The lead will optimize the Humana Military onboarding process by creating strategies to maximize associate output and designing learning experiences. They will serve as a consultant for hiring leaders and use data analytics to evaluate program effectiveness via dashboards.
Humana
165 Remote Job Openings at Humana
Lead complex, cross-functional design initiatives to orchestrate end-to-end member experiences across digital and operational ecosystems. Define service strategies, create system models, and mentor designers to evolve the organization's design culture.
Manage data to support financial forecasting and strategic decision-making through the development and maintenance of risk score analytics. Translate complex model findings into clear insights to communicate financial impacts to business partners and leadership.
The role focuses on developing growth strategies and investment optimization for Medicare and Medicaid, specifically regarding enrollment and product trade-offs. The manager will lead high-profile strategy projects, conduct deep competitor analysis, and collaborate with executive leadership to transition analysis into execution.
Lead the development and execution of Humana's Wellness Rewards and Loyalty Strategy to improve member retention and health outcomes. Coordinate across cross-functional teams to design member-centric reward programs and align them with enterprise business goals.
The Performance Lead tracks and manages performance across cohorts, states, and vendor partners to ensure alignment with program and bid objectives. This role involves designing performance management strategies and providing data-driven insights to senior leadership for continuous improvement.
Perform clinical audits on readmissions and short stays to ensure medical documentation and coding are accurate for optimal reimbursement. Validate admission types and conduct root cause analysis of audit findings to recommend change management.
Provide advanced administrative and non-clinical support for utilization management policies and procedures. Exercise discretion and judgment to prioritize requests and manage administrative tasks to ensure appropriate member care.
Lead the development and execution of integrated marketing campaigns and creative strategies across a diverse brand portfolio. Foster cross-functional partnerships to deliver customer-centric solutions that align with business objectives and brand integrity.
The Senior Data Manager is responsible for acquiring, cleaning, and developing datasets to support business analysis and reporting. They will design and execute data architectures and policies to manage the full enterprise data lifecycle.
Design, implement, and support enterprise cloud solutions on Microsoft Azure and Google Cloud Platform to ensure scalability and resilience. Drive the adoption of cloud-native applications and optimize platform performance, security, and cost efficiency.
Coaches and mentors Agile Release Trains and Scrum teams to adopt Humana Ways of Working across portfolios. Focuses on practical execution of SAFe, Scrum, and Kanban to improve delivery outcomes and foster a culture of continuous learning.
Lead the development of integrated marketing strategies for Medicaid and the Healthy Horizons brand to drive awareness and trust. Collaborate with cross-functional teams to ensure messaging is culturally relevant, compliant, and aligned with business goals.
Lead the design and implementation of secure, scalable data solutions using Azure Databricks and PySpark. Collaborate with cross-functional teams to ensure enterprise-grade security, performance, and governance across cloud platforms.
The RN Care Manager will conduct nursing assessments and provide case management support to adults in the community. Responsibilities include monitoring health outcomes, evaluating medication management, and ensuring access to necessary services.
Lead the research and development of solutions to optimize healthcare delivery and improve member health outcomes using data science and statistical methods. Collaborate with clinicians and strategy partners to transform complex medical and pharmacy data into actionable business insights.
Oversee the end-to-end lifecycle of all CenterWell applications across multiple segments, from onboarding to decommissioning. Establish governance frameworks to manage technical debt, ensure regulatory compliance, and align technology roadmaps with business objectives.
Provide comprehensive behavioral health case management for beneficiaries through telephonic interaction and holistic care planning. Coordinate with Military Treatment Facilities and other providers to ensure integrated care and treatment adherence.
Focuses on clinical performance improvement by engaging providers during virtual visits to facilitate education and improve HEDIS outcomes. Communicates clinical quality initiatives and assists providers in reducing preventable events.
Develops and manages the company's Medicare/Medicaid Stars Program to increase plan quality and improve clinical metrics. Coaches providers on gaps in care and educates staff on CAHPS surveys and clinical program engagement.
The role focuses on collecting and analyzing customer feedback and behavioral signals to identify friction and unmet needs within the healthcare ecosystem. The professional will translate these insights into actionable recommendations to improve end-to-end customer journeys and product roadmaps.
The professional initiates, negotiates, and executes contracts with physicians, hospitals, and other healthcare providers. They analyze the financial impact of contract terms and communicate reimbursement rates to providers.
Develop and maintain data pipelines and notebooks using Azure Databricks while monitoring cloud spend and resource utilization. Collaborate with senior engineers to identify cost anomalies and implement optimization solutions to provide visibility to leadership.
