Browse current Humana openings that JobDrop found directly from the company's careers source.
# Become a part of our caring community The Corporate Medical Director relies on medical background and reviews of medical records for appeals decisions. The Corporate Medical Director works on problems of diverse scope and complexity ranging from moderate to substantial. The Corporate Medical Director provides clinica
# Become a part of our caring community The Lead Software Engineer codes software applications based on business requirements. The Lead Software Engineer works on problems of diverse scope and complexity ranging from moderate to substantial. The Lead Software Engineer as a key member of the Agile delivery organization,
# Become a part of our caring community As a key member of the Agile delivery organization, the Senior Technical Product Owner is responsible for maximizing business value by defining, prioritizing, and managing product backlogs for enterprise pharmacy applications and platforms. This role serves as the primary liaison
# Become a part of our caring community The Medical Records Representative (Risk Adjustment Representative 3) retrieves medical records from provider offices for a variety of reviews and audits through various retrieval methods. Scheduled Hours: - The normal business hours for this position are Monday – Friday from 8:0
# Become a part of our caring community The Lead Product Manager is responsible for the strategy, roadmap, and execution of omni-channel External Identity and Access Management (XIAM) capabilities. This role leads the product lifecycle from discovery and prioritization through launch, adoption, optimization, and modern
# Become a part of our caring community The Clinical Performance Strategy & Measurement Team shapes how Humana defines, measures, and improves clinical performance across the enterprise. By identifying high-impact opportunities to improve healthcare quality, affordability, provider performance, and member outcomes, the
# Become a part of our caring community The Clinical Performance Strategy & Measurement Team shapes how Humana defines, measures, and improves clinical performance across the enterprise. By identifying high-impact opportunities to improve healthcare quality, affordability, provider performance, and member outcomes, the
# Become a part of our caring community Stars is an organization that is responsible for improving health outcomes and advancing the care experience of our members and provider partners through quality solutions. Stars is committed to caring for our customers and delivering high plan quality as rated by the Centers for
# Become a part of our caring community As a Pharmacy Intern you will perform tasks in field of study or profession. You will work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action. As an unpaid Pharmacy Intern you will apprentice while compl
# Become a part of our caring community The Licensed Behavioral Health Utilization Management Professional uses behavioral health knowledge and skills to support the coordination, documentation, and communication of medical services and/or benefit administration determinations. The Licensed Behavioral Health Utilizatio
# Become a part of our caring community The Licensed Behavioral Health Utilization Management Professional 2 uses behavioral health knowledge and skills to support the coordination, documentation, and communication of medical services and/or benefit administration determinations. The Licensed Behavioral Health Utilizat
# Become a part of our caring community The Licensed Behavioral Health Utilization Management Professional 2 uses behavioral health knowledge and skills to support the coordination, documentation, and communication of medical services and/or benefit administration determinations. The Licensed Behavioral Health Utilizat
# Become a part of our caring community Are you passionate about helping others navigate healthcare and community resources? As a Transition/Custodial Prevention Specialist, you will work one-on-one with members to create personalized care plans, coordinate services, and empower them to achieve better health outcomes a
# Become a part of our caring community The Senior Full Stack Engineer for Platform Quality and Reliability owns the operational health of the NBA platform after it is built. This is a hands-on engineering role first. You are expected to be a significant individual contributor every sprint. You take handoff from the de
# Become a part of our caring community The Medicaid Chief Medical Officer for Indiana provides market-based medical leadership and clinical strategy for Humana Healthy Horizons in Indiana. This leader oversees clinical operations, quality, utilization management, population health, and medical cost strategy while serv
# Become a part of our caring community Are you ready to make a difference in your career and your community? Humana is looking for a Long-Term Care Functional Screen Specialist in Eau Claire County, WI, to join the Inclusa team, where you will support members in the Wisconsin Family Care program. Reporting to the Supe
# Become a part of our caring community The Field Service Coordinator (Care Coach 1) assesses and evaluates member's needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families toward and facilitate interaction with resources appropriate for the care and wellbeing of members. Th
# Become a part of our caring community The Community Health Worker (CHW) 1 serves as a liaison between health and social services and the community, identifying health-related issues, collecting data, and discussing concerns with the people served. The Community Health Worker 1 works assignments are varied and frequen
# Become a part of our caring community The Care Management Support Assistant 3 contributes to administration of care management. Provides non-clinical support to the assessment and evaluation of members' needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families toward and fac
# Become a part of our caring community The Transition Coordinator (Care Coach 2) evaluates member's needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families toward and facilitate interaction with resources appropriate for the care and wellbeing of members. The