HumanaHiring

Policy Governance Professional

  • Remote, United States
  • Full-time
  • Mid-level
  • Posted 2 weeks ago
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In one line

Remote role managing Medicaid utilization management reporting and policy governance, with occasional travel.

About the role

Remote within the US, reporting to the Policy Governance Lead. Involves coordinating reporting schedules, data validation, and committee approvals across physical and behavioral health markets.

At a glance

Pay
Not stated in the posting
Remote scope
Remote, United States
Seniority
Mid-level
Employment
Full-time
Skills
Microsoft Excel, PowerPoint, Word, SharePoint
Posted
20 Oct 2026
Last checked
26 Oct 2026

What you will do

  • Manage reporting calendars, milestones, data collection, validation, and final deliverables.
  • Work with operational, clinical, quality, and compliance teams to resolve data issues.
  • Analyze results to find trends, outliers, and improvement opportunities.
  • Coordinate and track corrective actions, escalating overdue or high-risk items.

What they look for

  • Bachelor's degree.
  • Experience in healthcare operations, utilization management, quality, compliance, or similar.
  • Proficiency with Excel, PowerPoint, Word, SharePoint, and collaboration tools.

How Keywordise applies for you

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ClaudeConnectorChatGPTConnectorMuseby Meta

Claude

  1. In Claude, open Settings, then Connectors, and choose Add custom connector.
  2. Name it Keywordise and paste the connector URL.
  3. Click Connect, log in to Keywordise and approve. Then send the prompt in a new chat.
Connector URL
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ChatGPT

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Connector URL
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Muse

  1. Open Muse (muse.ai or the app) and send it the message below.
  2. If Muse asks how to sign in, answer OAuth. Open the sign-in link it sends, log in to Keywordise and approve.
  3. Send the prompt. Muse asks before it sends anything.
Message for Muse
Add a custom connector called Keywordise. It is a remote MCP server at https://keywordise.com/mcp and uses OAuth. Give me the sign-in link.

Muse is available in the US only for now.

Prompt
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How to connect

Questions about this job

Can I do this job remotely, and from which countries?

Yes, it is listed as remote, aimed at candidates in the United States.

What does this job pay?

No pay range is stated in the posting.

What experience is needed?

It is a mid-level role. The posting asks for: bachelor's degree; experience in healthcare operations, utilization management, quality, compliance, or similar; proficiency with Excel, PowerPoint, Word, SharePoint, and collaboration tools. Skills it names include Microsoft Excel, PowerPoint, Word, SharePoint.

How do I apply with Keywordise AI?

Select Apply with Keywordise AI, sign up and upload your CV. Keywordise writes a CV and a cover letter for this job from your real experience and applies for you. The 7-day free trial needs no card.

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