Humana · 2 days ago
Utilization Management Applied Behavioral Analysis Professional
United States
Full-time
Remote
Entry, Mid Level
$65K/yr - $89K/yr
2+ years expHumana is committed to putting health first, and they are seeking a Utilization Management Behavioral Health Professional 2. This role involves utilizing behavioral health knowledge to support the coordination and communication of medical services and benefit administration determinations, ensuring optimal care and treatment for members.
Health CareHealth InsuranceInsuranceVenture Capital
Responsibilities
Utilizes behavioral health knowledge and skills to support the coordination, documentation, and communication of medical services and/or benefit administration determinations
Uses clinical knowledge, communication skills, and independent critical thinking skills towards interpreting criteria, policies, and procedures to provide the best and most appropriate treatment, care or services for members
Coordinates and communicates with providers, members, or other parties to facilitate optimal care and treatment
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
Qualification
Required
Master's degree AND Board-Certified Behavioral Analysis
Licensed Behavior Analyst (LBA) in the state of Kentucky and Virginia or are willing to apply for licensure
Minimum 2 years of Applied Behavioral Analysis clinical experience
Excellent verbal and written communication skills
Working knowledge of MS Office including Word, Excel, and Outlook in a Windows based environment and an ability to quickly learn new systems and ability to troubleshoot and resolve basic technical difficulties in a remote environment
Preferred
5 years' experience with Applied Behavioral Analysis
1 or more year of managed care experience
Knowledge of community health and social service agencies and additional community resources
Benefits
Medical
Dental and vision benefits
401(k) retirement savings plan
Time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave)
Short-term and long-term disability
Life insurance
Many other opportunities
Company
Humana
Humana is a health insurance provider for individuals, families, and businesses.
10001+ employees
H1B Sponsorship
Humana has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (282)
2024 (246)
2023 (284)
2022 (274)
2021 (212)
2020 (84)
Funding
Current Stage
Public CompanyTotal Funding
$13.07B2025-05-30Post Ipo Debt· $5B
2025-03-03Post Ipo Debt· $1.25B
2024-03-11Post Ipo Debt· $2.25B
Leadership Team
Jim Rechtin
CEO and President
Colin Drylie
Senior Vice President, Experience Transformation
Recent News
2026-01-07
2026-01-06
2026-01-04
Company data provided by crunchbase