Humana

Market Finance Lead - Provider Analytics

Humana · Full Time · 4 hours ago

Humana

🌎 United States 💵 $104K - $143K per year ⭐ 10+ yrs exp 💼 Software Development

The Market Finance Lead drives analytics for IDN and PCP risk negotiations through financial modeling and scenario analysis. They partner with market presidents and strategy leaders to translate enterprise models into market-specific financial narratives.

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Lead Data Engineer

Humana · Full Time · 5 hours ago

Humana

🌎 United States 💵 $142K - $195K per year ⭐ 5-10 yrs exp 💼 Software Development

Lead the design, optimization, and maintenance of the Part D and PDP data analytics platform within Databricks. Architect scalable data pipelines and collaborate with cross-functional teams to improve reliability and reduce technical debt.

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Utilization Management Administration Coordinator - SNF

Humana · Full Time · 5 hours ago

Humana

🌎 United States 💵 $40000 - $52300 per year ⭐ 0-2 yrs exp 💼 Others

Provide non-clinical administrative support for utilization management by managing chart reviews and building authorizations. Coordinate with providers and members to verify clinical information and distribute determination letters.

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Accountant

Humana · Full Time · 5 hours ago

Humana

🌎 United States 💵 $65000 - $88600 per year ⭐ 2-5 yrs exp 💼 Finance

The Accountant 2 is responsible for preparing and reconciling ledger accounts, financial statements, and statutory reports. They provide financial support through budgeting, forecasting, and ensuring compliance with accounting policies.

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Risk Adjustment Coder

Humana · Full Time · 6 hours ago

Humana

🌎 United States 💵 $48300 - $65900 per year ⭐ 2-5 yrs exp 💼 Software Development

Conduct quality assurance coding of medical records using ICD-10 codes for submission to CMS and other government agencies. Ensure coding accuracy is supported by clinical documentation and report conditions that map to HCCs.

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AVP, Implementation and Service Delivery

Humana · Full Time · 6 hours ago

Humana

🌎 United States 💵 $168K - $231K per year ⭐ 5-10 yrs exp 💼 Others

Oversees end-to-end operational delivery for pharmacy functions, including new client implementations and ongoing service delivery. Ensures services are delivered reliably and compliantly while balancing growth, risk, cost, and customer outcomes.

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Senior Backend Developer/ DevSecOps Engineer

Humana · Full Time · 6 hours ago

Humana

🌎 United States 💵 $117K - $161K per year ⭐ 5-10 yrs exp 💼 Software Development

Develop and optimize scalable backend microservices using .NET and Azure to secure the enterprise software supply chain. Architect CI/CD pipeline orchestration and gating processes to reduce technical debt and improve software delivery security.

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Lead, Data Analyst

Humana · Full Time · 8 hours ago

Humana

🌎 United States 💵 $115K - $158K per year ⭐ 5-10 yrs exp 💼 Software Development

Lead the development and optimization of audience segmentation strategies using the Adobe Experience Platform to support marketing campaigns. Serve as a strategic consultant to marketing partners and oversee the transition of campaigns from legacy platforms to AEP.

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Humana Seasonal Opportunities - Remote

Humana · Full Time · 8 hours ago

Humana

🌎 United States 💵 $39000 - $49400 per year ⭐ 0-2 yrs exp 💼 Others

Process member applications and transmit enrollment information to CMS while resolving member inquiries. Handle inbound calls from potential members and agents to correct application errors and ensure access to care.

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Senior Incident Management Practice Engineer

Humana · Full Time · 9 hours ago

Humana

🌎 United States 💵 $89000 - $121K per year ⭐ 5-10 yrs exp 💼 Software Development

Design and evolve the enterprise Incident Management practice with a focus on AI enablement, automation, and AIOps. Lead the transformation of ITSM capabilities to proactively detect and prevent service disruptions while integrating with Problem, Change, and Knowledge Management.

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Director, Enterprise Quality Engineering

Humana · Full Time · 9 hours ago

Humana

🌎 United States 💵 $156K - $215K per year ⭐ 10+ yrs exp 💼 Others

Lead the enterprise orchestration of cross-platform quality validation, integration assurance, and end-to-end business workflow certification. Establish standards for automation and reliability while leveraging AI-enabled practices to improve release confidence and production quality.

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Provider Relations Representative, LTSS/BH

Humana · Full Time · 12 hours ago

Humana

🌎 United States 💵 $59300 - $80900 per year ⭐ 2-5 yrs exp 💼 Others

Manage day-to-day relationships with LTSS and HCBS providers in the Virginia Medicaid network to ensure positive experiences and retention. Provide onboarding, training, and issue resolution support while collaborating with internal business teams to optimize provider interactions.

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Field Service Coordinator

Humana · Full Time · 14 hours ago

Humana

🌎 United States 💵 $53700 - $72600 per year ⭐ 2-5 yrs exp 💼 Others

The coordinator assesses member needs to develop and implement person-centered care plans and long-term services and supports (LTSS). They facilitate connections between members, families, and community resources to improve health outcomes and overall well-being.

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Field Service Coordinator

Humana · Full Time · 14 hours ago

Humana

🌎 United States 💵 $53700 - $72600 per year ⭐ 2-5 yrs exp 💼 Others

The Field Service Coordinator assesses member needs to develop person-centered care plans and facilitate access to long-term services and supports. They coordinate with providers and community resources to promote member well-being and improve health outcomes.

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Utilization Management Registered Nurse

Humana · Full Time · a day ago

Humana

🌎 Trinidad and Tobago, United States 💵 $71100 - $97800 per year ⭐ 2-5 yrs exp 💼 Healthcare

The nurse uses clinical skills to coordinate and document medical services and benefit determinations for post-acute care. Responsibilities include making determinations based on medical criteria and communicating with providers and members to facilitate treatment.

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IFG Customer Success Agent

Humana · Full Time · a day ago

Humana

🌎 United States 💵 $48900 - $66200 per year ⭐ 2-5 yrs exp 💼 Sales

Support Medicare customers by providing education, guidance, and problem-solving regarding plan benefits and eligibility. Collaborate with sales agents and carrier partners to ensure a compliant and positive customer experience.

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Member Services Lead

Humana · Full Time · a day ago

Humana

🌎 United States 💵 $104K - $143K per year ⭐ 10+ yrs exp 💼 Support

The Member Services Lead optimizes interactions between the company and its members by identifying friction points and automation opportunities. They advise executives on functional strategies and exercise independent judgment to improve the overall member experience.

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Provider Contracting Executive

Humana · Full Time · a day ago

Humana

🌎 United States 💵 $94900 - $130K per year ⭐ 5-10 yrs exp 💼 Others

The Provider Contracting Executive initiates, negotiates, and executes contracts with physicians and hospitals while analyzing the financial impact of reimbursement rates. They communicate contract terms to providers in the Gulf South Region and advise executives on functional strategies.

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Field Care Manager, Behavioral Health 2

Humana · Full Time · a day ago

Humana

🌎 United States 💵 $65000 - $88600 per year ⭐ 2-5 yrs exp 💼 Healthcare

Provide integrated behavioral health care management for members with complex needs, including SMI, SUD, and SED populations. Act as the primary point of contact and driver of the interdisciplinary care team to coordinate medical and behavioral services.

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Agency Management Professional 1

Humana · Full Time · a day ago

Humana

🌎 France, Trinidad and Tobago, United States 💵 $48900 - $66200 per year ⭐ 2-5 yrs exp 💼 Others

Responsible for preparing and maintaining contract agreements for agents with Medicare carriers and vendors. Provides support to partners and agents via telephone, email, and CRM to resolve inquiries and update existing contracts.

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Subrogation Representative

Humana · Full Time · a day ago

Humana

🌎 United States 💵 $34400 - $45000 per year ⭐ 2-5 yrs exp 💼 Others

Identify, investigate, and recover funds from third parties legally liable for medical expenses. Collaborate with attorneys and insurance professionals to assess liability and maintain accurate Coordination of Benefits records.

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Principal Service Designer

Humana · Full Time · a day ago

Humana

🌎 United States 💵 $150K - $206K per year ⭐ 10+ yrs exp 💼 Design

Lead complex, cross-functional design initiatives to orchestrate seamless member experiences across the healthcare ecosystem. Define service strategies and create blueprints to align member needs with operational capabilities.

