EPIC analyst certification/accreditations as they relate to utilization management. * Previous ... SSN Alert Statement Humana values personal identity protection. Please be aware that applicants may ...

60 Humana Utilization Management Nurse Jobs Hiring Near You
EPIC analyst certification/accreditations as they relate to utilization management. * Previous ... SSN Alert Statement Humana values personal identity protection. Please be aware that applicants may ...
Previous Utilization Management Experience * Previous health plan experience * Bilingual (English ... Humana reserves the right to require associates to upgrade their internet service if necessary.
Previous Utilization Management Experience * Previous health plan experience * Bilingual (English ... Humana reserves the right to require associates to upgrade their internet service if necessary.
Previous Utilization Management Experience * Previous health plan experience * Bilingual (English ... Humana reserves the right to require associates to upgrade their internet service if necessary.
Previous Utilization Management Experience * Previous health plan experience * Bilingual (English ... Humana reserves the right to require associates to upgrade their internet service if necessary.
Previous Utilization Management Experience * Previous health plan experience * Bilingual (English ... Humana reserves the right to require associates to upgrade their internet service if necessary.
Previous Utilization Management Experience * Previous health plan experience * Bilingual (English ... Humana reserves the right to require associates to upgrade their internet service if necessary.
Previous Utilization Management Experience * Previous health plan experience * Bilingual (English ... Humana reserves the right to require associates to upgrade their internet service if necessary.
Previous Utilization Management Experience * Previous health plan experience * Bilingual (English ... Humana reserves the right to require associates to upgrade their internet service if necessary.
EPIC analyst certification/accreditations as they relate to utilization management. * Previous ... SSN Alert Statement Humana values personal identity protection. Please be aware that applicants may ...
EPIC analyst certification/accreditations as they relate to utilization management. * Previous ... SSN Alert Statement Humana values personal identity protection. Please be aware that applicants may ...
Previous Utilization Management Experience * Previous health plan experience * Bilingual (English ... Humana reserves the right to require associates to upgrade their internet service if necessary.
Previous Utilization Management Experience * Previous health plan experience * Bilingual (English ... Humana reserves the right to require associates to upgrade their internet service if necessary.
Previous Utilization Management Experience * Previous health plan experience * Bilingual (English ... Humana reserves the right to require associates to upgrade their internet service if necessary.
Previous Utilization Management Experience * Previous health plan experience * Bilingual (English ... Humana reserves the right to require associates to upgrade their internet service if necessary.
... Humana policies, and recognized clinical standards. * Analyze complex hospital-based cases and deliver clear, well-reasoned utilization management determinations. * Communicate with external ...
... Humana policies, and recognized clinical standards. * Analyze complex hospital-based cases and deliver clear, well-reasoned utilization management determinations. * Communicate with external ...
Previous Utilization Management Experience * Previous health plan experience * Bilingual (English ... Humana reserves the right to require associates to upgrade their internet service if necessary.
Previous Utilization Management Experience * Previous health plan experience * Bilingual (English ... Humana reserves the right to require associates to upgrade their internet service if necessary.
Previous Utilization Management Experience * Previous health plan experience * Bilingual (English ... Humana reserves the right to require associates to upgrade their internet service if necessary.
Previous Utilization Management Experience * Previous health plan experience * Bilingual (English ... Humana reserves the right to require associates to upgrade their internet service if necessary.
Previous Utilization Management Experience * Previous health plan experience * Bilingual (English ... Humana reserves the right to require associates to upgrade their internet service if necessary.
Previous Utilization Management Experience * Previous health plan experience * Bilingual (English ... Humana reserves the right to require associates to upgrade their internet service if necessary.
Previous Utilization Management Experience * Previous health plan experience * Bilingual (English ... Humana reserves the right to require associates to upgrade their internet service if necessary.
Previous Utilization Management Experience * Previous health plan experience * Bilingual (English ... Humana reserves the right to require associates to upgrade their internet service if necessary.
... Humana policies, and recognized clinical standards. * Analyze complex hospital-based cases and deliver clear, well-reasoned utilization management determinations. * Communicate with external ...
... Humana policies, and recognized clinical standards. * Analyze complex hospital-based cases and deliver clear, well-reasoned utilization management determinations. * Communicate with external ...
... Humana policies, and recognized clinical standards. * Analyze complex hospital-based cases and deliver clear, well-reasoned utilization management determinations. * Communicate with external ...
... Humana policies, and recognized clinical standards. * Analyze complex hospital-based cases and deliver clear, well-reasoned utilization management determinations. * Communicate with external ...
Previous Utilization Management Experience * Previous health plan experience * Bilingual (English ... Humana reserves the right to require associates to upgrade their internet service if necessary.
Previous Utilization Management Experience * Previous health plan experience * Bilingual (English ... Humana reserves the right to require associates to upgrade their internet service if necessary.
Previous Utilization Management Experience * Previous health plan experience * Bilingual (English ... Humana reserves the right to require associates to upgrade their internet service if necessary.
