The Senior Learning Design Professional will design and develop effective learning solutions for new hires and existing associates using instructional design and adult learning theories. They will also collaborate with subject matter experts to evaluate training effectiveness and ensure content remains current and impactful.
Humana
151 Remote Job Openings at Humana
The Insurance Strategy Lead will manage high-impact workstreams, conduct market and performance analysis, and develop data-driven recommendations for senior leadership. They will also collaborate across the organization to translate strategic initiatives into actionable execution plans.
The Director of Product defines and leads the digital and customer experience strategy for member engagement, retention, and loyalty across the consumer business. They are responsible for managing the end-to-end customer lifecycle, leading cross-functional teams, and driving business outcomes such as NPS and customer lifetime value.
Senior Product Manager/Owner β Data & Brokerage Commissions
Humana
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Full Time
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an hour ago
Humana
The Senior Product Owner will lead the strategy, roadmap, and delivery of enterprise brokerage commission and compensation platforms. They will partner with cross-functional teams to modernize commission systems and improve data-driven reporting capabilities.
The Vendor Management Lead acts as a liaison between the organization and vendors to negotiate contracts, monitor performance, and ensure compliance with regulatory obligations. They facilitate governance routines and translate performance trends into actionable recommendations for business leaders.
Senior Technology Leadership Professional; AI & Operations Engineering
Humana
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Full Time
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3 hours ago
Humana
You will design, develop, and support AI-powered operational solutions while leading the resolution of complex production issues across enterprise platforms. The role involves hands-on coding, system integration, and driving continuous improvement through automation and AI adoption.
The Care Manager assesses and evaluates member needs to achieve optimal wellness through telephonic guidance and resource coordination. They identify barriers to care, monitor patient progress, and develop individualized care plans to ensure desired health outcomes.
Director of Quality Engineering - Growth and Corporate Functions Segment
Humana
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Full Time
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17 hours ago
Humana
The Director of Quality Engineering leads software testing initiatives and ensures information systems meet organizational standards and end-user requirements. They perform complex workflow analysis, drive strategic quality improvements, and manage team performance to achieve organizational goals.
The Prior Authorization Nurse evaluates clinical documentation for outpatient services to ensure medical necessity and regulatory compliance. They coordinate with healthcare providers and interdisciplinary teams to facilitate timely care and maintain accurate clinical records.
The Utilization Management Nurse reviews clinical documentation for prior authorization requests to ensure medical necessity and regulatory compliance. They coordinate with healthcare providers and interdisciplinary teams to facilitate timely care and maintain accurate documentation.
The Transition Coordinator evaluates member needs and facilitates interactions with resources to ensure optimal wellness and continuity of care. They oversee member transitions between Medicaid programs and care settings while coordinating with interdisciplinary teams and discharge planners.
The Associate Director will develop and execute the HR technology roadmap while serving as the primary liaison between HRIT and business stakeholders. They will lead a team to drive innovation, oversee system implementations, and build robust data and analytics platforms to improve workforce intelligence.
The Program Delivery Lead manages strategic programs to support business objectives, operational effectiveness, and continuous process improvement. They partner with cross-functional stakeholders to define implementation plans, track project milestones, and communicate performance insights to executive leadership.
The Associate Director executes strategic programs to support business objectives and operational effectiveness across a portfolio of initiatives. They lead cross-functional teams, manage risks and dependencies, and provide clear insights to executive leadership to drive organizational goals.
The Utilization Management Professional conducts clinical reviews of behavioral health prior authorization requests to determine medical necessity and ensure regulatory compliance. They also coordinate with healthcare providers and interdisciplinary teams to support decision-making and document findings within the clinical system.
The Associate Director leads teams of nurses and behavioral health professionals to manage member care and ensure service integration. They are responsible for developing care management programs, monitoring performance data, and driving process improvements to meet regulatory and organizational objectives.
The Manager, Utilization Management Nursing leads and oversees operations supporting Long-Term Services and Supports (LTSS) members, ensuring timely and accurate authorization determinations. They monitor productivity, quality, and compliance metrics while collaborating with cross-functional teams to improve clinical outcomes.
