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Remote Health Services Lead, Utilization Management
Remote / Online - Candidates ideally in
Augusta, Kennebec County, Maine, 04338, USA
Listed on 2026-07-30
Augusta, Kennebec County, Maine, 04338, USA
Listing for:
Humana Inc
Remote/Work from Home
position Listed on 2026-07-30
Job specializations:
-
Management
Healthcare Management
Job Description & How to Apply Below
Humana Inc. is seeking a Health Services Lead to serve as the subject matter expert and operational leader for Utilization Management clinical programs.
This position partners with Market teams, Strategy Advisors, and cross‑functional lines to translate clinical requirements into scalable policies and workflows. The role requires active RN or LPN or licensed social worker/counselor credentials with 3+ years in managed care and utilization management.
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