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70 fresh jobs found
Senior Provider Contracting Professional
Remote US, United States Humana logo Humana
Hospital contracting Managed Care Contracts Provider Contracting Network administration Analyzing Network management Consumer Experiences Risk Negotiating +41
Senior Full Time
USD 78K+
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Senior Manager, Medicare Sales - North Houston
Remote TX HOUST AUST, United States Humana logo Humana
Medicare Sales CMS guidelines Prescription Annuity Rating Driver safety program Multilingual Mobile Consumer Experiences +45
Senior Full Time
USD 84K+
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Senior Insurance Product Compliance Professional
Remote US, United States Humana logo Humana
Medicare Advantage Regulatory Guidance Microsoft Office Applications Consumer Experiences Risk Adobe Negotiating Visio Regulations +38
Senior Full Time
USD 71K+
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Associate Well-Being Experience Lead
Remote US, United States Humana logo Humana
Innovative mindset Behavioral economics Clinical programs Health promotion Psychology Appeals Health outcomes Population health Efficiency +42
Mid Full Time
USD 94K+
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Associate Actuary - Vendor Value Based Program Pricing
Remote US, United States Humana logo Humana
Actuarial Analysis VBA Financial Forecasting Actuarial Consumer Experiences Stakeholder Collaboration Market trends Healthcare services Vision +32
Mid Full Time
USD 106K+
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Senior Clinical Programs Pharmacist
Remote US, United States Humana logo Humana
Medication therapy Benefits management Prescription Medication Adherence Clinical programs Development programs Home health services Microsoft Office Applications Home Health +57
Senior Full Time
USD 104K+
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Medicaid Market Development Advisor
Remote US, United States Humana logo Humana
Functional strategies Contract Compliance RFP Consumer Experiences Six Sigma Contracting Regulations Vision Travel +35
Mid Full Time
USD 94K+
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Value-Based Programs Analyst
Remote US, United States Humana logo Humana
Provider management Tables SQL queries Pivot Tables Consumer Experiences Detail oriented Healthcare industry Contracting Verbal and written communication +46
Entry Mid Full Time
USD 59K+
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Actuarial Analyst
Remote US, United States Humana logo Humana
Tables Healthcare quality Risk Adjustment Actuarial Actuarial science Predictive Modeling Consumer Experiences Risk Collaborative +36
Entry Mid Full Time
USD 80K+
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Senior Informaticist - CMS Stars
Remote US, United States Humana logo Humana
STARS Modeling techniques Medication Adherence Qlikview Development programs Home health services Articulate Home Health Simulation +54
Senior Full Time
USD 97K+
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Informaticist
Remote US, United States Humana logo Humana
Data Asset Management STARS Medication Adherence Qlikview Development programs Research and Analysis Home health services Microsoft Office Applications Home Health +47
Mid Full Time
USD 73K+
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Software Engineer-Splunk
Work at Home - Kentucky, United States Humana logo Humana
CIM Search Queries Log ingestion Data onboarding Data On-boarding Systems Administration System Engineering Control System Administration +65
Mid Full Time
USD 80K+
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Lead DevOps Engineer
Remote US, United States Humana logo Humana
Functional strategies ELK stack Software delivery GitLab CI Transparency CircleCI Productivity Quality Engineering Control +64
Senior Full Time
USD 117K+
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Supervisor, UM Administration - Medicare
Remote US, United States Humana logo Humana
Ethical Decision Making Operational Concepts CGX Microsoft Office Word Judgement Supervisory experience Consumer Experiences Verbal and written communication Supervisory +41
Mid Full Time
USD 71K+
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Senior Inpatient Medical Coding Auditor Professional
Remote US, United States Humana logo Humana
Health Record Security Team Engagement Inpatient medical coding Coding certification OneNote DRG ICD-10-CM ICD Medical Coding +52
Senior Full Time
USD 71K+
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Senior Designer
Remote US, United States Humana logo Humana
Photo art direction Post-production retouching Video storyboarding Creative concepts Adobe Express Storyboarding Salesforce Marketing Cloud Brand Development Design tools +59
Senior Full Time
USD 78K+
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Mainframe Performance & Capacity Management
Remote US, United States Humana logo Humana
Application optimization Best Practices Implementation Strategic advising Batch processing CICS Technology Integration DB2 COBOL Analyzing +48
Senior Full Time
USD 106K+
