Humana·19 days ago
19 days ago
Compliance UMAC 3 (Wed-Sun)
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About this role
Seeking a Compliance (UM) Coordinator 3 to review utilisation management activities and documentation, ensuring adherence to policies and regulations. This role involves independent decision-making, data analysis, and supporting operational metrics. Ideal for candidates with technical experience, strong attention to detail, and a background in healthcare or finance.
Skills
- utilization management
- compliance
- microsoft excel
- microsoft word
- data analysis
- healthcare compliance
- medical terminology
- icd-10 codes
- auditing
- process improvement
- critical thinking
- independent judgment
- verbal communication
- written communication
- clerical support
- expedited authorization processing
- qio appeals processing
- agile teamwork
Company
Humana
Nationwide, United States of America
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