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Provider Engagement Professional

Humana · Full Time · a day ago

Humana

🌎 United States 💵 $48900 - $66200 per year ⭐ 2-5 yrs exp 💼 Others

Develop and maintain long-term relationships with the dental provider network to improve financial and quality performance. Educate providers on network value, assist with claims resolution, and manage credentialing and contracting processes.

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VP, Chief Financial Officer, Pharmacy

Humana · Full Time · a day ago

Humana

🌎 United States ⭐ 10+ yrs exp 💼 Finance

Oversee financial operations for CenterWell Pharmacy, including forecasting, budgeting, and strategic decision-making to optimize business performance. Lead financial reporting, revenue cycle oversight, and cross-functional integration across the pharmacy ecosystem.

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Director of Service Design

Humana · Full Time · a day ago

Humana

🌎 United States 💵 $168K - $231K per year ⭐ 10+ yrs exp 💼 Design

Lead complex, cross-functional service design initiatives to orchestrate seamless member experiences across digital and offline touchpoints. Define service strategy, create ecosystem models, and mentor designers to align operational capabilities with member needs.

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Associate Director, Edge Security & Traffic Management

Humana · Full Time · a day ago

Humana

🌎 United States 💵 $156K - $215K per year ⭐ 5-10 yrs exp 💼 Others

Lead the design, build, and operation of enterprise traffic management and edge security platforms to ensure secure connectivity and high availability. Oversee multi-disciplinary engineering and operations teams while driving modernization and standardization across hybrid cloud environments.

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Senior Compliance Professional

Humana · Full Time · a day ago

Humana

🌎 United States 💵 $86300 - $118K per year ⭐ 5-10 yrs exp 💼 Legal

The Senior Compliance Professional ensures adherence to government regulations for Medicare Pharmacy and Part D programs. This includes developing monitoring and auditing plans to prevent and resolve compliance issues across pharmacy services.

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Senior Cybersecurity Engineer

Humana · Full Time · a day ago

Humana

🌎 United States 💵 $117K - $161K per year ⭐ 2-5 yrs exp 💼 Software Development

Design, author, and deploy dynamic Policy-Based Access Control (PBAC) policies to enable fine-grained authorization. Manage the policy lifecycle and integrate authorization solutions using RESTful APIs and Azure infrastructure.

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Quality Compliance Professional

Humana · Full Time · a day ago

Humana

🌎 United States 💵 $71100 - $97800 per year ⭐ 2-5 yrs exp 💼 Legal

The professional completes annual quality reviews and medical records reviews for Coordination of Care studies. They analyze data to implement corrective actions and enter supplemental data into databases.

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Telephonic Care Coach

Humana · Full Time · a day ago

Humana

🌎 United States 💵 $53700 - $72600 per year ⭐ 2-5 yrs exp 💼 Teaching

The Telephonic Care Coach assesses and evaluates members' needs to guide them towards optimal wellness. They employ various strategies to manage health issues and ensure progress towards desired outcomes.

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Lead Enterprise Architect

Humana · Full Time · a day ago

Humana

🌎 United States 💵 $142K - $195K per year ⭐ 10+ yrs exp 💼 Software Development

The Lead Enterprise Architect will define and promote enterprise API architecture and governance while ensuring effective lifecycle management and driving consistency across integrations. This role also involves collaborating with various teams to establish a comprehensive enterprise API ecosystem.

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Fraud and Waste Investigator

Humana · Full Time · 2 days ago

Humana

🌎 United States 💵 $65000 - $88600 per year ⭐ 2-5 yrs exp 💼 Others

Conduct investigations into fraudulent and abusive healthcare practices and coordinate with internal partners and law enforcement. Assemble evidence and prepare complex investigative and audit reports to support adjudication.

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Senior Physician Recruiter-VSP

Humana · Full Time · 2 days ago

Humana

🌎 United States 💵 $86300 - $118K per year ⭐ 2-5 yrs exp 💼 Healthcare

Lead high-level sourcing strategies to recruit qualified physicians and Advanced Practice Providers (APPs) for the Care Delivery Organization. Collaborate with HR teams and hiring leaders to implement recruitment tactics and manage candidate pipelines through ATS and CRM tools.

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Lead Data Scientist

Humana · Full Time · 2 days ago

Humana

🌎 United States 💵 $142K - $195K per year ⭐ 5-10 yrs exp 💼 Software Development

The Lead Data Scientist develops advanced analytics solutions, including predictive models and forecasting, to improve member engagement and HEDIS Stars performance for in-home programs. They manage the end-to-end data science lifecycle and translate complex findings into actionable insights for senior leadership.

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Senior Epic Configuration Analyst

Humana · Full Time · 2 days ago

Humana

🌎 United States 💵 $97900 - $133K per year ⭐ 2-5 yrs exp 💼 Others

Configure and maintain Epic workflows for Utilization Management and Long-Term Services and Support to enhance provider experience. Partner with stakeholders to translate clinical requirements into scalable digital healthcare capabilities and manage end-to-end testing and implementation.

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Program Delivery Lead – Patient Experience Enablement

Humana · Full Time · 2 days ago

Humana

🌎 United States 💵 $115K - $158K per year ⭐ 5-10 yrs exp 💼 Product

Drive the translation of patient experience insights into prioritized actions and sustained performance improvements across the enterprise. Establish frameworks and scalable workflows to operationalize survey feedback and align them with market and Stars priorities.

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Senior Product Owner

Humana · Full Time · 2 days ago

Humana

🌎 United States 💵 $94900 - $130K per year ⭐ 2-5 yrs exp 💼 Product

The Senior Product Owner defines the product vision and roadmap by managing the product backlog and creating user stories for an Agile delivery team. They act as a primary liaison between business stakeholders and IT to optimize system design and ensure the delivery of high-value functionality.

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Associate Actuary - Provider Analytics

Humana · Full Time · 2 days ago

Humana

🌎 United States 💵 $106K - $147K per year ⭐ 2-5 yrs exp 💼 Software Development

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.

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Group Medicare Consumer Engagement Professional

Humana · Full Time · 2 days ago

Humana

🌎 United States 💵 $58700 - $70400 per year ⭐ 2-5 yrs exp 💼 Others

Oversee member engagement strategies and execute educational events to drive utilization of Medicare benefit offerings. Act as a primary liaison between the company, brokers, and clients to ensure enrollment success and maintain strong professional relationships.

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VP, Applied AI Solutions

Humana · Full Time · 2 days ago

Humana

🌎 United States ⭐ 10+ yrs exp 💼 Software Development

Lead the organization's AI strategy, development, and deployment of AI solutions across various business units. Oversee the design of scalable AI models and partner with the enterprise AI program to drive adoption and innovation.

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Lead Research Scientist - Stars Decision Science

Humana · Full Time · 2 days ago

Humana

🌎 United States 💵 $138K - $191K per year ⭐ 5-10 yrs exp 💼 Software Development

Develop advanced analytics and decision science frameworks to translate complex business problems into actionable recommendations for Star Rating performance. Create simulation and prioritization frameworks to quantify risks and benefits impacting Medicare Advantage members.

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Senior Pharmacy Professional

Humana · Full Time · 2 days ago

Humana

🌎 United States 💵 $71100 - $97800 per year ⭐ 2-5 yrs exp 💼 Healthcare

Serve as a pharmacy subject matter expert for the Wisconsin market, researching complex claims and resolving member issues. Lead the Pharmacy Steering Committee and collaborate with care management teams to improve processes and ensure regulatory compliance.

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Process Improvement Lead - Medicaid

Humana · Full Time · 3 days ago

Humana

🌎 United States 💵 $94900 - $130K per year ⭐ 5-10 yrs exp 💼 Others

The Process Improvement Lead analyzes business processes to develop sustainable, quantifiable improvements and ensures departmental efficiency and compliance. They serve as the point person for audits, quality reviews, and the onboarding and training of new hires.

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Senior Provider Contracting Professional - Behavioral Health/Medicaid

Humana · Full Time · 3 days ago

Humana

🌎 United States 💵 $78400 - $107K per year ⭐ 2-5 yrs exp 💼 Healthcare

Initiate, negotiate, and execute provider contracts and agreements specifically for behavioral health and Medicaid networks. Manage large accounts and maintain productive long-term relationships with hospital and group practice administrators.

