UM Administration Coordinator

Accountabilities:

• • Support utilization management policies, procedures, and day-to-day operational activities in accordance with established guidelines.
  • Complete routine administrative, clerical, operational, customer support, and computational tasks accurately and within required timeframes.
  • Maintain accurate records, documentation, and other information used to support utilization management activities.
  • Prioritize assigned work, manage competing deadlines, and consistently meet quality, productivity, and timeliness expectations.
  • Assist with activities that promote appropriate member care and services while following defined processes and compliance requirements.
  • Identify and escalate questions, issues, or cases that fall outside established guidelines or require additional review.
  • Collaborate with internal teams to support operational objectives and maintain efficient workflows.
  • Navigate multiple computer applications simultaneously while maintaining accuracy and attention to detail.
  • Protect confidential member information and follow applicable privacy, security, and healthcare documentation requirements.
  • Perform assigned responsibilities under established procedures and appropriate supervision, contributing to a consistent and reliable member experience.

  Requirements:

  • Administrative or technical support experience, ideally in a structured operational or customer-focused environment.
  • Strong verbal and written communication skills, with the ability to convey information clearly and professionally.
  • Excellent attention to detail and the ability to maintain accuracy when handling repetitive or time-sensitive tasks.
  • Strong typing, computer navigation, and multitasking skills, including the ability to work across several applications at the same time.
  • Ability to organize competing priorities, manage deadlines, and consistently follow established procedures.
  • A customer-focused mindset and genuine interest in contributing to better consumer and member experiences.
  • Previous contact center or telephone-based customer service experience is preferred.
  • Healthcare experience, including exposure to medical terminology, electronic medical records, documentation systems, utilization review, or prior authorization, is an advantage.
  • Familiarity with ICD-10 codes or managed care environments is preferred.
  • A high school diploma is preferred.
  • Previous experience working remotely or in a work-from-home environment is a plus.
  • Ability to work independently while remaining collaborative, accountable, and responsive to team needs.
  • For remote work, candidates must have reliable internet service with at least 25 Mbps download and 10 Mbps upload speeds, unless an alternative arrangement is approved.
  • Ability to maintain a dedicated, interruption-free workspace suitable for protecting confidential member and health information.

  Benefits:

  • Annual salary: $39,000–$49,400, with actual compensation varying based on location, skills, experience, education, certifications, and other job-related factors.
  • 100% remote work across the United States, with occasional travel potentially required for training or meetings.
  • 40-hour full-time schedule.
  • Medical, dental, and vision coverage.
  • 401(k) retirement savings plan.
  • Paid time off, company and personal holidays.
  • Paid parental and caregiver leave.
  • Short-term and long-term disability coverage.
  • Life insurance.
  • Additional programs and resources supporting employee wellness and overall well-being.
  • Telephone equipment appropriate for business requirements is provided for eligible home-based employees.
  • Employees working from home in California, Illinois, Montana, or South Dakota may receive a bi-weekly payment toward internet expenses, subject to applicable requirements.