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Value-Based Programs Analyst
Work at Home - Louisiana, United States Humana logo Humana
Provider management Tables SQL queries Consumer Experiences Pivot Tables Detail oriented Healthcare industry Contracting Verbal and written communication +45
Entry Mid Full Time
USD 59K+
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Marketing Professional
Remote US, United States Humana logo Humana
Database Marketing Logical thinking Adobe Campaign Multimedia Health and wellness Marketing Communications Program Design Content Production Communication Strategies +36
Mid Full Time
USD 65K+
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Decision Scientist
Remote US, United States Humana logo Humana
Statistical hypothesis testing Pharmacy analytics Tidyverse Medication Adherence Development programs Hypothesis Testing Home health services Causal inference Experimental Design +49
Senior Mid Full Time
USD 71K+
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Senior Financial Analytics Professional
Remote US, United States Humana logo Humana
Modeling techniques Financial analytics Analyzing Actuarial Consumer Experiences Vision Dental Healthcare services Wellness +28
Senior Full Time
USD 89K+
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Case Manager - Vernon County, WI
Work at Home - Wisconsin, United States Humana logo Humana
Case Note Documentation Electronic Case Note Documentation Electronic Information Applications Microsoft Office Word Social service agencies Family Care Health promotion Human services Driver safety program +48
Mid Full Time
USD 53K+
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Senior Software Engineer-Splunk
Work at Home - Kentucky, United States Humana logo Humana
Search Queries CIM Log ingestion Data On-boarding Systems Administration System Engineering Control Consumer Experiences Analytic +58
Senior Full Time
USD 106K+
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Manager, Grievances & Appeals
Remote US, United States Humana logo Humana
Tactical Operations Bilingual English and Spanish Grievance and appeals Grievances Healthcare Delivery Medicare Advantage Health and wellness Workforce management Productivity +65
Mid Full Time
USD 86K+
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Site Reliability Engineer Mobile App Support
Remote US, United States Humana logo Humana
Software Application Testing Mobile Application Support Mobile Consumer Experiences Site Reliability Engineering Software Applications Healthcare services Vision Installation +25
Mid Full Time
USD 80K+
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Lead Infrastructure Architect - Disaster Recovery
Remote US, United States Humana logo Humana
Infrastructure Architecture Functional strategies Technical Planning Issue management Articulate Technology Trends Project leadership Technical architecture Crisis Management +71
Senior Full Time
USD 129K+
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Coding Educator
Remote US, United States Humana logo Humana
Coding certification Medical Record Review Bilingual English/Spanish Adobe Acrobat Consumer Experiences MS Word Public speaking BI Healthcare services +33
Mid Full Time
USD 59K+
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Senior Automation Engineer
Remote US, United States Humana logo Humana
Logging tools User Interfaces Agile framework Coding practices Automation solutions System Engineering Scaled Agile Framework Scaled Agile Network management +99
Senior Full Time
USD 97K+
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Product Owner 2
Remote US, United States Humana logo Humana
Acoustic Adobe Campaign Unica Marketing Platforms Requirements Documentation Scrum Master ADO Salesforce Marketing Cloud Direct Mail +50
Mid Full Time
USD 86K+
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Associate Actuary
Remote US, United States Humana logo Humana
Consumer Experiences SAS Market trends Data integrity Healthcare services Vision Root Cause Analysis Dental Evaluation +25
Mid Full Time
USD 106K+
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Nurse Auditor
Remote US, United States Humana logo Humana
Medical necessity auditing Clinical audit Tricare Diagnosis coding Coding certification Medical record documentation Medical claims Medical Record Review CPT codes +49
Mid Full Time
USD 78K+
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Lead, Technology Solutions
Remote US, United States Humana logo Humana
Salesforce.com cloud integration Einstein Ui prototyping Agentforce ai Predictiveai Servicecloud Healthcloud System Integration Testing WSDL +59
Senior Full Time
USD 117K+
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Sales Support Representative
Remote US, United States Humana logo Humana
Intermediate mathematical Administrative processes Rating Driver safety program Mathematical Administrative Tasks Consumer Experiences Healthcare industry BI +44
Mid Full Time
USD 44K+
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Associate Director, Compliance
Remote US, United States Humana logo Humana
Medicare Sales Regulatory Interpretation Healthcare Compliance Operational improvement Healthcare Regulations Consumer Experiences Risk People Management Regulations +36