The Senior Process Improvement Professional analyzes and measures existing business processes to develop sustainable, quantifiable improvements that enhance efficiency and member outcomes. They lead cross-functional initiatives, manage project portfolios to achieve cost savings, and influence leadership through data-driven insights.
The Director leads the development and execution of Humana's Wellness Rewards and Loyalty Strategy to drive member engagement and health outcomes. They oversee cross-functional initiatives to design innovative reward programs while ensuring alignment with enterprise goals and performance metrics.
The Provider Engagement Executive develops and maintains long-term relationships with healthcare providers to improve financial and quality performance. They advise executives on functional strategies and manage complex issues related to provider performance, member experience, and operational excellence.
The Director leads state advocacy and government engagement strategies across Texas, Colorado, and New Mexico to advance Humana's policy and business priorities. They serve as the primary liaison with state officials and regulators while coordinating enterprise-wide legislative and regulatory activities.
The UM Administration Coordinator manages documentation and communication for prior authorization requests within the National Medicaid Clinical Operations team. This role involves verifying member eligibility, maintaining accurate records, and collaborating with clinical staff to ensure efficient authorization processes.
The Claims Review Representative partners with professional staff to perform pre-screening reviews and make decisions based on provider information. They exercise discretion in prioritizing requests and adapting administrative procedures to ensure accurate claims processing.
The professional will manage subcontract administration functions for U.S. Government prime contracts, including preparing RFPs and negotiating complex agreements. They will ensure compliance with FAR/DFARS regulations and CPSR requirements while overseeing subcontractor performance.
The Medical Director performs clinical reviews to determine the appropriateness of requested services and levels of care based on national guidelines and CMS policies. They also collaborate with internal teams to ensure compliance and provide medical interpretation for billing and dispute processes.
The Medicare Sales Field Agent will build trust and educate individuals on Humana's Medicare Advantage plans and supplemental offerings through face-to-face interactions. They are responsible for driving self-generated sales, meeting performance goals, and expanding the company's market presence through community engagement.
The Senior Informaticist coordinates with analytics and IT teams to develop predictive models and financial insights that optimize business programs. They are responsible for analyzing complex data to drive decision-making and articulating findings to senior leadership.
The Medicare Sales Field Agent will build trust and educate individuals on Medicare Advantage plans through face-to-face interactions, community events, and in-home visits. The role involves self-generating sales, meeting performance goals, and expanding Humana's presence within the designated territory.
The Field Care Manager serves as the primary point of contact for members, providing integrated behavioral health care and coordinating services to improve health outcomes. They lead interdisciplinary care teams, conduct face-to-face assessments, and address health-related social needs to ensure high-quality, person-centered care.
The Actuary analyzes and forecasts financial and economic data to support strategic decision-making and business intelligence. They are responsible for ensuring data integrity, developing functional strategies, and collaborating with stakeholders to resolve data anomalies.
The Lead, Tech Portfolio Operations is responsible for building and running the operational management system for a large, complex technology portfolio. This role ensures financial transparency, execution visibility, and consistent governance across business priorities, products, and multi-year roadmaps.
The Senior Offensive Security Engineer will build and operate AI-driven agentic tooling to enhance offensive security operations. They will conduct penetration tests, red-team operations, and purple-team exercises while securing the enterprise's internal AI systems.
The Case Manager will assess member health and safety needs to develop comprehensive care plans and coordinate necessary support services. They will maintain regular contact with members through home visits and phone calls while ensuring accurate documentation and cost-effective service delivery.
The Senior Offensive Security Engineer designs and executes activities to simulate threat actors and pressure test security controls. This role involves building agentic offensive tooling and conducting end-to-end penetration tests and red-team operations.
You will lead the penetration testing practice by defining methodologies, standards, and adopting agentic AI offensive tooling. You will also conduct complex security assessments and translate technical findings into business risk for stakeholders.
The RN Care Manager assesses member health and safety needs to develop comprehensive care plans while coordinating with acute and primary care providers. They also provide education on disease processes and lifestyle modifications while maintaining accurate documentation within contract timeframes.
