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Humana Utilization Management Jobs (NOW HIRING)

CenterWell Primary Care

Clinical UM Nurse

Charleston, SC · On-site +1

Become a part of our caring community The Utilization Management Nurse uses clinical knowledge ... Humana reserves the right to require associates to upgrade their internet service if necessary. Wor ...

New

Humana, Inc.

Medical Director - Inpatient Review

... Humana policies, and recognized clinical standards. * Analyze complex hospital-based cases and deliver clear, well-reasoned utilization management determinations. * Communicate with external ...

Humana, Inc.

Medical Director - Claims

Utilization management experience in a medical management review organization, such as Medicare ... Humana will provide Home or Hybrid Home/Office associates with telephone equipment appropriate to ...

Humana, Inc.

Senior Clinical Pharmacist

$121K - $144K/yr

Supports trend management by conducting analysis of drug spend, utilization, and/or approval ... Humana reserves the right to require associates to upgrade their internet service if necessary.Work ...

New

Humana

Medical Director Behavioral Health, Medicaid

IN · Remote

$223K - $313K/yr

Supports Humana values including working collaboratively on a team throughout all activities ... Experience in utilization management review and case management in a health plan setting * No ...

Humana

Process Improvement Lead - Medicaid

Columbia, SC · On-site +1

Must have 2 or more years of experience in case management and/or utilization management experience ... Humana will provide Home or Hybrid Home/Office associates with telephone equipment appropriate to ...

Humana

Process Improvement Lead - Medicaid

Columbia, SC · On-site +1

Must have 2 or more years of experience in case management and/or utilization management experience ... Humana will provide Home or Hybrid Home/Office associates with telephone equipment appropriate to ...

Humana

Process Improvement Lead - Medicaid

Columbia, SC · On-site +1

Must have 2 or more years of experience in case management and/or utilization management experience ... Humana will provide Home or Hybrid Home/Office associates with telephone equipment appropriate to ...

Humana

Manager, Care Management

Chicago, IL · On-site

Monitor performance of staff including service performance and adherence to establish utilization ... Humana reserves the right to require associates to upgrade their internet service if necessary.

Humana

Process Improvement Lead - Medicaid

Columbia, SC · On-site +1

Must have 2 or more years of experience in case management and/or utilization management experience ... Humana will provide Home or Hybrid Home/Office associates with telephone equipment appropriate to ...

Humana

Process Improvement Lead - Medicaid

Columbia, SC · On-site +1

Must have 2 or more years of experience in case management and/or utilization management experience ... Humana will provide Home or Hybrid Home/Office associates with telephone equipment appropriate to ...

Humana

Manager, Care Management

North Chicago, IL · On-site

Monitor performance of staff including service performance and adherence to establish utilization ... Humana reserves the right to require associates to upgrade their internet service if necessary.

Humana

Manager, Care Management

North Chicago, IL · On-site

Monitor performance of staff including service performance and adherence to establish utilization ... Humana reserves the right to require associates to upgrade their internet service if necessary.

Humana

Manager, Care Management

Chicago, IL · On-site

Monitor performance of staff including service performance and adherence to establish utilization ... Humana reserves the right to require associates to upgrade their internet service if necessary.

Humana

Process Improvement Lead - Medicaid

Columbia, SC · On-site +1

Must have 2 or more years of experience in case management and/or utilization management experience ... Humana will provide Home or Hybrid Home/Office associates with telephone equipment appropriate to ...

Humana

Manager, Care Management

North Chicago, IL · On-site

Monitor performance of staff including service performance and adherence to establish utilization ... Humana reserves the right to require associates to upgrade their internet service if necessary.

Humana

Manager, Care Management

Chicago, IL · On-site

Monitor performance of staff including service performance and adherence to establish utilization ... Humana reserves the right to require associates to upgrade their internet service if necessary.

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All JobsHumana Utilization Management Jobs

Humana Utilization Management information

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$39K

$89.5K

$163K

How much do humana utilization management jobs pay per year?

