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Inbound Contacts Beneficiary Service Rep (TRICARE Plans)
Humana - Carson City , NV

**Become a part of our caring community and help us put health first** If you are a problem solver, resourceful, and looking to make a difference for your family as well as others, we want you on the Humana Government Business team! Help us deliver exceptional experiences to our TRICARE members as...

Date Post 03/27/2024 - Apply Now - Save Job

HR Business Partner Lead; Humana Government Business (HGB)
Humana - Carson City , NV

**Become a part of our caring community and help us put health first** The HR Business Partner Lead; Humana Government Business (HGB) leads the people management agenda in the Government Business unit/area, and acts as a facilitator for the company's management team. Applies broad experience in...

Date Post 03/27/2024 - Apply Now - Save Job

Lead Actuary - Medicaid Trend Quantification
Humana - Carson City , NV

**Become a part of our caring community and help us put health first** The Lead 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,...

Date Post 03/27/2024 - Apply Now - Save Job

Associate Director, Cybersecurity Engineering(Remote)
Humana - Carson City , NV

**Become a part of our caring community and help us put health first** The Associate Director is responsible for leading a team of engineers that build, deploy, and manage mission critical security tools for the enterprise. As the Associate Director, you will collaborate with stakeholders and...

Date Post 03/27/2024 - Apply Now - Save Job

Capture Lead, Medicaid Clinical & Population Health Strategy
Humana - Carson City , NV

**Become a part of our caring community and help us put health first** Humana Healthy Horizons is seeking a Capture Lead, Clinical & Population Health Strategy, to lead initiatives developing and executing strategy to successfully position Humana for capture growth opportunities. This role will...

Date Post 03/27/2024 - Apply Now - Save Job

HR Solutions Partner
Humana - Carson City , NV

**Become a part of our caring community and help us put health first** The HR Solutions Partner 2 supports the human resources function in the implementation and execution of effective human resource policies and practices which help the assigned client group achieve their business results. The HR...

Date Post 03/27/2024 - Apply Now - Save Job

IT Service Desk Lead
Humana - Carson City , NV

**Become a part of our caring community and help us put health first** Are you looking for an opportunity to be an integral part of an IT Service Desk transformation? We are looking for a seasoned IT Service Desk Leader with experience managing service desk teams, exceptional communication skills,...

Date Post 03/27/2024 - Apply Now - Save Job

Lead Technology Leader - Site Reliability Engineering, Automatio
Humana - Carson City , NV

**Become a part of our caring community and help us put health first** We're seeking a passionate SRE to join our Automation team and play a key role in expanding our automation footprint across our organization. You'll be instrumental in helping drive our AIOps strategy by leveraging industry...

Date Post 03/27/2024 - Apply Now - Save Job

Network Operations Manager
Humana - Carson City , NV

**Become a part of our caring community and help us put health first** Manages the daily operations of the organization's network operations infrastructure team responsible for hardware, software, security, and services, to ensure it meets the organization's performance objectives. Implements...

Date Post 03/27/2024 - Apply Now - Save Job

Senior Provider Education Strategy Advancement Professional
Humana - Carson City , NV

**Become a part of our caring community and help us put health first** The Senior Provider Education Strategy Advancement Professional will work on a newly formed team responsible for planning and program ownership of the developing provider risk adjustment (RA) education strategy. If you like...

Date Post 03/27/2024 - Apply Now - Save Job

Associate Director, Applications Operation Center, Mainframe L1
Humana - Carson City , NV

**Become a part of our caring community and help us put health first** The Associate Director, Technology Leadership is responsible for all aspects of software or hardware product delivery and performance. The Associate Director, Technology Leadership requires a solid understanding of how...

Date Post 03/27/2024 - Apply Now - Save Job

Claims Review Representative 2
Humana - Carson City , NV

**Become a part of our caring community and help us put health first** The Claims Review Representative 2 makes appropriate claim decision based on strong knowledge of claims procedures, contract provisions, and state and federal legislation. The Claims Review Representative 2 performs varied...

Date Post 03/27/2024 - Apply Now - Save Job

Senior Software Engineer Varicent ICM
Humana - Carson City , NV

**Become a part of our caring community and help us put health first** The Compensation Technology is responsible for the review, configuration, and testing of new internal sales commission plan requirements into our calculation engines. The Compensation is also responsible for the hand-off of the...

Date Post 03/27/2024 - Apply Now - Save Job

Genetics Counselor/Auditor
Humana - Carson City , NV

**Become a part of our caring community and help us put health first** The Genetics Auditor performs clinical audit/validation processes to ensure that medical record documentation and diagnosis coding for services rendered is complete, compliant and accurate to support optimal reimbursement....

Date Post 03/26/2024 - Apply Now - Save Job

Agent Support Representative
Humana - Carson City , NV

**Become a part of our caring community and help us put health first** At Humana, caring is everything And when you work here, you feel it. It's how you grow. It's how you're welcomed into our associate community. It's what guides us in putting health first. And it forms the connection each of us...

Date Post 03/26/2024 - Apply Now - Save Job

Health Equity Strategy Lead
Humana - Carson City , NV

**Become a part of our caring community and help us put health first** The Health Equity Strategy Lead develops the organization's strategic direction and coordination of health care equity to reduce or eliminate health disparities. The Health Equity Strategy Lead works on problems of diverse...

Date Post 03/26/2024 - Apply Now - Save Job

Data Analyst 2
Humana - Carson City , NV

**Become a part of our caring community and help us put health first** The Informaticist 2 coordinates with other analytics, IT and business areas across the organization to ensure work is completed with insights from knowledge SMEs. The Informaticist 2 work assignments are varied and frequently...

Date Post 03/26/2024 - Apply Now - Save Job

Lead, Medicaid Provider Services Implementation
Humana - Carson City , NV

**Become a part of our caring community and help us put health first** Humana Healthy Horizons is seeking a Lead, Medicaid Provider Services Implementation for new market rollouts across the enterprise who will provide support to assigned health plan and/or specialty companies relative to Medicaid...

Date Post 03/26/2024 - Apply Now - Save Job

Compensation Software Test Engineer
Humana - Carson City , NV

**Become a part of our caring community and help us put health first** The Compensation Technology Center of Excellence (COE) is responsible for the review, configuration, and testing of new internal sales commission plan requirements into our calculation engines. The Compensation COE is also...

Date Post 03/26/2024 - Apply Now - Save Job

Business Intelligence Lead
Humana - Carson City , NV

**Become a part of our caring community and help us put health first** The Business Intelligence Lead solves complex business problems and issues using data from internal and external sources to provide insight to decision-makers. The Business Intelligence Lead works on problems of diverse scope...

Date Post 03/26/2024 - Apply Now - Save Job

VP, Operations Cost of Care
Humana - Carson City , NV

**Become a part of our caring community and help us put health first** The current industry landscape presents challenges and the need for increased focus on new strategies to drive reduced medical costs. The need has emerged within Clinical Operations to re-purpose an existing leadership role and...

Date Post 03/24/2024 - Apply Now - Save Job

Director, Vendor Management Strategy Design and Consultant
Humana - Carson City , NV

**Become a part of our caring community and help us put health first** The Director, Vendor Management Strategy Design and Consultant works as liaison between vendors and organization. The Director, Vendor Management requires an in-depth understanding of how organization capabilities interrelate...

Date Post 03/24/2024 - Apply Now - Save Job

Data and Reporting Professional 2
Humana - Carson City , NV

**Become a part of our caring community and help us put health first** The Data and Reporting Professional 2 generates ad hoc reports and regular datasets or report information for end-users using system tools and database or data warehouse queries and scripts. The Data and Reporting Professional...

Date Post 03/24/2024 - Apply Now - Save Job

VP, Operations Clinical Support
Humana - Carson City , NV

**Become a part of our caring community and help us put health first** With an increased focus on driving efficiencies for increased productivity and sustainable growth, the Clinical Operations organization is seeking an experienced leader to lead the combined organization bringing together all...