The Senior Product Manager leads large-scale product efforts for claims processing systems, orchestrating cross-functional teams through the full delivery lifecycle. They act as a key decision-maker in agile portfolio events while ensuring compliance with regulatory requirements and strategic business goals.
The Senior Medical Coding Professional is responsible for conducting coding-focused audits to identify billing anomalies and ensure compliance with outpatient reimbursement guidelines. They will analyze coding accuracy, validate modifier usage, and provide actionable recommendations for recovery or education.
The Director leads product management for flagship data products while overseeing portfolio operations and analytics enablement. They also serve as a flexible leader for cross-team special projects directed by the VP of QCSA.
The Utilization Management Nurse coordinates and communicates medical services and benefit determinations using clinical nursing skills. They interpret criteria and policies to facilitate optimal treatment and care for members while maintaining organizational strategy.
The Medical Coding Coordinator reviews and educates providers on adjudicated claims involving code editing denials or financial recovery. They are responsible for extracting clinical information from medical records and assigning accurate procedural terminology and medical codes.
Design and deliver end-to-end user experiences for medical benefits products while collaborating with cross-functional teams to drive meaningful member outcomes. Advocate for accessibility and inclusivity while utilizing research and analytics to inform design decisions and improve the member journey.
Define and lead the end-to-end design strategy for Humanaβs medical benefits experience to simplify complex information for members. Collaborate with cross-functional teams including product, engineering, and analytics to implement innovative, human-centered solutions.
The Associate VP leads the strategy, architecture, and delivery of technology solutions for core pharmacy applications. This role involves driving large-scale modernization initiatives while providing hands-on technical leadership and managing cross-functional engineering teams.
The Senior UX Language Researcher will analyze conversational transcripts to evaluate LLM performance and data quality metrics. They will collaborate with cross-functional teams to resolve data ambiguities and develop action plans to enhance conversational experience performance.
Associate Director, Delegation Operational Enablement and Support
Humana
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Full Time
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5 days ago
Humana
The Associate Director leads strategic enablement, oversight, and operational support for delegated provider and vendor relationships. This role involves managing cross-functional collaboration, improving delegation processes, and providing executive-level reporting to leadership.
The Senior Informaticist solves complex business problems using data to provide insights that improve patient experience and drive financial growth. You will develop and validate predictive models while collaborating with cross-functional teams to enhance program outcomes.
The Lead, Organic Risk Adjustment will build, operationalize, and scale programs to improve documentation accuracy and risk capture performance. This role involves partnering with clinical and operational stakeholders to develop workflows, analyze data, and drive measurable results through execution.
The AVP will lead enterprise and business-unit strategy development, identifying growth opportunities and evaluating market trends across Medicare and value-based care models. They will partner with executive leadership to operationalize strategic priorities, establish governance structures, and drive performance improvements across healthcare delivery systems.
The Stars Population Health Strategy Lead develops and executes population health strategies to improve member outcomes and quality performance. This role involves analyzing data to identify gaps in care, designing targeted initiatives, and collaborating with cross-functional stakeholders to drive quality improvement.
The Senior Incident Management Practice Engineer designs and evolves enterprise incident management practices by integrating AI, automation, and cross-functional workflows. This role drives operational resilience by leveraging AIOps and standardized processes to proactively detect, respond to, and prevent service disruptions.
The Provider Engagement Executive develops and maintains long-term relationships with healthcare providers to improve financial and quality performance. They advise executives on functional strategies and manage complex issues related to provider performance, member experience, and operational excellence.
The Senior Provider Contracting Professional negotiates and executes complex provider contracts while analyzing financial impacts and reimbursement structures. They also maintain contract documentation and may assist in recruiting providers to meet network needs.
The RN Care Manager will assess member health and safety needs to develop comprehensive care plans and provide ongoing education regarding disease processes and lifestyle modifications. They will coordinate care with primary and acute providers while maintaining accurate documentation and conducting regular member visits.
