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110 fresh jobs found
Utilization Management Behavioral Health Professional
HGB SCA Remote KY, United States Humana logo Humana
Autism spectrum disorder Interpreting Criteria Tricare Applied Behavioral Analysis Medical Services CPT codes Prevention Productivity Process Management +48
Mid Full Time
USD 65K+
Preview Apply
Software Development Engineer in Test- SDET
Remote US, United States Humana logo Humana
Streaming technologies Azure Cloud Data Models Cloud-native solutions Security Testing Health outcomes Microservices architecture Quality Engineering .NET Core +66
Senior Full Time
USD 106K+
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Sales Representative II
Remote, US, 032794 - B ENGIE logo ENGIE
Retail Energy Sales Market knowledge Pricing Customer Satisfaction Market Analysis Support Networking C Customer Relationship Management +7
Mid Full Time
USD 76K+
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Growth Strategy Consultant
Remote NY NYC METRO, United States Humana logo Humana
Strategy Consulting Articulate Research and Analysis Medicare Advantage Investment Banking Qualitative analysis Strategy Development Collaborative Enrollment +41
Mid Full Time
USD 94K+
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Director, Clinical Pharmacy
Remote US, United States Humana logo Humana
Drug Utilization Analysis Formulary Development Pharmacy benefit management Clinical pharmacy Development programs Home health services Medication Adherence PBM Corporate Communications +44
Exec Senior Full Time
USD 168K+
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Lead Data Product Manager
Remote US, United States Humana logo Humana
Metrics Production Trend reporting Systems Development Life Cycle Genesys ADO Problem Analysis Consumer Experience Project leadership Software development life cycle +59
Senior Mid Full Time
USD 126K+
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Value-Based Programs Compass Analyst
Remote US, United States Humana logo Humana
Tables SQL queries Production Support Analyzing Interoperability Pivot Tables Healthcare Data Population health Consumer Experiences +52
Entry Full Time
USD 59K+
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Encounter Data Management Professional
Remote US, United States Humana logo Humana
Encounter data Microsoft SQL Healthcare Claims CAS Compliance Standards Cross-functional Teamwork Analytical tools SAS Verbal and written communication +45
Entry Mid Full Time
USD 65K+
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Senior Market Finance Professional
Remote US, United States Humana logo Humana
Statistical platforms Large data sets Rating MS Access Reporting tools PC MS PowerPoint Clinical operations Data Warehousing +48
Senior Full Time
USD 78K+
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Business Intelligence Engineer
Remote US, United States Humana logo Humana
Dashboard Tools SQL programming Microsoft SQL ADO SQL queries Microsoft SQL Server Consumer Experiences Efficiency Azure DevOps +43
Mid Full Time
USD 66K+
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Medical Director - Southeast Region
Remote US, United States Humana logo Humana
Post-acute services Outpatient services Grievance and appeals processes Clinical group practice management Inpatient rehabilitation Commercial health insurance Coding practices Medical background Hospitalist +82
Exec Senior Full Time
USD 223K+
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Long Term Care Functional Screen Manager & Liaison
Work at Home - Wisconsin, United States Humana logo Humana
Functional screening Long Term Care Family Care Microsoft Office Applications Health Services BI Policy Development Travel Network +39
Mid Full Time
USD 71K+
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Behavioral Health Strategy Principal
Remote US, United States Humana logo Humana
Quality Initiatives Clinical Decision Making Evidence-Based Approaches Development programs Chronic Condition Management Home health services Clinical programs Collaborative relationships Health outcomes +77
Senior Full Time
USD 138K+
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Lead Software Engineer
Remote US, United States Humana logo Humana
Java Spring Visual Studio Code Api gateways Development programs IntelliJ Home health services Azure Cloud Medication Adherence Stakeholder Alignment +67
Senior Full Time
USD 129K+
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Project Manager
Remote US, United States Humana logo Humana
Microsoft Office Word Hive MS Project Functions Waterfall PMP Six Sigma Presentations BI +38
Mid Full Time
USD 71K+
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Senior Provider Education Professional (Medicaid)
Remote US, United States Humana logo Humana
Managed healthcare contracts Learning design principles Template design Health Plan Operations Microsoft Office Word Learning Design Matrixed environment Provider Relations Provider education +44
