Compliance UMAC 3 – Wed-Sun

Humana

Compliance (UM) Coordinator 3 reviewing utilization management activities at Humana. Collecting data for operational metrics and ensuring adherence to policies, procedures, and regulations.

Posted 7/30/2026full-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 compliance with policies and regulations while 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

HealthcareRegulatory ComplianceOperational MetricsConsumer ExperienceClerical Support

About the role

Key responsibilities & impact

reviews utilization management activities and documentation to ensure adherence to policies, procedures, and regulations
collects and analyzes data daily, weekly, monthly, or as needed to assess outcome and operational metrics for the team and individuals
understands department, segment, and organizational strategy and operating objectives
makes decisions regarding own work methods, occasionally in ambiguous situations
follows established guidelines, regulatory turnaround times, and procedures for processing QIO fast track appeals and expedited authorization requests

Requirements

What you’ll need

1 - 3 years of technical experience
Proficient in Microsoft Word & Excel
Strong attention to detail and accuracy
Must be passionate about 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

Benefits

Comp & perks

medical, dental and vision benefits
401(k) retirement savings plan
time off (including paid time off, company and personal holidays, paid parental and caregiver leave)
short-term and long-term disability
life insurance and many other opportunities