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230 fresh jobs found
Eligibility Operations Advisor I - Remote, USA
Any city, TX, US, 99999 Gainwell Technologies logo Gainwell Technologies
Healthcare terminology Eligibility Policy analysis Health Insurance HIPAA Compliance Human Resources Conflict Resolution Medicaid Government +29
Entry Mid Full Time
USD 30K+
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Senior Provider Contracting Professional
Remote US Humana logo Humana
ACO/Risk Contracting Managed Care Contracts Risk contracting Value-based contracting Provider recruitment Provider Contracting Network administration Analyzing Healthcare administration +34
Senior Mid Full Time
USD 76K+
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Associate Director, Infrastructure Architecture
Work at Home - Kentucky Humana logo Humana
Datacenter Infrastructure Operations Infrastructure Architecture Technology Integration Consumer Experiences Project leadership PMP Dental Vision +30
Senior Mid Full Time
USD 139K+
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Administrative Assistant
Remote US Humana logo Humana
Spreadsheet software Presentation software Lucid Internet Research Word Processing Event Coordination Consumer Experiences Travel Microsoft Teams +45
Mid Full Time
USD 51K+
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Post Acute Utilization Management Nurse (Intermountain Region)
Work at Home - Washington Humana logo Humana
MCG guidelines Inpatient rehabilitation CMS guidelines Health Plan Experience Interpreting Criteria Clinical Nursing Milliman guidelines Milliman Medical Services +43
Mid Full Time
USD 69K+
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UM Administrative Coordinator- Medicare- WAH
Remote US Humana logo Humana
ICD-10 codes Electronic Medical Records ICD Utilization Review Calendar Management Prior authorization ICD-10 Consumer Experiences Utilization management +44
Mid Full Time
USD 37K+
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Senior Full Stack Software Engineer
Remote US Humana logo Humana
Web Modular Design Patterns W3C Standards Web Performance Cross-Browser Compatibility Back-End Development Front-end development Vue.js Cloud native Efficiency +59
Senior Full Time
USD 104K+
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Lead Software Engineer - IAM
Remote US Humana logo Humana
Designing software solutions Ping Identity ForgeRock Azure Cloud Services Azure AD Functional strategies Access Management Identity and Access Management Authorization +40
Senior Full Time
USD 126K+
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Senior Software Engineer - IAM
Remote US Humana logo Humana
Ping Identity ForgeRock OAuth 2.0 OIDC Access Management SAML Spring Boot OAUTH IAM +64
Senior Full Time
USD 104K+
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Project Manager , Workday Team Support
Remote US Humana logo Humana
Change Request Management Judgement Meeting coordination Data Conversion HR systems Consumer Experiences Content Management Validation BI +35
Mid Full Time
USD 63K+
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Senior Systems Engineer
Remote US Humana logo Humana
VMWare Software Solutions BI Dental Virtualization Vision Systems Engineering Technology solutions Operating Systems +38
Senior Full Time
USD 95K+
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Product Marketing Content Manager
Any city, TX, US, 99999 Gainwell Technologies logo Gainwell Technologies
Technical Translation Brand messaging Print Marketing Performance Measurement Content Strategy Content Management SEO Public health Medicaid +23
Mid Full Time
USD 88K+
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Senior Counsel ( M&A)
Remote US Humana logo Humana
Beneficiary inducement statute Anti-kickback statute Stark law Fraud and abuse laws Health care law Health outcomes Mergers and acquisitions Home Health Functional strategies +29
Senior Full Time
USD 164K+
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Customer Service Representative - Linthicum, MD
Work At Home-Maryland CVS Health logo CVS Health
High-Speed Internet Prior authorization Call Center Health care Remote work Medicaid Medicare Insurance Organization +2
Entry Mid Full Time
USD 34K+
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Lead Automation Engineer
Remote US Humana logo Humana
Microservices testing Automation architecture Karate Gatling Rest Assured LoadRunner Gitlab CI/CD TestNG DevOps practices +63
Senior Full Time
USD 115K+
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Field Reimbursement Manager
West - CA, NV, AZ, UT Coherus BioSciences logo Coherus BioSciences
Buy and bill products Payer policies Commercial experience Patient Access Billing Medicaid Medicare Coding Oncology +2
Mid Full Time
USD 165K+
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Financial Underwriter
Remote US Humana logo Humana
Life products Vision products Health data Risk pool management Rating Analyzing Dental Products Microsoft Access Risk +30
