UM Administration Coordinator

This remote position supports utilization management operations that help members access appropriate care and services.
You’ll provide essential non-clinical administrative support while following established healthcare processes and quality standards.
The role combines documentation, coordination, data entry, customer support, and operational follow-through.
You’ll work closely with internal teams to keep workflows accurate, timely, and compliant.
The position is well suited to someone who is highly organized, detail-oriented, and comfortable working across multiple systems.
You’ll operate within clearly defined processes, with opportunities to contribute to efficient and positive member experiences.
The role is full-time, remote nationwide, with occasional travel for training or meetings when needed.

• Previous administrative, technical support, or comparable operational experience.

• Strong verbal and written communication skills, with excellent attention to detail.

• Strong typing, computer navigation, and digital literacy skills.

• Ability to manage multiple priorities and work simultaneously across several computer applications.

• Customer service or contact center experience, particularly involving telephone-based support, is preferred.

• Healthcare experience is preferred, along with familiarity with electronic medical records and documentation systems.

• High school diploma is preferred.

• Knowledge of medical terminology and/or ICD-10 codes is a plus.

• Experience with utilization review or prior authorization, particularly within a managed care environment, is preferred.

• Previous experience working remotely or in a work-from-home environment is beneficial.

• Ability to work independently within established procedures while escalating exceptions appropriately.

• A reliable home working environment with a dedicated workspace and internet service providing at least 25 Mbps download and 10 Mbps upload speeds is required. Wireless, wired cable, or DSL connections are suggested; alternative connection types may require approval.