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Become a part of our caring community - Lead the evaluation, design, standardization, and optimization of processes to improve efficiency, effectiveness, scalability, and stakeholder experience. - Identify and implement process improvement opportunities using data analysis, o
Become a part of our caring community The Director, Enterprise Activation Provider Performance Strategy is responsible for leading Enterprise Activation's provider performance infrastructure, including provider strategy, provider programs, reporting and dashboard capabilities, p
Become a part of our caring community Humana is seeking a self-driven and collaborative Lead Software Engineer to join our Interactive Voice Response (IVR) team. In this role, you will deliver innovative IVR solutions and develop robust omnichannel APIs for our enterprise platfo
Become a part of our caring community Reporting to the Part D CFO, this position will be responsible for developing and maintaining Part D pharmacy forecasting models that support Medicare Advantage and Prescription Drug Plan (PDP) lines of business through financial planning, r
Become a part of our caring community - Own the OpenText Migration strategy and roadmap, aligning capabilities with enterprise goals and member experience objectives. - Lead cross-functional teams in the design, configuration, and deployment of personalized communications. - Ove
Become a part of our caring community The Senior Care Coach 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.
Become a part of our caring community As a Referral and Scheduling Coordinator, you will schedule and pre-register patients for exams and procedures with specialists and providers outside of the primary care physician's office. This is an onsite position. The Referral and Sched
Become a part of our caring community Our Brokerage Technology team is looking for a Senior Product Owner to join us in transforming the insurance brokerage industry and delivering innovative experiences to our customers. Will help drive the digital roadmap, representing the nee
Become a part of our caring community Job Description The Senior Technology Implementation Professional gathers and documents business system and functional requirements, influences system design to optimize support and ensures solutions meet the business objectives and require
Become a part of our caring community The Field Care Manager Nurse 2 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
Become a part of our caring community You have shipped AI products before. You understand the difference between a demo and a production system. You have strong opinions about evaluation frameworks because you have experienced the consequences of operating without them. You are
Become a part of our caring community We build the platform that transforms millions of clinical documents into trusted, actionable data. Our systems use large language models (LLMs) to read medical records, extract structured facts, answer complex questions with citations to so
Become a part of our caring community As a Market Development Advisor you will report to a Market Director, and work on site at our MacDill AFB office. This role will have full responsibility and accountability for the daily management of the TRICARE contract within your assigne
Become a part of our caring community The Senior Compliance Professional ensures compliance with governmental requirements. The Senior Compliance Professional work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-de
Become a part of our caring community The Process Improvement Professional 2 supports corporate and market programs by identifying opportunities to improve outcomes, strengthen compliance, and enhance operational effectiveness. This role partners with business stakeholders to re
Become a part of our caring community As the Associate Director – Pharmacy Clinical Program Trend you will be part of an interactive team with broad exposure and scope within Humana. You will lead an organization with a mission to improve our members' health outcomes with optimi
Become a part of our caring community Join Humana's Medicaid Utilization Management (UM) team and help members access the care they need. As a UM Administration Coordinator 2, you will support the prior authorization process by managing clinical documentation, verifying member e
Become a part of our caring community The Senior Quality Compliance Professional supports quality improvement, regulatory compliance, and performance oversight activities for Humana's Louisiana health plan operations. You will evaluate, monitor and support compliance with applic
Become a part of our caring community The Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate procedural terminology and medical codes (e.g., ICD-10-CM, CPT) to patient records. The Medical Coding Auditor work assignment
Become a part of our caring community The UM Administration Coordinator contributes to administration of utilization management. The UM Administration Coordinator 2 performs basic administrative, clerical, operational, customer support, and computational tasks working on semi-ro