Search the 54 jobs at Humana

The Senior Manager, MarketPoint Sales oversees Medicare Sales Field Agents, driving team performance to achieve sales targets. Responsibilities include training, monitoring sales results, managing budgets, and ensuring compliance with Medicare regulations while promoting health plans in the community.

The Regional Vice President, Contracting will develop strategic provider relationships and networks in the Southeast Region for Humana, focusing on improving community health. Responsibilities include leading provider contract negotiations, managing a team, and ensuring compliance with healthcare regulations. Expect 35% travel.

The UM Administration Coordinator 2 offers non-clinical support for policies and procedures related to treatment and care. Responsibilities include assisting UM Nurses, processing discharge orders, maintaining communication with healthcare facilities, managing documentation of requests, and conducting clerical tasks.

The Case Manager (Community Resource Coordinator) is responsible for providing comprehensive social service care management to frail elders and adults with disabilities in the Wisconsin Family Care program. This involves conducting assessments, coordinating care plans, and supporting members in achieving their personal goals.

The Case Manager will provide comprehensive social service care management to Wisconsin Family Care program members. Responsibilities include performing assessments, coordinating care plans, and promoting community integration. The role involves collaboration with health professionals and requires travel within specific counties.

The Associate Actuary, Analytics/Forecasting is responsible for analyzing and forecasting financial and economic data to guide strategic decisions, ensuring data integrity, and developing insights through collaboration and data analysis. This role involves addressing complex issues independently and contributing to the department's strategy.

As a Senior Cloud Architect at Humana, you will design and manage scalable cloud solutions, ensuring compliance and data quality while collaborating with IT and business teams. Responsibilities include improving current technologies, overseeing cloud privacy, and handling infrastructure movement techniques to support healthcare solutions.

The Senior Data Scientist will engage in Generative AI initiatives, leveraging advanced machine learning techniques and large language models to build applications. Responsibilities include data collection, analysis, reporting, and influencing strategic business decisions based on complex data evaluation.

The Value-Based Programs Analyst supports value-based provider relationships, focusing on enhancing provider experience and achieving value goals. Responsibilities include analyzing financial patterns with Excel and SQL, reviewing provider contracts, ensuring compliance with regulations, and collaborating across departments.

The Coding Educator 2 enhances provider documentation by creating educational plans for assigned providers, reviewing medical records, and arranging educational sessions to improve documentation quality and care. This role involves collaboration with various departments and decision-making for project components with minimal supervision.

The Financial Planning & Analysis Lead analyzes and forecasts financial data to support strategic and operational decisions. Responsibilities include analyzing investments and economic indicators, advising executives on financial strategies, and managing complex projects. The role requires independent judgment and should result in accurate information for senior management.

As a Social Worker/Case Manager, you'll coordinate social service care for members of the Wisconsin Family Care program, collaborating with health coordinators and conducting assessments to support members' daily lives and comprehensive care plans.

The Senior Systems Administrator is responsible for complex support of IT systems, including installation, testing, maintenance, and operations of servers and applications. They ensure effective integration of technology for end users, manage software licensing, and work on disaster recovery and business continuity planning. This role requires decision-making on complex issues and influences departmental strategy.

As a Case Manager, you will provide assistance and care management for members of the Wisconsin Family Care program. Responsibilities include conducting assessments, developing care plans, coordinating with health professionals, and supporting members in achieving their personal goals. You will work collaboratively with a Health and Wellness Coordinator and may travel to meet with members in their communities.

As a Senior Data Manager, you will acquire, clean, and develop datasets supporting business analysis and reporting. You will work on data architecture and lifecycle management while ensuring data reliability and accessibility. Responsibilities include collaborating with business units, translating needs into technical requirements, and preparing data for visualization and reporting.

As a Social Worker/Case Manager, you will provide comprehensive social service care management for members in the Family Care program, focusing on the needs of frail elders and individuals with disabilities. Responsibilities include conducting assessments, coordinating care plans, and collaborating with healthcare teams to support member well-being.

The SVP of Specialty at Humana will lead the Specialty Business, overseeing financial performance across Dental, Vision, Medicare Supplement, and Prescription Drug Plans. Key responsibilities include developing business strategy, managing P&L, driving growth, fostering collaboration with leadership, and recruiting top talent.

The Lead Research Scientist will drive initiatives to enhance healthcare delivery and outcomes by employing mathematical and data science methods. This involves collaborating with stakeholders to evaluate healthcare programs, transforming complex data into actionable insights, and making recommendations based on data analysis and clinical input.

The UM Administration Coordinator contributes to the administration of utilization management by providing non-clinical support, answering calls, verifying clinical information, documenting communications, and creating correspondence, all while collaborating with various stakeholders to ensure efficient operations.

The Senior STARS Improvement Consultant will manage large-scale Pharmacy initiatives, coordinate with physician groups, analyze data for performance gaps, and develop presentations for strategy execution. Responsibilities also include fostering collaborations within teams and promoting the organization's quality performance metrics.