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Senior Professional, OpenText Dialogue Developer

Humana · Full Time · 3 days ago

Humana

🌎 United States 💵 $78400 - $107K per year ⭐ 5-10 yrs exp 💼 Software Development

Compose and execute regulated Medicare and Medicaid communications using OpenText Dialogue and other CCM tools. Collaborate with strategy teams to translate requirements into dynamic templates while ensuring regulatory compliance and operational excellence.

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Medical Director Behavioral Health, Medicaid

Humana · Full Time · 3 days ago

Humana

🌎 United States 💵 $223K - $313K per year ⭐ 5-10 yrs exp 💼 Healthcare

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.

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Procurement Lead

Humana · Full Time · 5 days ago

Humana

🌎 United States 💵 $104K - $143K per year ⭐ 5-10 yrs exp 💼 Finance

Lead the development of category strategies and sourcing plans while overseeing negotiations and supplier relationships. Act as a trusted advisor to functional leaders to drive enterprise-wide value and corporate compliance.

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Lead, MarTech Capabilities - Next Best Action Engine

Humana · Full Time · 5 days ago

Humana

🌎 United States 💵 $126K - $173K per year ⭐ 5-10 yrs exp 💼 Others

Lead the strategy and execution of Next Best Action frameworks using Adobe Journey Optimization to deliver personalized customer engagements. Collaborate with cross-functional teams to design dynamic content frameworks and scalable journey orchestration patterns.

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Counsel

Humana · Full Time · 5 days ago

Humana

🌎 United States 💵 $138K - $191K per year ⭐ 5-10 yrs exp 💼 Legal

Provide legal guidance on AI initiatives, including the development, governance, and implementation of responsible AI systems. Support AI-related litigation, regulator inquiries, and e-Discovery counseling across the EDRM.

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Experience & Service Simplification Lead

Humana · Full Time · 5 days ago

Humana

🌎 United States 💵 $104K - $143K per year ⭐ 5-10 yrs exp 💼 Others

Lead the execution of an AI-native digital playbook to simplify services and improve stakeholder experiences. Collaborate cross-functionally to integrate generative AI tools into discovery, prototyping, and solution refinement workflows.

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Community Engagement Liaison

Humana · Full Time · 5 days ago

Humana

🌎 United States 💵 $58700 - $70400 per year ⭐ 2-5 yrs exp 💼 Others

The role acts as a connector between the organization and the community by building strategic partnerships and supporting outreach initiatives. It involves representing the organization at events and using data-driven strategies to improve member engagement and health outcomes.

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Growth Strategy Consultant

Humana · Full Time · 5 days ago

Humana

🌎 United States 💵 $103K - $142K per year ⭐ 2-5 yrs exp 💼 Marketing

The consultant will lead high-priority strategy projects, focusing on Medicare Advantage growth and business performance analysis. Responsibilities include conducting market research, creating high-quality deliverables, and collaborating with executive leadership to transition analysis into execution.

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Microsoft 365 Unified Communication Engineer

Humana · Full Time · 5 days ago

Humana

🌎 United States 💵 $117K - $161K per year ⭐ 10+ yrs exp 💼 Software Development

Lead the design, modernization, and optimization of enterprise collaboration and AI-enabled workplace platforms within the Microsoft 365 ecosystem. Drive complex M365 migrations and implement AI capabilities like Microsoft Copilot to enhance organizational productivity.

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Senior Cybersecurity Engineer

Humana · Full Time · 6 days ago

Humana

🌎 United States 💵 $117K - $161K per year ⭐ 5-10 yrs exp 💼 Software Development

Develop and test information security tools and system solutions to safeguard sensitive data from breaches. Oversee the design and deployment of data protection products and security controls within Azure and GCP cloud environments.

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Channel Development Lead

Humana · Full Time · 6 days ago

Humana

🌎 United States 💵 $115K - $158K per year ⭐ 5-10 yrs exp 💼 Others

Lead the development and execution of channel strategies to improve Stars outcomes across the enterprise. Partner with cross-functional teams to translate strategy into operational delivery and manage high-impact channel initiatives.

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Senior Business Intelligence Engineer

Humana · Full Time · 6 days ago

Humana

🌎 United States 💵 $89000 - $121K per year ⭐ 5-10 yrs exp 💼 Software Development

Build and manage ETL processes and data pipelines within an Azure Databricks environment to support reporting and analytics. Integrate data from multiple sources to maintain dashboards and influence business strategy through technical guidance.

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Lead Experience Architect, Adobe Journey Optimizer

Humana · Full Time · 6 days ago

Humana

🌎 United States 💵 $126K - $173K per year ⭐ 5-10 yrs exp 💼 Software Development

The role focuses on designing scalable journey architectures and blueprints using Adobe Journey Optimizer to align business goals with real-time personalization. It involves leading agile pods to validate journey logic and collaborating with data science teams to embed NBA logic into customer experiences.

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Associate Director, B2B Marketing

Humana · Full Time · 6 days ago

Humana

🌎 United States 💵 $138K - $191K per year ⭐ 10+ yrs exp 💼 Marketing

Lead the strategy and execution of B2B marketing programs and sales enablement resources to drive regional growth and intermediary engagement. Oversee a team of professionals to deliver compliant marketing solutions and optimize business outcomes through data-driven insights.

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Director, State Affairs - Texas

Humana · Full Time · 6 days ago

Humana

🌎 United States 💵 $168K - $231K per year ⭐ 10+ yrs exp 💼 Others

Lead state advocacy and government engagement strategies across Colorado, New Mexico, and Texas to advance policy priorities. Serve as the primary liaison between the company and state officials, including governors, legislatures, and regulatory agencies.

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Senior Digital Forensics and Incident Response Engineer

Humana · Full Time · 6 days ago

Humana

🌎 United States 💵 $117K - $161K per year ⭐ 5-10 yrs exp 💼 Software Development

Provide technical expertise in digital forensics and incident response to support remediation and root-cause identification. Manage real-time forensic capabilities to analyze data correlations and create investigative reports for leadership.

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CarePlus Bilingual Call Center Rep - Puerto Rico

Humana · Full Time · 6 days ago

Humana

🌎 United States ⭐ 2-5 yrs exp 💼 Support

Handle inbound and outbound calls from Medicare members to resolve complex benefits questions and educate members on services. Accurately record interaction details and escalate unresolved customer grievances according to company policy.

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Administrative Assistant III (Executive)

Humana · Full Time · 6 days ago

Humana

🌎 United States 💵 $53100 - $72500 per year ⭐ 5-10 yrs exp 💼 Data Entry

Provide high-level administrative support to three senior executives, including managing complex calendars and coordinating travel arrangements. Act as a primary point of contact for internal and external stakeholders while handling expense reconciliation and presentation materials.

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Claims Research & Resolution Representative

Humana · Full Time · 6 days ago

Humana

🌎 United States 💵 $43000 - $56200 per year ⭐ 2-5 yrs exp 💼 Legal

Manage claims operations including the investigation and settlement of claims for and against the organization. Coordinate with insurance companies, providers, and members to resolve pending claims and administrative tasks.

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Compliance Lead (Pharmacy)

Humana · Full Time · 6 days ago

Humana

🌎 United States 💵 $115K - $158K per year ⭐ 5-10 yrs exp 💼 Legal

The Compliance Lead ensures pharmacy operations adhere to governmental requirements and Medicare Part B and D regulations. This includes developing compliance policies, conducting risk assessments, and managing relationships with regulatory agencies like CMS.

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Encounter Data Management Lead

Humana · Full Time · 7 days ago

Humana

🌎 United States 💵 $94900 - $130K per year ⭐ 5-10 yrs exp 💼 Data Entry

Lead AI-driven reconciliation and automation efforts to improve encounter data quality and reduce manual workloads. Monitor AI model performance and collaborate with technical teams to optimize outcomes and scale automation solutions.

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Senior Cloud Solutions Engineer

Humana · Full Time · 7 days ago

Humana

🌎 United States 💵 $106K - $147K per year ⭐ 5-10 yrs exp 💼 Software Development

Design and develop cloud-based big data solutions and applications primarily using Microsoft Azure. Collaborate with stakeholders and product managers to implement the organization's cloud strategy and enhance management platforms.

