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Um Administration Jobs (NOW HIRING)

Astrana Health

UM Coordinator - Hybrid

Monterey Park, CA · Hybrid

$20 - $24/hr

The UM Coordinator will serve as a key liaison between providers, members, and internal clinical ... High School Graduate, Bachelor's in Healthcare Administration is a plus * A minimum of two years ...

Independent Health Association

$115 - $155/hr

Master's degree in healthcare administration, business, or public health preferred. Possess an ... Ability to rotate in UM call schedule to remotely cover evenings, weekends and holidays.

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$30.5K

$80.4K

$137.5K

How much do um administration jobs pay per year?

As of Jun 10, 2026, the average yearly pay for um administration in the United States is $80,437.00, according to ZipRecruiter salary data. Most workers in this role earn between $56,000.00 and $98,000.00 per year, depending on experience, location, and employer.

What is UM Administration?

UM Administration, or Utilization Management Administration, refers to the oversight and coordination of healthcare services to ensure that patients receive appropriate care while controlling costs. Professionals in UM Administration review medical necessity, oversee pre-authorization processes, and ensure compliance with healthcare regulations and insurance policies. They work closely with healthcare providers, insurance companies, and patients to facilitate efficient and effective care delivery.

What is the difference between Um Administration vs Medical Office Coordinator?

AspectUm AdministrationMedical Office Coordinator
CredentialsTypically requires a healthcare administration degree or certificationUsually requires medical office administration training or certification
Work EnvironmentHealthcare facilities, clinics, hospitalsMedical offices, clinics, outpatient centers
Employer & IndustryHospitals, healthcare organizations, clinicsMedical practices, outpatient clinics, healthcare providers

Um Administration and Medical Office Coordinator roles both involve managing healthcare operations, but Um Administration often requires broader healthcare management credentials and focuses on administrative oversight at a higher level, while Medical Office Coordinators handle day-to-day office tasks and patient scheduling. Both roles are essential in healthcare settings, but they differ in scope and responsibilities.

What are some typical challenges faced by professionals working in university administration, and how can they be managed?

Professionals in university administration often navigate challenges such as balancing the needs of various campus stakeholders, adapting to policy changes, and managing tight deadlines, especially during enrollment periods or budget cycles. Effective communication, strong organizational skills, and a proactive approach to problem-solving are key to overcoming these challenges. Building collaborative relationships with faculty, students, and other administrative departments also helps create a supportive work environment and ensures smoother operations.

What are the key skills and qualifications needed to thrive as a Utilization Management (UM) Administrator, and why are they important?

To thrive as a Utilization Management Administrator, you need a solid understanding of healthcare regulations, medical terminology, and case management principles, typically supported by a degree in healthcare or nursing and experience in utilization review. Familiarity with UM software systems, electronic health records (EHRs), and knowledge of insurance authorization processes are essential. Strong organizational skills, attention to detail, and effective communication set top performers apart in this role. These skills ensure compliance, efficient resource use, and optimal patient outcomes within healthcare organizations.
More about Um Administration jobs
What are the most commonly searched types of Um Administration jobs? The most popular types of Um Administration jobs are:
What job categories do people searching Um Administration jobs look for? The top searched job categories for Um Administration jobs are:
Um Administration jobs near you
Infographic showing various Um Administration job openings in the United States as of June 2026, with employment types broken down into 100% Full Time. Highlights an 100% In-person job distribution, with an average salary of $80,437 per year, or $38.7 per hour.
VP, Physician Review and Market Insights

VP, Physician Review and Market Insights

Humana, Inc.

Remote

Full-time

Posted 3 days ago

Humana rating

8.0

Company rating: 8.0 out of 10

Based on 252 frontline employees who took The Breakroom Quiz

146th of 260 rated insurance

Job description

Become a part of our caring community
Provides executive leadership to Humana.
The Chief Medical Officer, Utilization Management (UM) will serve as the clinical strategist, operator, and visionary for Humana's Utilization Management organization. This executive role is responsible for integrating and overseeing all Outpatient and Inpatient based MDs and RNs and non-clinical support for UM functions in Medicaid and Medicare, with a focus on streamlining processes, ensuring consistent clinical practices, driving trend savings, improving Star Ratings, and enhancing operational efficiency. The CMO, UM will ensure alignment with Humana's strategic objectives and enterprise operating model.
Use your skills to make an impact
Key Responsibilities:
• Set clinical strategy and lead the Utilization Management organization.
• Oversee the integration of medical doctors and registered nurses in UM across Medicaid and Medicare.
• Provide leadership in risk management, grievance and appeals, clinical contracting, vendor management, and UM dental review.
• Ensure the clinician's perspective is central to organizational decision-making.
• Leverage analytics to inform strategy and performance improvement.
• Sponsor the development of clinical talent and leadership pipeline.
Organizational Scope:
The Chief Medical Officer, UM leads a significant functional organization, with direct accountability for human capital and organizational performance.
Direct reports include:
  • VP, Physician Leadership
Clinical contracting, physician review, quality improvement, legal MDs
  • Director, Physician Leadership
MD vendors, grievance and appeals
  • AVP, UM Nursing
UM RNs (transplant, behavioral health, appeals, etc.)
  • Lead Dental Director
Dental MD/RN review, bid season benefit review
  • Director, Strategy Advancement
Market liaison, provider/facility relationships
  • AVP, UM Administration
UM intake, vendor management, administrative support
Role Impact:
• Drive the formation, execution, and sustainability of Humana's Utilization Management strategy.
• Challenge the healthcare status quo to improve quality, Star Ratings, and health outcomes.
• Integrate evidence-based approaches for UM reviewers.
• Support Humana's commitment to whole-person health and consistent, high-quality outcomes.
Candidate Qualifications:
• MD/DO
Current Board Certification
Minimum 10 years of combined leadership and/or UM experience.
• Passion for improving Star Ratings, review consistency, and health outcomes.
• Deep knowledge of medical, clinical, and behavioral science underpinning UM.
• Strong interpersonal, leadership, and business acumen.
• Proven ability to drive cross-functional results and champion clinical perspectives.
Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.
Scheduled Weekly Hours
40
Application Deadline: 06-25-2026
About us
About Humana: Humana Inc. (NYSE: HUM) is a leading U.S. healthcare company. Through our Humana insurance services and our CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare and Medicaid, families, individuals, military service personnel, and communities at large. Learn more about what we offer at Humana.com and at CenterWell.com.
Equal Opportunity Employer
It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.

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About Humana

Sourced by ZipRecruiter

Humana Inc., headquartered in Louisville, KY., is a leading health care company that offers a wide range of insurance products and health and wellness services that incorporate an integrated approach to lifelong well-being. By leveraging the strengths of its core businesses, Humana believes it can better explore opportunities for existing and emerging adjacencies in health care that can further enhance wellness opportunities for the millions of people across the nation with whom the company has relationships.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Louisville, KY, US

Year founded

1961

Social media

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