Search the 41 jobs at Humana

As a Senior Product Marketer, you will develop and manage marketing campaigns to support clinical operations and patient experience. Responsibilities include leading SEO content strategy, managing social media strategy, and overseeing data-driven marketing initiatives across multiple channels. You will collaborate with teams to define objectives and analyze campaign performance while creating resources for patients and clinicians.

Supervise a team assisting members and providers with appeals resolutions in a healthcare setting. Responsible for ensuring compliance with established policies and maintaining quality standards. Provide oversight to associates while managing daily operations and decisions related to schedules and plans.

The Grievances & Appeals Representative 3 manages client denials and concerns through comprehensive reviews of clinical documentation, determining if grievances or appeals are warranted. They assist members with quality goals, investigate issues, and perform administrative tasks, utilizing strong data entry skills and experience in the healthcare field. Regular discretion in prioritizing requests is required, along with effective communication skills.

The Functional Screen Specialist assesses the functional status and eligibility of members in the Wisconsin Family Care program. Responsibilities include scheduling and conducting assessments, gathering and entering data, referring individuals as necessary, maintaining accurate records, and complying with state guidelines and processes.

The Case Manager Assistant supports care management by assisting in non-clinical tasks such as assessing members' needs, reviewing medical records, ensuring compliance with care plans, and communicating with staff regarding any deficiencies. They also analyze data for quality improvement and assist in connecting members with appropriate resources.

The Chief of Staff - Market Leadership Advisor manages the operations and development of a health plan, ensuring adherence to Medicare performance benchmarks and strategic plans. This role involves collaborating with stakeholders to enhance market capabilities, leading product initiatives, and influencing senior-level strategies.

The Associate Actuary, Pricing is responsible for setting pricing assumptions, submitting bids, and filing premium rates with regulatory agencies. They support implementation of rates, analyze financial metrics, and develop pricing actions based on market projections. The role involves analysis of complex issues and requires strong communication skills.

The Actuary - Enterprise Financial Analytics analyzes financial and economic data, establishes metrics, evaluates trends, and forecasts the organization's financial position. Collaborates with various teams to support strategic and operational decisions, troubleshoot issues, and develop resolutions for data anomalies.

The Marketing Campaign Developer is responsible for developing and executing marketing campaigns across various channels, including direct mail and email. This role involves requirements gathering, data mapping, database marketing consultation, and working with IT and business partners to optimize campaign processes and strategies.

The Senior Counsel provides legal advice in the health care industry, handling diverse legal problems, advising executives, and working on mergers and acquisitions. They guide legal compliance on fraud laws and support strategic initiatives for patient care improvement.

The Associate Actuary in Analytics/Forecasting analyzes and forecasts financial and economic data to inform strategic decisions. They ensure data integrity, collaborate with stakeholders, and influence departmental strategies by evaluating various factors without direct supervision, handling moderately complex to complex issues.

The Strategy Advancement Advisor collaborates with leadership and stakeholders to advance the organization's strategy, focusing on key operational priorities and internal documentation. They support long-term strategy development, coordinate annual planning, develop measurable organizational goals, and monitor strategic initiatives and KPIs in a flexible, remote environment.

The Lead Systems Engineer oversees systems and projects related to policy management, compliance, and automation focusing on mobile and Mac technology solutions. Responsibilities include implementing business continuity, evaluating system security, and partnering across multiple business lines to enhance collaboration and productivity tools.

The Lead Software Engineer will manage and enhance Humana's IAM platform. Responsibilities include coding software applications, leading and mentoring a team, enforcing best practices, ensuring compliance with security standards, and addressing complex software issues.

The Actuary analyzes and forecasts financial and economic data to aid in strategic and operational decisions. Responsibilities include establishing metrics, ensuring data integrity, providing analyses, and advising executives on functional strategies regarding market trends and financial positioning, while collaborating with stakeholders on business needs and problem-solving.

The Workforce Management Lead develops strategic insights for workforce decision-making related to staffing, talent management, and operational performance. They assess staffing needs, advise executives on strategies, and work independently on complex issues while interacting with senior leadership. They are responsible for driving improvements in consumer experiences based on workforce analytics and metrics.

The Senior Cloud Architect will lead Terraform module development, consult on its use cases, refactor existing modules, and collaborate across teams to automate infrastructure within Humana. This role also involves technical planning for cloud environments and influencing departmental strategy while making complex decisions independently.

The Insurance Segment Strategy Lead at Humana will manage high-profile strategy projects, focusing primarily on Medicare Advantage strategy development. Responsibilities entail conducting research and analysis, crafting solutions, managing workstreams, and collaborating with senior leadership to ensure strategic initiatives drive growth while enhancing member health outcomes.

The Informaticist 2 coordinates with analytics and IT to interpret data and optimize programs. They leverage data modeling to predict behavior, enhance financial models, and ensure informed decision-making that impacts organizational outcomes. This role requires independent problem-solving and effective communication across various departments.

The Lead Full Stack Engineer will mentor a team, architect and develop scalable mobile applications, manage the complete software development lifecycle, ensure best practices in mobile development, and troubleshoot technical issues while collaborating with various stakeholders.