The Program Delivery Lead drives strategic alignment and executive communication by developing board presentations, strategy memos, and business reviews. This role also facilitates cross-functional collaboration and manages divisional operations to ensure organizational priorities are met.
The Director will lead enterprise-wide quality validation strategies, cross-platform integration assurance, and end-to-end business workflow certification. This role involves driving automation-first and AI-enabled practices to improve release confidence, production reliability, and overall quality outcomes.
The CRM Marketing Lead plans and executes multi-channel engagement campaigns using data-driven insights to optimize member experiences. They facilitate agile ceremonies and collaborate with cross-functional teams to embed personalization and Next Best Action logic into member journeys.
The AVP will lead the strategy, modernization, and operations of enterprise contact center technologies, including Conversational AI and omni-channel engagement platforms. This role involves driving large-scale transformation initiatives while ensuring operational excellence and cross-functional collaboration across technology and business teams.
The Manager of Care Management leads a team of healthcare professionals to ensure effective care coordination and compliance with performance metrics. They are responsible for monitoring case management activities, analyzing clinical trends, and managing staff performance through mentoring and evaluation.
The Senior Product Manager leads cross-functional initiatives to enhance clinical care management and enterprise technology solutions. They act as a liaison between business and technology teams to define priorities, manage project milestones, and drive continuous operational improvement.
The Senior Informaticist leads complex projects by translating ambiguous business questions into structured analytical approaches and actionable recommendations. They partner across business, operations, and technology teams to synthesize data and influence strategy through evidence-based insights.
The Medical Director provides clinical determinations and medical interpretations to ensure healthcare services align with national guidelines, CMS requirements, and Humana policies. They collaborate with cross-functional teams to support departmental objectives, quality outcomes, and appropriate utilization management.
The Senior Stars Clinical Consultant leads Medicare Stars gap closure campaigns and conducts medical record reviews to improve quality performance outcomes. They engage with providers through outreach and education to support documentation, coding, and care gap closure initiatives.
The role involves composing and configuring operational and regulatory communications using OpenText platforms across print and digital channels. You will collaborate with strategy teams to interpret requirements, troubleshoot implementation challenges, and ensure data accuracy through unit testing and quality assurance.
Customer Success Agents provide guidance and support to Medicare-eligible customers by explaining plan benefits and resolving enrollment or eligibility issues. They collaborate with sales and carrier teams to ensure a compliant, positive, and customer-centered experience.
The Senior Business Intelligence Engineer transforms complex pharmacy and Medicaid data into actionable insights to drive operational excellence and strategic decision-making. They are responsible for developing dashboards, identifying trends, and partnering with cross-functional teams to solve complex business problems.
The Principal Anaplan Solutions Architect will own the end-to-end architecture for workforce planning and management domains while serving as a strategic advisor to Finance and HR leadership. They are responsible for setting architectural standards, mentoring team members, and ensuring seamless integration between Anaplan and enterprise systems.
The Compliance Nurse 2 reviews utilization management activities and documentation to ensure adherence to policies, procedures, and regulations while preventing fraud, waste, and abuse. They collect and analyze data to assess operational metrics and make independent decisions regarding work methods in complex situations.
The Field Care Manager performs face-to-face and telephonic assessments to provide integrated behavioral health care coordination for members. They manage interdisciplinary care teams, facilitate treatment plans, and address health-related social needs to improve overall health outcomes.
The Oncology Program Lead manages the end-to-end relationship and performance of oncology utilization management vendors to ensure quality and efficiency. They design and optimize clinical programs while collaborating cross-functionally to improve patient outcomes and operational performance.
Analyze financial and operational drivers for Medicare Risk Adjustment to provide actionable insights and support business decision-making. Partner with Corporate Finance and Compliance teams to ensure accurate financial reporting and variance analysis.
Lead complex objective-based adversary emulation campaigns and establish the technical standards and rules of engagement for the red team. Drive the integration of agentic AI tooling into offensive operations and conduct adversarial testing of production AI systems.
