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148 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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Billing & Reconciliation Representative
Remote US, United States Humana logo Humana
Reconciliation Consumer Experiences Pharmacy BI Travel MS Excel Prioritization Healthcare services Billing +24
Entry Mid Full Time
USD 40K+
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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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Case Manager, LaCrosse, WI
La Crosse, United States Humana logo Humana
Electronic Case Note Documentation Electronic Information Applications Social service agencies Microsoft Office Word Health promotion Driver safety program Community Health Care Planning Family Care +47
Mid Full Time
USD 53K+
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Clinical Programs Pharmacy Technician Representative 2
Remote US, United States Humana logo Humana
Call center processes Insurance processing Medication therapy Bilingual English and Spanish Development programs Home health services Medication Adherence Clinical programs Prescription +35
Mid Full Time
USD 40K+
Preview Apply
Case Manager- Sheboygan and Ozaukee Counties
Work at Home - Wisconsin, United States Humana logo Humana
Health and Wellness Coordination Driver safety program Social service care management Community integration Family Care Prevention Social services Health and wellness Human services +39
Mid Full Time
USD 53K+
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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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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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Case Manager- Weston, WI
Work at Home - Wisconsin, United States Humana logo Humana
Driver safety program Healthcare Coordination Social service care management Community integration Family Care Prevention Social services Health and wellness Human services +39
Mid Full Time
USD 53K+
Preview Apply
Pharmacy Claims Representative
Remote US, United States Humana logo Humana
Dispensing systems Electronic claims submissions Pbm systems Pharmacy Claims Workflow enhancement Claims Adjudication PBM Prescription Billing Systems +37
Entry Mid Full Time
USD 40K+
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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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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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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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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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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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Medicare Sales Field Agent- Camden County, NJ
Remote PA PHLD METRO, United States Humana logo Humana
Grass Roots Marketing Telephonic Interactions Medicare Sales Medicare products Prescription Driver safety program Multilingual Rating Annuity +40
Mid Full Time
USD 35K+
Preview Apply
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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Intern - General 2
HGB SCA Remote KY, United States Humana logo Humana
Computations Consumer Experiences Oral communication Healthcare industry Travel Prioritization Administrative Healthcare services Medicare +15
Entry Internship Part Time
USD 37K+
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Rx Clinical Programs Pharmacy Technician Representative 2
Remote US, United States Humana logo Humana
Computations Financial assistance resources Medication assistance Bilingual English and Spanish Development programs Home health services Clinical programs Medication Adherence Prescription +30
Entry Mid Full Time
USD 40K+
Preview Apply
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+
Preview Apply
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+
Preview Apply
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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Business Support Coordinator
Work at Home - Wisconsin, United States Humana logo Humana
Long Term Care Family Care Presentations Network Administrative Administrative Support Databases Healthcare services Wellness +31
Entry Full Time
USD 38K+
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Provider Installation Representative
Remote US, United States Humana logo Humana
PAAG PIMS PMDM Outbound Calling Apex CMS BI Network Data Governance +33
Entry Mid Full Time
USD 43K+
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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+
Preview Apply
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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Administrative Assistant
Remote US, United States Humana logo Humana
Travel Management Internet Research Microsoft Office Applications Control Functions Clinical operations Executive Presence Verbal and written communication Emotional Intelligence +48
Mid Full Time
USD 53K+
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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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Case Manager/Care Coach- Adams, Columbia, Dane, Dodge, Green Lake, Jefferson, Marquette, Rock, and Waushara
Work at Home - Wisconsin, United States Humana logo Humana
Long term care options Psychosocial assessment Long Term Care Medical Services Driver safety program Rehabilitation Family Care Social services Human services +47
Mid Full Time
USD 53K+
Preview Apply
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+
Preview Apply
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+
Preview Apply
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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Group Sales Representative - Boston
Remote MA BOSTON, United States Humana logo Humana
Broker Development Driver safety program Brokerage CRM System Enrollment Financial Acumen Executive Presence Consultative Insurance Products +29
Exec Mid Full Time
USD 101K+
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+
Preview Apply
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+
Preview Apply
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+
Preview Apply
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
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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DME Coordinator
Work at Home - Wisconsin, United States Humana logo Humana
Durable Medical Equipment Family Care Microsoft Office Applications BI Care management Network Consultation Evaluation Healthcare services +34
Mid Full Time
USD 45K+
Preview Apply
Case Manager - Part Time, Weston, WI
Work at Home - Wisconsin, United States Humana logo Humana
Driver safety program Healthcare Coordination Social service care management Community integration Family Care Prevention Social services Health and wellness Human services +35
Mid Part Time
USD 53K+
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
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
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+
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+
Preview Apply
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+
Preview Apply
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
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