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.

How Jobgether works: We use an AI-powered matching process to ensure your application is reviewed quickly, objectively, and fairly against the role's core requirements. Our system identifies the top-fitting candidates, and this shortlist is then shared directly with the hiring company. The final decision and next steps (interviews, assessments) are managed by their internal team. We appreciate your interest and wish you the best!  Why Apply Through Jobgether? 

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