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Humana is seeking a Utilization Management (UM) Coordinator to join the Wisconsin Medicaid Market (iCare) team. The UM Coordinator provides non-clinical support for the policies and procedures ensuring best and most appropriate treatment, care or services for members. Join this dedicated team and lead change in how health car...

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The Senior Pharmacy Sales Executive leverages targeted geographic analysis, engages with Physician offices to influence physicians to route patients' specialty drug prescriptions to Humana Specialty Pharmacy for fulfillment. The Senior Pharmacy Sales Executive focuses on increasing orders to Humana Pharmacy, resulting in increased prescriptions and revenue...

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Come join the Performance and Decision Intelligence team within the larger Stars Analytics organization at Humana!
The Associate Director, Research Science is responsible for leading the development and application of advanced analytics, optimization frameworks, and decision science methodologies that translate complex business problems into actionable rec...

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The Group Sales Representative works with brokers, agents and consultants as an Ancillary Group insurance product expert. Will work with new and existing accounts with 50+ eligible employees.
The Group Sales Representative discovers, develops, and maintains benefits brokerage relationships that result in the ongoing sales and retention of Humana's Group be...

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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 connection with us and enables us to put their Health First. After all, a health serv...

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Humana is seeking a Quality Audit/Improvement Professional who will audit and monitor quality improvement programs for Humana’s Indiana Pathways and LTSS program. The Quality Improvement Professional’s work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of...

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We are seeking a motivated and results-driven Telesales Agent to join our Agnostic Sales Team within the IFG segment. In this role, you will engage prospective and existing customers through inbound and outbound calls, promoting and selling health plan products. Ideal candidates thrive in a fast-paced, goal-oriented environment and are passionate about del...

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 connection with us and enables us to put their Health First. After all, a health serv...

Become a part of our caring community and help us put health first
The Utilization Management Nurse 2 utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments are varied and frequently require interpretation and independent determination o...

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The Care Management Support Assistant 2 (CMSA) helps support Humana's Special Needs Population (SNP) members, including those who are low-income and managing chronic conditions. The CMSA provides non-clinical, administrative assistance to facilitate members' access to appropriate resources, helping them achieve or maintain wellness. Responsibilities includ...

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The Clinical Quality Assurance Specialist partners closely with clinical teams and branch leadership to drive excellence in patient care, regulatory compliance, and performance improvement. You will serve as a subject matter expert, providing guidance, education, and data-driven insights to ensure high-quality clinical outcomes and adherence to industry st...

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Humana’s Corporate Marketing organization is looking for a Senior Product Owner to join the Marketing Regulatory and Operational Communications (MROC) team. If you are ready to join the team of professionals responsible for Humana’s success in delivering messaging to members through print, email, SMS/Text, VAT, etc., the...

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The Enterprise and Specialty Clinical Strategy team employs a rigorous process to set specific clinical priorities for the enterprise. They identify the greatest sources of value and lead a multi-disciplinary process to identify opportunities for enhanced clinical outcomes, cost control, quality, and member experience. As a m...

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Virtual Medical Assistant
Join our dedicated outpatient team, where patient-centered care is our top priority, In this role you will directly report to the Center Administrator and play an important part in delivering high-quality clinical support to our Patients.
Main Responsibilities
As a Medical Assistant, you will perform a variety of clinical responsi...

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The Provider Contracting Executive initiates, negotiates, and executes physician, hospital, and/or other provider contracts and agreements for an organization that provides health insurance. The Provider Contracting Executive works on problems of diverse scope and complexity ranging from moderate to substantial.
...

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 connection with us and enables us to put their Health First. After all, a health serv...

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As the Manager of Network Performance, you will lead a team of Network Performance Professionals dedicated to improving provider performance and enhancing Stars ratings. Your role is pivotal in fostering a collaborative and supportive environment where your team can thrive. By building and maintaining strong relationships wit...

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We are seeking a Senior Configuration Analyst (MyChart) to support the configuration, testing, and implementation of MyChart solutions that enhance the member and patient experience. This role partners closely with clinical, operational, and technical stakeholders to deliver scalable digital healthcare capabilities. The ideal candidate combines hands-on co...

Become a part of our caring community and help us put health first
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 connection with us and enables us to put their Health Fi...

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As a Revenue Cycle EDI Systems Analyst, you will report to the VP, RCM. You will be responsible for supporting, monitoring, and optimizing revenue cycle systems utilized by the FSU. You will ensure accurate and timely billing, compliance with regulatory requirements, and efficient workflows for receivable management activities. The Revenue Cycle Systems An...