Date Post 03/24/2024 - Apply Now - Save Job

Business Intelligence Engineer - Group Benefits
Humana - Carson City , NV

**Become a part of our caring community and help us put health first** The Business Intelligence Engineer 2 for Group Benefits solves complex business problems and issues using data from internal and external sources to provide insight to decision-makers. The Business Intelligence Engineer 2 work...

Date Post 03/23/2024 - Apply Now - Save Job

Small Group Sales Representative
Humana - Carson City , NV

**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...

Date Post 03/23/2024 - Apply Now - Save Job

Medical Director- South Central
Humana - Carson City , NV

**Become a part of our caring community and help us put health first** 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...

Date Post 03/23/2024 - Apply Now - Save Job

Licensed Virtual Inside Sales Agent
Humana - Carson City , NV

**Become a part of our caring community and help us put health first** Humana's Inside Sales Agents are our member's partners in their healthcare journey. As a customer-centric company, our top priority has always been the health of the people we serve. Our decades of experience helping millions...

Date Post 03/23/2024 - Apply Now - Save Job

Vendor Management Lead - Clinical Operations
Humana - Carson City , NV

**Become a part of our caring community and help us put health first** In today's complex business environment, the role of a Vendor Management Lead is of utmost importance. This role oversees relationships between a company and its suppliers and ensures that all vendor-related activities align...

Date Post 03/23/2024 - Apply Now - Save Job

Encounter Data Management Professional
Humana - Carson City , NV

**Become a part of our caring community and help us put health first** The Encounter Data Management Professional develops business processes to ensure successful submission and reconciliation of encounter submissions to Medicaid/Medicare. Ensures encounter submissions meet or exceed all...

Date Post 03/23/2024 - Apply Now - Save Job

Procurement Professional 2- Requistion to Pay
Humana - Carson City , NV

**Become a part of our caring community and help us put health first** The Procurement Professional 2 -Requistion to Pay working in the Procurement Delivery team will work through procurement processes relative to supporting purchase requisitions, catalog purchasing, customer support, trainings...

Date Post 03/23/2024 - Apply Now - Save Job

M&A Senior Solutions Architect
Humana - Carson City , NV

**Become a part of our caring community and help us put health first** The Senior Solutions Architect works with user groups to solve business problems with available technology including hardware, software, databases, and peripherals. The Senior Solutions Architect work assignments involve...

Date Post 03/23/2024 - Apply Now - Save Job

Manager, Customer Success
Humana - Carson City , NV

**Become a part of our caring community and help us put health first** The Manager, Customer Success is responsible for member retention through active engagement with high-risk members. The Manager, Customer Success + Oversees member retention through active engagement with high-risk members....

Date Post 03/22/2024 - Apply Now - Save Job

Senior Product Owner
Humana - Carson City , NV

**Become a part of our caring community and help us put health first** The Senior Product Owner is responsible for conveying product vision and roadmap to an Agile delivery team by defining user stories and prioritizing product backlog. The Senior Product Owner work assignments involve moderately...

Date Post 03/22/2024 - Apply Now - Save Job

Observability Lead Enterprise Architect
Humana - Carson City , NV

**Become a part of our caring community and help us put health first** Revolutionize observability as our Observability Lead Enterprise Architect. Establish strategies that impacts the entire organization, adopt innovative solutions, and promote a culture that values data analysis. Collaborate...

Date Post 03/22/2024 - Apply Now - Save Job

Data & Reporting Professional, SPARx
Humana - Carson City , NV

**Become a part of our caring community and help us put health first** The Data and Reporting Professional 2 generates ad hoc reports and regular datasets or report information for end-users using system tools and database or data warehouse queries and scripts. The Data and Reporting Professional...

Date Post 03/22/2024 - Apply Now - Save Job

Director, Referrals
Humana - Carson City , NV

**Become a part of our caring community and help us put health first** Are you looking to join a team where you can be a part of our important mission of supporting the TRICARE healthcare program for our nation's military and use your data skills? Humana Government Business is a top 10 Department...

Date Post 03/22/2024 - Apply Now - Save Job

Clinical Data Manager-Population Health
Humana - Carson City , NV

**Become a part of our caring community and help us put health first** As a Clinical Data Analyst you would support implementation of government and industry policies for requirements management, document management, change management, production and delivery. Acquires, validates, stores,...

Date Post 03/22/2024 - Apply Now - Save Job

Principal Mainframe Platform Engineer
Humana - Carson City , NV

**Become a part of our caring community and help us put health first** We are seeking a highly motivated Principal Mainframe Platform Engineer to play a pivotal role in ensuring the stability, performance, and security of our critical mainframe systems that underpin our critical business...

Date Post 03/22/2024 - Apply Now - Save Job

Manager, Provider Installation
Humana - Carson City , NV

**Become a part of our caring community and help us put health first** Manager, Provider Installation manages a division of the Provider Contracting Loading (PCL) Team within the Provider Network Operations area under Provider Process & Services. In this role, you will manage Front Line...

Date Post 03/22/2024 - Apply Now - Save Job

Inpatient Medical Coding Auditor (PPI Coding Disputes Team)-- WO
Humana - Carson City , NV

**Become a part of our caring community and help us put health first** The Inpatient Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate procedural terminology and medical codes (e.g., ICD-10-CM/ PCS) to patient records. The Medical Coding...

Date Post 03/22/2024 - Apply Now - Save Job

Financial Analytics Professional
Humana - Carson City , NV

**Become a part of our caring community and help us put health first** The Financial Analytics Professional 2 manages data to support and influence decisions on day-to-day operations, strategic planning and specific business performance issues. The Financial Analytics Professional 2 work...

Date Post 03/22/2024 - Apply Now - Save Job

Associate VP, Marketing Analytics
Humana - Carson City , NV

**Become a part of our caring community and help us put health first** Humana is a $100 billion (Fortune 42) market leader in integrated healthcare with a clearly defined purpose to help people achieve lifelong well-being. As a company focused on the health and well-being of the people we serve,...

Date Post 03/22/2024 - Apply Now - Save Job

Senior Marketing Campaign Developer
Humana - Carson City , NV

**Become a part of our caring community and help us put health first** In the fast-paced, ever-growing world of healthcare, Humana relies on the latest technology and trends for sharing and storing information, communication, and security. The Marketing, Regulatory and Operational Communications...

Date Post 03/22/2024 - Apply Now - Save Job

Operations Director (Mainframe, Batch & Platforms)
Humana - Carson City , NV

**Become a part of our caring community and help us put health first** We are seeking a seasoned and strategic Operations Director to oversee our critical mainframe, batch, and additional platform operations. This role demands expertise in leading a large, outsourced team while guiding a skilled...

Date Post 03/22/2024 - Apply Now - Save Job

Customer Success Agent
Humana - Carson City , NV

**Become a part of our caring community and help us put health first** The Customer Success Agent is responsible for member retention through active engagement with high-risk members. The Customer Success Agent drives member retention through active engagement with high-risk members. + Handles...

Date Post 03/22/2024 - Apply Now - Save Job

Medical Director - Home Health
Humana - Carson City , NV

**Become a part of our caring community and help us put health first** The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing home health episodic and per diem requests. The Medical Director provides medical interpretation and determinations whether...

Date Post 03/22/2024 - Apply Now - Save Job

IT Vendor Management Lead
Humana - Carson City , NV

**Become a part of our caring community and help us put health first** The IT Vendor Management Lead establishes and implements hardware and software acquisition, protection, maintenance and retention policies, standards and procedures that are aligned with IT standards and strategy. The IT Vendor...

Date Post 03/22/2024 - Apply Now - Save Job

Business Intelligence Engineer
Humana - Carson City , NV

**Become a part of our caring community and help us put health first** The Business Intelligence Engineer solves complex business problems and issues using data from internal and external sources to provide insight to decision-makers. The Business Intelligence Engineer work assignments are varied...