Senior Mid Full Time
USD 138K+
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Prior Authorization List Business Owner
Remote US, United States Humana logo Humana
Judgement Microsoft Access Consumer Experiences Healthcare experience Authorization Prior authorization BI Healthcare services Vision +33
Senior Full Time
USD 78K+
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Business Intelligence Engineer 2 - Associate Benefits
Remote US, United States Humana logo Humana
Risk stratification Large data sets Tables Visualizations VLOOKUP Analyzing Strategic direction Dashboard Development Healthcare Data +52
Mid Full Time
USD 66K+
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Medical Director - Mid West Region
Remote US, United States Humana logo Humana
Clinical guidelines knowledge Managed Care Knowledge Medicare Knowledge Commercial health insurance Clinical group practice management Inpatient rehabilitation Clinical Decision Making Social determinants Grievance and appeals +78
Exec Senior Full Time
USD 223K+
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Marketing Production Professional
Remote US, United States Humana logo Humana
Media marketing Healthcare Marketing Project Support Metrics analysis Consumer Experiences Functions BI Healthcare industry Regulations +34
Senior Mid Full Time
USD 59K+
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Senior Rx Clinical Programs Pharmacist (VSP/PT)
Remote US, United States Humana logo Humana
Medication therapy Prescription Clinical programs Development programs Home health services Medication Adherence Microsoft Office Applications Home Health Health outcomes +60
Senior Part Time
USD 104K+
Preview Apply
Senior Medical Coding Professional
Remote US, United States Humana logo Humana
Claims Life Cycle 3M Coding Software Chemotherapy Outpatient Surgery Ambulatory Payment Classification Infusion Radiation Oncology Coding certification OneNote +60
Senior Full Time
USD 71K+
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Grievances & Appeals Representative II
Remote US, United States Humana logo Humana
Pahub Claims administration system Service read only Medhok Production driven environment Grievance handling Grievance and appeals Medical claims processing Bilingual English and Spanish +37
Mid Full Time
USD 40K+
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UM Administrative Coordinator- Medicare- WAH
Remote US, United States Humana logo Humana
Computations Rehab ICD-10 codes Clinical Leadership ICD Calendar Management Electronic Medical Records Consumer Experiences Utilization Review +51
Mid Full Time
USD 40K+
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Senior Full Stack Developer - Member Administration Platform
Remote US, United States Humana logo Humana
Oracle OHI APIC StreamSets Hosting Management Oracle DB User Interfaces Appian Groovy Back-End Development +61
Senior Full Time
USD 106K+
Preview Apply
UM Administration Coordinator (Gulf South Region)
Work at Home - Louisiana, United States Humana logo Humana
Computations ICD-10 codes ICD Electronic Medical Records Consumer Experiences Utilization Review ICD-10 Authorization Prior authorization +45
Entry Mid Full Time
USD 40K+
Preview Apply
Post-Acute Utilization Management Nurse (Gulf South Region)
Work at Home - Tennessee, United States Humana logo Humana
Interpreting Criteria Rehab Health Plan Experience CMS guidelines Clinical Nursing Medical Services Consumer Experiences Discharge planning CMS +41
Mid Full Time
USD 71K+
Preview Apply
Utilization Management Nurse (Gulf South Region)
Work at Home - Louisiana, United States Humana logo Humana
Milliman Interpreting Criteria Health Plan Experience MCG Clinical Nursing Medical Services Acute care Consumer Experiences Discharge planning +46
Mid Full Time
USD 71K+
Preview Apply
UM Administration Coordinator (Gulf South Region)
Remote US, United States Humana logo Humana
Computations ICD-10 codes ICD Electronic Medical Records Consumer Experiences Utilization Review ICD-10 Authorization Prior authorization +45
Entry Mid Full Time
USD 40K+
Preview Apply
Care Coach/Case Manager- Grant County, WI
Work at Home - Wisconsin, United States Humana logo Humana
Case Note Documentation Electronic Case Note Documentation Electronic Information Applications Microsoft Office Word Social service agencies Community integration Social service care management Prevention Health and wellness +56
Mid Full Time
USD 53K+
Preview Apply
RN Case Manager
Eau Claire, United States Humana logo Humana
Home Case Management Electronic Information Applications Advanced Computer Social service agencies Health promotion Driver safety program Family Care Community Health Electronic Medical Records +53
Mid Full Time
USD 71K+
Preview Apply
Case Manager - Menomonie, WI
Work at Home - Wisconsin, United States Humana logo Humana
Electronic Case Note Documentation Electronic Information Applications Social service agencies Microsoft Office Word Health promotion Driver safety program Family Care Human services Community Health +47
Mid Full Time
USD 53K+
Preview Apply
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