Browse current Humana openings that JobDrop found directly from the company's careers source.
Become a part of our caring community The Medical Records Retrieval Specialist conducts quality assurance audits of medical records and ICD 9/10 diagnosis codes submitted to the Centers for Medicare and Medicaid Services (CMS) and other government agencies. This is a remote role with field-based responsibility, requiri
Become a part of our caring community The Director, IT Portfolio Management collaborates with the business portfolio team to align the IT portfolio and demand. The Director, IT Portfolio Management requires an in-depth understanding of how organization capabilities interrelate across the function or segment. The Direct
Become a part of our caring community The Principal Data Enterprise Architect is a senior strategic leader responsible for defining and executing the enterprise data strategy and architecture, guiding the transformation from fragmented, point-to-point integrations to a modern, domain-driven data product model. You will
Become a part of our caring community Humana is seeking a self-driven and collaborative Lead Software Engineer to join our Interactive Voice Response (IVR) team. In this role, you will deliver innovative IVR solutions and develop robust omnichannel APIs for our enterprise platforms. You will have the opportunity to dri
Become a part of our caring community The Business Intelligence Lead solves complex business problems and issues using data from various data sources to provide insight to decision-makers. You will work on problems of diverse scope with a heavy focus on all things Power BI and SQL, reporting to the Associate Director,
Become a part of our caring community The Senior Network Engineer designs, analyzes, plans and modifies network components supporting customer communication implementation activities. The Senior Network Engineer work assignments involve moderately complex to complex issues where the analysis of situations or data requi
Become a part of our caring community We are seeking a highly organized and detail-oriented Physician Recruitment Coordinator to join our recruitment team in Louisville, Kentucky. In this role, you will assist with a variety of administrative functions within recruitment, including managing candidate communications, sc
Become a part of our caring community The Provider Engagement Executive develops and grows positive, long-term relationships with physicians, providers and healthcare systems in order to support and improve financial and quality performance within the contracted working relationship with the health plan. The Provider E
Become a part of our caring community Humana Healthy Horizons is looking for candidates to join our Medicaid Product Organization to support the strategic direction and growth of the Medicaid line of business. This is a unique opportunity for someone to influence the mission of a healthcare company committed to improvi
Become a part of our caring community This is an onsite position and reports to the Center Administrator. The Medical Assistant performs clinical duties such as discussing symptoms and gathering and inputting information into the electronic medical records system, taking vital signs, giving injections, performing diagn
Become a part of our caring community The Provider Contracting Professional initiates, negotiates, and executes behavioral health provider contracts for Virginia Medicaid. The Provider Contracting Professional communicates contract terms, payment structures, and reimbursement rates to Behavioral Health providers. Analy
Become a part of our caring community Humana Healthy Horizons is seeking a, detail-oriented Senior Insurance Product Content Professional to join our Medicaid Insurance Product Organization. You will have a unique opportunity to contribute to the mission of a leading healthcare company committed to improving the health
Become a part of our caring community Humana is a $100+ billion, Fortune 50, healthcare leader dedicated to improving the health and well-being of some of the most vulnerable populations in the United States—seniors, people with disabilities, and lower-income Americans. Humana is uniquely positioned to transform health
Become a part of our caring community The Help Desk Support Technician provides support to end users for computer, application, system, device, access and hardware issues. Utilize technical experience and customer service skill to assist end users to resolve incidents and fulfil requests remotely and escalate as needed
Become a part of our caring community The Senior Program Delivery Professional manages and executes on all Stars, Clinical, and Pharmacy projects for the In-home Health and Well-being Assessment Team. The Senior Program Delivery Professional work assignments involve moderately complex to complex issues where the analys
Become a part of our caring community The Lead Cloud Solutions Engineer provides senior-level solutions engineering leadership for Humana's cloud-based CCaaS platforms, including Genesys Cloud and Google CX Agent Studio. This role drives implementation, integration, migration, and modernization efforts, including the N
Become a part of our caring community With over 10 million sales interactions annually, Humana understands that while great products are important, it's the quality of our service that truly defines us. We know that when our members and prospects have delightful and memorable experiences, it strengthens their connectio
Become a part of our caring community The Associate Director, Technology Solutions devises an effective strategy for executing and delivering on IT business initiatives. The Associate Director, Technology Solutions requires a solid understanding of how organization capabilities interrelate across department(s). Role Su
Become a part of our caring community The Senior Medical Coding Professional, Inpatient supports payment integrity initiatives by reviewing inpatient claims for coding accuracy, DRG assignment, and compliance with official guidelines. You will report to the Manager, Payment Integrity. Key Responsibilities Review inpati
Become a part of our caring community As a Senior Network Performance Professional at Humana, you will play a pivotal role in enhancing provider performance and advancing Humana's mission to deliver high-quality healthcare. You will work with providers to improve their STARs ratings and overall performance through stra