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Senior Finance BI Engineer

Humana · Full Time · 7 days ago

Humana

🌎 United States 💵 $89000 - $121K per year ⭐ 5-10 yrs exp 💼 Software Development

The role involves solving complex business problems by analyzing internal and external data to provide insights for decision-makers. Key tasks include supporting specialty teams with analytics, managing vendor relationships, and transforming payer financial data into accounting formats.

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IFG Associate Director, Carrier Compliance

Humana · Full Time · 7 days ago

Humana

🌎 United States 💵 $138K - $191K per year ⭐ 5-10 yrs exp 💼 Legal

Lead a team of compliance professionals to monitor sales interactions and ensure carrier expectations are met for Medicare Advantage. Oversee the resolution of Complaints to Medicare (CTM) and develop strategies to minimize compliance risk exposure.

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Lead Cloud Solutions Engineer

Humana · Full Time · 7 days ago

Humana

🌎 United States 💵 $129K - $177K per year ⭐ 10+ yrs exp 💼 Software Development

Lead the development and execution of the organization's cloud implementation strategy, primarily within Azure, to enable analytics and data science insights. This includes designing, planning, and maintaining cloud architecture while mentoring developers and collaborating with stakeholders.

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Lead IGA Solutions Engineer(remote)

Humana · Full Time · 7 days ago

Humana

🌎 United States 💵 $142K - $195K per year ⭐ 5-10 yrs exp 💼 Software Development

The Lead IGA Solutions Engineer is responsible for designing, implementing, and sustaining Identity Governance & Administration solutions, primarily using SailPoint Identity Security Cloud. They translate architectural strategies into scalable technical implementations and lead the engineering of identity lifecycle automation and integrations.

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Program Delivery Lead

Humana · Full Time · 7 days ago

Humana

🌎 United States 💵 $115K - $158K per year ⭐ 5-10 yrs exp 💼 Product

Manages the development, operations, and market performance of the Gulf South Region, serving as the primary operational support for the Regional President. Key duties include maintaining provider relationships, tracking pilot programs, and coordinating regional leadership meetings and strategy sessions.

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Senior Strategy Advancement Professional

Humana · Full Time · 7 days ago

Humana

🌎 United States 💵 $86300 - $118K per year ⭐ 2-5 yrs exp 💼 Others

Lead the test and learn portfolio to evaluate initiative performance and determine ROI in partnership with data science and finance teams. Develop executive-level presentations and strategic action plans to address complex organizational challenges and drive growth.

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Senior Systems Engineer

Humana · Full Time · 7 days ago

Humana

🌎 United States 💵 $97900 - $133K per year ⭐ 5-10 yrs exp 💼 Software Development

Design, configure, and maintain complex systems software solutions and critical infrastructure. Focus on automating workflows using Power Apps, Power BI, and AI integration while optimizing CI/CD pipelines.

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Financial Planning & Analysis Lead (Coding)

Humana · Full Time · 7 days ago

Humana

🌎 United States 💵 $104K - $143K per year ⭐ 10+ yrs exp 💼 Finance

The lead analyzes and forecasts financial and economic data to support strategic decisions such as acquisitions, investments, and capital expenditures. They provide guidance to executives on functional strategies and manage complex financial reporting and budgeting projects.

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Claims Research & Resolution Representative 3

Humana · Full Time · 7 days ago

Humana

🌎 United States 💵 $34400 - $45000 per year ⭐ 0-2 yrs exp 💼 Legal

Investigate and resolve complex medical claims by collaborating with providers, members, and third-party collection services. Ensure all settlements comply with internal policies and regulatory standards while managing administrative workflows.

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Senior Cloud Architect - Kubernetes

Humana · Full Time · 7 days ago

Humana

🌎 United States 💵 $129K - $177K per year ⭐ 2-5 yrs exp 💼 Software Development

Design, deploy, and maintain Kubernetes clusters on AKS and GKE platforms while integrating automation and AI capabilities. Collaborate with cross-functional teams to ensure high availability, security, and alignment with the enterprise product roadmap.

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Senior Data Engineer

Humana · Full Time · 7 days ago

Humana

🌎 United States 💵 $117K - $161K per year ⭐ 5-10 yrs exp 💼 Software Development

Design, build, and maintain enterprise-scale data processing architectures to convert structured and unstructured data into actionable insights. This includes developing AI/ML tools for data cleansing and managing the migration of legacy on-premise SQL environments to cloud platforms.

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Technology Product Owner

Humana · Full Time · 7 days ago

Humana

🌎 United States 💵 $86300 - $118K per year ⭐ 2-5 yrs exp 💼 Product

Accountable for the definition, prioritization, and delivery of technical capabilities, platform health, and system modernization for the claims service team. Collaborates with engineering and architecture teams to manage technical debt, security, and scalability while balancing the product backlog.

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Senior Data Scientist, DHA - AI Integration Retail

Humana · Full Time · 7 days ago

Humana

🌎 United States 💵 $117K - $161K per year ⭐ 5-10 yrs exp 💼 Software Development

The Senior Data Scientist transforms complex data into advanced analytic solutions using mathematics and statistics. They develop data sets and create reports and models to support business strategy and tactics.

APPLY

Operational Risk Management Lead

Humana · Full Time · 7 days ago

Humana

🌎 United States 💵 $104K - $143K per year ⭐ 5-10 yrs exp 💼 Finance

The Lead strengthens operational risk practices and enhances processes to enable data-driven decision-making across business teams. They are responsible for identifying risks, improving controls, and delivering actionable reporting on emerging trends.

APPLY

Value-Based Programs Lead (Medicaid Strategy)

Humana · Full Time · 7 days ago

Humana

🌎 United States 💵 $104K - $143K per year ⭐ 5-10 yrs exp 💼 Others

Lead the development and execution of value-based program strategies for the Medicaid segment to improve provider experience and achieve cost and quality goals. Support Medicaid RFPs by creating market-specific strategies and managing provider partnerships to expand business.

APPLY

Pharmacy Tech, Mail Ops

Humana · Full Time · 8 days ago

Humana

🌎 United States 💵 $40000 - $52300 per year ⭐ 2-5 yrs exp 💼 Healthcare

Handle outbound member calls and digital inquiries regarding pharmacy finance, including billing, payments, and outstanding balances. Process Part B claims for PDP members and manage accounts payable reporting and customer grievances.

APPLY

Associate Actuary, Analytics/Forecasting

Humana · Full Time · 8 days ago

Humana

🌎 United Kingdom, United States 💵 $106K - $147K per year ⭐ 2-5 yrs exp 💼 Software Development

Analyze and forecast financial and economic data to support strategic and operational decision-making. Develop premium variance reports, monthly revenue targets, and collaborate with actuarial and finance partners to ensure data integrity.

APPLY

Care Management Support Professional 1, SDOH Coordinator-9

Humana · Full Time · 8 days ago

Humana

🌎 United States 💵 $45400 - $61300 per year ⭐ 2-5 yrs exp 💼 Support

The role provides non-clinical support to help enrollees access community-based resources for housing, food insecurity, and other social determinants of health. It involves coordinating referrals between care managers, providers, and community organizations to improve enrollee wellness.

APPLY

Code Edit Disputes Medical Coder

Humana · Full Time · 8 days ago

Humana

🌎 United States 💵 $48300 - $65900 per year ⭐ 2-5 yrs exp 💼 Software Development

Review and educate providers regarding disputes on adjudicated claims involving code editing denials or financial recovery. Extract clinical information from medical records to assign appropriate procedural terminology and medical codes.

APPLY

Lead Product Designer

Humana · Full Time · 8 days ago

Humana

🌎 United States 💵 $104K - $143K per year ⭐ 10+ yrs exp 💼 Design

Lead the design of high-value mobile and web experiences to simplify member plan interactions across multiple lines of business. Collaborate with cross-functional partners to evolve the design system and translate consumer insights into strategic design deliverables.

APPLY

Manager, Intake & Governance

Humana · Full Time · 9 days ago

Humana

🌎 United States 💵 $94900 - $130K per year ⭐ 5-10 yrs exp 💼 Others

The Manager, Intake & Governance designs and manages the end-to-end third-party intake and governance process from business case to value realization. They establish decision rights and operating cadences to ensure strategic alignment and financial accountability for the Medicaid line of business.

