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Job Information Humana Director, Executive Recruiting in Portsmouth New Hampshire Description As the Director, Executive Recruiting, you will contribute to a best-in-class recruiting process and candidate experience by developing and engaging ..
Job Information Humana Manager, Market Finance in Portsmouth New Hampshire Description The Manager, Market Finance collects, analyzes and reports on various market data to connect financial outcomes with operational effectiveness. The ..
Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex to complex issues where the analysis of situations or data requires ..
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 ..
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 Humana is seeking an experienced management professional to lead an interactive team with broad exposure and scope within Humana. This position will work and collaborate with leaders across the Humana ..
Description Role is open to US Remote This role will include managing a team of DevSecOps engineers, architects, testers, developers, and specialists who build and support our application security orchestration platform. ..
Job Information Humana Medical Director - National Medicare Team in Portsmouth New Hampshire Description The Medical Director relies on medical background and reviews preauthorization requests for services. The Medical Director work ..
Description Job Description Summary The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex to complex issues where the analysis of situations ..
Job Information Humana Medicare Appeals and Grievance Medical Director in Portsmouth New Hampshire Description The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing appeals for Medicare ..
Description The Director, Pharmacy Clinical Formulary and Medical Drug Strategies oversees and drives the pharmacy and medical drug formulary strategies across all lines of business (Medicare, Commercial, Medicaid). This position will ..
Description The Managing Clinical Pharmacist within the Pharmacy Claim Audit & Review department monitors drug development pipeline, and medical literature, while providing clinical and audit support for internal stakeholders. Utilizes broad ..
Job Information Humana Medical Director - Florida Medicaid in Portsmouth New Hampshire Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately ..
Job Information Humana UM Medical Director - Conviva in Portsmouth New Hampshire Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately ..
Description The MarketPoint Sales Enabling Technology (SET) team is seeking an Associate Director to lead a team of Product Owners and Product Managers focused on delivering best-in-class agent and consumer facing ..
Job Information Humana Medical Director - S. Florida in Portsmouth New Hampshire Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately ..
Description The Director, Portfolio Management collaborates with the business portfolio team to align the IT portfolio and demand. The Director, Portfolio Management requires an in-depth understanding of how organization capabilities interrelate ..
Description The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing home health episodic and per diem requests. The Medical Director provides medical interpretation and determinations whether ..
Job Information Humana Director, Campaign Management & Personalization in Portsmouth New Hampshire Description Humana is seeking a Director, Campaign Management & Personalization who will be responsible for the leadership and day-to-day ..
