferred)
Associate’s degree or higher (preferred)
Prior member service or customer service telephone experience (desired)
Experience with Utilization Review and/or Prior Authorization processes within a managed care organization (preferred)
Reside and perform work in Louisiana
Availability to work a 40-hour week, Monday through Friday, with weekend rotations and potential overtime
Completion of a 6-week training program
Ability to meet internet speed requirements for remote work: minimum 25 Mbps download and 10 Mbps upload
Dedicated workspace free from ongoing interruptions to protect member privacy and HIPAA compliance
Willingness to travel occasionally to Humana offices for training or meetings
Responsibilities
Interpret and apply department policies and procedures to support utilization management activities
Perform computations and review documentation related to member cases and service authorizations
Assist in the processing of prior authorization requests and utilization reviews in accordance with established guidelines
Maintain accurate and timely documentation within electronic medical records systems
Communicate effectively with team members, healthcare providers, and members to facilitate smooth operations
Prioritize tasks to meet deadlines while maintaining quality standards
Support the implementation of policies aimed at delivering appropriate and cost-effective care
Participate in ongoing training and development activities to stay current with industry and organizational changes
Ensure compliance with HIPAA and other relevant privacy regulations when handling member information
Contribute to a positive team environment by collaborating with colleagues and supporting team goals
Benefits
Competitive annual salary ranging from $40,000 to $52,300, commensurate with experience and location
Comprehensive health benefits including medical, dental, and vision coverage
401(k) retirement savings plan with company matching
Paid time off, including holidays, personal days, and paid parental and caregiver leave
Short-term and long-term disability insurance
Life insurance coverage
Opportunities for professional development and career advancement
Supportive work environment focused on employee well-being and community engagement
Equal Opportunity
Humana is an equal opportunity employer that values diversity and inclusion in the workplace. We do not discriminate against any employee or applicant based on race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability, or protected veteran status. We are committed to affirmative action and ensuring equal employment opportunities for all qualified individuals, in compliance with applicable laws and regulations. All employment decisions are based solely on valid job requirements and individual qualifications.

Work arrangement
Yes