Remote Compliance UM Coordinator: Data-Driven Impact

Humana Inc; Olympia (WA); Remote; USD 45,000 - 60,000; Full time

Job summary

Humana Inc. is seeking a Compliance (UM) Coordinator 3 to review utilization management activities and ensure adherence to policies, procedures, and regulations. The role requires independent judgment, data analysis, and interpretation of guidelines in a healthcare setting.

It follows a four-day, 10-hour shift schedule (Wednesday-Saturday or Thursday-Sunday) with hours between 8:00 a.m. and 8:00 p.m. ET, and may involve occasional travel.

Qualifications

• 1–3 years of technical experience.
• Proficient in Microsoft Word and 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.

Responsibilities

• Review utilization management activities and documentation for compliance.
• Analyze data daily, weekly, monthly to assess metrics.
• Interpret guidelines to determine appropriate actions.
• Follow guidelines for processing QIO fast track appeals and expedited requests.

Skills

Microsoft Word

Microsoft Excel

Attention to detail

Verbal & written communication

Healthcare clerical support

Independent in agile environment

Education

Associates or Bachelor's degree in healthcare, business, finance

Job description

Humana Inc. is seeking a Compliance (UM) Coordinator 3 to review utilization management activities and ensure adherence to policies, procedures, and regulations. The role requires independent judgment, data analysis, and interpretation of guidelines in a healthcare setting.

It follows a four-day, 10-hour shift schedule (Wednesday-Saturday or Thursday-Sunday) with hours between 8:00 a.m. and 8:00 p.m. ET, and may involve occasional travel.