Fresh
Remote.
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Medicaid Remote Jobs
All Remote Jobs
Medicaid Remote Jobs
92 fresh jobs found
HR Business Partner Lead
- Remote US
Humana
Human capital strategy
Organizational development
Clinical operations
People Management
Wellness
Workday
Assessment
Medicaid
Business Acumen
+11
Senior
Mid
Full Time
USD 112K+
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Lead Software Engineer
- Remote US
Humana
REST API Development
DevOps Processes
NoSQL DB
Spring Batch
Project leadership
Spring Boot
Containerization
Cloud solutions
API Development
+29
Senior
Full Time
USD 126K+
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Lead Product Designer
- Remote IL CHI METRO
Humana
Digital products
Interaction design
Efficiency
Advocacy
User Experience Design
BI
User Experience
User Research
Wellness
+14
Senior
Full Time
USD 112K+
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Care Coordinator - Cook County, IL
- Remote IL CHI METRO
Humana
LTSS
Human services
Social Work
Managed Care
BI
Case Management
Wellness
Microsoft Word
Assessment
+15
Entry
Mid
Full Time
USD 52K+
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Social Work Case Manager - Monroe, WI
- Work at Home - Wisconsin
Humana
Healthcare Coordination
Human services
Network
Social Work
Managed Care
BI
Care management
Case Management
Wellness
+8
Mid
Full Time
USD 47K+
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Product Owner - HQRI Encounters Submissions
- Work at Home - Kentucky
Humana
Encounter Data Submissions
CAS X12
User stories writing
Agile development methodology
Agile Delivery
Lean
Six Sigma
Agile Development
Prioritization
+12
Senior
Mid
Full Time
USD 93K+
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Data Manager Lead
- Remote US
Humana
Clinical Analysis
Minitab
SPSS
Population health management
Azure Synapse Analytics
Data Models
Database design
Population health
Analytic
+25
Senior
Mid
Full Time
USD 104K+
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Senior Learning Design Professional
- Remote US
Humana
IT Learning Strategy
Performance Consulting
ELearning Design
Adult Learning Theory
Consultative
Learning Management Systems
Network
Instructional Design
BI
+14
Senior
Mid
Full Time
USD 69K+
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Utilization Management RN - Physical Health, OKLAHOMA REMOTE
- Work at Home - Oklahoma
Humana
Clinical nursing
Rehabilitation
Clinical Experience
Network
Utilization management
Nursing
Wellness
Medicaid
HIPAA
+9
Mid
Full Time
USD 69K+
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Senior Product Owner
- Work at Home - Kentucky
Humana
User stories writing
Agile development methodology
Agile Delivery
Six Sigma
Agile Development
Prioritization
Wellness
Assessment
Data
+10
Senior
Full Time
USD 93K+
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Senior Project Manager (Medicaid Network Implementation)
- Remote US
Humana
Value-Based Payment
Provider Strategy
Network implementation
Network Development
PMP
Provider Relations
Network
Six Sigma
Managed Care
+19
Senior
Full Time
USD 84K+
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Telephonic Utilization Management Nurse (Pacific Southwest Region)
- Work at Home - Arizona
Humana
Clinical nursing
Clinical Experience
Nursing
Utilization management
BI
Wellness
Outlook
HIPAA
Medicaid
+10
Mid
Full Time
USD 69K+
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Details
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Provider Field Representative - Remote Northern CA
- Roseville, CA, US, 95747-6645
Gainwell Technologies
Business process knowledge
Business Process Outsourcing
Provider enrollment
Customer relations
Facilitation
Business Processes
Medicaid
Innovation
Time Management
+10
Entry
Mid
Full Time
USD 60K+
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Client Policy Manager I
- Remote, United States
Cotiviti
Medical policies
Clinical policy guidelines
Clinical coding
Claims adjudication
Payment
Microsoft Office Suite
Medicaid
Coding
Computer
+8
Mid
Full Time
USD 72K+
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Details
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Director, Technology Solutions
- Remote US
Humana
Artifacts development
IT business analysis
Agile development methodologies
Systems Development Life Cycle
Waterfall
Consultation
Agile Development
BI
Business Analysis
+15
Exec
Senior
Full Time
USD 153K+
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Details
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Product Strategy Lead
- Remote US
Humana
Strategy Advancement
Research and Analysis
Nursing
Strategy Development
BI
Wellness
Data
HIPAA
Medicaid
+17
Senior
Mid
Full Time
USD 123K+
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Details