APPLY

Lead Data Engineer – Modernization & Reliability

Humana · Full Time · 9 days ago

Humana

🌎 United States 💵 $142K - $195K per year ⭐ 10+ yrs exp 💼 Software Development

Lead the modernization, optimization, and stabilization of the Wisconsin Medicaid Market's data platform, including the Data Warehouse and ODS. Partner with the Market BI team to improve data access and establish Databricks pipeline patterns while directing contract resources.

APPLY

Senior Software Configurator; Workday PATT

Humana · Full Time · 9 days ago

Humana

🌎 United States 💵 $97900 - $133K per year ⭐ 2-5 yrs exp 💼 Others

Configure Workday HRIS components specifically for Payroll, Absence, and Time-Tracking to support organizational goals and associate experience. Partner with cross-functional HR and technology teams to define system requirements and provide subject matter expertise for technology integrations.

APPLY

Associate Actuary

Humana · Full Time · 9 days ago

Humana

🌎 United States 💵 $106K - $147K per year ⭐ 5-10 yrs exp 💼 Finance

Analyze and forecast financial and economic data to support strategic and operational decisions for Medicare Advantage. Own the input and reasonableness checks for underwriting margin forecasts and enhance claims/premium forecasting methodologies.

APPLY

Utilization Management RN- remote FL

Humana · Full Time · 9 days ago

Humana

🌎 United States 💵 $71100 - $97800 per year ⭐ 2-5 yrs exp 💼 Healthcare

The Utilization Management Nurse 2 coordinates and documents medical services and benefit administration determinations. They use clinical knowledge to interpret policies and communicate with providers and members to ensure optimal care.

APPLY

Utilization Management Nurse Lead

Humana · Full Time · 9 days ago

Humana

🌎 United States 💵 $94900 - $130K per year ⭐ 5-10 yrs exp 💼 Healthcare

The Nurse Lead manages utilization management trends and ensures clinical reviews comply with CMS and state regulations. They serve as a liaison with the State of Michigan and provide guidance to prior authorization associates to meet quality targets.

APPLY

AD, General Accounting

Humana · Full Time · 13 days ago

Humana

🌎 United States 💵 $126K - $173K per year ⭐ 5-10 yrs exp 💼 Finance

Lead enterprise cash reconciliation processes across Accounts Payable, premium receipts, and claims disbursements. Manage a team of finance professionals to enhance automation, strengthen internal controls, and improve visibility into cash activity.

APPLY

Dental/Dentist Fraud and Waste Lead

Humana · Full Time · 13 days ago

Humana

🌎 United States 💵 $86300 - $118K per year ⭐ 5-10 yrs exp 💼 Healthcare

Perform clinical reviews and peer-to-peer evaluations to identify dental fraud, waste, and abuse. Provide education on industry standards to investigators and coordinate with law enforcement to support case adjudication.

APPLY

Clinical Quality Assurance Specialist

Humana · Full Time · 13 days ago

Humana

🌎 United States 💵 $71100 - $97800 per year ⭐ 2-5 yrs exp 💼 Software Development

The specialist partners with clinical teams to drive excellence in patient care and regulatory compliance through data-driven insights. Responsibilities include conducting chart audits, providing clinician coaching, and implementing quality improvement strategies.

APPLY

Clinical Quality Assurance Specialist

Humana · Full Time · 13 days ago

Humana

🌎 United States 💵 $71100 - $97800 per year ⭐ 2-5 yrs exp 💼 Software Development

The specialist partners with clinical teams to drive excellence in patient care, regulatory compliance, and performance improvement. Key duties include conducting chart audits, providing clinician coaching, and implementing quality assurance strategies.

APPLY

Senior Configuration Analyst

Humana · Full Time · 13 days ago

Humana

🌎 United States 💵 $97900 - $133K per year ⭐ 2-5 yrs exp 💼 Others

Configure and maintain MyChart workflows, including Care Companion and video visits, to enhance patient and member experiences. Partner with stakeholders to translate business requirements into scalable technical specifications and manage end-to-end system validation.

APPLY

Medical Coding Auditor

Humana · Full Time · 14 days ago

Humana

🌎 United States 💵 $59300 - $80900 per year ⭐ 2-5 yrs exp 💼 Finance

The Medical Coding Auditor reviews medical claims against records to ensure compliance with ICD-10-CM, CPT, and HCPCS guidelines. They focus on increasing payment accuracy for provider contracts and conducting peer reviews for the Outpatient Facility/APC Coding Team.

APPLY

Lead Solutions Architect - CWP

Humana · Full Time · 14 days ago

Humana

🌎 United States 💵 $142K - $195K per year ⭐ 10+ yrs exp 💼 Software Development

Own the architectural vision for CenterWell's dispensing pharmacy portfolio, translating complex operational requirements into scalable architectures. Act as a bridge between business strategy and engineering execution while defining architectural patterns and standards.

APPLY

Lead Enterprise Data Steward

Humana · Full Time · 15 days ago

Humana

🌎 United States 💵 $117K - $161K per year ⭐ 5-10 yrs exp 💼 Others

Oversee the operational management of assigned data assets to ensure quality, integrity, and usability across the organization. Partner with business and technical teams to implement metadata standards and scale data stewardship practices enterprise-wide.

APPLY

Insurance Strategy Lead

Humana · Full Time · 15 days ago

Humana

🌎 United States 💵 $138K - $190K per year ⭐ 5-10 yrs exp 💼 Others

Lead high-impact strategy workstreams to define the future of Medicare and Medicaid businesses through data-driven recommendations. Collaborate with executive leadership to translate strategic choices into actionable plans that drive growth and profitability.

APPLY

Senior Data Management Professional

Humana · Full Time · 19 days ago

Humana

🌎 United States 💵 $78400 - $107K per year ⭐ 5-10 yrs exp 💼 Data Entry

Develop and optimize business processes to ensure successful submission and reconciliation of Medicaid and Medicare encounter data. Create technical solutions using Python, SQL, and Power BI to enhance data visibility and compliance.

APPLY

VP, Physician Review and Market Insights

Humana · Full Time · 19 days ago

Humana

🌎 United States ⭐ 10+ yrs exp 💼 Healthcare

Lead the Utilization Management organization as the clinical strategist and operator for Medicaid and Medicare. Oversee the integration of MDs and RNs to streamline processes, drive trend savings, and improve Star Ratings.

APPLY

Principal Software Engineer – ITSM Process Automation & AI

Humana · Full Time · 19 days ago

Humana

🌎 United States 💵 $156K - $215K per year ⭐ 10+ yrs exp 💼 Software Development

Lead the transformation of ITSM and Technology Lifecycle Management by automating complex workflows and integrating AI to eliminate manual processes. Develop a scalable catalog of AI-driven automation capabilities to optimize end-of-life tracking and operational visibility.

APPLY

Senior Application Architect

Humana · Full Time · 20 days ago

Humana

🌎 United States 💵 $106K - $147K per year ⭐ 10+ yrs exp 💼 Software Development

The Senior Application Architect designs scalable, event-driven IT solutions and contributes to implementation through 35-40% hands-on coding. They collaborate with development teams to build AI-driven solutions and ensure alignment with enterprise architecture standards.

APPLY

Senior Cloud Solutions Engineer - Contact Center

Humana · Full Time · 21 days ago

Humana

🌎 United States 💵 $106K - $147K per year ⭐ 10+ yrs exp 💼 Software Development

Lead the technical design and implementation of cloud-based contact center solutions using GCP and Google CX Agent Studio. Drive platform modernization initiatives and manage vendor partnerships to optimize CCaaS investments.

APPLY

Associate Actuary, Analytics and Forecasting

Humana · Full Time · 23 days ago

Humana

🌎 United States 💵 $106K - $147K per year ⭐ 2-5 yrs exp 💼 Software Development

Analyze and forecast financial and economic data to support strategic and operational decision-making. Develop and maintain complex cloud-based reserving models using tools like Databricks and Power BI to optimize reporting processes.