The Dental Director conducts clinical reviews of dental claims to identify and investigate fraud, waste, and abuse. This role involves performing on-site audits, coordinating with law enforcement, and advising executives on functional strategies.
Conduct investigations into fraudulent and abusive healthcare practices and coordinate with law enforcement authorities. Perform on-site audits of provider records and prepare complex investigative reports to support adjudication.
The Lead Network Architect designs and implements IT infrastructure solutions for the Data Center Network Engineering team, focusing on high-level and low-level designs. Responsibilities include advanced troubleshooting, implementation of CLOS and VxLAN technologies, and managing network observability tools.
Provide remote technical support to end users for hardware, software, and system issues while documenting incidents and performing root cause analysis. Assist in project planning, create knowledge base articles, and collaborate with vendors to resolve complex technical problems.
Lead the IT Portfolio Management and Shared Services team to align IT demand with business strategy across multiple healthcare segments. Oversee critical functions including financial management, IT strategy advancement, talent strategy, and operational metrics to improve organizational maturity.
The Senior Project Manager oversees all project phases from inception to completion, ensuring delivery on time and within budget. This includes designing operational plans, managing resources, and coordinating staff to meet key milestones.
The representative partners with professional staff to perform pre-screening reviews of medical claims by interpreting provider data. They exercise discretion and judgment to prioritize requests and adapt administrative procedures under limited guidance.
Senior Technology Leadership Professional; AI & Operations Engineering
Humana
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Full Time
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2 days ago
Humana
Design, develop, and implement AI-powered operational solutions and GenAI capabilities to improve enterprise reliability. Lead the resolution of complex production issues through hands-on coding, debugging, and root cause analysis.
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 productivity and automation.
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.
Analyze and forecast financial and economic data to inform strategic and operational decisions for a primary care organization. Collaborate with stakeholders to identify medical claims trends and provide guidance to executives on financial positioning.
Lead advocacy and federal affairs strategies to align with healthcare and growth objectives while serving as a liaison to the Military and Veterans health ecosystem. Monitor and influence federal legislative and regulatory developments affecting TRICARE and Veterans-related programs.
Provide executive leadership to ensure technology systems operate reliably and securely while driving automation across the organization. Lead the SRE team, oversee enterprise change control, and manage responses to major incidents.
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.
Conduct comprehensive clinical reviews of prior authorization requests for behavioral health services to determine medical necessity. Coordinate with healthcare providers and medical directors to ensure compliance with state and federal regulations.
Manage insurance product offerings for Medicaid and Dual Eligible markets, overseeing the full product lifecycle from strategic planning to execution. Collaborate cross-functionally to design compliant benefits and translate regulatory requirements into operational strategies.
The role involves identifying provider documentation gaps and creating tailored education plans to improve coding quality. Responsibilities include analyzing audit results, conducting educational sessions, and using data analytics to monitor compliance and trends.
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 information dashboards and influence business strategy through technical guidance.
Negotiates with state and federal regulatory agencies to secure approval for insurance policies and certificates. Develops and maintains compliant contract language and provides subject matter expertise for assigned product lines.
The VP of ERM is responsible for rebuilding and leading a best-in-class enterprise risk management program within a complex healthcare environment. This includes designing risk strategies, overseeing a hybrid staffing model, and embedding a risk-aware culture across the organization.
Assess member needs to develop and implement person-centered care plans that promote optimal wellness. Coordinate long-term services and supports (LTSS) by connecting members with community resources and healthcare providers.
Provider Contracting Professional (Behavioral Health/Medicaid)
Humana
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Full Time
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4 days ago
Humana
Initiates, negotiates, and executes behavioral health provider contracts for Virginia Medicaid. Analyzes financial impacts of contract terms and recruits providers based on network needs.
Provide entry-level actuarial support through data analysis, model updates, and reporting for various product lines. Responsibilities include validating financial data, performing variance analysis, and documenting results for internal and regulatory reviews.
Lead the hands-on design, development, and modernization of full-stack applications and platforms for the Wisconsin Medicaid Market. Drive technical architecture across UI, API, and data layers while mentoring engineers and reducing technical debt.
The Principal Consultant leads and tracks clinical, behavioral health, and pharmacy cost management initiatives across the Medicaid portfolio. They also act as a business partner to Finance, translating clinical insights into actionable financial impacts.