Date Post 03/22/2024 - Apply Now - Save Job

Lead, Medicaid Provider Services Strategy
Humana - Carson City , NV

**Become a part of our caring community and help us put health first** Humana Healthy Horizons is seeking a Lead, Provider Services Strategy who is accountable for strategizing, prioritizing, and executing on Humana's Medicaid provider support model. This position will lead provider services and...

Date Post 03/22/2024 - Apply Now - Save Job

HR Solutions Partner
Humana - Carson City , NV

**Become a part of our caring community and help us put health first** The HR Solutions Partner 2 supports the human resources function in the implementation and execution of effective human resource policies and practices which help the assigned client group achieve their business results. The HR...

Date Post 03/22/2024 - Apply Now - Save Job

Associate Director, Technology Solution Implementation
Humana - Carson City , NV

**Become a part of our caring community and help us put health first** The Associate Director, Technology Solution Implementation delivers new technological solutions to meet business needs within a specified scope while aligned to enterprise objectives. The Associate Director, Technology Solution...

Date Post 03/22/2024 - Apply Now - Save Job

Senior Project Manager (Medicaid Network Implementation)
Humana - Carson City , NV

**Become a part of our caring community and help us put health first** Humana Healthy Horizons is a seeking a Senior Project Manager (Medicaid Network Implementation) who is accountable for working with the Director, Network Implementations, Provider Strategy & Operations, to assist with driving...

Date Post 03/21/2024 - Apply Now - Save Job

Code Edit Disputes Team Medical Coding Coordinator
Humana - Carson City , NV

**Become a part of our caring community and help us put health first** Code Edit Disputes team reviews and educates providers when there is a dispute on adjudicated claims that contain a code editing related denial or financial recovery. The Medical Coding Coordinator performs advanced...

Date Post 03/21/2024 - Apply Now - Save Job

Lead, Medicaid Provider Services Implementation
Humana - Carson City , NV

**Become a part of our caring community and help us put health first** Humana Healthy Horizons is seeking a Lead, Medicaid Provider Services Implementation for new market rollouts across the enterprise who will provide support to assigned health plan and/or specialty companies relative to Medicaid...

Date Post 03/21/2024 - Apply Now - Save Job

Senior Product Owner
Humana - Carson City , NV

**Become a part of our caring community and help us put health first** Humana's Consumer Strategy, Design and Transformation organization is seeking an experienced Senior Product Owner to join the team. The Senior Product Owner will collaborate with business stakeholders and our development Scrum...

Date Post 03/21/2024 - Apply Now - Save Job

HR Business Partner Lead; Marketing and Corporate Communications
Humana - Carson City , NV

**Become a part of our caring community and help us put health first** The HR Business Partner Lead (HRBPL) leads the people management agenda for the Marketing and Corporate Communications Organization. The HRBPL will collaborate with senior leaders and all of HR to advance business strategies,...

Date Post 03/20/2024 - Apply Now - Save Job

Lead Product Manager; Grow Journey
Humana - Carson City , NV

**Become a part of our caring community and help us put health first** Humana's HR organization is looking to the future of employee experience, and we need someone who can help lead us there. The HR Associate Experience Product Team (AX Products) is looking for a Lead Product Manager to guide our...

Date Post 03/20/2024 - Apply Now - Save Job

Associate VP, Clinical Strategy and Practice
Humana - Carson City , NV

**Become a part of our caring community and help us put health first** The Associate VP, Clinical Strategy and Practice builds strategies for development, engagement, best clinical practices and processes for clinical community within the enterprise. The Associate VP, Clinical Strategy and...

Date Post 03/20/2024 - Apply Now - Save Job

Clinical Quality Registered Nurse
Humana - Carson City , NV

**Become a part of our caring community and help us put health first** The Quality Audit Professional 2 supports the Healthcare Quality Management Team in administering and implementing the Clinical Quality Management Program (CQMP) in support of TRICARE's commitment to quality healthcare for...

Date Post 03/20/2024 - Apply Now - Save Job

Data Analyst 2
Humana - Carson City , NV

**Become a part of our caring community and help us put health first** The Informaticist 2 coordinates with other analytics, IT and business areas across the organization to ensure work is completed with insights from knowledge SMEs. The Informaticist 2 work assignments are varied and frequently...

Date Post 03/20/2024 - Apply Now - Save Job

Associate VP, Software Engineering
Humana - Carson City , NV

**Become a part of our caring community and help us put health first** The Associate VP, Software Engineering is responsible for all aspects of software product delivery and performance. The AVP requires an in-depth understanding of how organization capabilities interrelate across segments and/or...

Date Post 03/20/2024 - Apply Now - Save Job

Encounter Data Management Professional
Humana - Carson City , NV

**Become a part of our caring community and help us put health first** The Encounter Data Management Professional ensures data integrity for claims errors. The Encounter Data Management Professional work various tasks or assignments involving Medicare and/or Medicaid encounters. The Encounter...

Date Post 03/20/2024 - Apply Now - Save Job

FP&A Professional 2
Humana - Carson City , NV

**Become a part of our caring community and help us put health first** The Financial Planning and Analysis Professional 2 analyzes and forecasts financial, economic, and other data to provide accurate and timely information for strategic and operational decisions. The Financial Planning and...

Date Post 03/20/2024 - Apply Now - Save Job

Medical Director - Mid West Region
Humana - Carson City , NV

**Become a part of our caring community and help us put health first** 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...

Date Post 03/20/2024 - Apply Now - Save Job

Senior Vendor Management Professional
Humana - Carson City , NV

**Become a part of our caring community and help us put health first** The Senior Vendor Management Professional works as liaison between vendors and organization. The Senior Vendor Management Professional work assignments involve moderately complex to complex issues where the analysis of...

Date Post 03/20/2024 - Apply Now - Save Job

Actuary
Humana - Carson City , NV

**Become a part of our caring community and help us put health first** The Actuary, MAPD Rx is responsible for setting pricing assumptions, submitting bids, filing and gaining approval of premium rates and rate certifications with regulatory agencies. Supports implementation of rates, new plans...

Date Post 03/20/2024 - Apply Now - Save Job

SNP Support SS
Humana - Carson City , NV

**Become a part of our caring community and help us put health first** The Care Manager, Telephonic Behavioral Health 2 , in a telephonic environment, assesses and evaluates members' needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families toward and...

Date Post 03/20/2024 - Apply Now - Save Job

Senior Cloud Solutions Engineer - Network
Humana - Carson City , NV

**Become a part of our caring community and help us put health first** The Senior Cloud Solutions Engineer (Network) develops and evaluates cloud network performance criteria and measurement methods. Prepares the analysis of the short term or long-term capacity needs for switching, routing...

Date Post 03/20/2024 - Apply Now - Save Job

Medical Director - Gulf South Region
Humana - Carson City , NV

**Become a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth...

Date Post 03/20/2024 - Apply Now - Save Job

Data Scientist - Generative AI
Humana - Carson City , NV

**Become a part of our caring community and help us put health first** Join us at Humana as a Data Scientist 2, where you'll be a crucial part of our core engineering and data science team, developing groundbreaking generative AI applications. Your work will not only shape the architecture for...

Date Post 03/20/2024 - Apply Now - Save Job

Copywriter (The Hive)
Humana - Carson City , NV

**Become a part of our caring community and help us put health first** Humana's The Hive is looking for a Copywriter 2 to join the team! The Hive is Humana's in-house agency, a creative collective built exclusively to support the business and the brand. We are responsible for creative content...

Date Post 03/20/2024 - Apply Now - Save Job

Sr. Mgr, IT Procurement Category Lead
Humana - Carson City , NV

**Become a part of our caring community and help us put health first** The Sr. Manager, Lead Category Manager will report directly into the Director of IT Procurement and will lead the development of category strategies, design sourcing plans, oversee negotiations, implement contracts, and drive...

