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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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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 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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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...

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
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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The Medicaid Capture Management team's purpose is to successfully position Humana to enter new markets enabling the future of the business. As a centrally positioned strategic function this team coordinates with growth partners across the enterprise and industry to accelerate product strategy and define the operating model for new markets. We deliver value...

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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...

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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Humana's Quality and Cost Strategy Analytics Team is seeking a Research Scientist 2 (Remote).
Healthcare is rapidly changing, and our members are living longer, often with more chronic conditions. The Quality and Cost Strategy Analytics team identifies opportunities and build solutions to improve clinical outcomes and lower costs for millions of Medicare A...

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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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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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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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The Community Health Worker (CHW) 1 serves as a liaison between health and social services and the community, identifying health-related issues, collecting data, and discussing concerns with the people served. In this role, you will address members housing concerns and connect them with community resources. This will include helping with completion of appl...

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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...

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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The Azure & AKS Operations Lead position will oversee Azure/AKS operations to ensure the environments health, stability, manage the daily cloud-based systems utilizing Azure and AKS cloud platforms to ensure the availability, performance and scalability of cloud based systems. The Lead is an expert in 24/7 operations with hig...

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...