Senior Full Time
USD 78K+
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Senior Business Systems Analyst
Remote US, United States Humana logo Humana
System Requirement Specifications Procurement Systems Business Systems Analysis Coupa Qlik Microsoft Power BI Visualizations Data Reporting Process Automation +54
Senior Full Time
USD 78K+
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National Medical Director, Clinical Excellence & Safety
Work at Home - Kentucky, United States Humana logo Humana
Clinical analytics Team-Based Care Health Informatics Evidence-Based Guidelines Development programs Chronic Condition Management Home health services National Guidelines Clinical Quality +50
Exec Senior Full Time
USD 246K+
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Corporate Communications Principal, Speechwriter
Remote US, United States Humana logo Humana
Speechwriting Public policy writing Audience analysis Creative storytelling Corporate Communications Strategic communication Medicare Advantage Communication Strategies Functions +42
Senior Full Time
USD 150K+
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Actuarial Analyst, Pricing
Remote US, United States Humana logo Humana
Pricing Assumptions Pricing tools OneNote Peer review Rating Financial metrics Actuarial science Actuarial Consumer Experiences +34
Entry Mid Full Time
USD 80K+
Preview Apply
Senior IAM Engineer – Mainframe
Remote US, United States Humana logo Humana
IDMS Abend Troubleshooting RACF Service Now JCL IT systems DB2 Mainframe Process documentation +36
Senior Full Time
USD 89K+
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Senior Project Manager
Remote US, United States Humana logo Humana
Business Consulting Matrix organization Consumer Experiences Six Sigma Travel Accountability Healthcare services Wellness Medicare +20
Senior Full Time
USD 86K+
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Director, Medicaid Trend Mitigation Strategy
Remote US, United States Humana logo Humana
Policy alignment Trend Mitigation Operational Change Healthcare Management Actuarial Cross-functional Team Leadership Functions Consumer Experiences Strategic direction +40
Exec Senior Full Time
USD 168K+
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RN Utilization Management Review - SNF
Remote US, United States Humana logo Humana
Interpreting Criteria Health Plan Experience Clinical Nursing Medical Services Rehabilitation Acute care Consumer Experiences Registered Nurse Clinical knowledge +36
Mid Full Time
USD 71K+
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Provider Network Operations
Remote US, United States Humana logo Humana
Analytical work Claims data management Provider Audits Data integrity management Data preparation Large data sets SPSS Provider Relations Microsoft Applications +49
Mid Full Time
USD 59K+
Preview Apply
Medicare Grievances and Appeals Corporate Medical Director
Remote US, United States Humana logo Humana
Rehab Health claims review Hospitalist Medical background Medical interpretation Family practice Geriatrics Medical Director Patient interaction +42
Exec Senior Full Time
USD 246K+
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Senior Business Intelligence Data Analyst
Remote US, United States Humana logo Humana
Azure Synapse Analytics Synapse Tables Azure Synapse SQL queries Analyzing Valuation Pivot Tables Healthcare Data +53
Senior Mid Full Time
USD 89K+
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Senior Stars Program Delivery Professional
Remote US, United States Humana logo Humana
Program delivery Quality Metrics STARS HEDIS Reporting tools Data interpretation Consumer Experiences Evaluation Business administration +42
Senior Full Time
USD 86K+
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Associate Director, Data and Reporting
Remote US, United States Humana logo Humana
Healthcare Data Reporting Power Automate Analyzing Reporting tools Data Reporting Consumer Experiences Economics BI Dashboards +37
Senior Mid Full Time
USD 117K+
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Senior Enterprise Architecture - EA Activation
Remote US, United States Humana logo Humana
Complexity Reduction Portfolio Rationalization Total Cost of Operations SaaS platforms TOGAF Application Modernization Agile Delivery Mainframe Technology Strategy +72
Senior Full Time
USD 117K+
Preview Apply
Lead Product Owner - Salesforce Health Cloud
Remote US, United States Humana logo Humana
Telephony integration User Feedback Analysis Salesforce Health Cloud Telephony Systems Integration strategies Product development lifecycle Genesys Agile Delivery Functional strategies +37
Senior Full Time
USD 115K+
Preview Apply
Actuarial Director, Medicaid Trend Analytics
Remote US, United States Humana logo Humana
Reporting & Analysis Rate filing Trending Reserving Peer review Actuarial science Actuarial Analytic Functions +47
Exec Senior Full Time
USD 189K+
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Senior Marketing Campaign Manager