Date Post 03/20/2024 - Apply Now - Save Job

VP, Home Health Regional President (South Region)
Humana - Carson City , NV

**Become a part of our caring community and help us put health first** Humana, a $100 billion (Fortune 50) leader in integrated healthcare, is currently seeking an accomplished executive for the role of South Region President in the Home Health business of its CenterWell subsidiary. As one of the...

Date Post 03/20/2024 - Apply Now - Save Job

Regional VP, Finance Operations and Analytics (Home Health West
Humana - Carson City , NV

**Become a part of our caring community and help us put health first** Humana, a $100 billion (Fortune 50) leader in integrated healthcare, is currently seeking an accomplished finance operations professional to join our team as Regional Vice President, Finance Operations & Analytics for the West...

Date Post 03/20/2024 - Apply Now - Save Job

IT M&A Cybersecurity Lead
Humana - Carson City , NV

**Become a part of our caring community and help us put health first** Humana is a Fortune 50 market leader in integrated healthcare whose dream is to help people achieve lifelong well-being. As a company focused on the health and well-being of the people we serve, Humana starts from within, and...

Date Post 03/19/2024 - Apply Now - Save Job

Site Reliability Engineer - Remote, US
Humana - Carson City , NV

**Become a part of our caring community and help us put health first** The Site Reliability Engineer 2 maintains, integrates and implements software applications within the organization. The Site Reliability Engineer 2 work assignments are varied and frequently require interpretation and...

Date Post 03/19/2024 - Apply Now - Save Job

DoD SkillBridge or Military Spouse Fellowship Learning Systems P
Humana - Carson City , NV

**Become a part of our caring community and help us put health first** Are you a transitioning military service member or a Military Spouse looking for an internship that supports the goal to put health first? During the period of this unpaid internship, The Learning Systems Professional 2 Intern...

Date Post 03/19/2024 - Apply Now - Save Job

Licensed Virtual Inside Sales Agent (Bilingual- Korean, Vietname
Humana - Carson City , NV

**Become a part of our caring community and help us put health first** Humana's Inside Sales Agents are our member's partners in their healthcare journey. As a customer-centric company, our top priority has always been the health of the people we serve. Our decades of experience helping millions...

Date Post 03/19/2024 - Apply Now - Save Job

Senior Value-Based Programs Professional
Humana - Carson City , NV

**Become a part of our caring community and help us put health first** The Senior Value-Based Programs Professional supports successful value-based provider relationships with a focus on improving the provider experience and achieving path-to-value goals. The Senior Value-Based Programs...

Date Post 03/19/2024 - Apply Now - Save Job

Associate Director- Business Systems Manager
Humana - Carson City , NV

**Become a part of our caring community and help us put health first** The Associate Director, Business Systems Analysis performs analysis of business, process and user needs, documentation of requirements, cost/benefit analysis and translation into proper system requirement specifications. The...

Date Post 03/19/2024 - Apply Now - Save Job

Senior Vendor Management Professional
Humana - Carson City , NV

**Become a part of our caring community and help us put health first** Humana Healthy Horizons in Ohio is seeking a Senior Vendor Management Professional who works as liaison between vendors and organization. The Senior Vendor Management Professional work assignments involve moderately complex to...

Date Post 03/19/2024 - Apply Now - Save Job

Senior Telecomm/Voice Engineer
Humana - Carson City , NV

**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. Do you thrive on working on the cutting edge? Excited about working with innovators in the early stages of ideas, products, or platforms? Do you want to be...

Date Post 03/16/2024 - Apply Now - Save Job

Senior Business Intelligence Engineer
Humana - Carson City , NV

**Become a part of our caring community and help us put health first** The Senior Business Intelligence Engineer solves complex business problems and issues using data from internal and external sources to provide insight to decision-makers. The Senior Business Intelligence Engineer work...

Date Post 03/16/2024 - Apply Now - Save Job

Telephonic Utilization Management Nurse (Pacific Southwest Regio
Humana - Carson City , NV

**Become a part of our caring community and help us put health first** The Telephonic Utilization Management Nurse utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations. The Utilization...

Date Post 03/16/2024 - Apply Now - Save Job

HR Business Partner Lead; Marketing and Corporate Communications
Humana - Carson City , NV

**Become a part of our caring community and help us put health first** The HR Business Partner Lead (HRBPL) leads the people management agenda for the Marketing and Corporate Communications Organization. The HRBPL will collaborate with senior leaders and all of HR to advance business strategies,...

Date Post 03/16/2024 - Apply Now - Save Job

Lead Cloud Solutions Engineer - Network
Humana - Carson City , NV

**Become a part of our caring community and help us put health first** The Lead Cloud Solutions Engineer (Network) is responsible for the planning, design, and engineering of enterprise-level infrastructure and platforms related to cloud network & cloud computing. The Lead Cloud Solutions Engineer...

Date Post 03/16/2024 - Apply Now - Save Job

Dental Fraud and Waste Lead
Humana - Carson City , NV

**Become a part of our caring community and help us put health first** The Humana Dental SIU Team has an exciting new opportunity for an experienced Dentist who loves to investigate and finding solutions to complex issues in outstanding dental cases. Within this position the Dental Fraud and Waste...

Date Post 03/16/2024 - Apply Now - Save Job

Data Visualization and Strategy Lead
Humana - Carson City , NV

**Become a part of our caring community and help us put health first** The Data Visualization Lead builds user interfaces, visualizations, and data algorithms. Takes complex data and making it more accessible, understandable and usable for leaders to derive insights and ultimately enable them to...

Date Post 03/16/2024 - Apply Now - Save Job

Incident Manager - Strategic Lead
Humana - Carson City , NV

**Become a part of our caring community and help us put health first** We are seeking a highly skilled and experienced Incident Management Lead to join our organization. As the lead, you will be responsible for establishing and leading our Incident strategy and function across Humana. This role...

Date Post 03/15/2024 - Apply Now - Save Job

Senior Data and Reporting Professional
Humana - Carson City , NV

**Become a part of our caring community and help us put health first** The Senior Data and Reporting Professional generates scheduled and ad hoc reports through analysis of large datasets from internal and external sources. The Senior Data and Reporting Professional engages in assignments ranging...

Date Post 03/15/2024 - Apply Now - Save Job

Director of Part D Strategy Advancement
Humana - Carson City , NV

**Become a part of our caring community and help us put health first** The Director of Part D Strategy Advancement provides data-based strategic direction to identify and address business issues and opportunities related to Part D for Medicare Advantage. They provide Part D business intelligence...

Date Post 03/15/2024 - Apply Now - Save Job

Supervisor, Contract Management
Humana - Carson City , NV

**Become a part of our caring community and help us put health first** The Supervisor, Contract Management is responsible for administering the installation of assigned provider accounts. The Supervisor, Contract Management works within thorough, prescribed guidelines and procedures; uses...

Date Post 03/15/2024 - Apply Now - Save Job

Agency Broker Executive - Life Insurance
Humana - Carson City , NV

**Become a part of our caring community and help us put health first** The Agency Broker Executive - Life Insurance places outbound calls based on leads and completes the sales of products and/or services. The Agency Broker Executive work assignments are varied and frequently require...

Date Post 03/15/2024 - Apply Now - Save Job

Lead Product Manager
Humana - Carson City , NV

**Become a part of our caring community and help us put health first** We are looking for a dynamic Lead Product Manager to develop clinical solutions for our members and providers, with full accountability from strategy to execution. **Location:** remote The Lead Product Manager partners...

Date Post 03/15/2024 - Apply Now - Save Job

Director, IT Procurement
Humana - Carson City , NV

**Become a part of our caring community and help us put health first** Humana seeks a dynamic Procurement Director, IT Professional Services, and Government Business to collaborate with c-suite executives, driving business transformation. This role requires leadership experience in diverse...

Date Post 03/15/2024 - Apply Now - Save Job

Financial Operations Senior Products - Accountant
Humana - Carson City , NV

**Become a part of our caring community and help us put health first** The Accountant role 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...

