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Description The Care Manager, Telephonic Nurse 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 ..
Description The Care Manager, Telephonic Nurse, 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 interaction ..
Description The Utilization Management Nurse 2 utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments ..
Description The Provider Contracting Executive initiates, negotiates, and executes physician, hospital, and/or other provider contracts and agreements. The Provider Contracting Executive engages in strategic negotiation and relationship-building with a variety of ..
Description The Actuary, Analytics/Forecasting will develop the financial forecast for the dental and vision benefits included within Humana's growing Medicare Advantage business, as well as pricing and oversight of other stand ..
Description The Senior Value-Based Programs Analyst supports successful value-based provider relationships in the Service Fund Department with a focus on improving the provider experience and achieving path-to-value goals through analysis and ..
Description Humana's Claims Cost Management (CCM) organization is seeking a Manager, Fraud & Waste to join the Provider Payment Integrity-Clinical Audit team working remote anywhere in the US. As the Fraud ..
... 2 initiates, negotiates, and executes dental provider contracts and agreements for ... needed travel for in person dental office visits, research of local ... these events, identification of local..
Job Information Humana Senior Sales Enablement Product Marketer in San Juan Puerto Rico Description Humana's Primary Care Organization (PCO) is looking for an experienced and passionate Product Marketer who is hyper ..
Description The Senior Value-Based Analyst supports successful value-based provider relationships with a focus on improving the provider experience and achieving path-to-value goals. The Senior Value-Based Analyst works on problems of diverse ..
Job Information Humana Quality Improvement Coordinator in San Juan Puerto Rico Description The Quality Improvement Coordinator 3 assists in administering and monitoring quality improvement and compliance processes for the Ohio Medicaid ..
Job Information Humana Digital Channel Sales Strategy And Transformation Lead - Louisville, KY or Remote in San Juan Puerto Rico Description The Digital Channel Sales Strategy and Transformation Lead enhances the ..
Job Information Humana Provider Contracting Professional 2 - Remote Opportunity in San Juan Puerto Rico Description The Provider Contracting Professional 2 initiates, negotiates, and executes physician, hospital, and/or other provider contracts ..
Description The mission of the Physician Performance Insights team is to empower Humana members to make informed healthcare decisions. Our key goal is to ensure transparency and help our members obtain ..
Description The Physician Performance Insights team's mission is to empower Humana members to make informed healthcare decisions. Our key goal is to ensure transparency and help our members obtain high quality ..
Job Information Humana Manager, Utilization Management Nursing - Medicare / Medicaid in San Juan Puerto Rico Description The Manager, Utilization Management Nursing utilizes clinical nursing skills to support the coordination, documentation ..
Job Information Humana Senior Provider Contracting Professional - Remote (EST Hours) in San Juan Puerto Rico Description The Senior Provider Contracting Professional initiates, negotiates, and executes physician, hospital, and/or other provider ..
Job Information Humana Manager, Utilization Management RN - Remote in San Juan Puerto Rico Description The Manager, Utilization Management Nursing utilizes clinical nursing skills to support the coordination, documentation and communication ..
Description The Inbound Contacts Representative 1 represents the company by addressing incoming telephone, digital, or written inquiries. The Inbound Contacts Representative 1 performs administrative/operational/customer support/computational tasks. Typically works within a framework ..
Description The Healthcare Financial Analyst collects, analyzes, and reports on various market data, connecting operational effectiveness and member experience to financial outcomes. Responsibilities The East Central Region is seeking a Healthcare ..
