Remote UM Compliance Specialist (4-Day Week)

Humana Inc; Atlanta (GA); 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 and regulations. The role requires interpreting guidelines, analyzing data, and making independent judgments in a fast-paced environment. The position follows a four-day, 10-hour shift schedule (Wed-Sat or Thu-Sun) with hours between 8:00 a.m.

and 8:00 p.m. ET. Preferred candidates have 1–3 years of technical experience, strong communication skills, and healthcare

Qualifications

• 1-3 years of technical experience.
• Proficient in Microsoft Word & Excel.
• Excellent verbal and written communication skills.
• Clerical support background in a healthcare environment.
• Ability to work independently in an agile environment.

Responsibilities

• Review utilization management activities and documentation.
• Collect and analyze data to assess outcomes and metrics.
• Follow guidelines and regulatory turnaround times for appeals.
• Make independent judgments within established guidelines.
• Handle a 4-day, 10-hour shift schedule (Wed-Sat or Thu-Sun).

Skills

Technical experience

Word & Excel

Attention to detail

Communication skills

Healthcare clerical experience

Independent / Agile work style

Education

Associates' or Bachelor's degree in Healthcare, Business, Finance, or related field

Job description

Humana Inc. is seeking a Compliance (UM) Coordinator 3 to review utilization management activities and ensure adherence to policies and regulations. The role requires interpreting guidelines, analyzing data, and making independent judgments in a fast-paced environment. The position follows a four-day, 10-hour shift schedule (Wed-Sat or Thu-Sun) with hours between 8:00 a.m.

and 8:00 p.m. ET. Preferred candidates have 1–3 years of technical experience, strong communication skills, and healthcare