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Small Group Sales Representative
- Remote US
Humana
Consultative
Financial Acumen
CRM System
Wellness
Consultative Selling
Verbal and written communication
Medicaid
Business Acumen
Medicare
+7
Exec
Mid
Full Time
USD 56K+
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Details
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Home Solutions Medical Director
- Remote US
Humana
NCD/LCD
CMS Medicare Guidance
Medical interpretation
Clinical Standards
National Guidelines
InterQual
Analytic
Verbal and written communication
Medicaid
+8
Exec
Senior
Part Time
USD 199K+
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Details
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Medical Director - Florida
- Remote US
Humana
Health claims review
Discharge planning
Medical background
Rehabilitation
Medical interpretation
Clinical Standards
Coding practices
National Guidelines
InterQual
+31
Exec
Mid
Full Time
USD 199K+
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Details
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Lead Solutions Architect
- Waterside Bldg
Humana
HL7 FHIR standards
API based integrations
API Management Platforms
Service-Mesh
NoSQL databases
DevOps Tools
Network
Cloud platforms
Data Architecture
+29
Senior
Full Time
USD 139K+
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Details
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Provider Enrollment Analyst - Remote
- Any city, WI, US, 99999
Gainwell Technologies
Healthcare Knowledge
Written and verbal communication
Provider enrollment
Tech-savvy
Teamwork
Medicaid
Time Management
Innovation
Development
+8
Entry
Mid
Full Time
USD 30K+
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Details
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Manager, Care Management
- Work at Home - Virginia
Humana
Analyzing
Microsoft Office Applications
Technical knowledge
Managed Care
Care management
Assessment
Wellness
Data
Medicaid
+14
Mid
Full Time
USD 84K+
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Details
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Senior Compliance Professional
- Remote US
Humana
Compliance Controls
Audit Methodology
Auditing
Assessment
Wellness
Data
Risk Assessment
Medicaid
Medicare
+13
Senior
Full Time
USD 84K+
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Innovation Design Advisor – Clinical Product
- Remote US
Humana
Design Research
Design Strategy
User Interviews
Project leadership
Quantitative research
Qualitative Research
Design Thinking
Wellness
Medicaid
+12
Senior
Mid
Full Time
USD 123K+
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Details
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Value-Based Programs Lead
- Remote US
Humana
Provider reimbursement
Managed care operations
Social Determinants of Health
Value-based care
Network
Managed Care
BI
Modeling
Wellness
+21
Senior
Mid
Full Time
USD 102K+
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Senior Project Manager
- Remote US
Humana
Healthcare Quality Improvement
Medicare Risk Adjustment
PMP
Six Sigma
Quality improvement
Consultation
Wellness
Data
Medicaid
+16
Senior
Full Time
USD 84K+
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Details
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Medical Director - Home Health - Home Solutions
- Remote US
Humana
NCD/LCD
CMS Medicare Guidance
MCG®
Medical interpretation
Clinical Standards
National Guidelines
InterQual
Analytic
Wellness
+10
Exec
Senior
Full Time
USD 199K+
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Details
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Network Operations Coordinator 4
- Remote US
Humana
Provider Relations
Network
BI
Wellness
Data
Microsoft Word
Outlook
Medicaid
HIPAA
+12
Mid
Full Time
USD 51K+
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Details
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Director, Associate Benefits
- Remote US
Humana
Pharmacy
BI
User Experience
Modeling
Wellness
Medicaid
HIPAA
Medicare
Financial modeling
+15
Senior
Mid
Full Time
USD 149K+
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Details
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Value Office Financial Investment Analytics Lead
- Work at Home - Florida
Humana
Analyzing
Project leadership
Stakeholder Collaboration
Efficiency
Modeling
Assessment
Wellness
Data
Medicaid
+18
Senior
Full Time
USD 95K+
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Details
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Utilization Management Strategy Analyst
- Remote US
Humana
Healthcare Management
Data-driven strategies
Network management
Network
Population health
SAFe
Data interpretation
Efficiency
Clinical operations
+31
Mid
Full Time
USD 84K+
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Details
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Lead Solutions Architect - EUC
