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Be ready to discuss UMAC/utilization management compliance, how you document findings, and how you escalate risk without inventing process that is not public. Recent Humana-related items include employer drug-cost work with Cost Plus Drugs and a Humana Foundation grant for senior-isolation AI research—useful only as company context, not role duties.
Strong fit if you want payer compliance work at a large Kentucky-rooted insurer and can operate on-site in Frankfort. Thin public detail on this exact title means clarify UMAC scope, audit cadence, and reporting line in the interview.
As Compliance UMAC 3 at Humana in Frankfort, expect policy interpretation, documentation review, and cross-team checks so utilization management and related processes meet plan and regulatory rules. Work typically centers on issue triage, audit support, and clear written guidance for operations partners.
The listing marks remote as no; treat Frankfort, Franklin County as the work location unless Humana states otherwise.
Humana is a major U.S. health insurer based in Louisville; see Wikipedia for a concise overview.
No certification family or cost list was provided for this posting; confirm any license or cert needs with the recruiter.
Website: humana.com
Humana Inc. is an American for-profit health insurance company based in Louisville, Kentucky. In 2024, the company ranked 92 on the Fortune 500 list, which made it the highest ranked company based in Kentucky. It is the fourth largest health insurance provider in the U.S.
Public cache only — not an employee review.
HUMANA - Frankfort, Franklin County About This Position The Compliance (UM) Coordinator 3 at Humana reviews utilization management activities and documentation to ensure adherence to policies, procedures, and regulations. The role involves varied work assignments that frequently require interpretation and independent determination of the appropriate courses of action. Key Responsibilities Review and evaluate utilization management activities and documentation for compliance with policies, procedures, and regulations. Ensure adherence to regulatory requirements and company policies in all assigned tasks. Interpret complex information and make independent determinations on appropriate courses of action. Collaborate with various departments to address any non-compliance issues identified during reviews. Skills & Qualifications Strong analytical skills for reviewing and evaluating documentation. Excellent attention to detail in ensuring compliance with policies and regulations. Ability to interpret complex information independently. Effective communication and collaboration skills. Experience in healthcare or related field preferred. About the Company Humana is a leading health and well-being company that provides a wide range of healthcare products and services. Our caring community focuses on delivering quality care to our members and employees alike. Ready to Apply? To apply, complete your application directly on this page, or you'll be redirected to the employer's application platform to finish submitting there.
Generated for personal interview prep · 2026-08-04 UTC · getajob.ai