Group Sales Representative

Become a part of our caring community and help us put health first Come join our team! Looking for a dynamic Group Sales Representative in NC/SC! This Group Sales Rep works with agents and consultants to sell Ancillary Group insurance products to new and existing accounts with 50 or more eligible employees, with the focus … Read more

Associate Director, Care Management (LTSS/ABD)

Become a part of our caring community and help us put health first Humana Healthy Horizons in Virginia is seeking an Associate Director, Care Management (LTSS/ABD) who will lead teams of healthcare professionals responsible for care management. They will lead and guide others in providing integrated services for the clinical teams. The Associate Director, Care … Read more

Manager, Care Management (LTSS/ABD)

Become a part of our caring community and help us put health first Humana Healthy Horizons in Virginia is seeking a Manager, Care Management (LTSS-ABD) who will lead a team of nurses and behavior health professionals responsible for care management of members, specifically the elderly or special needs populations such as the Aged, Blind and … Read more

UM Administration Coordinator 2

Become a part of our caring community and help us put health first The UM Administration Coordinator 2 contributes to administration of utilization management. The UM Administration Coordinator 2 performs varied activities and moderately complex administrative/operational/customer support assignments. Performs computations. Typically works on semi-routine assignments… The UM Administration Coordinator 2 provides non-clinical support for the … Read more

Data Engineer

Become a part of our caring community and help us put health first Humana is seeking a highly motivated Data Engineer who will be working on data platforms and delivering heath care solutions to our most deserving, service members who defend our country the US Armed forces. Associate will help enhance data accessibility and interpretability … Read more

Mom’s First Maternity, Telephonic Nurse

Become a part of our caring community and help us put health first Why Humana… At Humana, caring is everything. You look after our members and patients. We look after you. If caring means something to you too, we’ve got a spot for you. We design competitive and flexible benefits packages to provide our employees … Read more

Provider Education & Outreach Representative (IN Medicaid)

Become a part of our caring community and help us put health first Humana Healthy Horizons in Indiana is seeking a Provider Education & Outreach Representative who is responsible for the day-to-day front line relationship management of network providers for Humana’s Healthy Horizons in Indiana, as well as responsible for provider onboarding, training, education, responding … Read more

Weekend – UM Administration Coordinator 2- (Fri-Mon 7-6 EST) Remote Georgia

Become a part of our caring community and help us put health first The UM Administration Coordinator 2 contributes to administration of utilization management. The UM Administration Coordinator 2 performs varied activities and moderately complex administrative/operational/customer support assignments. Performs computations. Typically works on semi-routine assignments. Where you Come In The UM Administration Coordinator 2 provides … Read more

Risk Adjustment Representative

Become a part of our caring community and help us put health first The Risk Adjustment Representative 2 conducts quality assurance audits of medical records and ICD-9/10 diagnosis codes that are submitted to the Centers for Medicare and Medicaid Services (CMS) and other government agencies. The Risk Adjustment Representative 2 performs varied activities and moderately … Read more

RN – Telephonic Utilization Management Nurse- Medicare- Remote – Southeast Region

Become a part of our caring community and help us put health first The Utilization Management Nurse 2 utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments are varied and frequently require interpretation and independent determination of… the appropriate … Read more