Care Coach 2 w
# Become a part of our caring community Job Summary The AVP, Clinical Product & Strategy will set the strategic direction for clinical programs and products that create measurable value for Medicare Advantage and Traditional Medicare populations served by CenterWell Home Health (CWHH). This work will directly impact th
# Become a part of our caring community Humana is a Fortune 50 market leader in integrated healthcare with a clearly defined purpose to help people achieve lifelong well-being. As part of Humana's strategy to transform post-acute care delivery, OneHome leverages benefit management capabilities to improve outcomes, enha
# Become a part of our caring community The Pharmacist is a licensed professional who is responsible for the safe and appropriate dissemination of pharmacy services including medications and pertinent supplies. The Pharmacist also monitors the flow of activities in the pharmacy department including the processing of me
# Become a part of our caring community The Clinical Business Lead provides comprehensive, operational and team lead support for programs serving members who are dually eligible for Medicare and Medicaid. This role partners with clinical and operational leaders to coordinate daily workflows and staffing, monitor produc
# Become a part of our caring community With over 10 million sales interactions annually, Humana understands that while great products are important, it’s the quality of our service that truly defines us. We know that when our members and prospects have delightful and memorable experiences, it strengthens their connect
# Become a part of our caring community With over 10 million sales interactions annually, Humana understands that while great products are important, it’s the quality of our service that truly defines us. We know that when our members and prospects have delightful and memorable experiences, it strengthens their connect
# Become a part of our caring community Join Humana's Internal Audit team and guide the achievement of Humana's strategic and financial objectives as an Internal Auditor. Reporting to the Internal Audit Manager, you will provide value-added service by evaluating the efficiency and effectiveness of Humana's operational
# Become a part of our caring community As the Clinical Pharmacy Lead you will monitor drug development pipeline, and medical literature, while providing clinical support for internal stakeholders. Utilize broad understanding of managed care and PBM knowledge to develop, and/or implement strategies and programs to redu
# Become a part of our caring community This part-time, remote internship offers students and recent graduates hands-on experience conducting quantitative healthcare research focused on pharmacy outcomes and policy. Interns will contribute to real-world evidence studies across areas such as comparative effectiveness, m
# Become a part of our caring community Are you passionate about contributing to the well-being of the Medicare population? Would you like to provide support to an active and fast-paced team of sales professionals? The Sales Support Representative provides sales administrative support to assist the team with bringing n
# Become a part of our caring community Humana, a Fortune 50 Healthcare Company Humana is a publicly traded, Fortune 50 health benefits company with a long history of successful innovation and reinvention. It has transformed itself from the largest US nursing home company in the ’60s, to the largest US hospital corpora
# Become a part of our caring community As a Referrals Coordinator, you will perform data entry into medical management system, assigning an appropriate provider, reviewing for benefits, and as required pending to a nurse or supervisor who can complete the medical necessity review or request additional information. Rec
# Become a part of our caring community Humana: A Fortune 60 Healthcare Company Humana is a publicly traded, Fortune 60 health benefits company with a long history of successful innovation and reinvention. It has transformed itself from the largest US nursing home company in the ’60s, to the largest US hospital corpora
# Become a part of our caring community The Associate Director, Sales Compliance is responsible for overseeing compliance activities related to sales operations, ensuring adherence to applicable regulations, contractual obligations, and organizational policies. This role partners closely with sales, legal, compliance,
# Become a part of our caring community The Director, Group Medicare Account Management is a strategic people-leader role responsible for translating the Group Medicare client engagement strategy into consistent execution across an assigned portfolio, team, or functional area. Reporting to the Associate Vice President
# Become a part of our caring community Humana Illinois Market is seeking a Quality Improvement Professional who analyzes and measures the effectiveness of existing business processes and develops sustainable, repeatable, and quantifiable business process improvements. The Quality Improvement Professional work assignme
# Become a part of our caring community The Senior Informaticist works in the Process Insights team to analyze and provide quantitative insights from our AI Process Insights tools. They may coordinate with other analytics, IT and business areas across the organization to ensure work is completed with insights from know
# Become a part of our caring community The Senior Stars Improvement, Clinical Professional This work focuses on areas of clinical emphasis. Begins to influence department’s strategy. Makes decisions on moderately complex to complex issues regarding technical approach for project components, and work is performed witho
# Become a part of our caring community The Behavioral Health Medical Director provides clinical leadership for Medicaid behavioral health utilization management and makes timely, consistent, and defensible medical-necessity determinations. The role primarily supports Illinois Medicaid and may support other Medicaid ma
# Become a part of our caring community Join Humana as a Care Coordinator and make a meaningful impact on the lives of Illinois Medicaid members. As part of the Initiation Team supporting Humana's Illinois