Become a part of our caring community Humana is looking for a Senior IT Performance/Process Improvement professional to support FinOps functions and provide leadership in financial tracking, reporting, and process improvement activities related to cloud financial operations. You will be an important partner across Fina
Become a part of our caring community The Financial Planning & Analysis Lead analyzes and forecasts financial, economic, and other data to provide accurate information for strategic and operational decisions. The Financial Planning & Analysis Lead works on problems of diverse scope and complexity ranging from moder
Become a part of our caring community The Senior STARS Improvement Professional develops, implements, and provides oversight on the execution of the regional markets Medicare/Medicaid Stars quality improvement programs and initiatives. The Senior STARS Improvement Professionals work assignments involve moderately compl
Become a part of our caring community Selected candidate is required to be in one of the following metro areas:(Louisville KY, NYC Metro, Dallas Metro, Charlotte NC Metro, South Florida(Tampa/Miami/Ft Lauderdale), Washington DC metro, Chicago, Boston, Atlanta, Nashville), The Senior Cloud Security Engineer ensures that
Become a part of our caring community Humana/iCare is looking for a Claims Research and Resolution Representative to join our growing team. Reporting to the Manager, Claims Research & Resolution, you will resolve complex claims processing issues. You will work on provider claims projects, review complicated and uni
Become a part of our caring community The Senior Market Development Professional supports Kentucky Medicaid product implementation, operations, contract compliance, and regulatory deliverables. You will lead operational oversight support, including meeting preparation, action tracking, and execution of strategic initia
Become a part of our caring community Join the team shaping Humana’s future Humana’s Transformation Office team is a high-performing team that works closely with senior leaders to help chart the course for the company’s future. Transformation is critical to our core strategy: delivering great healthcare to seniors, pro
Become a part of our caring community (Candidate should be located in one of the following Metro locations: Louisville KY, NYC Metro, Dallas Metro, Charlotte NC Metro, South Florida, Washington DC metro, Chicago, Boston, Atlanta, Nashville). The Associate Director, CyberSecurity Engineering will lead the enterprise Pri
Become a part of our caring community Join Humana as a Community Resource Coordinator within the Inclusa/Humana team, where you will serve members in the Wisconsin Family Care (FC) program. Reporting to the Manager of Care Coaching, you will provide comprehensive case management services to frail elders and adults with
Become a part of our caring community The IntelligentRx Implementation Professional 2 supports new and existing connections for the IntelligentRx Real-Time Benefit tool with external technology vendors, as well as, supports our connections for the MyRx pharmacy pricing service. You will work with internal and external
Become a part of our caring community The Senior Network Engineer designs, analyzes, plans and modifies network components supporting customer communication implementation activities. The Senior Network Engineer work assignments involve moderately complex to complex issues where the analysis of situations or data requi
Become a part of our caring community The Lead, Training & Change Management is responsible for driving strategic communications and training enablement to support enterprise technology and business transformation initiatives for the delivery enablement team. This role specializes in executive-level messaging, stakehol
Become a part of our caring community Join the team shaping Humana’s future Humana’s Transformation Office team is a high-performing team that works closely with senior leaders to help chart the course for the company’s future. Transformation is critical to our core strategy: delivering great healthcare to seniors, pro
Become a part of our caring community Humana's distribution organization, MarketPoint, plays an important part in driving Humana's long-term vision to achieve leading growth in Medicare and individual products. We created the MarketPoint strategy team to help transform Humana's customer acquisition approach. The team f
Become a part of our caring community The Senior Planning & Delivery Enablement role supports the enterprise-wide adoption of Humana Ways of Working by coaching and mentoring Agile Release Trains (ARTs), Scrum teams, and organizational leaders. This role focuses on enabling effective application of Agile, Scrum, Kanban
Become a part of our caring community The Director of Risk Adjustment& Quality Record Retrieval is responsible for leading front-line record retrieval operations that support several top strategic priorities for Humana. These high-profile priorities include Risk Adjustment's Chart Review program, Risk Adjustment intern
Become a part of our caring community Professional member of patient’s treatment who evaluates, assesses, and delivers services according to a written plan of treatment established by a physician. Provides supervision for all services rendered by Physical Therapy Assistants. Evaluations are performed by peers. Duties o
Become a part of our caring community With over 10 million sales interactions annually, Humana understands that while great products are important, it's the quality of our service that truly defines us. We know that when our members and prospects have delightful and memorable experiences, it strengthens their connectio
Become a part of our caring community The Bilingual Care Manager, Telephonic Nurse 2 , in a telephonic environment, assesses and evaluates members' needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families toward and facilitate interaction with resources appropriate for the ca
Become a part of our caring community The Supervisor, UM Administration contributes to administration of utilization management. The Supervisor, UM Administration works within thorough, prescribed guidelines and procedures; uses independent judgment requiring analysis of variable factors to solve basic problems; collab
