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The Senior Risk Management Professional identifies and analyzes potential sources of loss to minimize risk. The Senior Risk Management Professional work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors.
Use your experience to...

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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 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 t...

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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 a highly motivated Counsel to join its Law Department. The successful candidate will provide legal support and guidance on matters related to Medicare Advantage Part C health plan operations.
Key responsibilities for this role include:
* Providing legal advice and support for Humana's Medicare Advantag...

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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...

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Humana is seeking an individual for the Senior Business Intelligence Data Analyst to provide support for its pharmacy programs to achieve success on the Service Fund team. You will report to the Associate Director, Business Intelligence.
Humana is seeking an individual for the Senior Business Intelligence Data Analyst to provid...

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The Regional VP will be accountable for Hospital and Ancillary strategic relationships for all product lines in the state of Florida.
This position will develop networks that help advance Humana's strategy and goals toward improving the health of the communities we serve. This position will also work with potential joint ven...

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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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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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The Associate 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 industry, economic, financial, ...

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Humana is looking for a Vendor Management Lead with experience in healthcare services to work as a liaison between our vendor partners in the Northeast region and our market clinical operations teams. This is a remote work opportunity, and we are looking for cross-functional leadership, vendor relations and healthcare payor e...

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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 Accountant performs general accounting activities, including the preparation, maintenance and reconciliation of ledger accounts and financial statements such as balance sheets, profit-and-loss statements and capital expenditure schedules. Conducts or assists in the documentation of accounting projects. The Senior A...

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The Long-term services and supports (LTSS) Medical Director's primary responsibility is the review of medical authorizations. This review determines the medical necessity of a given service, level of care, or medical item/supply. The Medical Director's work assignments involve moderately complex to complex issues. These issue...

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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 ong...

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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 Lead Technology Leadership Professional will serve as a senior execution partner in Humana's enterprise-wide initiative to streamline provider workflows and elevate provider experience. This individual will focus on driving tactical delivery, coordinating cross-functional workstreams, and supporting strategic pilots and v...

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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 strategic initiatives and strong relationship-bui...