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Description Humana's Primary Care Organization (PCO) is seeking a Senior Product Marketer to join working remote anywhere in the U.S. This marketing professional is responsible for the implementation of marketing strategies, ..
Description The Behavioral Health Medical Director makes determinations regarding prior authorization and retrospective reviews for inpatient and outpatient services to ensure that members receive clinically appropriate and medically necessary services. All ..
Description The Procurement Specialist ensures that the department's materials and products meet all of their specifications. We are looking for a Procurement Specialist to join our team and help manage our ..
Description As the Channel Development Lead for the Pharmacy Integration team, you are accountable to provide consistent strategic direction, sales and account management to drive the visibility and utilization of Humana ..
Description The Sr Infrastructure Resiliency Architect assists the resiliency planning, design, and engineering of enterprise-level infrastructure and platforms related to on-premise and cloud computing. The Sr Infrastructure Resiliency Architect work assignments ..
Description Responsibilities The Insurance Product Manager 2 will: Research each State's Medicaid rules, as it pertains to base benefits, expanded benefits, competitive analysis, etc. for intelligence gathering and strategy formulation Responsible ..
Description Humana Healthy Horizons is seeking a Value-Based Contract Writer (Value-Based Programs Lead) who will conduct all aspects of value-based payment (VBP) contracting including development, implementation, negotiation, and maintenance in alignment ..
Description The Medical Director actively uses their medical background, experience, and judgement to make determinations whether requested services, requested level of care, and/or requested site of service should be authorized. All ..
Description The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing appeals for Medicare Part C Line of Business. The Medical Director provides medical interpretation and determinations ..
Job Information Humana AVP, Stars and Risk Adjustment National Medical Director in Lancaster South Carolina Description The Healthcare Quality Reporting & Improvement (HQRI) organization is seeking a talented Physician executive that ..
Description The Manager, Learning Design uses instructional design, cognitive psychology and adult learning theory to determine the appropriate solution to a knowledge or performance gap. The Manager, Learning Design works within ..
Description The Senior Project Manager manages all aspects of a project, from start to finish, so that it is completed on time and within budget. The Senior Project Manager work assignments ..
Description The Medicare Supplement Administrative and Product Support follows established procedures and guidelines to provide timely and effective secretarial support to an office, business unit, department, or other organization. Answers telephones, ..
Description The Learning Systems Lead provides guidance and support on the use of technology involved in learning and development. Actively keeps abreast of developments in learning technologies. The Learning Systems Lead ..
Description The Senior Learning Design Professional, Military Spouse Intern will utilize Humana's Centralized Medicaid training and engage formerly acquired skillsets from the military experience and education to perform within the learning ..
Job Information Humana Senior Sales Marketing Professional in Lancaster South Carolina Description Humana's Retail Marketing team is looking for a Senior Sales Marketing Professional (Agent Education Marketing) to join working remote ..
Description The Medical Director's primary responsibility is the review of medical authorizations or claims to determine the medical necessity of a given service or level of care. The Medical Director's work ..
Job Information Humana Senior Brand Management Associate in Lancaster South Carolina Description Humana's Marketing and Communications Organization is seeking an experienced Senior Brand Management Associate to join the Brand Management Team ..
Description Humana is seeking a Senior Communications and Marketing Professional to join our growing team. The Senior Communications and Marketing Professional will create and lead strategy for Humana's Wisconsin Medicaid Market ..
Description The Bilingual Manager, Learning Facilitation , plans, coordinates, and implements all aspects of training programs for participants throughout for Grievance and Appeals / Careplus. EST states Responsibilities The Bilingual Grievances ..
Job Information Humana DoD SkillBridge or Military Spouse Learning Design Professional Intern in Lancaster South Carolina Description The Learning Design Professional 1 Intern follows established procedures and guidelines to provide timely ..
