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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 - Specialty leverages targeted geographic analysis, engages with Physician offices to influence physicians to route patients' prescriptions to Humana Pharmacy for fulfillment. The Senior Pharmacy Sales Executive - Specialty work assignments involve moderately complex to complex issues where the analysis of situations or ...

Become a part of our caring community and help us put health first
The Small Group Sales Representative works with agents and consultants to sell Ancillary Group insurance products to new and existing accounts with 2 - 50 eligible employees.
The Small Group Sales Representative is responsible for discovering, developing and maintaining benefits brokerage relationships that result in the ongoin...

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Join us at Humana as an Eligibility Specialist, where your passion for supporting members will shine. Reporting to the Supervisor of Care Management Support, you will guide members and their care teams through Medicaid and Family Care eligibility processes, provide direct support with applications and verifications, educate members on program requirements,...

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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The Senior Pharmacy Sales Executive - Specialty leverages targeted geographic analysis, engages with Physician offices to influence key decision makers to route patients' specialty drug prescriptions to CenterWell Specialty Pharmacy for fulfillment. The Senior Pharmacy Sales Executive - Specialty focuses on increasing orders to CenterWell Specialty Pharmac...

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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...

Become a part of our caring community and help us put health first
The Group Sales Representative is responsible for discovering, developing and maintaining benefits brokerage relationships that result in the ongoing sales and retention of Humana's Group benefit products for distribution in a specific region.
The Group Sales Representative is responsible for discovering, developing and maintai...

Become a part of our caring community and help us put health first
The Group Sales Representative is responsible for discovering, developing and maintaining benefits brokerage relationships that result in the ongoing sales and retention of Humana's Group benefit products for distribution in a specific region.
The Group Sales Representative is responsible for discovering, developing and maintai...

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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KEY ACCOUNTABILITIES
* You will assist beneficiaries with eligibility process and support the family to ensure enrollment into the ACD and overcome barriers to obtaining required paperwork. Assist with regional transfers in and out of the region and ensure required paperwork is indexed into the electronic records system. Ensure all paperwork and docume...

Become a part of our caring community and help us put health first
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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Humana is seeking a Principal UX Researcher to lead research strategy for conversational experiences across voice (IVR), chat, and digital channels. You will operate within an omnichannel conversational ecosystem, partnering closely with product, engineering, CX, and contact center teams to inform strategy, platform evolution, and experience design across ...

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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.
...

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The Administrative Assistant 3 follows established procedures and guidelines to provide timely and effective secretarial support to an office, business unit, department, or other organization. Answers telephones, screens calls, and takes messages so callers/visitors are attended to promptly, courteously, and accurately. The Administrative Assistant 3 perfo...

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The Medical Records Retrieval Specialist (Risk Adjustment Representative 2) travels to provider offices within Philadelphia and Montgomery, PA and scans medical records into a secure system. The records are reviewed by Humana's Coding staff. You will report to the Supervisor, Risk Adjustment Administration
As the Medical Records Retrieval Specialist (Risk ...

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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...

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...

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...