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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 Software Quality Testing Engineer 2 thoroughly evaluates the software products according to the business standards or function requirements. The Software Quality Testing Engineer 2 work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action.
The Sof...

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The Medical Director relies on broad clinical expertise to review Medicare drug appeals (Part D & B). The Medical director work assignments involve moderately complex to complex issues where the analysis of situations or data requires a case-by-case consideration of the Medicare rules, Humana policies and medical necessity.
...

Become a part of our caring community and help us put health first
Humana is a Fortune 50 market leader in integrated healthcare delivery. As a company whose primary focus is on the well-being of its members, Humana is dedicated to shifting perceptions of the health insurance industry. We believe our role goes beyond that of an insurer to that of a well-being partner. Through product and ser...

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Humana is seeking regulatory Counsel to support its Medicaid plan operations in various states. The Counsel will be expected to provide a full range of legal support to their assigned market(s). Legal support will include reviewing and analyzing state, provider, and vendor contracts, as well analyzing existing state and feder...

Become a part of our caring community and help us put health first
Become a part of our caring community and help us put health first.
Humana is a Fortune 50 healthcare leader with over $100 billion in annual revenue, committed to improving the health and well-being of vulnerable populations across the United States, including seniors and lower-income individuals. With a strong foundation in...

Become a part of our caring community and help us put health first
Humana is a $100+ Billion, Fortune 50, healthcare leader dedicated to improving the health and well-being of the most vulnerable populations in the United States—seniors and lower-income Americans. Humana is uniquely positioned to transform healthcare delivery by making high-quality care more affordable, accessible, and secur...

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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 drive the success of a high-impact, customer-fac...

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The Senior Compliance Professional ensures compliance with governmental requirements. The Senior Compliance Professional work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors.
The Senior Compliance Professional develops and i...

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As a Senior Network Performance Professional at Humana, you will play a pivotal role in enhancing provider performance within the SouthEast Region and advancing Humana's mission to deliver high-quality healthcare. You will work with providers to improve their STARs ratings and overall performance through strategic initiatives...

Become a part of our caring community and help us put health first
This a remote nationwide position
The Actuary, Analytics/Forecasting analyzes and forecasts financial, economic, and other data to provide accurate and timely information for strategic and operational decisions. Establishes metrics, provides data analyses, and works directly to support business intelligence. Evaluates industr...

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The Lead DevOps Engineer will be a key investment towards improving overall DevOps maturity. The Lead Engineer will further Humana IT's mission to fortify security, implement standardized pipeline templates, and reduce friction while expediting value delivery, reduce risk, and enhance software quality overall.
The Lead DevOp...

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The Medical Director actively uses their medical background, experience, and judgement to make determinations whether requested services, requested level of care, and/or requested site of service should be authorized. All work occurs within a context of regulatory compliance, and work is assisted by diverse resources, which m...

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The Chief Psychiatrist oversees our behavioral health (BH) clinical program for our Illinois FIDE members. The individual in this role collaborates closely with Clinical Services and the Chief Medical Officer(CMO) to integrate the day-to-day administration and strategic management of behavioral and physical health services, i...

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We are looking for a highly capable Senior Data Scientist to support advanced AI initiatives focused on generative AI, embeddings, and ServiceNow data integration. This role will work closely with engineering and business teams to deliver scalable, intelligent solutions using PyTorch, Databricks, and modern ML techniques.
Ke...