Mid Full Time
USD 57K+
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IFG Compliance Professional 2
Remote US Humana logo Humana
Medicare regulations Metrics and reporting Investigative Investigations CMS Dental Vision Policy Development Healthcare services +30
Mid Full Time
USD 57K+
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Telephonic Care Manager, RN
Remote US Humana logo Humana
Clinical acute care Telephonic care Microsoft Office Word Acute care Rehabilitation Discharge planning Registered Nurse Travel RN +36
Entry Mid Full Time
USD 31K+
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Sr Clinical Pharmacist - Program & Automation Strategy
Remote US Humana logo Humana
Clinical Pharmacist Drug Evaluation Automation Strategy Health outcomes Pharmacoeconomics Home health services Pharmacy benefit management Clinical Strategy Medication Adherence +47
Senior Full Time
USD 112K+
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Senior Clinical Pharmacist
Remote US Humana logo Humana
Clinical Pharmacist Drug Evaluation Health outcomes Pharmacoeconomics Research Collaboration Home health services Pharmacy benefit management Medication Adherence Corporate Communications +45
Senior Full Time
USD 112K+
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Actuarial Analyst, Medicaid Trend
Remote US Humana logo Humana
Actuarial Analysis Judgement Consumer Experiences BI Dental Vision SAS Healthcare services Data integrity +25
Entry Mid Full Time
USD 78K+
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Senior Enterprise Architect
Remote US Humana logo Humana
Lean enterprise architecture Portfolio rationalization Cloud-native architectures SaaS platforms Architecture standards Cost reduction Agile Delivery Technology Strategy Risk +54
Senior Full Time
USD 115K+
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Senior IT Portfolio Management Professional
Remote US Humana logo Humana
Ad-hoc Query Tools IT portfolio management Problem Analysis IT Strategy Data Extraction Metrics Reporting Data manipulation Microsoft Office Applications Consumer Experiences +36
Senior Full Time
USD 104K+
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Social Work Case Manager - Medford, WI
Work at Home - Wisconsin Humana logo Humana
Community Resource Coordination Housing support Health and Wellness Coordination Employment support Social service care management Community integration Health and wellness Family Care Human services +37
Mid Full Time
USD 47K+
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IT Project Manager
Remote US Humana logo Humana
Project management institute Metrics Reporting Consumer Experiences BI Dental Vision Presentations Software development life cycle Healthcare services +34
Mid Full Time
USD 84K+
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Encounter Data Management Professional
Remote US Humana logo Humana
Encounter data management Healthcare Claims Microsoft SQL CAS Compliance Standards Analytical tools Claims BI Dental +40
Entry Mid Full Time
USD 57K+
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Strategy Advancement Professional 2
Remote US Humana logo Humana
Articulate Strategic direction Healthcare experience Strategic initiatives Management consulting Dental Vision Presentations Verbal and written communication +34
Mid Full Time
USD 69K+
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RN - Remote Utilization Management Nurse - Medicare - SE Region (Compact license preferred)
Work at Home - Georgia Humana logo Humana
Independent decision making Health Plan Experience Interpreting Criteria Clinical Nursing Milliman Medical Services MCG Acute care Rehabilitation +42
Mid Full Time
USD 69K+
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Sr Payer Policy Analyst - remote
USA - NC - Burlington - 458 S Main Street Labcorp logo Labcorp
Clinical evidence Regulatory processes Technical Assessments Payer Policy Revenue Cycle Management Genetics Billing Medicaid Medicare +12
Senior Mid Full Time
USD 85K+
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Actuary, Pricing
Remote US Humana logo Humana
Reporting & Analysis Trending Rate filing Rating Reserving Financial metrics Functional strategies Functions Actuarial science +29
Mid Full Time
USD 126K+
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Actuary
Remote US Humana logo Humana
Rate filing Trending Reserving Functional strategies Functions Actuarial science Dental Vision Market trends +27
Mid Full Time
USD 126K+
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Actuary, Risk and Compliance
Remote US Humana logo Humana
Value Based Insurance Design Prescription Regulatory Analysis Medicare Advantage Peer review Risk Actuarial science Project leadership Collaborative +30
Senior Full Time
USD 126K+
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Actuarial Analyst
Remote US Humana logo Humana
Pricing models Financial metrics Model Development Actuarial science Consumer Experiences Dental Vision Healthcare services Pricing +23