- Remote US
Humana
End-User Compute
Agile delivery frameworks
Digital Workplace
Agile Delivery
Enterprise Architecture
Network
Identity and Access Management
BI
User Experience
+26
Senior
Full Time
USD 139K+
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Details
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Associate Actuary, SPA-Rx
- Remote US
Humana
Root Cause Analysis
Business Intelligence
Wellness
Data
Medicaid
Financial Forecasting
Medicare
Forecasting
Business
+5
Mid
Full Time
USD 104K+
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Details
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Senior Regional Director, SGS Program Management
- Any city, NC, US, 99999
Gainwell Technologies
Supervisory
Healthcare Technology
Client service
Medicaid
Innovation
Medicare
Time Management
Program Management
Insurance
+10
Senior
Full Time
USD 130K+
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Lead Solutions Architect – DEX +IT Support Services
- Remote US
Humana
Agile delivery frameworks
Digital Employee Experience (DEX)
IT Support Services
Service Now
Agile Delivery
Enterprise Architecture
Network
ITIL
Identity and Access Management
+28
Senior
Full Time
USD 139K+
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Patient Account Representative - Remote
- United States
Tenet Healthcare
Call Center Environment
ACE
Revenue cycle process
Remittance Review
Claim Submission
Basic Computer
Hospital billing
Commercial Insurance
Insurance collections
+18
Entry
Mid
Full Time
USD 43K+
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Details
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Associate Director, Business Intelligence
- Remote US
Humana
SSMS
Azure Synapse Analytics
Power Apps
Power Automate
SSIS
SSRS
Health Insurance
Analytic
Cloud Technologies
+29
Mid
Full Time
USD 126K+
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Details
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Research Scientist
- Remote US
Humana
Data acquisition
Analyzing
Clinical Informatics
Biostatistics
PySpark
Population health
Epidemiology
Analytic
SAS
+27
Mid
Full Time
USD 69K+
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Details
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Code Edit Disputes Team Medical Coding Coordinator
- Remote US
Humana
Medical Coding
ICD-10-CM
CPT
Root Cause Analysis
BI
Editing
Wellness
Coding
HIPAA
+10
Mid
Full Time
USD 43K+
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Details
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Financial Underwriter Representative
- Remote US
Humana
Microsoft Access
Wellness
Data
Microsoft Word
Access
Medicaid
Medicare
Microsoft Excel
Financial analysis
+5
Mid
Full Time
USD 40K+
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Details
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Senior Enterprise Architecture - EA Activation
- Remote US
Humana
Architecture Principles
IT Professional
Agile Delivery
Enterprise Architecture
Mainframe
Project leadership
Technology Strategy
Business strategy
SDLC
+28
Senior
Full Time
USD 115K+
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Experienced Business Analyst - Medicaid Provider
- Any city, NV, US, 99999
Gainwell Technologies
Medicaid Provider
Requirement Documentation
Analytical Software
Written and oral communication
Computer Programming
Oral communication
Business Processes
Business Analysis
Medicaid
+15
Entry
Senior
Full Time
USD 69K+
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Details
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Senior Problem, Incident and Event Management Engineer
- Remote US
Humana
ITIL4
Trending
Investigations
Waterfall
Process Management
Process documentation
Root Cause Analysis
Microsoft Office Applications
Agile Development
+22
Senior
Full Time
USD 86K+
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Details
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Functional Principal Consultant
- Remote, US
Model N
Iterative Development
340B
TriCare
Model N Revenue Management Suite
Regulatory Business Analysis
Federal Supply Schedule
Discount Reallocation
Government Pricing
SQL Query
+16
Senior
Mid
Full Time
USD 116K+
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Details
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Patient Account Representative- Remote - WA STATE RESIDENTS ONLY
- WA, United States
Tenet Healthcare
Medicare/Medicaid Knowledge
Call Center Environment
ACE
Remittance Review
Claim Submission
Revenue cycle process
Basic Computer
Hospital billing
Medical Records
+17
Entry
Mid
Full Time
USD 49K+
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Details
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Senior Application Architect
- Remote US
Humana
Cloud Adoption
Software Upgrades
Technology Infrastructure Upgrades