Become a part of our caring community With over 10 million sales interactions annually, Humana understands that while great products are important, it's the quality of our service that truly defines us. We know that when our members and prospects have delightful and memorable experiences, it strengthens their connectio
Become a part of our caring community As a Senior Network Performance Professional at Humana, you will play a pivotal role in enhancing provider performance and advancing Humana's mission to deliver high-quality healthcare. You will work with providers to improve their Stars ratings and overall performance through stra
Become a part of our caring community The Lead Solutions Architect works with user groups to solve business problems with available technology including hardware, software, databases, and peripherals. The Lead Solutions Architect works on problems of diverse scope and complexity ranging from moderate to substantial. Jo
Become a part of our caring community The IT PMO Manager provides leadership for program and project management practitioners across CenterWell Home and Primary Care Organization IT teams, ensuring consistent execution of delivery standards, program and project discipline, and delivery health management. This role lead
Become a part of our caring community Humana is looking for a Field Care Manager, Behavioral Health to join the IL Medicaid team. In this position, you will report to the Manager, Care Management and connect with members both face-to-face and telephonically. The Field Care Manager serves as the primary point of contact
Become a part of our caring community The Outbound Contacts Representative 1 represents the company by making outbound contacts to members and/or providers regarding a variety of issues. The Outbound Contacts Representative 1 performs basic administrative/clerical/operational/customer support/computational tasks. Typic
Become a part of our caring community *Selected candidate must reside within approximately 60 minutes driving distance from one of the following locations: ((Louisville KY, NYC Metro, Dallas Metro, Charlotte NC Metro, South Florida(Tampa/Miami/Ft Lauderdale) , Washington DC metro, Chicago, Boston, Atlanta, Nashville))
Become a part of our caring community The Financial Analytics Lead manages data to support and influence decisions on day-to-day operations, strategic planning and specific business performance issues. The Financial Analytics Lead works on problems of diverse scope and complexity ranging from moderate to substantial. T
Become a part of our caring community As a Float Medical Assistant you must be willing to work between 6 clinics in the Jacksonville market. This is an onsite position and reports to the Center Administrator in each location. The Float Medical Assistant performs clinical duties such as discussing symptoms and gathering
Become a part of our caring community The Senior Clinical Pharmacist monitors clinical criteria in order to provide clinical support for internal stakeholders. Utilizes broad understanding of managed care and PBM to implement strategies and programs to mitigate cost trend and improve health outcomes. The Senior Clinica
Become a part of our caring community *Selected candidate must reside within approximately 60 minutes driving distance from one of the following locations: (Louisville KY, NYC Metro, Dallas Metro, Charlotte NC Metro, South Florida(Tampa/Miami/Ft Lauderdale) , Washington DC metro, Chicago, Boston, Atlanta, Nashville) Th
Become a part of our caring community The Business Intelligence Lead solves complex business problems and issues using data from internal and external sources and leveraging knowledge to provide insight to decision-makers. The Business Intelligence Lead works on problems of diverse scope and complexity within the encou
Become a part of our caring community Humana Gold Plus Integrated is seeking Long-Term Services and Support (LTSS) Care Coordinators (Care Coach 1) in the state of Illinois to assess and evaluate members' needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families towards and fa
Become a part of our caring community Humana Gold Plus Integrated is seeking Long-Term Services and Support (LTSS) Care Coordinators (Care Coach 1) in the state of Illinois to assess and evaluate members’ needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families towards and fa
Become a part of our caring community Humana Gold Plus Integrated is seeking Long-Term Services and Support (LTSS) Care Coordinators (Care Coach 1) in the state of Illinois to assess and evaluate members’ needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families towards and fa
Become a part of our caring community Humana Gold Plus Integrated is seeking Long-Term Services and Support (LTSS) Care Coordinators (Care Coach 1) in the state of Illinois to assess and evaluate members' needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families towards and fa
Become a part of our caring community Job Profile Summary The Marketing Lead will lead and implement direct response marketing campaigns focusing on creative strategy, development and production of direct mail marketing to increase sales and awareness for the organization's products and/or services. Job Description The
Become a part of our caring community The Pharmacy Fulfillment Technician/ Care Management Support Assistant 2 works as a liaison between case managers, doctors, nurses and patients as they transition on service with One Infusion Pharmacy. Fulfillment Technicians are responsible for coordinating care with external and
Become a part of our caring community Humana Healthy Horizons is looking for a Value-Based Programs Lead who will support successful value-based provider relationships with a focus on improving the provider experience and achieving path-to-value goals. You will lead the beginning-to-end operational support of specialty
Become a part of our caring community The Manager, Care Management leads teams of nurses and behavior health professionals responsible for care management. The Manager, Care Management works within specific guidelines and procedures; applies advanced technical knowledge to solve moderately complex problems; receives as