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Description Humana IT is leading transformation within Health care and improving the health outcomes of the people we serve through cutting-edge technologies and agile product-centric teams. Our transformation is resulting in ..
Description The Business Intelligence 2 - Provider Intelligence and Claims Analytics (PICA) solves complex business problems and issues using data from internal and external sources to provide insight to decision-makers. The ..
Description Business Intelligence Engineers on the Provider Intelligence and Claims Analytics (PICA) team solve complex business problems and issues using data from internal and external sources to provide insights to decision-makers. ..
Job Information Humana Enterprise Transformation Lead - Office or Remote in Bakersville North Carolina Description The Enterprise Transformation Lead provides data-based strategic direction to identify and address business issues and opportunities. ..
Alternate Locations: Work from Home; Atlanta, GA (Georgia); Austin, TX (Texas); Bakersfield, CA (California); Baltimore, MD (Maryland); Baton Rouge, LA (Louisiana); Birmingham, AL (Alabama); Boise, ID (Idaho); Boston, MA (Massachusetts); Buffalo, ..
Description The Senior Network Engineer designs, analyzes, plans and modifies network components supporting customer communication implementation activities. The Senior Network Engineer work assignments involve moderately complex to complex issues where the ..
Job ID 21000IRFAvailable Openings 2PURPOSE AND SCOPE: Supports FMCNA’s mission, vision, core values and customer service philosophy. Adheres to the FMCNA Compliance Program, including following all regulatory and FMS policy requirements. ..
Job Information Humana Lead, Portfolio Management in Bakersville North Carolina Description Responsibilities Job Description The Lead, Portfolio Management role collaborates with Customer Experience Center Platform (CECP) leadership and external teams to ..
Job Information Humana Senior Data and Reporting Analyst - Remote Nationwide in Bakersville North Carolina Description The Senior Data and Reporting Analyst generates ad hoc reports and regular datasets or report ..
Job Information Humana Learning Design Professional 2- Remote in US in Bakersville North Carolina Description The Learning Design Professional 2 uses instructional design, cognitive psychology and adult learning theory to determine ..
Job ID 21000LEGAvailable Openings 1 PURPOSE AND SCOPE: Functions as part of the hemodialysis health care team in providing safe and effective dialysis therapy for patients under the direct supervision of ..
Job Information Humana Senior Market Development Professional in Bakersville North Carolina Description The Senior Behavioral Health Market Development Professional provides support to assigned health plan and/or specialty companies relative to Medicaid ..
Description Responsibilities This role may be completely remote from anywhere in the US, or onsite/hybrid from Louisville, KY. The Associate Actuary, Valuation is responsible for estimates of reserves required for unpaid ..
Description The Claims Educator is responsible for ensuring prompt and accurate provider claims processing of original claims, resubmissions, and overall adjudication of claims. The Claims Educator manages claims operations that involve ..
Job Information Humana Fraud and Waste Investigator-Remote in US in Bakersville North Carolina Description The Fraud and Waste Professional 2 conducts investigations of allegations of fraudulent and abusive practices. The Fraud ..
Job Information Humana Pharmacy Special Investigations Professional (Fraud, Waste & Abuse) Remote in US in Bakersville North Carolina Description The Fraud and Waste Professional 2 conducts investigations of allegations of fraudulent ..
Description The Project Manager manages all aspects of a project, from start to finish, so that it is completed on time and within budget. The Project Manager work assignments are varied ..
Description The Senior IT Compliance Professional audits the most complex new and existing information systems applications to ensure that appropriate controls exist, that processing is efficient and accurate, and that information ..
Job Information Humana Associate Director/Grievances and Appeals-Remote/Virtual in US in Bakersville North Carolina Description The Associate Director, Grievances & Appeals manages client denials and concerns by conducting a comprehensive analytic review ..
Description The Director, Technology Solutions devises an effective strategy for executing and delivering on IT business initiatives. The Director, Technology Solutions requires an in-depth understanding of how organization capabilities interrelate across ..
Description The Fraud and Waste Professional 2 conducts investigations of allegations of fraudulent and abusive practices. The Fraud and Waste Professional 2 work assignments are varied and frequently require interpretation and ..
Description The Technology Solutions Lead leads initiatives to analyze complex business problems and issues using data from internal and external sources. Brings expertise or identifies subject matter experts supporting multi-functional efforts ..
Job Information Humana Manager, Fraud and Waste-Remote US in Bakersville North Carolina Description The Manager, Fraud and Waste conducts investigations of allegations of fraudulent and abusive practices. The Manager, Fraud and ..