APPLY

Senior Pharmacy Clinical Advisor

Humana · Full Time · 23 days ago

Humana

🌎 United States 💵 $86300 - $118K per year ⭐ 5-10 yrs exp 💼 Healthcare

The Senior Pharmacy Clinical Advisor collaborates with cross-functional leaders to combine clinical pharmacy expertise with holistic health outcomes. They use data-driven methods to create value propositions and communicate clinical messages to executive-level audiences.

APPLY

UM BH Registered Nurse

Humana · Full Time · a month ago

Humana

🌎 United States ⭐ 2-5 yrs exp 💼 Healthcare

Conduct comprehensive clinical reviews of prior authorization requests for behavioral health services to determine medical necessity and benefit eligibility. Coordinate with healthcare providers and medical directors while documenting findings in clinical systems to ensure regulatory compliance.

APPLY

Lead, Network Architect

Humana · Full Time · a month ago

Humana

🌎 United States 💵 $129K - $177K per year ⭐ 10+ yrs exp 💼 Software Development

Design and develop next-generation IT network infrastructure solutions, focusing on scalability, resiliency, and software-defined networking. Lead the engineering, planning, and implementation of network fabrics for data centers and private cloud platforms.

APPLY

Technology Implementation Lead - Finance Data Platform

Humana · Full Time · a month ago

Humana

🌎 United States 💵 $106K - $147K per year ⭐ 5-10 yrs exp 💼 Software Development

The lead is responsible for translating business strategy into scalable cloud-first data solutions and managing the implementation of finance data platforms. This includes gathering requirements, coordinating testing, and advising executives on functional strategies and industry-leading cloud practices.

APPLY

Infrastructure Operations Lead Cloud and AI GenAI Enablement

Humana · Full Time · a month ago

Humana

🌎 United States 💵 $142K - $195K per year ⭐ 10+ yrs exp 💼 Software Development

Lead infrastructure operations and managed service providers across multi-cloud environments while driving the strategic roadmap for AI and GenAI integration. Focus on automating incident response, predictive analytics, and improving system reliability within a healthcare context.

APPLY

National Physician Leader, OneHome Expansion

Humana · Full Time · a month ago

Humana

🌎 United States 💵 $298K - $409K per year ⭐ 5-10 yrs exp 💼 Healthcare

Provide clinical leadership and oversight for post-acute utilization management across home health, SNF, and DME. Drive strategic initiatives to optimize site-of-care, improve quality, and reduce the cost of care for Medicare Advantage members.

APPLY

Lead Data Engineer

Humana · Full Time · a month ago

Humana

🌎 United States 💵 $117K - $161K per year ⭐ 5-10 yrs exp 💼 Software Development

Lead the architecture and engineering of a centralized Finance reporting data platform using Databricks lakehouse and medallion architecture. Oversee the operationalization of month-end close processes and the creation of optimized datasets for Power BI reporting.

APPLY

Bilingual RN Care Manager

Humana · Full Time · a month ago

Humana

🌎 United States 💵 $56900 - $78200 per year ⭐ 2-5 yrs exp 💼 Healthcare

The RN Care Manager provides telephonic support to members with chronic and complex health conditions to maintain optimal wellness. Responsibilities include developing individualized care plans, monitoring member progress, and collaborating with interdisciplinary teams to resolve barriers to care.

APPLY

Decision Intelligence Engineer - Next Best Action

Humana · Full Time · a month ago

Humana

🌎 United States 💵 $129K - $177K per year ⭐ 10+ yrs exp 💼 Software Development

Design and implement reinforcement learning policies and decision-making algorithms for the Next Best Action platform in healthcare. Develop training pipelines using Databricks and MLflow while ensuring clinical eligibility and production safety through simulation and backtesting.

APPLY

Utilization Management Clinical Pharmacist 2 (Contract)

Humana · Full Time · a month ago

Humana

🌎 United States 💵 $104K - $143K per year ⭐ 2-5 yrs exp 💼 Healthcare

Perform medical necessity and comprehensive medication reviews for prescriptions requiring pre-authorization. Intervene and advise patients and providers to promote cost-effective utilization and quality patient outcomes.

APPLY

Director, State Public Policy for Pharmacy and Pharmacy Benefit Management

Humana · Full Time · a month ago

Humana

🌎 United States 💵 $168K - $231K per year ⭐ 10+ yrs exp 💼 Healthcare

Lead the development and execution of state-level pharmacy policy strategy, focusing on PBM, licensure, and federal preemption. Collaborate with internal business teams and external consultants to translate policy changes into actionable business strategies and mitigate risks.

APPLY

Inpatient Medical Coding Auditor

Humana · Full Time · a month ago

Humana

🌎 United States 💵 $71100 - $97800 per year ⭐ 5-10 yrs exp 💼 Finance

Review and audit DRG and ICD-10-CM/PCS coding assignments for accuracy within the coding disputes team. Collaborate with coding professionals to ensure compliance, quality, and timeliness of dispute outcomes while communicating results to providers.

APPLY

Principal Infrastructure Architect-Disaster Recovery

Humana · Full Time · a month ago

Humana

🌎 United States 💵 $156K - $215K per year ⭐ 10+ yrs exp 💼 Software Development

The Principal IT Disaster Recovery Architect defines and implements the enterprise-wide DR strategy to ensure operational resilience across systems and applications. This role involves providing strategic guidance to infrastructure teams and collaborating with senior leadership to mature DR capabilities.

APPLY

Lead Solution Architect

Humana · Full Time · a month ago

Humana

🌎 United States 💵 $142K - $195K per year ⭐ 10+ yrs exp 💼 Software Development

Design and deliver scalable, reusable, and modular solution architectures for consumer-facing digital platforms. Integrate AI and generative AI capabilities into digital solutions while partnering with cross-functional teams to ensure security and production readiness.

APPLY

Paralegal

Humana · Full Time · a month ago

Humana

🌎 United States 💵 $59300 - $80900 per year ⭐ 2-5 yrs exp 💼 Legal

Supports a defensive litigation practice by assisting attorneys with subpoenas, bankruptcy, and medical malpractice matters. Manages a diverse caseload and coordinates complex projects within a collaborative team environment.

APPLY

Clinical Coding Educator

Humana · Full Time · a month ago

Humana

🌎 United States 💵 $59300 - $80900 per year ⭐ 2-5 yrs exp 💼 Healthcare

The role focuses on identifying provider documentation gaps and creating tailored education plans to improve coding quality. Responsibilities include analyzing audit data, conducting educational sessions, and collaborating with cross-functional teams to ensure data integrity.

APPLY

Principal Anaplan Solutions Architect

Humana · Full Time · a month ago

Humana

🌎 United States 💵 $172K - $236K per year ⭐ 10+ yrs exp 💼 Software Development

Lead the end-to-end Anaplan solution architecture for Finance and HR domains, focusing on workforce planning and management. Act as a strategic advisor to executives to align technical systems with enterprise architecture and business goals.

APPLY

Direct Marketing Sales Agent

Humana · Full Time · 2 months ago

Humana

🌎 United Kingdom, United States 💵 $40600 - $55800 per year ⭐ 2-5 yrs exp 💼 Sales

Conduct selling activities via inbound calls to assist consumers in selecting appropriate individual health plan products. Use a consultative approach to align customer needs with Humana's portfolio, including Medicare, dental, and vision plans.

APPLY

Medical Director - OneHome

Humana · Full Time · 2 months ago

Humana

🌎 United Kingdom, United States 💵 $223K - $313K per year ⭐ 5-10 yrs exp 💼 Healthcare

The Medical Director reviews clinical cases for Medicare and Medicaid members to determine the medical necessity of healthcare services. They ensure all decisions align with CMS requirements, national guidelines, and organizational policies while identifying operational improvements.

APPLY

Medicare Sales Field Agent - Houston, TX

Humana · Full Time · 2 months ago

Humana

🌎 United States 💵 $80000 - $125K per year ⭐ 2-5 yrs exp 💼 Sales

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.

APPLY

Medicare Career Sales Field Agent- South Central PA

Humana · Full Time · 2 months ago

Humana

🌎 United States 💵 $80000 - $125K per year ⭐ 2-5 yrs exp 💼 Sales

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.

APPLY

Medicare Career Sales Field Agent- Mid West PA

Humana · Full Time · 2 months ago

Humana

🌎 United States 💵 $80000 - $125K per year ⭐ 2-5 yrs exp 💼 Sales

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.