Negotiates with state and federal regulatory agencies to secure approval for insurance policies and certificates. Develops and maintains compliant contract language and templates while serving as a Subject Matter Expert for assigned product lines.
The Associate Director drives excellence in care and utilization management clinical operations through process improvement and training. They oversee member needs assessments and ensure compliance with Medicaid contracts, NCQA, DHHS, and CMS guidelines.
The Senior Business Intelligence Engineer builds and manages ETL processes and data pipelines within an Azure Databricks environment to support reporting and analytics. They integrate data from multiple sources and maintain scheduled jobs to power information dashboards and end-user portals.
The role involves developing and maintaining value-based programs using complex SQL and Azure Synapse Analytics to drive process improvements. The analyst will conduct research, produce monthly activity reports, and communicate data-driven findings to senior leadership.
The role involves owning the end-to-end cloud data platform, including environment provisioning, security, and automation using Azure and Snowflake. Key duties include designing scalable data pipelines, implementing infrastructure-as-code, and leading the modernization of data workflows.
The Corporate Medical Director provides medical interpretation and clinical review to determine the necessity of home-based and post-acute care services. The role also provides strategic medical leadership to executives to support OneHome Expansion initiatives and operational improvements.
Provides clinical and operational leadership for medical review activities supporting home health and skilled nursing facilities for Medicare and Medicaid populations. Oversees a team of Medical Directors while conducting clinical case reviews to ensure evidence-based medical necessity determinations.
Oversee post-acute network management analytics and build an alternative payment model for post-acute care. Ensure data integrity by developing processes and controls while advising executives on functional strategies.
Lead the end-to-end solution architecture for Home Health initiatives, translating business outcomes into composable designs. Establish reference architectures and govern solution designs across cloud and data platforms to ensure alignment with enterprise standards.
The Actuary analyzes and forecasts financial and economic data to support strategic decisions and business intelligence. They specifically focus on the design, implementation, and actuarial modeling of complex value-based care initiatives.
Conduct home and facility visits to assess Medicaid members' needs and develop personalized care plans. Coordinate services and monitor patient progress to ensure optimal well-being and access to community resources.
The Director initiates, negotiates, and executes contracts with physicians and hospitals for Medicare Advantage and Medicaid products. They lead the contracting team, manage provider relationships, and analyze financial impacts to drive strategic goals.
Leads strategic planning and business management for the Finance leadership team, acting as a Chief of Staff to translate priorities into execution plans. Responsible for managing the rhythm of business, executive communications, and driving the execution of finance transformation initiatives.
Configure and optimize enterprise insider threat technologies, specifically Microsoft Purview and Proofpoint ITM, to detect and mitigate risks. Partner with Security Operations, HR, and Legal to investigate alerts and ensure regulatory compliance.
Acts as a trusted partner to cybersecurity leadership to develop strategies, roadmaps, and operating models. Translates complex technical concepts into business-focused narratives for executive and Board-level communications.
The Medical Coding Educator identifies provider documentation gaps and creates tailored education plans to improve quality of care. They utilize data analytics tools to monitor coding quality, analyze audit results, and deliver onsite or virtual training to healthcare providers.
The Actuary analyzes and forecasts financial and economic data to support strategic decision-making for the Primary Care Organization. This role involves developing data controls, monitoring medical claims trends, and providing strategic guidance to executives.
Lead the Care Management team in assessing member needs and facilitating access to appropriate wellness resources. Focus on removing system friction for members and providers while managing up to 15 direct reports.
Lead the operational support and design of specialty Medicaid value-based payment models to improve provider experience and achieve path-to-value goals. Analyze financial and performance data to create innovative payment strategies and reporting packages for various provider types.
Review inpatient records for coding accuracy and DRG validation to support payment integrity initiatives. Conduct retrospective audits and collaborate with clinical reviewers to recommend adjustments or provider education.
Leads teams of architects to develop a scalable cloud-native platform ecosystem and digital experiences for Humana. Translates business needs into technical solutions while driving strategies for AI, ML, and omni-channel communications.