Develop and maintain hospital unit cost analytic models to evaluate provider reimbursement and contract performance. Partner with cross-functional stakeholders to deliver actionable financial insights and executive-ready reporting.
Lead utilization management functions by interpreting clinical data and policies to ensure optimal member care and treatment. Coordinate with state agencies and clinical leadership to ensure compliance with CMS and NCQA standards while analyzing UM trends to impact financial and health outcomes.
The contractor initiates, negotiates, and executes dental provider contracts while communicating payment structures and reimbursement rates. They are responsible for analyzing the financial impact of contracts and maintaining documentation within a tracking system.
Lead Medicaid clinical operations, including utilization and care management, to ensure operational excellence and regulatory compliance across markets. Partner with technology and data teams to translate clinical needs into scalable technical solutions and measurable performance outcomes.
The Senior Business Intelligence Engineer solves complex business issues by analyzing raw data from internal and external sources to provide insights for decision-makers. The role involves architecting technical solutions and influencing the department's overall strategy.
The Nurse Clinical Lead provides clinical and coding expertise to optimize provider performance in Medicare Stars, Risk-Adjustment, and Interoperability. They develop educational materials and serve as a subject-matter expert to drive clinical strategy and provider practice improvement.
Design and deliver end-to-end user experiences for medical benefits products to simplify complex healthcare information for members. Collaborate with cross-functional teams to create human-centered solutions that improve member satisfaction and operational efficiency.
The Business Intelligence Lead will solve complex business problems using data from various sources to provide insights for decision-making. This role involves designing and optimizing Power BI dashboards and reports to support strategic business decisions.
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 role focuses on bringing structure and momentum to Medicaid Capture Management by establishing integrated project plans and governance structures. It involves translating complex cross-functional work into actionable insights and executive-level communications to support market entry strategy.
Address incoming telephone, digital, or written inquiries to resolve customer issues and educate providers. Record interaction details and escalate unresolved grievances according to department policy.
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.
Develop and deploy scalable AI systems focused on generative AI and ITSM data integration using Databricks and Azure. Maintain internal APIs and SDKs while collaborating with data engineering and business teams to architect cloud solutions.
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.
The AVP serves as the strategic right hand to the VP of Pharmacy Hub Operations, driving the execution of the organization's strategic vision and transformation roadmap. This role focuses on optimizing patient support programs, managing P&L performance, and leading go-to-market strategies for life sciences clients.
The Care Manager assesses and evaluates members' needs in a telephonic environment to maintain optimal wellness. They guide members toward appropriate resources and manage physical, environmental, and psycho-social health issues.
Develop and implement Power BI reports and semantic models to provide actionable business insights for Stars Analytics. Partner with stakeholders to gather requirements and create data visualizations that drive strategic healthcare outcomes.
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.
Design, develop, and maintain scalable omnichannel APIs to support enterprise applications and customer-facing capabilities. Lead the modernization of existing APIs while integrating AI-assisted engineering practices to improve quality and performance.
Define and execute the enterprise data strategy to transition from fragmented integrations to a modern, domain-driven data product model. Lead the modernization of data platforms and establish governance standards to support digital, analytics, and AI outcomes.
Develop and grow long-term relationships with healthcare providers to improve financial and quality performance. Manage diverse areas including incentive programs, population health, and operational excellence to enhance member and provider experience.
Project manage the creation and annual review of member handbooks, ensuring alignment with contract requirements and RFPs. Coordinate the end-to-end project lifecycle and collaborate with internal teams to deliver accurate covered services communication.
Create and manage member enrollment content and welcome kits for Medicaid insurance products through research and analysis. Coordinate the end-to-end project lifecycle, partnering with subject matter experts and technical teams to ensure timely delivery and contract compliance.
Manages and executes Stars, Clinical, and Pharmacy projects for the In-home Health and Well-being Assessment Team. Oversees operational performance dashboards, data collection compliance, and budget tracking for the program.
Lead the solutions engineering and technical delivery for cloud-based CCaaS platforms, including Genesys Cloud and Google CX Agent Studio. Translate business requirements into secure, scalable technical solutions while driving modernization and migration initiatives.
Lead the enterprise Privileged Access Management (PAM) program, overseeing security, vaulting, and governance across cloud and on-premises environments. Drive modernization efforts, cloud migrations, and collaborate with stakeholders to improve privileged access hygiene and compliance.
Perform expert clinical reviews of inpatient medical records to determine medical necessity based on national guidelines and CMS regulations. Communicate review outcomes to external providers and collaborate within a multidisciplinary team to ensure high-quality decision-making.