As of Jul 7, 2026, the average yearly pay for humana utilization management in the United States is $89,483.00, according to ZipRecruiter salary data. Most workers in this role earn between $64,500.00 and $104,500.00 per year, depending on experience, location, and employer.
Infographic showing various Humana Utilization Management job openings in the United States as of July 2026, with employment types broken down into 10% Locum Tenens, 28% Internship, 20% Full Time, 4% Part Time, 36% Nights, and 2% Summer. Highlights an 79% Physical, 1% Hybrid, and 20% Remote job distribution, with an average salary of $89,483 per year, or $43 per hour.
Utilization Management Clinical Pharmacist 2 (Contract)

Utilization Management Clinical Pharmacist 2 (Contract)

Humana, Inc.

Remote

$104K - $143K/yr

Part-time

Medical, Retirement, PTO

This job post has expired 1 day ago. Applications are no longer accepted.

Humana rating

7.9

Company rating: 7.9 out of 10

Based on 260 frontline employees who took The Breakroom Quiz

155th of 277 rated insurance

Job description

Become a part of our caring community
The Utilization Management Clinical Pharmacist 2 (VSP/PT) is a clinical pharmacist who completes medical necessity and comprehensive medication reviews for prescriptions requiring pre-authorization. The Utilization Management Clinical Pharmacist 2 (VSP/PT) work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action.
The Utilization Management Clinical Pharmacist 2 (VSP/PT) completes a review that includes a full analysis of the medication care plan, investigation of overall utilization, and identification of unusual usage patterns. Intervenes and advises patients and providers to promote cost effective utilization and quality patient outcomes, as needed. Understands department, segment, and organizational strategy and operating objectives, including their linkages to related areas. Makes decisions regarding own work methods, occasionally in ambiguous situations, and requires minimal direction and receives guidance where needed. Follows established guidelines/procedures.
Use your skills to make an impact
Required Qualifications
  • Bachelor's degree/Pharm.D
  • Must have an active license with the Board of Pharmacy in the state of residence
  • Pharmacy degree from an accredited college of pharmacy
  • Ability to participate in Federal prescription programs (Medicare/Medicaid reviews)
  • Self-directed, but also able to work well in a group
  • Ability to solve problems and encourage others in collaborative problem solving
  • Work ethic that is focused, accurate, and highly productive
  • Strong communication skills
  • Proficient with computers -- various systems: add examples
  • Must be passionate about contributing to an organization focused on continuously improving consumer experiences

Preferred Qualifications
  • Managed care experience - specifically Utilization management review

Additional Information
  • This role is Variable Staffing Pool (VSP), Variable Staffing Pool Humana associates work flexible hours to meet business needs, with no guaranteed minimum or maximum number of hours in any week. This role is also eligible for limited benefits.

Schedule
  • Able to work 8 or 10 hour shifts Monday thru Friday between the hours of 930am and 11pm ET
  • Some weekend coverage may be required
  • Mandatory overtime during peak season

Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.
Scheduled Weekly Hours
1
Pay Range
The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.
$104,000 - $143,000 per year
Description of Benefits
Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers benefits for limited term, variable schedule and per diem associates which are designed to support whole-person well-being. Among these benefits, Humana provides paid time off, 401(k) retirement savings plan, employee assistance program, business travel and accident.
Application Deadline: 07-02-2026
About us
About Humana: Humana Inc. (NYSE: HUM) is a leading U.S. healthcare company. Through our Humana insurance services and our CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare and Medicaid, families, individuals, military service personnel, and communities at large. Learn more about what we offer at Humana.com and at CenterWell.com.
Equal Opportunity Employer
It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.

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About Humana

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Humana Inc., headquartered in Louisville, KY., is a leading health care company that offers a wide range of insurance products and health and wellness services that incorporate an integrated approach to lifelong well-being. By leveraging the strengths of its core businesses, Humana believes it can better explore opportunities for existing and emerging adjacencies in health care that can further enhance wellness opportunities for the millions of people across the nation with whom the company has relationships.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Louisville, KY, US

Year founded

1961

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