Previous Utilization Management Experience * Previous health plan experience * Bilingual (English ... Humana reserves the right to require associates to upgrade their internet service if necessary.
Provide administrative support for utilization management (UM) programs and processes. * Review ... Humana will provide Home or Hybrid Home/Office employees with telephone equipment appropriate to ...
Provide administrative support for utilization management (UM) programs and processes. * Review ... Humana will provide Home or Hybrid Home/Office employees with telephone equipment appropriate to ...
Compliance Audit Nurse
Oklahoma City, OK · On-site
Previous experience in utilization management, case management, discharge planning and/or home ... Humana reserves the right to require associates to upgrade their internet service if necessary.
Compliance Audit Nurse
Oklahoma City, OK · On-site
Previous experience in utilization management, case management, discharge planning and/or home ... Humana reserves the right to require associates to upgrade their internet service if necessary.
Provide administrative support for utilization management (UM) programs and processes. * Review ... Humana will provide Home or Hybrid Home/Office employees with telephone equipment appropriate to ...
Provide administrative support for utilization management (UM) programs and processes. * Review ... Humana will provide Home or Hybrid Home/Office employees with telephone equipment appropriate to ...
Humana Jobs Information
What is it like to work at Humana?
What makes Humana an attractive place to work?
Do workers at Humana get paid breaks?
78% of people say they get paid breaks.
Based on data from 77 people who took the Breakroom Quiz between August 2025 and August 2026.
Does Humana pay people when they’re sick?
77% of people say they would get paid if they were sick but scheduled to work.
Based on data from 94 people who took the Breakroom Quiz between August 2025 and August 2026.
At Humana, are sick days and vacation days separate paid time off?
92% of people say they have to use vacation days when they’re out sick.
Based on data from 97 people who took the Breakroom Quiz between August 2025 and August 2026.
Is the health insurance from Humana affordable enough for their workers?
88% of people say the health insurance costs are okay
Based on data from 82 people who took the Breakroom Quiz between August 2025 and August 2026.
Do people get paid time off at Humana?
94% of people say they get paid time off.
Based on data from 97 people who took the Breakroom Quiz between August 2025 and August 2026.
How far ahead of time do people find out their work schedule?
- 47% of people with changing schedules find out their shifts one week or less ahead of time.
- 8% of people with changing schedules find out their shifts two weeks ahead of time.
- 16% of people with changing schedules find out their shifts three weeks ahead of time.
- 29% of people with changing schedules find out their shifts four weeks or more ahead of time.
Based on data from 49 people who took the Breakroom Quiz between December 2024 and May 2026.
Do workers at Humana worry about hours?
93% of people report they don’t worry about getting enough hours.
Based on data from 163 people who took the Breakroom Quiz between December 2024 and August 2026.
Do Humana workers get to choose the shifts they work?
39% report that they don’t have enough control over which shifts they work.
Based on data from 38 people who took the Breakroom Quiz between June 2025 and June 2026.
How easy is it for Humana workers to change shifts?
36% of people report that it’s hard to change shifts if they need to.
Based on data from 104 people who took the Breakroom Quiz between December 2024 and August 2026.
How easy is it to get time off at Humana?
69% of people report it’s easy to get time off.
Based on data from 89 people who took the Breakroom Quiz between August 2025 and August 2026.
Do Humana managers change schedules at the last minute?
96% of people say their manager doesn’t change their shift schedule at the last minute.
Based on data from 167 people who took the Breakroom Quiz between December 2024 and August 2026.
Do jobs at Humana spill into time workers aren’t paid for?
13% of people report that their job takes up time that they don’t get paid for.
Based on data from 163 people who took the Breakroom Quiz between December 2024 and August 2026.
How easy is it to take sick days at Humana?
79% of people report that it’s easy to take time off if they are sick.
Based on data from 92 people who took the Breakroom Quiz between August 2025 and August 2026.
Is a Humana job good for students?
83% of students report this is a good place to work if you’re studying.
Based on data from 24 people who took the Breakroom Quiz between January 2025 and July 2026.
Is working at Humana good if you’re a parent or caregiver?
85% of people who care for a child or other relative report this is a good place to work.
Based on data from 48 people who took the Breakroom Quiz between August 2025 and August 2026.
Do people at Humana feel treated with respect by their managers?
91% of people say they’re treated with respect by their managers.
Based on data from 93 people who took the Breakroom Quiz between August 2025 and August 2026.
Do people at Humana get to take their breaks without interruption?
90% of people report that they get to take their breaks without interruption.
Based on data from 88 people who took the Breakroom Quiz between August 2025 and August 2026.
Is it stressful to work at Humana?
63% of people say they often feel stressed at work.
Based on data from 88 people who took the Breakroom Quiz between August 2025 and August 2026.
Do people at Humana enjoy their jobs?
74% of people report they enjoy their job.
Based on data from 90 people who took the Breakroom Quiz between August 2025 and August 2026.
Do people at Humana recommend working with their team?
