Become a part of our caring community and help us put health first The Senior Provider Contracting Professional initiates, negotiates, and executes physician and other provider contracts and agreements. The Senior Provider Contracting Professional work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable… … Read more
Become a part of our caring community and help us put health first The Financial Planning & Analysis Lead analyzes and forecasts financial, economic, and other data to provide accurate and timely information for strategic and operational decisions. The Financial Planning & Analysis Lead works on problems of diverse scope and complexity ranging from moderate … Read more
Become a part of our caring community and help us put health first The Provider Engagement Executive develops and grows positive, long-term relationships with physicians, providers and healthcare systems in order to support and improve financial and quality performance within the contracted working relationship with the health plan. The Provider Engagement Executive works on problems … Read more
Become a part of our caring community and help us put health first Humana Healthy Horizons is seeking a Senior Value-Based Programs professional who will support successful value-based provider relationships with a focus on improving the provider experience and achieving path-to-value goals. This position will be responsible for leading the beginning-to-end operational support of specialty… … Read more
Become a part of our caring community and help us put health first The Manager, Pre-Authorization Nursing oversees the UM nurses who complete the medical necessity and level of care reviews for requested outpatient services and the UM coordinators who support the clinical team in daily operations. The UM manager is responsible to educate providers … Read more
Become a part of our caring community and help us put health first Humana IT Enterprise Observability engineering team is looking for a well versed and experienced Senior Software Engineer-Splunk. As a Senior Engineer, you should be proficient and hands-on within Splunk AWS; editing and maintaining Splunk configuration files and apps. As a Senior software … Read more
Become a part of our caring community and help us put health first The Claims Research & Resolution Representative 2 manages claims operations that involve customer contact, investigation, and resolution of claims. The Claims Research & Resolution Representative 2 performs varied activities and moderately complex administrative / operational / customer support assignments. Performs computations… Typically … Read more
Welcome to Humana, a leading healthcare company dedicated to improving the health and well-being of our members. We are currently seeking a Healthcare Insurance Eligibility Specialist to join our team. In this role, you will play a crucial part in ensuring our members have access to the healthcare services they need by verifying their eligibility … Read more
Become a part of our caring community and help us put health first Do you love assisting others when they are in need? Are you looking for valuable experience working for a Fortunate 100 company that focuses on the well-being of customers and employees? If you enjoy providing customer service over the phone, this could … Read more
Become a part of our caring community and help us put health first Do you love assisting others when they are in need? Are you looking for valuable experience working for a Fortunate 100 company that focuses on the well-being of customers and employees? If you enjoy providing customer service over the phone, this could … Read more