APPLY

Medicare Sales Field Agent -Charlottesville, VA

Humana · Full Time · 2 months ago

Humana

🌎 United States 💵 $80000 - $125K per year ⭐ 2-5 yrs exp 💼 Sales

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.

APPLY

Medicare Sales Field Agent - East TX

Humana · Full Time · 2 months ago

Humana

🌎 United States 💵 $80000 - $125K per year ⭐ 2-5 yrs exp 💼 Sales

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.

APPLY

Medical Director - Claims

Humana · Full Time · 2 months ago

Humana

🌎 United States 💵 $223K - $313K per year ⭐ 5-10 yrs exp 💼 Legal

The Medical Director performs clinical reviews and makes authorization determinations based on national guidelines, CMS requirements, and internal policies. They collaborate with healthcare professionals and internal teams to manage care, resolve conflicts, and support regional market priorities.

APPLY

Medicare Sales Field Agent - Chatham County, GA

Humana · Full Time · 2 months ago

Humana

🌎 United States 💵 $80000 - $125K per year ⭐ 2-5 yrs exp 💼 Sales

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.

APPLY

Medicare Sales Field Agent - Barrow County, GA

Humana · Full Time · 2 months ago

Humana

🌎 United States 💵 $80000 - $125K per year ⭐ 2-5 yrs exp 💼 Sales

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.

APPLY

Behavioral Health Medical Director

Humana · Full Time · 2 months ago

Humana

🌎 United States 💵 $223K - $313K per year ⭐ 5-10 yrs exp 💼 Healthcare

The Behavioral Health Medical Director is responsible for behavioral health care strategy, operations, and making clinical determinations regarding service authorizations. They also collaborate with external physicians and community groups to support regional market priorities and value-based care initiatives.

APPLY

Medicare Sales Field Agent - Austin, TX

Humana · Full Time · 2 months ago

Humana

🌎 United States 💵 $80000 - $125K per year ⭐ 2-5 yrs exp 💼 Sales

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 meeting performance goals to expand Humana's market presence.

APPLY

Actuary - Primary Care Organization

Humana · Full Time · 3 months ago

Humana

🌎 United States 💵 $129K - $177K per year ⭐ 5-10 yrs exp 💼 Finance

The actuary will analyze and forecast financial and economic data to support strategic decision-making and business intelligence initiatives. They will collaborate with stakeholders to identify medical claims trends and provide strategic guidance to executives while ensuring data integrity.

APPLY

Medicare Sales Field Agent - Henry County, GA

Humana · Full Time · 3 months ago

Humana

🌎 United States 💵 $80000 - $125K per year ⭐ 2-5 yrs exp 💼 Sales

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.

APPLY

Medicare Sales Field Agent - Greater Chicago, IL Area

Humana · Full Time · 3 months ago

Humana

🌎 United States 💵 $80000 - $125K per year ⭐ 2-5 yrs exp 💼 Sales

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.

APPLY

Medicare Sales Field Agent - Washington County UT

Humana · Full Time · 3 months ago

Humana

🌎 United States 💵 $80000 - $125K per year ⭐ 2-5 yrs exp 💼 Sales

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.

APPLY

Medical Director - Inpatient Review

Humana · Full Time · 3 months ago

Humana

🌎 United States 💵 $223K - $313K per year ⭐ 5-10 yrs exp 💼 Healthcare

The Medical Director performs expert clinical review of inpatient medical records, assessing medical necessity based on national guidelines, CMS regulations, and company policies. This role involves analyzing complex hospital-based cases, delivering utilization management determinations, and communicating outcomes with external providers via phone.

APPLY

Medicare Sales Field Agent - Pierce County WA

Humana · Full Time · 3 months ago

Humana

🌎 United States 💵 $80000 - $125K per year ⭐ 0-2 yrs exp 💼 Sales

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.

APPLY

Medicare Sales Field Agent - Danville, VA

Humana · Full Time · 5 months ago

Humana

🌎 United States 💵 $80000 - $125K per year ⭐ 2-5 yrs exp 💼 Sales

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.

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APPLY

Medicare Sales Field Agent - Centre County, PA

Humana · Full Time · 5 months ago

Humana

🌎 United States 💵 $80000 - $125K per year ⭐ 0-2 yrs exp 💼 Sales

The role involves building trust and educating individuals on Humana’s Medicare Advantage plans while creating meaningful connections through community engagement. Agents will drive self-generated sales and expand Humana’s presence in the market.

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APPLY

Medicare Sales Field Agent - Biloxi, Mississippi

Humana · Full Time · 5 months ago

Humana

🌎 United States 💵 $80000 - $125K per year ⭐ 0-2 yrs exp 💼 Sales

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.

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APPLY

Medicare Sales Field Agent - South Pinellas County

Humana · Full Time · 5 months ago

Humana

🌎 United States 💵 $80000 - $125K per year ⭐ 2-5 yrs exp 💼 Sales

The role involves building trust and educating individuals on Humana’s Medicare Advantage plans while creating meaningful connections through community engagement. Agents will drive self-generated sales and expand Humana’s presence in the market.

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APPLY

Medicare Sales Field Agent - Sarasota/Manatee County

Humana · Full Time · 5 months ago

Humana

🌎 United States 💵 $80000 - $125K per year ⭐ 2-5 yrs exp 💼 Sales

The role involves building trust and educating individuals on Humana’s Medicare Advantage plans while creating meaningful connections through community engagement. Agents will drive self-generated sales and expand Humana’s presence in the market.

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APPLY

Medicare Sales Field Agent - Northern Virginia

Humana · Full Time · 5 months ago

Humana

🌎 United States 💵 $80000 - $125K per year ⭐ 0-2 yrs exp 💼 Sales

The role involves building trust and educating individuals on Humana's Medicare Advantage plans while creating meaningful connections through community engagement. Agents are expected to self-generate sales and meet performance goals to expand Humana's market presence.

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APPLY

Medicare Sales Field Agent - St. Joseph, IN.

Humana · Full Time · 5 months ago

Humana

🌎 India, United States 💵 $80000 - $125K per year ⭐ 0-2 yrs exp 💼 Sales

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.

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APPLY

Medicare Sales Field Agent - Porter County, IN.

Humana · Full Time · 5 months ago

Humana

🌎 India, United States 💵 $80000 - $125K per year ⭐ 2-5 yrs exp 💼 Sales

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.

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APPLY

Medicare Sales Field Agent - Columbus, OH.

Humana · Full Time · 5 months ago

Humana

🌎 United States 💵 $80000 - $125K per year ⭐ 0-2 yrs exp 💼 Sales

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.

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APPLY

Medicare Sales Field Agent - Mobile, AL

Humana · Full Time · 5 months ago

Humana

🌎 United States 💵 $80000 - $125K per year ⭐ 0-2 yrs exp 💼 Sales

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.

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APPLY

Medicare Sales Field Agent - Central New Jersey Region

Humana · Full Time · 5 months ago

Humana

🌎 United States 💵 $80000 - $125K per year ⭐ 2-5 yrs exp 💼 Sales

The Medicare Sales Field Agent will build trust and educate individuals on Humana’s Medicare Advantage plans while creating meaningful connections through community engagement. They will drive self-generated sales and expand Humana’s presence in the market.

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Medicare Sales Field Agent - South New Jersey Region

Humana · Full Time · 5 months ago

Humana

🌎 United States 💵 $80000 - $125K per year ⭐ 0-2 yrs exp 💼 Sales

The role involves building trust and educating individuals on Humana’s Medicare Advantage plans while creating meaningful connections through community events and in-home visits. Agents are expected to drive self-generated sales and expand Humana’s market presence.

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Medicare Sales Field Agent - North New Jersey

Humana · Full Time · 5 months ago

Humana

🌎 United States 💵 $80000 - $125K per year ⭐ 2-5 yrs exp 💼 Sales

The role involves building trust and educating individuals on Humana’s Medicare Advantage plans while creating meaningful connections through community engagement. Agents will drive self-generated sales and expand Humana’s presence in the market.

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Medicare Sales Field Agent - Rockdale County, GA

Humana · Full Time · 5 months ago

Humana

🌎 United States 💵 $80000 - $125K per year ⭐ 2-5 yrs exp 💼 Sales

The role involves building trust and educating individuals on Humana’s Medicare Advantage plans while creating meaningful connections through community engagement. Agents will drive self-generated sales and expand Humana’s presence in the market.