Entry Mid Full Time
USD 78K+
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Cyber Security Analyst (Remote Must Reside in Mountain/Central/Eastern Time Zone
Harrisburg, Pennsylvania, United States - Remote Acentra Health logo Acentra Health
Security Guidelines NIST SP 800-53 Security audits Vulnerability assessment Data interpretation SIEM Incident Management Disaster Recovery Cloud Security +13
Senior Mid Full Time
USD 76K+
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Junior Software Development Engineer in Test (SDET)
Remote US Humana logo Humana
TestNG Automation Testing JUnit Selenium Software Solutions Software testing Healthcare Technology BI Dental +37
Entry Mid Full Time
USD 78K+
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Java Application Designer
Any city, TX, US, 99999 Gainwell Technologies logo Gainwell Technologies
Spring Batch Database methodologies Application implementation Spring MVC JPA Application design Design and development MVC Technical Consulting +33
Senior Full Time
USD 90K+
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Medicare Complaints (CTM) Senior Supervisor - Cigna Healthcare - Remote
Maryland Work at Home The Cigna Group logo The Cigna Group
Mhk Quality Monitoring Medicare Advantage Enrollment Workforce management Regulatory standards Medicaid Medicare Behavioral health +31
Senior Full Time
USD 57K+
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Learning Facilitator/Preceptor (Care Management) - VA's Roanoke/Charlottesville Region
Work at Home - Virginia Humana logo Humana
Learning Facilitation Training Facilitation Adult Learning Curriculum Design Adult Learning Principles Microsoft Office Applications Travel Psychology Care Coordination +37
Mid Full Time
USD 52K+
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Program & Process Design Advisor
Remote US Humana logo Humana
Business project management Workflow Documentation Scrum Master Prosci Functional strategies Strategic direction Risk Process design Travel +39
Mid Full Time
USD 112K+
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Automation Engineer Level 2
Remote US Humana logo Humana
Karate Testing Procedures Appium Analyzing Automation Testing API Testing Playwright Mobile Reporting tools +40
Mid Full Time
USD 78K+
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Clinical Reviewer - Behavioral Health - PRN (Remote within Arkansas)
Arkansas, United States - Remote Acentra Health logo Acentra Health
Government-funded Programs Psychological Assessment Inpatient Services Residential care Outpatient services Medicaid regulations Medical necessity Utilization Review Prior authorization +28
Mid Full Time
USD 44K+
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Interoperability Relationship Management Principal
Remote US Humana logo Humana
Data translation Business Case Development Medicare Advantage Interoperability Project leadership Travel Collaborative Dental Vision +29
Senior Full Time
USD 136K+
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Medical Claims Billing Specialist (AR Manager)
Remote, USA, United States Privia Health logo Privia Health
Trizetto Population health management Denial Management Athena HIPAA rules and regulations HIPAA Rules Revenue Cycle Management Population health Medical Billing +16
Mid Full Time
USD 40K+
Preview Apply
Manager Coding
Remote, United States Cotiviti logo Cotiviti
Chart retrieval Anatomy and Physiology Production planning Physiology Staff management Anatomy Risk Adjustment Medical Coding Exchange +36
Senior Mid Full Time
USD 78K+
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Senior Enterprise Data Governance Professional
Remote US Humana logo Humana
Data Retention Analyzing Qlik Visualizations Strategic direction System Analysis Consumer Experiences Benchmarking Initiative +41
Senior Full Time
USD 95K+
Preview Apply
The Associate Director, Medicaid Implementation (Business Project Management)
Remote US Humana logo Humana
Healthcare system knowledge Matrixed team management Project management institute Implementation Practices Business process change management Operational strategies Prosci Consulting Services Business Process +42
Senior Mid Full Time
USD 123K+
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Credentialing Assistant
Remote US Humana logo Humana
Production metrics ICD-10 codes NCQA ICD Accreditation CIS ICD-10 Credentialing Apex +34
Entry Mid Full Time
USD 37K+
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Senior Accountant
Remote US Humana logo Humana
Ledger maintenance Analyzing Consumer Experiences Dental Vision Healthcare services Business administration Wellness Medicare +27
Senior Mid Full Time
USD 69K+
Preview Apply
Experienced Project Manager
Any city, DE, US, 99999 Gainwell Technologies logo Gainwell Technologies
Catalyst Project tracking Management methodology Budget development Project Management Software Edge PMP Project Planning Risk mitigation +17
Senior Full Time
USD 86K+
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