Senior Business Intelligence Data Analyst
Humana - Carson City , NV

**Become a part of our caring community and help us put health first** Humana is seeking an individual for the Senior Business Intelligence Data Analyst to provide support for its expansion of value-based programs, working heavily with providers to achieve success on the Service Fund team. Humana...

Date Post 04/26/2024 - Apply Now - Save Job

Strategy Advancement Advisor
Humana - Carson City , NV

**Become a part of our caring community and help us put health first** We are looking for an experienced candidate to drive our Clinical Artificial Intelligence (AI) Strategy focused on identifying, scoping, sizing, and prioritizing AI use cases. The ideal candidate will have a background in...

Date Post 04/26/2024 - 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** 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 04/26/2024 - 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 04/26/2024 - 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 04/26/2024 - Apply Now - Save Job

Medicaid Compliance Business Intelligence Lead
Humana - Carson City , NV

**Become a part of our caring community and help us put health first** Humana Healthy Horizons is seeking a Medicaid Compliance Business Intelligence Lead who describes the tools, technologies, applications, and practices used to collect, integrate, analyze, and present the Medicaid segment's...

Date Post 04/26/2024 - Apply Now - Save Job

Business Intelligence Associate Director
Humana - Carson City , NV

**Become a part of our caring community and help us put health first** The Associate Director, Business Intelligence will be responsible for leading the operational performance of Value-Based Specialist Programs within the Service Fund organization. Overseeing a team of highly specialized...

Date Post 04/26/2024 - Apply Now - Save Job

Senior Enterprise Architect (remote virtual)
Humana - Carson City , NV

**Become a part of our caring community and help us put health first** Do you love using data and advanced technologies to create amazing customer experiences? If so, you might be the perfect fit for our Enterprise Architecture team. Our mission is to align business strategy with technology...

Date Post 04/26/2024 - Apply Now - Save Job

Claims Research & Resolution Representative 2
Humana - Carson City , NV

**Become a part of our caring community and help us put health first** The Claims Research & Resolution Representative 2 manages claims operations that involve customer contact, investigation, and resolution of claims. The Claims Research & Resolution Representative 2 performs varied activities...

Date Post 04/26/2024 - Apply Now - Save Job

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

**Become a part of our caring community and help us put health first** The Lead Technology Leadership Professional is responsible for all aspects of software or hardware product delivery and performance. The Lead Technology Leadership Professional works on problems of diverse scope and complexity...

Date Post 04/26/2024 - Apply Now - Save Job

RN, Utilization Management - Behavioral Health
Humana - Carson City , NV

**Become a part of our caring community and help us put health first** Full-Time Remote, Telephonic RN opportunity. The Utilization Management Behavioral Health Nurse utilizes behavioral health knowledge and skills to support the coordination, documentation, and communication of medical...

Date Post 04/26/2024 - Apply Now - Save Job

BILINGUAL Claims Research & Resolution Representative 2
Humana - Carson City , NV

**Become a part of our caring community and help us put health first** The Bilingual Claims Research & Resolution Representative 2 manages claims operations that involve customer contact, investigation, and resolution of claims. The Bilingual Claims Research & Resolution Representative 2 performs...

Date Post 04/26/2024 - Apply Now - Save Job

Utilization Management Strategy Lead
Humana - Carson City , NV

**Become a part of our caring community and help us put health first** The Clinical Strategy team is a multi-disciplinary team focused on creating data-driven strategies to transform our business and the experiences we create for our members, provider partners & associates. We partner closely with...

Date Post 04/26/2024 - Apply Now - Save Job

Medical Director - North Central Region - Medicaid
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 (Staff Geriatrician or Physician with Ten (10) Years of Clinical Practice with Older Adults) works assignments involve moderately...

Date Post 04/25/2024 - Apply Now - Save Job

Social Services (LMSW/LCSW) - Care Management Support
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 04/25/2024 - 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 04/25/2024 - Apply Now - Save Job

RN - Nursing Educator 2 (UM, CM, Pre-Certs, Compliance) - Remote
Humana - Carson City , NV

**Become a part of our caring community and help us put health first** The RN, Nursing Educator 2 plans, directs, coordinates, evaluates, develops, delivers training and education programs for professional nursing personnel. The RN, Nursing Educator 2 work assignments are varied and frequently...

Date Post 04/25/2024 - Apply Now - Save Job

Program Delivery Professional 2
Humana - Carson City , NV

**Become a part of our caring community and help us put health first** Healthcare Quality Reporting & Improvement (HQRI) is an organization responsible for improving health outcomes and advancing the care experience of our members and provider partners through integrated risk adjustment (RA) and...

Date Post 04/25/2024 - Apply Now - Save Job

Senior Accreditation Professional
Humana - Carson City , NV

**Become a part of our caring community and help us put health first** We are seeking a Senior Accreditation Professional who will work in a team environment on Humana's health plan accreditations, performing complex tasks related to compliance with accreditation standards across multiple...

Date Post 04/25/2024 - 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 04/25/2024 - Apply Now - Save Job

Utilization Behavioral Health Professional
Humana - Carson City , NV

**Become a part of our caring community and help us put health first** Humana Healthy Horizons is seeking a Utilization Management Behavioral Health Professional 2 who utilizes behavioral health knowledge and skills to support the coordination, documentation, and communication of medical services...

Date Post 04/25/2024 - 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 04/25/2024 - Apply Now - Save Job