Date Post 03/14/2024 - Apply Now - Save Job

Senior Clinical Pharmacist
Humana - Carson City , NV

**Become a part of our caring community and help us put health first** The Clinical Drug Evaluation and Policy Strategies Senior Clinical Pharmacist develops, maintains, and/or operationalizes strategies related to utilization management edits and/or clinical coverage policies for pharmacy and...

Date Post 03/14/2024 - Apply Now - Save Job

Senior Strategy Analyst - Home Solutions
Humana - Carson City , NV

**Become a part of our caring community and help us put health first** The Home Solutions Strategy team is a small, high-performing group that works closely with leaders across Home Solutions and Humana to develop the strategic plan for the Home organization, identify and analyze exciting new...

Date Post 03/14/2024 - Apply Now - Save Job

Medicaid Process Improvement Professional
Humana - Carson City , NV

**Become a part of our caring community and help us put health first** The Process Improvement Professional 2 analyzes, and measures the effectiveness of existing business processes and develops sustainable, repeatable and quantifiable business process improvements. The Process Improvement...

Date Post 03/14/2024 - Apply Now - Save Job

Senior Cloud Architect - ServiceNow
Humana - Carson City , NV

**Become a part of our caring community and help us put health first** Humana is seeking a senior ServiceNow architect who is technical, curious, and enjoys collaborating with others to improve our associates' experience. In this role, you will get the opportunity to work in a well-developed...

Date Post 03/14/2024 - Apply Now - Save Job

Compliance Professional
Humana - Carson City , NV

**Become a part of our caring community and help us put health first** Humana Healthy Horizons is seeking a Compliance Professional who will ensure compliance with governmental requirements as they relate to Medicaid State reporting. The Compliance Professional's work assignments involve...

Date Post 03/13/2024 - Apply Now - Save Job

Pharmacy Benefit - Data & Reporting Professional 2
Humana - Carson City , NV

**Become a part of our caring community and help us put health first** The Data and Reporting Professional 2 generates ad hoc reports and regular datasets or report information for end-users using system tools and database or data warehouse queries and scripts. The Data and Reporting Professional...

Date Post 03/13/2024 - Apply Now - Save Job

VP, Home Health Regional President (West Region)
Humana - Carson City , NV

**Become a part of our caring community and help us put health first** Humana, a $100 billion (Fortune 50) leader in integrated healthcare, is currently seeking an accomplished executive for the role of West Region President in the Home Health business of its CenterWell subsidiary. As one of the...

Date Post 03/13/2024 - Apply Now - Save Job

Director, Site Reliability Engineering-Digital and Automation
Humana - Carson City , NV

**Become a part of our caring community and help us put health first** The Director, Site Reliability Engineering maintains, integrates and improves software applications and platforms across multiple IT development, production support, and infrastructure teams to ensure application health,...

Date Post 03/13/2024 - Apply Now - Save Job

Inpatient Medical Coding Auditor (PPI Coding Disputes Team)-- WO
Humana - Carson City , NV

**Become a part of our caring community and help us put health first** The Inpatient Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate procedural terminology and medical codes (e.g., ICD-10-CM/ PCS) to patient records. The Medical Coding...

Date Post 03/13/2024 - Apply Now - Save Job

Strategy Advancement Advisor
Humana - Carson City , NV

**Become a part of our caring community and help us put health first** Come join our IT Strategy team! We design and activate strategies to address healthcare opportunities and challenges with technology-enabled solutions. As an Advisor in our team you'll enable Humana leaders as they leverage...

Date Post 03/13/2024 - Apply Now - Save Job

Indiana Medicaid Inbound Contact Representative
Humana - Carson City , NV

**Become a part of our caring community and help us put health first** The Indiana Medicaid Inbound Contacts Representative 2 represents the company by addressing incoming telephone, digital, or written inquiries. The Indiana Medicaid Inbound Contacts Representative 2 performs varied activities...

Date Post 03/13/2024 - Apply Now - Save Job

Medical Director - Southeast Region
Humana - Carson City , NV

**Become a part of our caring community and help us put health first** 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...

Date Post 03/13/2024 - Apply Now - Save Job

Senior Procurement Professional
Humana - Carson City , NV

**Become a part of our caring community and help us put health first** The Senior Procurement Professional generates and implements efficient sourcing and category management strategies. Manages the company's supply portfolio ensuring transparency of spending. The Senior Procurement Professional...

Date Post 03/13/2024 - Apply Now - Save Job

Associate Actuary, SPA-Rx
Humana - Carson City , NV

**Become a part of our caring community and help us put health first** 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...

Date Post 03/13/2024 - Apply Now - Save Job

UM Administration Coordinator
Humana - Carson City , NV

**Become a part of our caring community and help us put health first** The UM Administration Coordinator 2 provides clerical support for the department. We are the beginning, middle and end of processes for utilization management. This role partners with leadership, Medical Directors, Nurses and...

Date Post 03/13/2024 - Apply Now - Save Job

Quality Improvement Professional
Humana - Carson City , NV

**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...

Date Post 03/13/2024 - Apply Now - Save Job

Director, Enterprise Architecture(remote)
Humana - Carson City , NV

**Become a part of our caring community and help us put health first** This is a remote role.. We are looking for an individual who enjoys solving problems of all types: process, people and technology. If you thrive in an environment of evolution and enjoy new challenges every day, you will...

Date Post 03/13/2024 - Apply Now - Save Job

Pharmacy Benefit Professional
Humana - Carson City , NV

**Become a part of our caring community and help us put health first** The Associate Benefits Professional 2 applies forward-looking, innovative thought to strategy, design and delivery to help position the company as an employer-of-choice in the present and future. The Associate Benefits...

Date Post 03/13/2024 - Apply Now - Save Job

Director of Threat Response Operations - Security Operations (re
Humana - Carson City , NV

**Become a part of our caring community and help us put health first** The Director, Threat Response Operations supports end-to-end incident response through incident bridge facilitation, after action process, incident communication process, ticket audits, and Threat Response Operations...

Date Post 03/13/2024 - Apply Now - Save Job

Senior Designer
Humana - Carson City , NV

**Become a part of our caring community and help us put health first** Humana's The Hive is looking for a Senior Designer to join the team! The Hive is Humana's in-house agency, a creative collective built exclusively to support the business and the brand. We are responsible for creative content...

Date Post 03/13/2024 - Apply Now - Save Job

Telephonic Utilization Management Nurse (Pacific Southwest Regio
Humana - Carson City , NV

**Become a part of our caring community and help us put health first** The Telephonic Utilization Management Nurse utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations. The Utilization...

Date Post 03/13/2024 - Apply Now - Save Job

Senior Counsel
Humana - Carson City , NV

**Become a part of our caring community and help us put health first** The Senior Counsel provides a full range of legal advice and services. The Senior Counsel works on problems of diverse scope and complexity ranging from moderate to substantial. The Senior Counsel typically a Legal generalist...

Date Post 03/13/2024 - Apply Now - Save Job

Strategy Advancement Advisor
Humana - Carson City , NV

**Become a part of our caring community and help us put health first** 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...

Date Post 03/13/2024 - Apply Now - Save Job

Associate Director of Tier 1 Security Operations Center (MSSP)(r
Humana - Carson City , NV

**Become a part of our caring community and help us put health first** The Associate Director of the Tier 1 SOC is a critical role in our organization, responsible for leading and managing the efforts in identifying and mitigating cyber threats. This role demands a high level of technical...

Date Post 03/13/2024 - Apply Now - Save Job

Senior Channel Development Professional
Humana - Carson City , NV

**Become a part of our caring community and help us put health first** The Senior Channel Development Professional will involve data and reporting work, regular interaction with level sales leaders, and provide actionable insights to sales leaders as part of the MarketPoint Sales Reporting UI/UX...

Date Post 03/13/2024 - Apply Now - Save Job

Network Operations Coordinator 4
Humana - Carson City , NV

**Become a part of our caring community and help us put health first** Job Description Summary The Network Operations Coordinator 4 maintains provider data to support customer service activities through data integrity management and gathering of provider data needed for service operations. The...

