Compliance UMAC 3

Humana

. Review utilization management activities and documentation for adherence to policies, procedures, and regulations .

Posted 10/13/2026full-timeRemote • United StatesJunior💰 $44,900 - $60,200 per yearWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates proficiency in data analysis and utilization management within a healthcare environment, ensuring adherence to policies and regulations while maintaining high attention to detail. Capable of effective communication and independent work in an agile setting, contributing to improved consumer experiences.

Highest-signal resume keywords

Data AnalysisUtilization ManagementMicrosoft WordMicrosoft ExcelHealthcare Environment Experience

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Data AnalysisUtilization ManagementMicrosoft WordMicrosoft Excel

Soft Skills

Attention to DetailVerbal CommunicationWritten CommunicationAbility to Work IndependentlyTeam Collaboration

Industry Keywords

HealthcarePHIHIPAAAgile EnvironmentClerical Support

About the role

Key responsibilities & impact

Review utilization management activities and documentation for adherence to policies, procedures, and regulations
Collect and analyze data daily, weekly, monthly, or as needed to assess outcome and operational metrics
Make decisions regarding work methods and determine appropriate courses of action
Process QIO fast track appeals and expedited authorization requests according to guidelines, regulatory turnaround times, and procedures
Work a three-day, 12-hour shift schedule within a Friday-to-Monday work week
Work scheduled hours between 8:00 a.m. and 9:00 p.m. Eastern Time

Requirements

What you’ll need

1–3 years of technical experience
Proficiency in Microsoft Word and Excel
Strong attention to detail and accuracy
Passion for contributing to an organization focused on continuously improving consumer experiences
Excellent verbal and written communication skills
Clerical support background in a healthcare environment
Ability to work independently in an agile environment under general instructions and within a team
High-speed DSL or cable modem for a home office; satellite and wireless internet are not allowed
Minimum internet speed of 25 Mbps download and 10 Mbps upload
Dedicated office space without ongoing interruptions to protect member PHI/HIPAA information

Benefits

Comp & perks

Medical, dental, and vision benefits
401(k) retirement savings plan
Paid time off
Company holidays
Personal holidays
Paid parental leave
Paid caregiver leave
Short-term disability
Long-term disability
Life insurance
Occasional travel to Humana offices for training or meetings