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Medicare Sales Field Agent - Jackson County, GA

Humana · Full Time · 5 months ago

Humana

🌎 United States 💵 $80000 - $125K per year ⭐ 2-5 yrs exp 💼 Sales

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 also involves driving self-generated sales and expanding Humana’s presence in the market.

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Medicare Sales Field Agent - Walton County, GA

Humana · Full Time · 5 months ago

Humana

🌎 United States 💵 $80000 - $125K per year ⭐ 2-5 yrs exp 💼 Sales

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 also involves driving self-generated sales and expanding Humana’s market presence.

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Medicare Sales Field Agent - Charlotte, NC

Humana · Full Time · 6 months ago

Humana

🌎 United States 💵 $80000 - $125K per year ⭐ 2-5 yrs exp 💼 Sales

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 driving self-generated sales and expanding Humana’s presence in the market.

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Medicare Sales Field Agent - Allegheny County, PA

Humana · Full Time · 6 months ago

Humana

🌎 United States 💵 $80000 - $125K per year ⭐ 0-2 yrs exp 💼 Sales

The Medicare Sales Field Agent will build trust and educate individuals on Humana’s Medicare Advantage plans while creating meaningful connections through community engagement. They will drive self-generated sales and expand Humana’s presence in the market.

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Medicare Sales Field Agent - Inland Empire

Humana · Full Time · 6 months ago

Humana

🌎 United States 💵 $80000 - $125K per year ⭐ 2-5 yrs exp 💼 Sales

The Medicare Sales Field Agent will build trust and educate individuals on Humana’s Medicare Advantage plans while creating meaningful connections through community engagement. They will also drive self-generated sales and expand Humana’s market presence.

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Bilingual Medicare Sales Field Agent (English - Vietnamese / Chinese) - West / SW Harris and Fort Bend County

Humana · Full Time · 7 months ago

Humana

🌎 United States 💵 $80000 - $125K per year ⭐ 2-5 yrs exp 💼 Sales

As a Bilingual Medicare Sales Field Agent, you will educate individuals on Humana’s Medicare Advantage plans and create meaningful connections through community engagement. You will also drive self-generated sales and expand Humana’s presence in the market.

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Medicare Sales Field Agent - SW Harris and Fort Bend County

Humana · Full Time · 7 months ago

Humana

🌎 United States 💵 $80000 - $125K per year ⭐ 2-5 yrs exp 💼 Sales

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 drive self-generated sales and expand Humana’s presence in the market.

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Bilingual Medicare Sales Field Agent (English / Spanish) - East / SE Harris County

Humana · Full Time · 7 months ago

Humana

🌎 United States 💵 $80000 - $125K per year ⭐ 0-2 yrs exp 💼 Sales

As a Bilingual 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 drive self-generated sales and expand Humana’s presence in the market.

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Medicare Sales Field Agent - Greensboro, NC

Humana · Full Time · 7 months ago

Humana

🌎 United States 💵 $80000 - $125K per year ⭐ 2-5 yrs exp 💼 Sales

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 events and in-home visits. Your role will involve driving self-generated sales and expanding Humana’s presence in the market.

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Medicare Sales Field Agent - Beaufort County, SC

Humana · Full Time · 7 months ago

Humana

🌎 United States 💵 $80000 - $125K per year ⭐ 2-5 yrs exp 💼 Sales

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 events and in-home visits. Your role will also involve driving self-generated sales and expanding Humana’s presence in the market.

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Medicare Sales Field Agent - Louisville, KY

Humana · Full Time · 7 months ago

Humana

🌎 United States 💵 $80000 - $125K per year ⭐ 0-2 yrs exp 💼 Sales

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 drive self-generated sales and expand Humana’s presence in the market.

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Medicare Sales Field Agent - Paducah, KY

Humana · Full Time · 7 months ago

Humana

🌎 United States 💵 $80000 - $125K per year ⭐ 2-5 yrs exp 💼 Sales

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 drive self-generated sales and expand Humana’s presence in the market.

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Medicare Sales Field Agent - Bowling Green, KY

Humana · Full Time · 7 months ago

Humana

🌎 United States 💵 $80000 - $125K per year ⭐ 2-5 yrs exp 💼 Sales

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 drive self-generated sales and expand Humana’s presence in the market.

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Medicare Sales Field Agent - Blair County, PA

Humana · Full Time · 7 months ago

Humana

🌎 United States 💵 $80000 - $125K per year ⭐ 2-5 yrs exp 💼 Sales

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 drive self-generated sales and expand Humana’s presence in the market.

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Medicare Sales Field Agent - Lehigh County, PA

Humana · Full Time · 7 months ago

Humana

🌎 United States 💵 $80000 - $125K per year ⭐ 2-5 yrs exp 💼 Sales

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 drive self-generated sales and expand Humana’s presence in the market.

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Medicare Sales Field Agent - Erie County, PA

Humana · Full Time · 7 months ago

Humana

🌎 United States 💵 $80000 - $125K per year ⭐ 2-5 yrs exp 💼 Sales

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 drive self-generated sales and expand Humana’s presence in the market.

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Senior Stars Improvement, Clinical Professional BSN/RN

Humana · Full Time · 8 months ago

Humana

🌎 United States 💵 $78400 - $107K per year ⭐ 2-5 yrs exp 💼 Healthcare

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.

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Quality Assurance, Clinical Professional 2

Humana · Full Time · 8 months ago

Humana

🌎 United States 💵 $65000 - $88600 per year ⭐ 5-10 yrs exp 💼 Software Development

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.

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Director of Investment Governance & Portfolio Management

Humana · Full Time · 8 months ago

Humana

🌎 United States 💵 $172K - $236K per year ⭐ 5-10 yrs exp 💼 Finance

The Director of Investment Governance & Portfolio Management will oversee the IT organization’s 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.

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Associate Director, Care Management

Humana · Full Time · 8 months ago

Humana

🌎 India, United States 💵 $104K - $143K per year ⭐ 5-10 yrs exp 💼 Others

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.

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Sales Support Professional 1, Southeast Region

Humana · Full Time · 8 months ago

Humana

🌎 United Kingdom 💵 $53700 - $72600 per year ⭐ 2-5 yrs exp 💼 Sales

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.

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Pharmacy Contracting Professional

Humana · Full Time · 8 months ago

Humana

🌎 United States 💵 $65000 - $88600 per year ⭐ 2-5 yrs exp 💼 Healthcare

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.

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Informatics Lead

Humana · Full Time · 8 months ago

Humana

🌎 United States 💵 $117K - $161K per year ⭐ 5-10 yrs exp 💼 Others

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.

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Senior Pharmacy Contracting Professional

Humana · Full Time · 8 months ago

Humana

🌎 United States 💵 $78400 - $107K per year ⭐ 5-10 yrs exp 💼 Healthcare

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.

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Bilingual Medicare Sales Field Agent (Spanish)

Humana · Full Time · 8 months ago

Humana

🌎 United States 💵 $80000 - $125K per year ⭐ 2-5 yrs exp 💼 Sales

As a Bilingual 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 drive self-generated sales and expand Humana’s presence in the market.

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Medicare Sales Field Agent - Racine, WI

Humana · Full Time · 8 months ago

Humana

🌎 United States 💵 $80000 - $125K per year ⭐ 2-5 yrs exp 💼 Sales

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 drive self-generated sales and expand Humana’s presence in the market.

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APPLY

Medicare Sales Field Agent - Orange County, CA

Humana · Full Time · 8 months ago

Humana

🌎 United States 💵 $80000 - $125K per year ⭐ 2-5 yrs exp 💼 Sales

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 events and in-home visits. Your role will also involve driving self-generated sales and expanding Humana’s market presence.

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Medicare Sales Field Agent - San Diego, CA

Humana · Full Time · 8 months ago

Humana

🌎 United States 💵 $80000 - $125K per year ⭐ 2-5 yrs exp 💼 Sales

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 drive self-generated sales and expand Humana’s presence in the market.

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Senior Quality Assurance, Professional

Humana · Full Time · 8 months ago

Humana

🌎 United States 💵 $86300 - $118K per year ⭐ 2-5 yrs exp 💼 Software Development

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.

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