Manage client denials and concerns by conducting analytic reviews of clinical documentation to determine if grievances or appeals are warranted. Provide administrative and customer support to members and practitioners to resolve quality-related issues.
The Field Care Manager Nurse assesses member needs to support health outcomes and develops individualized care plans. This role involves coordinating services and connecting members to resources addressing clinical and social needs.
Review inpatient medical records and claims to ensure accurate coding, reimbursement, and appropriate DRG assignments. Investigate and resolve provider disputes while identifying opportunities to improve coding quality and reduce costs.
The Medical Director reviews clinical cases for Medicare and Medicaid members to determine the medical necessity of healthcare services. The role ensures all decisions align with CMS requirements, national guidelines, and organizational policies.
The Group Sales Representative develops and maintains relationships with brokers and consultants to drive the sale and retention of ancillary group insurance products. They are responsible for executing strategic plans to increase market penetration and delivering polished presentations to employers with 50+ employees.
Conduct investigations into fraudulent and abusive Medicaid practices and coordinate efforts with law enforcement authorities. Perform on-site audits of provider records and prepare complex investigative reports to support adjudication.
The Senior Counsel provides sophisticated legal analysis and guidance to support senior-focused primary care operations. Key duties include drafting and negotiating value-based arrangements and ensuring compliance with healthcare laws and regulations.
Drive enterprise value by identifying automation opportunities and designing AI-enabled solutions across healthcare segments. Partner with cross-functional teams to define success indicators and guide automation use cases from concept to validation.
Develop and maintain value-based pro forma scenario models while reducing manual work through automation. Provide analytical support for IDN negotiations and communicate results to business partners.
Responsible for behavioral health care strategies and operations, including making clinical determinations on requested services and levels of care. The role involves reviewing complex clinical scenarios, conducting peer-to-peer discussions with external physicians, and ensuring regulatory compliance.
The Medicare Sales Field Agent will build trust and educate individuals on Medicare Advantage plans through face-to-face interactions and community engagement. They are responsible for driving self-generated sales, meeting performance goals, and expanding Humana's market presence within their assigned territory.
The agent will build trust and educate individuals on Medicare Advantage plans through face-to-face interactions and community engagement. They are responsible for driving self-generated sales and meeting performance goals within their designated local territory.
You will build trust and educate individuals on Medicare Advantage plans while conducting grassroots marketing and in-home visits. Additionally, you are responsible for driving self-generated sales and meeting performance goals within your local community.
The role involves building trust and educating individuals on Medicare Advantage plans through face-to-face interactions and community events. Agents are responsible for driving self-generated sales and meeting performance goals within their designated territory.
The Medicare Sales Field Agent will build trust and educate individuals on Medicare Advantage plans and additional offerings through face-to-face interactions. They are responsible for driving self-generated sales, meeting performance goals, and expanding the company's presence in the local community.
The Medicare Sales Field Agent will build trust and educate individuals on Medicare Advantage plans through face-to-face interactions and community engagement. They are responsible for driving self-generated sales, meeting performance goals, and expanding Humana's presence within their designated local territory.
The Medicare Sales Field Agent will build trust and educate individuals on Medicare Advantage plans through face-to-face interactions and community events. They are responsible for driving self-generated sales and expanding Humana's market presence within their designated local territory.
The Medicare Sales Field Agent will build trust and educate individuals on Medicare Advantage plans and additional offerings through face-to-face interactions. They are responsible for driving self-generated sales, meeting performance goals, and expanding Humana's presence within the local community.
The Medicare Sales Field Agent will build trust and educate individuals on Medicare Advantage plans through face-to-face interactions and community events. They are responsible for driving self-generated sales, meeting performance goals, and expanding the company's presence within their assigned local territory.
The agent will build trust by educating individuals on Humana's Medicare Advantage plans and related offerings through face-to-face connections, community events, and in-home visits. Responsibilities also include driving self-generated sales, meeting performance goals, and expanding market presence by becoming a valued community resource.
The role involves building trust and educating individuals on Humana's Medicare Advantage plans through face-to-face interactions. Agents will also engage in grassroots marketing and community events to expand Humana's presence in the market.