39% of people report that they wouldn’t recommend working with their immediate team to a friend.
Based on data from 97 people who took the Breakroom Quiz between August 2025 and August 2026.
Do people get enough training when they start at Humana?
75% of people report they got enough training when they started working here.
Based on data from 89 people who took the Breakroom Quiz between August 2025 and August 2026.
Do people get support to advance at Humana?
In the last year, 34% of people report not being given support to advance their career here.
Based on data from 91 people who took the Breakroom Quiz between August 2025 and August 2026.
Do people think Humana’s headquarters understands what’s happening where they work?
72% of people think that this employer’s headquarters or owners don’t have a good understanding of what’s really happening where they work.
Based on data from 89 people who took the Breakroom Quiz between August 2025 and August 2026.
Do workers feel well informed about how Humana is doing?
34% of people feel that they aren’t kept well informed about how the company is doing as a whole.
Based on data from 91 people who took the Breakroom Quiz between August 2025 and August 2026.
What other companies are hiring for Utilization Management Nurse jobs?
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Full-time
Medical, Dental, Vision, Life, Retirement, PTO
This job post has expired today. Applications are no longer accepted.
Humana rating
8.0
Based on 267 frontline employees who took The Breakroom Quiz
172nd of 315 rated insurance
Job description
The Senior Epic Configuration Analyst will support Utilization Management (UM) and Long-Term Services and Support (LTSS) in the configuration, testing, and implementation of Epic solutions that enhance the provider experience. You will partner closely with clinical, operational, and technical stakeholders to deliver scalable digital healthcare capabilities. The ideal candidate combines hands-on configuration expertise with strong testing, validation, and cross-functional collaboration skills to ensure successful go-live readiness, operational stability, and long-term adoption.
What You'll Do:
- Configure and maintain Epic workflows including UM letters, work queues, and routing rules.
- Gather and translate business and clinical requirements into configuration specifications.
- Facilitate design sessions to support compliant and user-focused workflows.
- Analyze change requests and recommend scalable, standardized configuration solutions.
- Maintain configuration documentation, testing evidence, and decision records.
- Develop and execute testing systems and support end-to-end validation activities.
- Support UAT execution, defect resolution, and business approval processes.
- Coordinate configuration, testing, defect management, and release activities with project teams.
- Support go-live readiness, cutover planning, and operational deployment activities.
- Identify root causes and recommend process or configuration improvements to enhance adoption and reduce rework.
Use your skills to make an impact
What You'll Bring:
- Must obtain Epic certification within 60 days of completing training; Travel may be required
- Minimum 2 years of experience in healthcare, Medicare, or Medicaid environments.
- 1 or more years of experience supporting Utilization Management workflows.
- Demonstrated ability to adapt to evolving priorities while maintaining performance and meeting deadlines in a fast-paced environment.
- Experience analyzing data and applying insights to drive informed decision-making.
- Effective written and verbal communication skills with the ability to collaborate across cross-functional teams and organizational levels.
Preferred Qualifications
- Epic Tapestry Medical Management Certification; and/or
- Epic Healthy Planet Fundamentals for Health Plans Certification or Healthy Planet Link.
- Working knowledge and experience in healthcare systems.
- EPIC analyst certification/accreditations as they relate to utilization management.
- Previous experience operating in electronic health records (e.g. Epic, Cerner).
- Experience building digital capabilities.
Additional Information
Travel Requirements
- Must be willing to travel up to 25% annually for stakeholder engagement and product initiatives.
- Must be willing to travel to Wisconsin 3-5 times within the first 60 days of employment to attend required training and certification classes.
Work Schedule
- Standard work hours are Monday-Friday, 8:00 a.m.-5:00 p.m. EST or CST
- Occasional weekend work is required based on business needs.
Work-At-Home Requirements
- Must have the ability to provide a high speed DSL or cable modem for a home office. Associates or contractors who live and work from home in the state of California will be provided payment for their internet expense.
- A minimum standard speed for optimal performance of 25x10 (25mpbs download x 10mpbs upload) is required.
- Satellite, cellular and microwave connection can be used only if approved by leadership.
- A dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.
SSN Alert Statement
Humana values personal identity protection. Please be aware that applicants may be asked to provide their Social Security Number, if it is not already on file. When required, an email will be sent from Humana@myworkday.com with instructions on how to add the information into your official application on Humana's secure website.
Interview Format
As part of our hiring process for this opportunity, we will be using an interviewing technology called HireVue to enhance our hiring and decision-making ability. HireVue allows us to quickly connect and gain valuable information from you pertaining to your relevant skills and experience at a time that is best for your schedule.
Work at Home Requirements: To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. In certain roles, the minimum recommended internet speed required by Humana may not be sufficient for business needs. Humana reserves the right to require associates to upgrade their internet service if necessary. Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.Scheduled Weekly Hours
40Pay 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.Description of Benefits
Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.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 atHumana.comand atCenterWell.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.
About Humana
Sourced by ZipRecruiter
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