Remote US, United States Humana logo Humana
Acoustic Unica Adobe Campaign Marketing Platforms Consumer Experience Agile framework SMS Marketing Salesforce Marketing Cloud Sprint planning +60
Senior Full Time
USD 78K+
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Senior Product Owner
Remote US, United States Humana logo Humana
Systems Development Life Cycle User Story Development ADO Consumer Experience Problem Analysis Genesys Agile Delivery SAFe Agile Metrics Reporting +68
Senior Full Time
USD 94K+
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Provider Contracting Professional
Remote US, United States Humana logo Humana
QuickBase Managed Care Contracts Provider Contracting Network development Network management Analyzing Negotiating Contracting BI +33
Mid Full Time
USD 65K+
Preview Apply
Data and Reporting Lead (Value-Based Programs)
Remote US, United States Humana logo Humana
Value-Based Payment Tables Healthcare Claims Data Models HEDIS Visualizations Pivot Tables Data Reporting SAS +45
Senior Mid Full Time
USD 97K+
Preview Apply
RN, Field Care Manager, Maternity, L&D, Mother Baby
Work at Home - Ohio, United States Humana logo Humana
Health Plan Experience Social service agencies Advanced Computer Health promotion Driver safety program Judgement Community Health Health and wellness Clinical assessment +51
Mid Full Time
USD 71K+
Preview Apply
Medical Director - Acute Rehab Team
Remote US, United States Humana logo Humana
Rehab Inpatient rehabilitation Medical background Hospitalist Clinical reference materials Medical interpretation CMS policies Family practice National Guidelines +55
Exec Senior Full Time
USD 223K+
Preview Apply
Stars Advocacy and Communications Lead
Remote US, United States Humana logo Humana
Regulatory advocacy Process Implementation Prescription Healthcare quality Rating STARS Healthcare Regulations Health outcomes Medicare Advantage +66
Senior Full Time
USD 115K+
Preview Apply
Senior Agile Coach
Remote US, United States Humana logo Humana
Velocity Scrum Master Agile principles Transparency Metrics analysis Agile practices LESS Workshops Functions +48
Senior Full Time
USD 115K+
Preview Apply
Organization Effectiveness Lead, Training Operations
Remote US, United States Humana logo Humana
LMS platforms ELearning development software Training Technologies Organizational development MS Project Program development Process Management Analytics tools Efficiency +59
Senior Full Time
USD 104K+
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Interoperability Strategy Lead
Remote US, United States Humana logo Humana
Strategy Consulting Articulate Research and Analysis Matrixed environment Strategic Analysis Interoperability Qualitative analysis Management consulting Collaborative +37
Senior Mid Full Time
USD 115K+
Preview Apply
Process Improvement Professional
Remote US, United States Humana logo Humana
Auditing practices Business practices Re-engineering Microsoft Office Word Quality Metrics Process Analysis Business Process Analysis Business Process Productivity +58
Mid Full Time
USD 65K+
Preview Apply
Care Manager, Telephonic Nurse 2
Remote US, United States Humana logo Humana
Auto dialer system Resource identification Multi-disciplinary collaboration Nursing judgment Advanced Computer Clinical Nursing Telephonic assessment Chronic Condition Management CMS guidelines +52
Mid Full Time
USD 71K+
Preview Apply
Security Professional ;Protective Intelligence Analyst
Waterside Bldg, United States Humana logo Humana
Intelligence collection Open-source monitoring Geopolitical Analysis Executive Support Predictive analysis Judgement CCTV Security Technologies Bilingual English/Spanish +44
Entry Mid Full Time
USD 65K+
Preview Apply
Security Manager; Fusion Center
Remote US, United States Humana logo Humana
Operations center management Everbridge Analytical writing Intelligence analysis OSINT Judgement Emergency Response Security management Benchmarking +46
Mid Full Time
USD 86K+
Preview Apply
Associate Director, Software Engineering
Remote US, United States Humana logo Humana
IT solutions Consumer Experiences Software Applications BI Debugging Healthcare services Wellness Medicare Medicaid +34
Senior Mid Full Time
USD 156K+
Preview Apply
Provider Engagement Executive
Remote US, United States Humana logo Humana
Medicare policies Reimbursement methodologies Stars performance Data Sharing Provider engagement Provider Contracting Provider Relations HEDIS Functional strategies +52
Exec Senior Full Time
USD 86K+
Preview Apply
Value-Based Programs Analyst
Remote US, United States Humana logo Humana
Tables SQL queries Actuarial Pivot Tables Consumer Experiences Enrollment Detail oriented Contracting Healthcare industry +49
Entry Mid Full Time
USD 59K+
Preview Apply
Data Visualization Engineer
Remote US, United States Humana logo Humana
Qlik NPrinting Data algorithms Qlik Sense Tables SQL queries User Interfaces Dashboard Design SSIS Modeling techniques +72
Mid Full Time
USD 66K+
Preview Apply
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