The role involves building trust and educating individuals on Humanaβs Medicare Advantage plans while creating meaningful connections through community engagement. Agents will drive self-generated sales and expand Humanaβs presence in the market.
The Medicare Sales Field Agent will build trust and educate individuals on Humana's Medicare Advantage plans while creating meaningful connections through community engagement. The role involves self-generating sales and expanding Humana's presence in the market.
The role involves building trust and educating individuals on Humanaβs Medicare Advantage plans while creating meaningful connections through community engagement. Agents will drive self-generated sales and expand Humanaβs presence in the market.
The role involves building trust and educating individuals on Humanaβs Medicare Advantage plans while creating meaningful connections through community engagement. Agents will drive self-generated sales and expand Humanaβs presence in the market.
The Medicare Sales Field Agent will build trust and educate individuals on Humana's Medicare Advantage plans while creating meaningful connections through community events and in-home visits. The role involves self-generated sales and expanding Humana's presence in the market.
Build trust and educate individuals on Humana's Medicare Advantage plans while creating meaningful connections through community engagement. Self-generate sales and meet performance goals to expand Humana's presence in the market.
The Medicare Sales Field Agent will build trust and educate individuals on Humana's Medicare Advantage plans while creating meaningful connections through community engagement. The role involves self-generating sales and expanding Humana's presence in the market.
As a Medicare Sales Field Agent, you will build trust and educate individuals on Humana's Medicare Advantage plans while creating meaningful connections through community engagement. You will also be responsible for self-generating sales and expanding Humana's presence in the market.
The Medicare Sales Field Agent will build trust and educate individuals on Humanaβs Medicare Advantage plans while creating meaningful connections through community engagement. They will drive self-generated sales and expand Humanaβs presence in the market.
The role involves building trust and educating individuals on Humanaβs Medicare Advantage plans while creating meaningful connections through community events and in-home visits. Agents are expected to drive self-generated sales and expand Humanaβs market presence.
The role involves building trust and educating individuals on Humanaβs Medicare Advantage plans while creating meaningful connections through community engagement. Agents will drive self-generated sales and expand Humanaβs presence in the market.
The Medicare Sales Field Agent will build trust and educate individuals on Humanaβs Medicare Advantage plans while creating meaningful connections through community events and in-home visits. The role also involves driving self-generated sales and expanding Humanaβs presence in the market.
The role involves building trust and educating individuals on Humanaβs Medicare Advantage plans while creating meaningful connections through community engagement. Agents will drive self-generated sales and expand Humanaβs presence in the market.
The Medicare Sales Field Agent will build trust and educate individuals on Humanaβs Medicare Advantage plans while creating meaningful connections through community events and in-home visits. The role also involves driving self-generated sales and expanding Humanaβs market presence.
The Medicare Sales Field Agent will build trust and educate individuals on Humanaβs Medicare Advantage plans while creating meaningful connections through community engagement. The role involves driving self-generated sales and expanding Humanaβs presence in the market.
The Medicare Sales Field Agent will build trust and educate individuals on Humanaβs Medicare Advantage plans while creating meaningful connections through community engagement. They will drive self-generated sales and expand Humanaβs presence in the market.
The Medicare Sales Field Agent will build trust and educate individuals on Humanaβs Medicare Advantage plans while creating meaningful connections through community engagement. They will also drive self-generated sales and expand Humanaβs market presence.
Bilingual Medicare Sales Field Agent (English - Vietnamese / Chinese) - West / SW Harris and Fort Bend County
Humana
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Full Time
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8 months ago
Humana
As a Bilingual Medicare Sales Field Agent, you will educate individuals on Humanaβs Medicare Advantage plans and create meaningful connections through community engagement. You will also drive self-generated sales and expand Humanaβs presence in the market.
Medicare Sales Field Agent - SW Harris and Fort Bend County
Humana
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Full Time
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8 months ago
Humana
As a Medicare Sales Field Agent, you will build trust and educate individuals on Humanaβs Medicare Advantage plans while creating meaningful connections through community engagement. You will drive self-generated sales and expand Humanaβs presence in the market.