Security Enhancements
SAFe
BI
Agile Development
Wellness
HIPAA
+15
Senior
Full Time
USD 104K+
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Details
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Case Manager- Jefferson County, WI
- Work at Home - Wisconsin
Humana
Human services
Healthcare Coordination
Social Work
BI
Care management
Case Management
Wellness
Managed Care
HIPAA
+6
Mid
Full Time
USD 47K+
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Details
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Associate Director, SIEM & Detection Engineering(remote)
- Remote US
Humana
PCI
SIEM platforms
Malware Analysis
Network administration
Efficiency
Technical knowledge
Cloud environments
Security Engineering
Threat Intelligence
+12
Senior
Mid
Full Time
USD 153K+
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Details
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Manager, Quality Registered Nurse
- Work at Home - Florida
Humana
Medicare Standards
Efficiency
Technical knowledge
Operational Excellence
Nursing
Root Cause Analysis
BI
Auditing
Wellness
+20
Mid
Full Time
USD 76K+
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Details
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Senior Business Intelligence Engineer
- Remote US
Humana
Efficiency
Data Reporting
Database design
Quality improvement
Predictive Modeling
Data Mining
Analytic
Modeling
SAS
+31
Senior
Mid
Full Time
USD 78K+
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Details
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Client Liaison Manager
- Any city, TX, US, 99999
Gainwell Technologies
Project development
Client relationship management
Budget management
Coding
Medicaid
Innovation
Process Improvement
Relationship Management
C
+5
Mid
Full Time
USD 52K+
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Details
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Utilization Management Strategy Lead
- Remote US
Humana
Strategic mindset
Data-driven strategies
Efficiency
SAFe
Prior authorization
Utilization management
Economics
Clinical services
Public health
+24
Senior
Full Time
USD 112K+
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Details
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Social Work Care Coach - Neillsville, WI
- Work at Home - Wisconsin
Humana
Computer applications
Health promotion
Human services
Social Work
BI
Managed Care
Assessment
Wellness
HIPAA
+14
Mid
Full Time
USD 47K+
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Details
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Senior Enterprise Architect (remote virtual)
- Remote US
Humana
Enterprise Architecture
API Management Platforms
Cloud Technologies
Artificial Intelligence
Architecture
Data
ML
Wellness
HIPAA
+16
Senior
Full Time
USD 115K+
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Details
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Rebate Analyst - Remote US
- Virginia Beach, VA, US, 23452-7368
Gainwell Technologies
Medicaid Drug Rebates
PDF Editing Software (Adobe, Nitro Pro, PDF...
Microsoft Office (Word, Excel, SharePoint, TEAMS, Outlook)
Pharmacy and/or medical billing
Medical/Pharmacy claims processing
PRIMS
Process Manager
Remote Desktop Connection
SSRS Reports
+13
Entry
Mid
Full Time
USD 31K+
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Growth Strategy Manager
- Remote NY NYC METRO
Humana
Strategy Consulting
Research and Analysis
Nursing
Strategy Development
Wellness
Managed Care
HIPAA
Medicaid
Market Analysis
+15
Senior
Mid
Full Time
USD 135K+
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Senior Accreditation Professional
- Remote US
Humana
Long-Term Services and Supports (LTSS)
NCQA Health Plan Accreditation
LTSS
Case Management
Wellness
Managed Care
HIPAA
Medicaid
Time Management
+17
Senior
Full Time
USD 76K+
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Medical Director - North Central Region - Medicaid
- Remote US
Humana
Health claims review
Coding practices
Medical background
Population health management
Clinical Standards
Medical interpretation
Discharge planning
Rehabilitation
National Guidelines
+35
Exec
Senior
Full Time
USD 199K+
Preview
Details
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Associate Actuary - Medicaid Trend
- Remote US
Humana
LTSS
Root Cause Analysis
Pharmacy
Wellness
Business Intelligence
Medicaid
Medicare
Forecasting
Business
+4
Mid
Full Time
USD 104K+
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Details
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Sr. Value-Based Programs Professional (Remote US)
- Remote US
Humana
Managed care operations
Provider reimbursement
Social Determinants of Health
Value-based care
Technical knowledge
Modeling
SAS
Wellness
Managed Care
+20
Senior
Mid
Full Time
USD 76K+
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