Date Post 03/13/2024 - Apply Now - Save Job

Licensed Virtual Inside Sales Agent
Humana - Carson City , NV

**Become a part of our caring community and help us put health first** Humana's Inside Sales Agents are our member's partners in their healthcare journey. As a customer-centric company, our top priority has always been the health of the people we serve. Our decades of experience helping millions...

Date Post 03/13/2024 - Apply Now - Save Job

Skills Management Lead
Humana - Carson City , NV

**Become a part of our caring community and help us put health first** As a critical member of the Strategic Workforce Planning team, the Skills Management Lead will play a central role in designing and implementing an enterprise skills approach to drive associate growth and business...

Date Post 03/08/2024 - Apply Now - Save Job

Lead Cognitive/Machine Learning Professional - MLP
Humana - Carson City , NV

**Become a part of our caring community and help us put health first** Humana is seeking a Lead Cognitive/Machine Learning Professional to join our Fortune #40, Best Places to Work company and help us make a difference as we help our members achieve their best health! You will have the...

Date Post 03/08/2024 - Apply Now - Save Job

Compliance and Data Professional
Humana - Carson City , NV

**Become a part of our caring community and help us put health first** The Compliance Professional 2 generates ad hoc reports and regular datasets or report information for Medicaid Compliance. The Compliance Professional 2 work assignments are varied and frequently require interpretation and...

Date Post 03/08/2024 - Apply Now - Save Job

Interoperability Partner Advisor
Humana - Carson City , NV

**Become a part of our caring community and help us put health first** The Strategy Advancement Advisor provides data-based strategic direction to identify and address business issues and opportunities. Provides business At Humana, we are leading the industry in payer-to-provider interoperability...

Date Post 03/08/2024 - Apply Now - Save Job

DOD SkillBridge Intern - Medicare Sales Field Agent
Humana - Carson City , NV

**Become a part of our caring community and help us put health first** Are you transitioning from the Military and looking for a DOD SkillBridge Internship opportunity? Are you passionate about the Medicare population, looking for an opportunity to work in sales, and wanting the ability to...

Date Post 03/08/2024 - Apply Now - Save Job

Principal, Healthcare Strategy
Humana - Carson City , NV

**Become a part of our caring community and help us put health first** Humana, a Fortune 50 Healthcare Company Humana is a publicly traded, Fortune 50 healthcare company with a long history of successful innovation and reinvention. It has transformed itself from the largest US nursing home...

Date Post 03/08/2024 - Apply Now - Save Job

Medical Director - Southwest Medicaid
Humana - Carson City , NV

**Become a part of our caring community and help us put health first** The Medical Director's primary responsibility is the review of medical authorizations or claims to determine the medical necessity of a given service or level of care. The Medical Director's work assignments involve moderately...

Date Post 03/08/2024 - Apply Now - Save Job

Behavioral Health Medical Director - Southwest Medicaid
Humana - Carson City , NV

**Become a part of our caring community and help us put health first** The Behavioral Health Medical Director responsible for behavioral health care strategy and/or operations. The Behavioral Health Medical Director work assignments involve moderately complex to complex issues where the analysis...

Date Post 03/08/2024 - Apply Now - Save Job

Outpatient Medical Coding Auditor (PPI Coding Disputes Team)-- W
Humana - Carson City , NV

**Become a part of our caring community and help us put health first** **Where you Come In** Humana is looking for an experienced medical coding auditor to handle provider disputes in a result-oriented and metrics-driven environment. If you are looking to work from home, for a Fortune 100 company...

Date Post 03/08/2024 - Apply Now - Save Job

Project Manager, The Hive
Humana - Carson City , NV

**Become a part of our caring community and help us put health first** Humana is seeking a marketing savvy, strategy and solutions oriented, highly organized, Project Manager 2 to join our innovative team at The Hive, Humana's in-house agency. We are a creative collective built exclusively to...

Date Post 03/08/2024 - Apply Now - Save Job

Director, Strategy Advancement
Humana - Carson City , NV

**Become a part of our caring community and help us put health first** Come join our IT Strategy team! We design and activate strategies to address healthcare opportunities and challenges with technology-enabled solutions. As a Director in our team you'll enable Humana leaders as they leverage...

Date Post 03/08/2024 - Apply Now - Save Job

Director, Human Resources Business Partner( West Region)
Humana - Carson City , NV

**Become a part of our caring community and help us put health first** The Director, HR Business Partner (West Region) leads the people management agenda in a business unit/area, and acts as a facilitator for the company's management team. Applies broad experience in various Humana Resources (HR)...

Date Post 03/08/2024 - Apply Now - Save Job

Senior Contract Tools, Education, Processes Professional
Humana - Carson City , NV

**Become a part of our caring community and help us put health first** The Senior Contract Tools, Education, Processes Professional manages updates, approvals, publication and provider notices related to Humana's Medicare Advantage and Commercial provider manuals. The Senior Contract Tools,...

Date Post 03/08/2024 - Apply Now - Save Job

Senior Market Research Professional (Remote)
Humana - Carson City , NV

**Become a part of our caring community and help us put health first** Humana's Marketing organization is seeking an experienced Senior Market Research Professional to join the Market Research Department working remote anywhere in the U.S. As the **Senior Market Research Professional,** this...

Date Post 03/08/2024 - Apply Now - Save Job

Senior Account Executive
Humana - Carson City , NV

**Become a part of our caring community and help us put health first** The Hive, Humana's in-house agency, is looking for a Senior Account Executive to join the team. The Hive's purpose is to create meaning, influence choice and motivate change through brand expression of our two master...

Date Post 03/08/2024 - Apply Now - Save Job

Actuary
Humana - Carson City , NV

**Become a part of our caring community and help us put health first** 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...

Date Post 03/08/2024 - Apply Now - Save Job

Actuarial Analyst- Analytics/Forecasting
Humana - Carson City , NV

**Become a part of our caring community and help us put health first** The Actuarial Analyst 2, 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...

Date Post 03/08/2024 - Apply Now - Save Job

Telephonic Care Manager
Humana - Carson City , NV

**Become a part of our caring community and help us put health first** The Telephonic Care Manager (Autism Care Navigator) serves as a primary advocate for assigned beneficiaries receiving care under the Autism Care Demonstration (ACD). The ASN (Autism Care Navigator) collaborates and oversees the...

Date Post 03/08/2024 - Apply Now - Save Job

Associate Director, Infrastructure
Humana - Carson City , NV

**Become a part of our caring community and help us put health first** The Associate Director, Systems Engineering is responsible for owning and advancing compute infrastructures products for a subsidiary department and driving alignment and adoption of Enterprise standards. This role will partner...

Date Post 03/08/2024 - Apply Now - Save Job

Strategy Advancement Advisor
Humana - Carson City , NV

**Become a part of our caring community and help us put health first** Come join our IT Strategy team! We design and activate strategies to address healthcare opportunities and challenges with technology-enabled solutions. As an Advisor in our team you'll enable Humana leaders as they leverage...

Date Post 03/08/2024 - Apply Now - Save Job

Azure FinOps Engineer
Humana - Carson City , NV

**Become a part of our caring community and help us put health first** The Azure FinOps Engineer enables cloud to provide optimal performance, continuity and efficiency in virtualized, on-demand environments. The Azure FinOps Engineer works on problems of diverse scope and complexity ranging from...

Date Post 03/08/2024 - Apply Now - Save Job

Senior IT Disaster Recovery Engineer
Humana - Carson City , NV

**Become a part of our caring community and help us put health first** The Senior IT Disaster Recovery Engineer for the Technical, Exercise & Validation track leads and coordinates all efforts related to recovery solutions and testing for the Disaster Recovery program including defining gaps,...

Date Post 03/08/2024 - Apply Now - Save Job

Senior Software Engineer Varicent ICM
Humana - Carson City , NV

**Become a part of our caring community and help us put health first** The Compensation Technology is responsible for the review, configuration, and testing of new internal sales commission plan requirements into our calculation engines. The Compensation is also responsible for the hand-off of the...