Bilingual Medicare Sales Field Agent (English / Spanish) - East / SE Harris County
Humana
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Full Time
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8 months ago
Humana
As a Bilingual Medicare Sales Field Agent, you will build trust and educate individuals on Humanaβs Medicare Advantage plans while creating meaningful connections through community engagement. You will also drive self-generated sales and expand Humanaβs presence in the market.
As a Medicare Sales Field Agent, you will build trust and educate individuals on Humanaβs Medicare Advantage plans while creating meaningful connections through community engagement. You will drive self-generated sales and expand Humanaβs presence in the market.
As a Medicare Sales Field Agent, you will build trust and educate individuals on Humanaβs Medicare Advantage plans while creating meaningful connections through community events and in-home visits. Your role will also involve driving self-generated sales and expanding Humanaβs presence in the market.
As a Medicare Sales Field Agent, you will build trust and educate individuals on Humanaβs Medicare Advantage plans while creating meaningful connections through community events and in-home visits. Your role will involve driving self-generated sales and expanding Humanaβs presence in the market.
As a Medicare Sales Field Agent, you will build trust and educate individuals on Humanaβs Medicare Advantage plans while creating meaningful connections through community engagement. You will drive self-generated sales and expand Humanaβs presence in the market.
As a Medicare Sales Field Agent, you will build trust and educate individuals on Humanaβs Medicare Advantage plans while creating meaningful connections through community engagement. You will drive self-generated sales and expand Humanaβs presence in the market.
As a Medicare Sales Field Agent, you will build trust and educate individuals on Humanaβs Medicare Advantage plans while creating meaningful connections through community engagement. You will drive self-generated sales and expand Humanaβs presence in the market.
The Senior Stars Improvement, Clinical Professional is responsible for the development, implementation, and management oversight of the company's Medicare/Medicaid Stars Program. This role involves monitoring provider performance in key performance indicators related to preventive care and chronic conditions.
The Quality Assurance, Clinical Professional 2 develops and implements programs to maintain quality standards and conducts quality audits to improve care management services. This role collaborates with various partners on quality, process, and performance improvement initiatives.
The Director of Investment Governance & Portfolio Management will oversee the IT organizationβs investment governance processes, ensuring alignment with strategic objectives. This includes managing the intake, prioritization, and execution of investment initiatives while collaborating with cross-functional stakeholders.
The Associate Director of Care Management will lead teams responsible for care management, overseeing the assessment and evaluation of members' needs. They will guide the development and implementation of care management programs while ensuring effective communication with stakeholders.
The Sales Support Professional 1 provides timely and effective sales administrative support to assist with the acquisition or retention of customers. This role involves supporting the Sales team throughout the sales cycle and collaborating with internal stakeholders.
The Pharmacy Contracting Professional 2 ensures all published materials support the contracting process and may perform analysis regarding pharmacy claims and purchasing data. They draft communications for stakeholder review and coordinate with various departments to publish communications.
The Informatics Lead is responsible for leading the development and refinement of EOC volume forecasting models for Humana Clinical Pharmacy Review activities. This position supports operational resource planning and integrates business initiatives while ensuring forecast accuracy.
The Senior Pharmacy Contracting Professional conducts all aspects of pharmaceutical contracting and pricing, including development, implementation, and maintenance. They oversee relationships with Humana pharmacy partners and support pharmacies throughout the contracting process.
As a Medicare Sales Field Agent, you will build trust and educate individuals on Humanaβs Medicare Advantage plans while creating meaningful connections through community engagement. You will drive self-generated sales and expand Humanaβs presence in the market.
As a Medicare Sales Field Agent, you will build trust and educate individuals on Humanaβs Medicare Advantage plans while creating meaningful connections through community events and in-home visits. Your role will also involve driving self-generated sales and expanding Humanaβs market presence.
The Senior Quality Assurance, Clinical Professional consults and collaborates with clinicians to ensure high accountability of compliance and quality. They conduct case audits, assist with audit preparation, and support quality improvement projects.