Staff Utilization Management Clinical Pharmacist
humana
### **Become a part of our caring community** The Utilization Management Clinical Pharmacist 2 (VSP/PT) is a clinical pharmacist who completes medical necessity and comprehensive m
Lead Penetration Tester
humana
### **Become a part of our caring community** Become a part of our caring community and help us put health first We're hiring the technical leader of our penetration testing practi
Internal Communications Lead Technology
humana
### **Become a part of our caring community** [Humana](https://himalayas.app/companies/humana)’s Corporate Communications organization is seeking an Internal Communications Lead to
Risk Adjustment Admin Professional
humana
### **Become a part of our caring community** The Risk Adjustment Administration Professional 1 responsible for uploading packets for CMS RADV (Risk Adjustment Data Validation) to
Registered Nurse Care Manager- Rice Lake
humana
### **Become a part of our caring community** As a RN Care Manager, you will enjoy a true work-life balance with no night or weekend shifts. Reporting to the Manager of Care Coachi
Strategy Advancement Advisor - Network Management
humana
### **Become a part of our caring community** This is a remote position reporting to the Director of Strategy Advancement. The Strategy Advancement Advisor - Network Management pro
Administrative Assistant
humana
### **Become a part of our caring community** The Administrative Assistant 3 follows established procedures and guidelines to provide timely and effective secretarial support to an
Medical Coding Educator
humana
### **Become a part of our caring community** The Medical Coding Educator 2 identifies opportunities to improve provider documentation and creates an education plan tailored to eac
Utilization Management Rn
humana
### **Become a part of our caring community** The Utilization Management Nurse, National Medicaid Clinical Operations is responsible for reviewing and evaluating clinical documenta
Senior Contract Management Professional
humana
### **Become a part of our caring community** As a remote Senior Contract Management Professional you will report to a Contract Management Lead. You will be responsible for subcont
Strategy & Operations Lead – Clinical Outcomes
humana
### **Become a part of our caring community** We are looking for a dynamic Strategy & Operations Lead to develop clinical solutions for our members and providers, with accountabili
Bilingual Claims Review Representative 3
humana
### **Become a part of our caring community** **Where you Come In** The Claims Review Representative 3 partners with professional staff on pre-screening review by applying guidance
Senior Stars Clinical Consultant Rn
humana
### **Become a part of our caring community** The Senior Stars Clinical Consultant (RN) is responsible for the implementation and management oversight of the company's Medicare Sta
Care Management Support Assistant
humana
### **Become a part of our caring community** Are you a transitioning military service member or a military spouse looking for an internship that supports the goal to put health fi
Care Manager Registered Nurse Rn
humana
### **Become a part of our caring community** The Care Manager, Telephonic Nurse 2, in a telephonic environment, assesses and evaluates members' needs and requirements. This is don
Senior Application Architect
humana
### **Become a part of our caring community** The Senior Application Architect designs and develops IT applications architecture solutions to business problems in alignment with th
Lead Solutions Architect
humana
### **Become a part of our caring community** Job Description Summary The Lead Solutions Architect provides architecture leadership for CenterWell Home Health programs and platform
Director of Product Customer Lifecycle & Engagement
humana
### **Become a part of our caring community** The Director, Product Management defines and leads the digital and CX strategy for member engagement, retention, loyalty, and customer
Manager Utilization Management Nursing
humana
### **Become a part of our caring community** The Manager, Utilization Management Nursing utilizes clinical nursing skills to support the coordination, documentation and communicat
Encounter Data Management Lead
humana
### **Become a part of our caring community** The Encounter Data Management Lead is responsible for leading AI-driven reconciliation and automation efforts to improve encounter dat
Vendor Management Lead
humana
### **Become a part of our caring community** The Vendor Management Lead works as liaison between vendors and organization. The Vendor Management Lead works on problems of diverse
Utilization Management Nurse
humana
### **Become a part of our caring community** The Utilization Management Nurse 2 utilizes clinical nursing skills to support the coordination, documentation and communication of me