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Become a part of our caring community The IT Internal Auditor develops, directs, plans and evaluates internal audit programs for the organization's information systems and related procedures to ensure compliance with the organization's policies, procedures and standards. Your wo
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 de
Become a part of our caring community The Senior Full Stack Engineer builds and evolves the NBA platform's Action Library and Command Center experience, the operational system used by business and program teams to create, configure, govern, and publish member actions across the
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
Become a part of our caring community The Senior Software Engineer on Team Caliber builds and maintains the NBA platform's business rules engine — the system that determines member eligibility, suppression, frequency, and consent before any action is taken. Team Caliber is built
Become a part of our caring community The Senior Platform Engineer keeps the entire NBA platform healthy, reliable, and maintainable for the long term. You develop a working understanding of every layer of the technology stack — the Java/Drools rules engine, the React/Node/Postg
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 are
Become a part of our caring community The Claims Research & Resolution Professional 2 manages claims operations that involve customer contact, investigation, and settlement of claims for and against us. Approve all claim settlements both for and against us. The Claims Research &
Become a part of our caring community This is an opportunity to support the leadership of one of Humana's largest technology organizations and contribute to initiatives that are modernizing healthcare technology, advancing AI-driven capabilities, and improving experiences for mi
Become a part of our caring community The Care Coordinator responsibilities are as follows: - Visit Medicaid members in their homes, Assisted Living Facilities, and/or Long-Term Care Facilities and other care settings – 75%-90% local travel. - Ensure members are receiving servi
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 Coaching, you will support members enrolled in the Wisconsin Family Care Program providing essential care coordin
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 wor
Become a part of our caring community The Senior Analytics Consultant coordinates with other analytics, IT and business areas across the organization to ensure work is completed with insights from knowledge SMEs. The Senior Informaticist work assignments involve moderately compl
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. I
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 fac
Become a part of our caring community - Visit Medicaid enrollees in their homes, Assisted Living Facilities, and/or Long-Term Care Facilities and other care settings – 75% local travel. - Ensure enrollees are receiving services in the least restrictive setting to achieve and/
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 oversigh
Become a part of our caring community The Medical Director uses their medical background, experience, and judgement. You will make determinations whether they should authorize requested services, request level of care, and requested site of service at the Initial or Appeals/Disp
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 over
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