Date Post 03/08/2024 - Apply Now - Save Job

Technology Solutions Principal - Clinical & Office of the Chief
Humana - Carson City , NV

**Become a part of our caring community and help us put health first** Jump in at the intersection of technology and healthcare! We're looking for someone with a passion for leveraging technology to improve healthcare experiences for Humana's members and patients to fill the role of Technology...

Date Post 03/08/2024 - Apply Now - Save Job

Senior Executive Compensation Professional
Humana - Carson City , NV

**Become a part of our caring community and help us put health first** The Senior Executive Compensation Professional develops, implements and analyzes compensation programs for executives, officers and other top key positions. The Senior Executive Compensation Professional work assignments are...

Date Post 03/08/2024 - Apply Now - Save Job

Disability Financial Underwriter
Humana - Carson City , NV

**Become a part of our caring community and help us put health first** The Disability Financial Underwriter computes rates for both renewing and prospective group disability accounts. The Disability Financial Underwriter work assignments are varied and frequently require interpretation and...

Date Post 03/08/2024 - Apply Now - Save Job

Medical Director--Claims Management
Humana - Carson City , NV

**Become a part of our caring community and help us put health first** 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 at the...

Date Post 03/08/2024 - Apply Now - Save Job

Compliance Professional 2
Humana - Carson City , NV

**Become a part of our caring community and help us put health first** Healthcare isn't just about health anymore. It's about caring for family, friends, finances, and personal life goals. It's about living life fully. At Humana, we want to help people everywhere, including our associates, lead...

Date Post 03/08/2024 - Apply Now - Save Job

Director, Medical Cost Management Operations
Humana - Carson City , NV

**Become a part of our caring community and help us put health first** The Director, Medical Cost Management Operations leads governance of the holistic Medicare Advantage trend management function, providing strategic direction to identify and address issues and opportunities across all elements...

Date Post 03/08/2024 - Apply Now - Save Job

Medical Director - Pharmacy Appeals
Humana - Carson City , NV

**Become a part of our caring community and help us put health first** 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...

Date Post 03/08/2024 - Apply Now - Save Job

Associate Director, Actuarial
Humana - Carson City , NV

**Become a part of our caring community and help us put health first** The Associate Director, Actuarial provides actuarial support across a broad range of actuarial and business needs for specific product lines. The Associate Director, Actuarial requires a solid understanding of how organization...

Date Post 03/08/2024 - Apply Now - Save Job

IT Procurement: Lead Category Manager
Humana - Carson City , NV

**Become a part of our caring community and help us put health first** The Lead Category Manager will report directly into the Director of IT Procurement and will lead the development of category strategies, design sourcing plans, oversee negotiations, implement contracts, and drive successful...

Date Post 03/08/2024 - Apply Now - Save Job

Value-Based Programs Analyst
Humana - Carson City , NV

**Become a part of our caring community and help us put health first** The Value-Based Programs Analyst supports successful value-based provider relationships with a focus on improving the provider experience and achieving path-to-value goals through administration and maintenance of claim rules...

Date Post 03/08/2024 - Apply Now - Save Job

Mainframe Platform Director
Humana - Carson City , NV

**Become a part of our caring community and help us put health first** We are seeking a visionary and strategic leader to join our team as the Mainframe Platform Director. In this unique role, you will oversee a hybrid model where much of the day to day are primarily managed by a large outsourced...

Date Post 03/08/2024 - Apply Now - Save Job

Strategy Advancement Advisor - Group Benefits
Humana - Carson City , NV

**Become a part of our caring community and help us put health first** The Strategy Advancement Advisor provides data-based strategic direction to identify and address business issues and opportunities. Provides business intelligence and strategic planning support for business segments or the...

Date Post 03/08/2024 - Apply Now - Save Job

Senior Channel Development Professional
Humana - Carson City , NV

**Become a part of our caring community and help us put health first** The Senior Channel Development Professional will involve data and reporting work, regular interaction with level sales leaders, and provide actionable insights to sales leaders as part of the MarketPoint Sales Reporting UI/UX...

Date Post 03/08/2024 - Apply Now - Save Job

Medical Director - Northeast Region
Humana - Carson City , NV

**Become a part of our caring community and help us put health first** 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...

Date Post 03/08/2024 - Apply Now - Save Job

Medical Cost Advancement Advisor
Humana - Carson City , NV

**Become a part of our caring community and help us put health first** The Medical Cost Advancement Advisor provides support to the Medicare Medical Cost Management team and matrixed partners in the delivery of enterprise trend savings goals. Come join this high performing team and work on solving...

Date Post 03/08/2024 - Apply Now - Save Job

Experience, Strategy, & Transformation Lead
Humana - Carson City , NV

**Become a part of our caring community and help us put health first** We are seeking an accomplished candidate to drive the adoption and implementation of artificial intelligence, ensuring our organization realizes the value from this cutting-edge technology. The ideal candidate possesses a...

Date Post 03/08/2024 - Apply Now - Save Job

Strategy Advancement Advisor
Humana - Carson City , NV

**Become a part of our caring community and help us put health first** The Strategy Advancement Advisor provides business intelligence and strategic planning support for business segments or the company at large. The Financial Planning and Analysis, Strategy Advancement requires an in-depth...

Date Post 03/08/2024 - Apply Now - Save Job

Financial Underwriting Representative
Humana - Carson City , NV

**Become a part of our caring community and help us put health first** The Financial Underwriting Representative 3 computes rates for both renewing and prospective moderate to complex group accounts focusing on Dental, Vision, Life and Disability products. The Financial Underwriting Representative...

Date Post 03/08/2024 - Apply Now - Save Job

Senior Solution Implementation Professional (SFMC)
Humana - Carson City , NV

**Become a part of our caring community and help us put health first** Humana's Corporate Marketing organization is looking for a Senior Technology Implementation Professional that is Salesforce Marketing Cloud Email Specialist certified to join the Marketing Regulatory and Operational...

Date Post 03/08/2024 - Apply Now - Save Job

Lead Data Scientist
Humana - Carson City , NV

**Become a part of our caring community and help us put health first** Humana is seeking a Lead Data Scientist to join our Fortune #40, Best Places to Work company and help us make a difference as we help our members achieve their best health! The Lead Data Scientist uses Machine Learning, AI,...

Date Post 03/08/2024 - Apply Now - Save Job

Well-Being Program Administrator
Humana - Carson City , NV

**Become a part of our caring community and help us put health first** The Well-Being Program Administrator supports to design and deliver innovative strategies and solutions to build emotional resilience and enable high levels of holistic well-being (physical & emotional health, purpose,...

Date Post 03/08/2024 - Apply Now - Save Job

IT Lead Infrastructure Governance-Database
Humana - Carson City , NV

**Become a part of our caring community and help us put health first** Are you passionate about discovering opportunities to lead a service provider team to govern the mainframe database environment? Would you enjoy assisting with improved coding efficiencies and mentoring application developers...

Date Post 03/08/2024 - Apply Now - Save Job

Senior Category Manager Enterprise Consulting, Procurement Lead
Humana - Carson City , NV

**Become a part of our caring community and help us put health first** The Consulting Category Leader is responsible for leading the sourcing and procurement of consulting services for the organization. The role involves developing and managing the consulting category strategy, executing sourcing...

Date Post 03/08/2024 - Apply Now - Save Job

SNP Support SS
Humana - Carson City , NV

**Become a part of our caring community and help us put health first** The Social Services Care Manager, in a telephonic environment, assesses and evaluates members' needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families toward and facilitate...

Date Post 03/08/2024 - Apply Now - Save Job

Associate Director, Network Automation Engineering
Humana - Carson City , NV

**Become a part of our caring community and help us put health first** The Associate Director, Network Automation Engineering will design, provide vision and strategy, develop, and execute Humana's Network Automation program across all environments. This is a management and leadership position...