HealthChoice Medicaid Managed Care program, you will serve as one of the first points of contact for newly enrolle
# Become a part of our caring community The Senior Cloud Solutions Engineer, Enterprise API Engineering & Operations supports development and operations of Enterprise API platforms like APIGEE within organization's existing Hybrid IT infrastructure (i.e., Cloud & On-prem). This role will be responsible for implementing
# Become a part of our caring community The Senior Software Engineer designs, codes, and maintains software applications to meet business and platform requirements. This role delivers technical solutions and hands-on development expertise within a team environment. The Senior Software Engineer contributes to platform a
# Become a part of our caring community We are seeking a Clinical Pharmacist to join our primary care organization. You will play a critical role in improving patient outcomes through effective medication management, patient education, and collaboration with our healthcare team. In this role, you will support the full
# Become a part of our caring community The Innovation Portfolio Strategy Advisor reports to a Behavioral Health portfolio director and drives the product lifecycle for assigned products within that portfolio. You will accomplish the product strategy developed by the portfolio director by translating strategy into actu
# Become a part of our caring community The Process Improvement Lead analyzes and measures the effectiveness of existing business processes and develops sustainable, repeatable and quantifiable business process improvements. The Process Improvement Lead works on problems of diverse scope and complexity ranging from mod
# Become a part of our caring community You will work as an Oklahoma-based, telephonic care manager. This care manager will assess and evaluate enrollees' needs and requirements to achieve or maintain optimal wellness. The care manager will guide enrollees/families towards and facilitate interaction with appropriate re
# Become a part of our caring community Become a part of our caring community and help us put health first Humana is seeking a Lead Product Manager, Consent & Preference Management Platform to drive the execution, adoption, and continuous improvement of Humana’s enterprise consent and preference management capabilities
# Become a part of our caring community The Market Development Advisor supports the market's ability to execute strategic priorities, address complex operational challenges, and deliver consistent results across key initiatives. This role provides dedicated leadership and oversight for complex, high-visibility work, dr
# Become a part of our caring community The Actuarial Analytics/Forecasting Principal 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 works directly to support business intelli
# Become a part of our caring community The Medical Records Retrieval Specialist conducts quality assurance audits of medical records and ICD‑9/10 diagnosis codes submitted to the Centers for Medicare and Medicaid Services (CMS) and other government agencies. This is a remote role with extensive field‑based responsibil
# Become a part of our caring community About Humana Humana is a Fortune 50, publicly traded health benefits company with a long-standing reputation for innovation and transformation. As one of the nation's largest health benefits organizations, Humana is committed to delivering consumer-focused health solutions that d
# Become a part of our caring community The Director of Program Delivery leads the successful execution of strategic programs and programs across the organization and assumes back-up responsibilities for the COO operating in the LTSS Program Manager capacity. You will provide oversight of project management responsibil
# Become a part of our caring community The Associate Director, Technology Solutions supports the architecture, integration, and technology decisions across Member platforms. This position partners with senior leaders to advance interoperability and scalability of systems that support enrollment, product, benefits, and
# Become a part of our caring community The Associate Director, Network Engineering is responsible for leading Data Center Engineering and Deployment Engineering teams that design, deploy, and support strategic infrastructure initiatives across the enterprise. This role provides leadership for engineering execution, in
# Become a part of our caring community The Lead Technical Product Manager, Digital Pharmacy, will lead the development of next-generation digital pharmacy experiences and the reusable technical capabilities that power them. This is a hands-on technical product role spanning strategy through execution. The Lead Technic
# Become a part of our caring community The Principal, Provider Network Transition Strategy serves as an enterprise leader responsible for developing and advancing Humana's strategy for significant provider network changes and disruption events. This highly visible individual contributor role partners across Provider C
# Become a part of our caring community The Field Care Manager Registered Nurse (RN) assesses and evaluates member's needs and requirements to achieve and/or maintain optimal wellness state by guiding members and families toward resources appropriate for the care and wellbeing of members. The Field Care Manager Nurse e
# Become a part of our caring community The Field Care Manager Registered Nurse key roles and responsibilities may include the following: - Identifies and resolves barriers that hinder effective care. - Ensures member is progressing towards desired outcomes by continuously monitoring patient care through assessments an
# Become a part of our caring community The Senior IT Project Manager oversees various system projects and/or programs of a highly complex nature. The Senior IT Project Manager work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of varia
# Become a part of our caring community Job Description Summary The Medicaid Clinical Operations team is looking for a Project Manager to manage cross-functional projects that support clinical operations, regulatory compliance, operational readiness, and business transformation projects across Medicaid programs. You wi