Lead the execution of an AI-native digital playbook to simplify services and improve stakeholder experiences. Collaborate cross-functionally to integrate generative AI tools for discovery, prototyping, and iterative solution refinement.
Lead the test-and-learn portfolio to evaluate initiative performance and determine ROI in partnership with data science and finance teams. Provide strategic support to MarketPoint leaders by creating executive-level presentations and driving transformational business initiatives.
The Senior Informaticist partners with IT and business stakeholders to deliver actionable insights using advanced data analysis and predictive modeling. The role focuses on optimizing programs, predicting behavior, and driving revenue growth through data-driven recommendations.
Perform telephonic health assessments and care planning to help members manage chronic conditions and overcome barriers to care. Guide members and families toward appropriate resources to maintain optimal wellness and monitor progress toward health outcomes.
Provides non-clinical administrative support for utilization management policies and procedures to ensure appropriate member care. Supervises a team of support and technical associates, overseeing daily operations and ensuring consistency in execution.
Lead the encounter submissions team by solving complex business problems using internal and external data to provide actionable insights for executives. Manage five direct reports and oversee the tracking and trending of Medicare submission metrics and HCC identification.
Build and operate AI-driven agentic tooling to accelerate offensive security operations and penetration tests. Conduct red-team operations and adversarial assessments of the enterprise's own AI systems and LLM pipelines.
Leads teams of nurses and behavioral health professionals to ensure effective care coordination and compliance with state contract metrics. Manages staff performance, resource allocation, and clinical reporting while collaborating across departments to control trends.
Lead the development of an in-house AI agent platform to automate penetration testing and red team operations. Responsibilities include red-teaming the enterprise's own AI systems and setting the technical direction for offensive AI capabilities.
The Senior Pharmacy Clinical Advisor develops and manages clinical program strategies to improve medication use for Medicare members. They collaborate with cross-functional leaders to drive patient safety measure performance and influence department strategy.
Manage physical, environmental, and psycho-social health issues for members with chronic conditions via telephonic outreach. Create actionable care plans and coordinate with multidisciplinary teams to remove barriers to health and independence.
Lead the end-to-end design, implementation, and operation of multi-vendor SD-WAN, LAN, and WLAN solutions across global locations. Provide technical leadership and mentorship to network engineers while serving as the highest escalation point for complex routing and authentication issues.
Lead the end-to-end functional solution strategy for Finance technology, focusing on data strategy and platform optimization. Act as a strategic integrator between Finance and IT to align data solutions with business priorities and regulatory standards.
Lead the design, implementation, and evolution of enterprise-scale observability and logging platforms. Collaborate with cross-functional teams to build AI-native tools for autonomous issue detection and optimize system reliability.
Lead Medicare and Medicaid encounter data operations to ensure submission accuracy, compliance, and high acceptance rates. Manage a team of 2-5 associates and partner with cross-functional stakeholders to implement sustainable process improvements.
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.
The Compliance Lead serves as the Regulatory Compliance Officer for South Carolina Medicaid, ensuring adherence to governmental requirements and minimizing risk exposure. Key duties include performing risk assessments, managing regulatory audits, and coordinating with internal leadership and external oversight agencies.
Lead national patient safety initiatives and clinical quality standards to foster a culture of high reliability within a value-based care organization. Oversee the development of clinical programs, protocols, and performance metrics while providing expert guidance on complex clinical situations.
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.
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.
The Senior Informaticist coordinates with IT and business areas to apply disciplined analytics and predictive modeling to optimize programs and maximize revenue. They analyze complex data to influence department strategy and improve business outcomes through mathematical concepts.
The Compliance Lead serves as the Regulatory Compliance Officer for the Michigan Medicaid contract, ensuring adherence to governmental requirements and minimizing risk exposure. Responsibilities include performing risk assessments, managing auditing work plans, and coordinating with external regulators and internal leadership.
The auditor extracts clinical information from medical records to assign appropriate procedural terminology and medical codes. They review inpatient hospital claims for proper reimbursement and handle provider disputes to ensure accurate DRG assignments.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
Infrastructure Operations Lead Cloud and AI GenAI Enablement
Humana
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Full Time
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2 months ago
Humana
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.
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.
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.
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.
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 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.
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.
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 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.
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 meeting performance goals to expand Humana's market presence.
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 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 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 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 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 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
·
Full Time
·
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
·
Full Time
·
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 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 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 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 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 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 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 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 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 market presence.
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 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.