Date Post 03/08/2024 - Apply Now - Save Job

Medicaid (PPS) Provider Hospital Reimbursement Methodologies Ana
Humana - Carson City , NV

**Become a part of our caring community and help us put health first** The Medicaid (PPS) Provider Hospital Reimbursement Analyst also known as a Senior Business Intelligence Engineer will be an integral part of the Pricer Business and System Support team responsible for administering complex...

Date Post 03/08/2024 - Apply Now - Save Job

Cognitive/Machine Learning Professional
Humana - Carson City , NV

**Become a part of our caring community and help us put health first** Humana is seeking a Cognitive/Machine Learning Professional 2 to join our Fortune #40, Best Places to Work company and help us make a difference as we help our members achieve their best health! You will have the opportunity to...

Date Post 03/08/2024 - Apply Now - Save Job

Acquisition Integration Lead - PCO
Humana - Carson City , NV

**Become a part of our caring community and help us put health first** The Acquisition Integration Lead performs process improvement and program management-oriented duties related to the integration of an acquired provider group into the company stemming from a merger and/or acquisition, as well...

Date Post 03/08/2024 - Apply Now - Save Job

Senior Compliance Professional
Humana - Carson City , NV

**Become a part of our caring community and help us put health first** 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...

Date Post 03/08/2024 - Apply Now - Save Job

Designer 2
Humana - Carson City , NV

**Become a part of our caring community and help us put health first** The Hive, Humana's in-house agency is seeking a Creative Development Professional, Designer 2 to join their team! We are a creative collective built exclusively to support the business and the brand. Our sole purpose is to...

Date Post 03/08/2024 - Apply Now - Save Job

Paralegal 2-Health Plan Contracting
Humana - Carson City , NV

**Become a part of our caring community and help us put health first** The Paralegal 2 performs a variety of law-related tasks such as legal research, drafting legal documents and other related duties. The Paralegal 2 work assignments are varied and frequently require interpretation and...

Date Post 03/08/2024 - Apply Now - Save Job

Director, Associate Well-Being Experience
Humana - Carson City , NV

**Become a part of our caring community and help us put health first** The Director, Associate Well-Being Experience oversees the design, build and implementation of the Company's diverse well-being packages for each of its operating divisions. Each division's package promotes and enhances...

Date Post 03/08/2024 - Apply Now - Save Job

Senior Marketing Campaign Manager
Humana - Carson City , NV

**Become a part of our caring community and help us put health first** The Retail Acquisition Marketing team is a part of Humana's Marketing & Communications organization, supporting direct response marketing initiatives for our Medicare products. We are seeking a talented Senior Marketing...

Date Post 03/08/2024 - Apply Now - Save Job

Subrogation Professional II
Humana - Carson City , NV

**Become a part of our caring community and help us put health first** The Subrogation Professional II identifies, investigates, and collects recoveries from third parties who are legally responsible for paying all or part of medical expenditures for an organization that provides health insurance....

Date Post 03/08/2024 - Apply Now - Save Job

Senior Channel Development Professional
Humana - Carson City , NV

**Become a part of our caring community and help us put health first** The Senior Channel Development Professional develops key initiatives to drive Humana Pharmacy growth within the MarketPOINT partner channel. Collaborates closely with divisional business leaders and teams to create and develop...

Date Post 03/08/2024 - Apply Now - Save Job

Senior Data Manager
Humana - Carson City , NV

**Become a part of our caring community and help us put health first** EOE Business Intelligence is an Enterprise Operations Enablement team focused on data, reporting and data science supporting Humana's Service Operations. The team is focused on converting data to actionable insights for our...

Date Post 03/08/2024 - Apply Now - Save Job

Senior Care Manager, Telephonic Behavioral Health
Humana - Carson City , NV

**Become a part of our caring community and help us put health first** This is a non-exempt position with responsibility for utilization management and clinical decision-making as outlined in the Autism Care Demonstration (ACD) defined in the TRICARE Operations Manual Chapter 18, section 4. The UM...

Date Post 03/07/2024 - Apply Now - Save Job

Senior Vendor Management Professional
Humana - Carson City , NV

**Become a part of our caring community and help us put health first** The Senior Vendor Management Professional works as liaison between vendors and organization. The Senior Vendor Management Professional work assignments involve moderately complex to complex issues where the analysis of...

Date Post 03/07/2024 - Apply Now - Save Job

Telephonic Utilization Management Nurse (Pacific Southwest Regio
Humana - Carson City , NV

**Become a part of our caring community and help us put health first** The Telephonic Utilization Management Nurse utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations. The Utilization...

Date Post 03/06/2024 - Apply Now - Save Job

Inbound Contacts Beneficiary Service Rep (TRICARE Plans)
Humana - Carson City , NV

**Become a part of our caring community and help us put health first** If you are a problem solver, resourceful, and looking to make a difference for your family as well as others, we want you on the Humana Government Business team! Help us deliver exceptional experiences to our TRICARE members as...

Date Post 03/06/2024 - Apply Now - Save Job

Senior Business Intelligence Engineer
Humana - Las Vegas , NV

**Become a part of our caring community and help us put health first** Humana is seeking a Senior Business Intelligence (BI) Engineer to join our world-class team. In this role, you will be working within a data intelligence and reporting team that is focused on such data sets as Medicare Stars,...

Date Post 03/05/2024 - Apply Now - Save Job

Program Delivery Lead
Humana - Carson City , NV

**Become a part of our caring community and help us put health first** The Program Delivery Lead will strategically identify, develop, and implement programs, pilots, or demonstrations that influence providers, beneficiaries or market leadership towards achieving DHA's goals through value-based...

Date Post 03/01/2024 - Apply Now - Save Job

Senior Business Technical Support Professional
Humana - Las Vegas , NV

**Become a part of our caring community and help us put health first** The Senior Business Technical Support Professional provides support for handling and analyzing data that pertains to the compliance and commissions of Humana external producers. The Senior Business Technical Support...

Date Post 02/29/2024 - Apply Now - Save Job

Encounter Data Management Professional
Humana - Carson City , NV

**Become a part of our caring community and help us put health first** The Encounter Data Management Professional ensures data integrity for claims errors. The Encounter Data Management Professional work various tasks or assignments involving Medicare and/or Medicaid encounters. The Encounter...

Date Post 02/27/2024 - Apply Now - Save Job

Quality Program Delivery Professional (Medicaid)
Humana - Carson City , NV

**Become a part of our caring community and help us put health first** Humana Healthy Horizons is seeking a Quality Program Delivery Professional 2 who will support quality program work in multiple states. They will collaborate with internal and external partners to complete fast paced and time...

Date Post 02/25/2024 - Apply Now - Save Job

Director, Care Management
Humana - Carson City , NV

**Become a part of our caring community and help us put health first** The Director, Care Management leads teams of nurses and behavior health professionals responsible for care management. The Director, Care Management requires an in-depth understanding of how organization capabilities...

Date Post 02/22/2024 - Apply Now - Save Job

Oncology Staff Utilization Management Pharmacist
Humana - Carson City , NV

**Become a part of our caring community and help us put health first** The Oncology Staff Utilization Management Pharmacist is a clinical pharmacist who completes medical necessity and comprehensive medication reviews for prescriptions requiring pre-authorization, with a focus on oncology...

Date Post 02/15/2024 - Apply Now - Save Job

Director Public Policy, State Affairs
Humana - Carson City , NV

**Become a part of our caring community and help us put health first** The Director of State Public Policy role resides within the Corporate Affairs Department and will serve as an expert in state public payer, Medicaid and dual eligible public policy while working with subject matter experts and...

Date Post 02/15/2024 - Apply Now - Save Job

Lead Problem Manager
Humana - Carson City , NV

**Become a part of our caring community and help us put health first** We are seeking a highly skilled and experienced Lead Problem Management Practice Owner to join our organization. This strategic, leadership role's primary responsibility is to lead the defining and implementing of best...

Date Post 02/15/2024 - Apply Now - Save Job