humana Jobs

22 listings from humana via himalayas — updated daily

Staff Utilization Management Clinical Pharmacist

humana

29d ago
📍 Remote💰 $104K–$143K/yr

### **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

29d ago
📍 Remote💰 $142K–$196K/yr

### **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

29d ago
📍 Remote💰 $115K–$158K/yr

### **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

30d ago
📍 Remote💰 $59,300–$80,900/yr

### **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

30d ago
📍 Remote💰 $71,100–$97,800/yr

### **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

1mo ago
📍 Remote💰 $115K–$158K/yr

### **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

1mo ago
📍 Remote💰 $58,400–$79,800/yr

### **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

1mo ago
📍 Remote💰 $59,300–$80,900/yr

### **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

1mo ago
📍 Remote💰 $71,100–$97,800/yr

### **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

1mo ago
📍 Remote💰 $86,300–$119K/yr

### **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

1mo ago
📍 Remote💰 $126K–$174K/yr

### **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

1mo ago
📍 Remote💰 $35,900–$48,200/yr

### **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

1mo ago
📍 Remote💰 $78,400–$108K/yr

### **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

1mo ago
📍 Remote

### **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

1mo ago
📍 Remote💰 $71,100–$97,800/yr

### **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

1mo ago
📍 Remote💰 $107K–$147K/yr

### **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

1mo ago
📍 Remote💰 $142K–$196K/yr

### **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

1mo ago
📍 Remote💰 $168K–$231K/yr

### **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

1mo ago
📍 Remote💰 $94,900–$131K/yr

### **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

1mo ago
📍 Remote💰 $94,900–$131K/yr

### **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

1mo ago
📍 Remote💰 $94,900–$131K/yr

### **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

1mo ago
📍 Remote💰 $71,100–$97,800/yr

### **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