Humana jobs in Remote

A healthcare company is seeking a Registered Nurse (RN) to join their team. The successful candidate will have an active RN license, over 3 years of clinical experience, and the ability to collaborate with healthcare professionals. This role offers a combination of remote...

A leading healthcare company is seeking an RN to collaborate with healthcare providers in reviewing medical care against CMS standards. This role requires a valid RN license, strong communication skills, and the ability to work independently in a dynamic environment. Qualifications...

A major healthcare company is seeking an Associate Director for Clinical Education to lead a team focused on value-based, senior-centric primary care. The role involves market-based clinical teaching, maintaining clinical practice, and leading educational programs. Ideal...

 ...Become a part of our caring community With over 10 million sales interactions annually, Humana understands that while great products are important, it's the quality of our service that truly defines us. We know that when our members and prospects have delightful and... 

A leading U.S. healthcare company is seeking a Care Manager, Telephonic Nurse. Responsibilities include managing members' health issues through telephonic outreach and collaboration with a multidisciplinary team. Candidates must hold an active R.N. license, be bilingual...

A leading healthcare company is seeking a Market Executive of Operations to oversee branch operations and ensure compliance with clinical and financial standards. This remote role involves strategic planning, managing a team of Branch Directors, and requires at least one...

A major healthcare company seeks a Clinical Pharmacist Lead to oversee pharmacy operations and ensure compliance with regulations. The role involves monitoring the drug pipeline, supporting financial and operational activities, and developing programs for Medicaid services...

A leading healthcare company seeks an UM Administration Coordinator 2 to support utilization management and provide administrative assistance. Candidates should have at least 2 years of relevant experience in administrative roles and claims processing. Excellent communication...

A healthcare company seeks a Grievances & Appeals Representative 2 to manage high-volume Medicaid and AIP cases. The role requires proactive management of multiple cases per hour, effective communication, and analytical skills to evaluate eligibility. Ideal candidates ...

A healthcare company located in Baton Rouge is looking for an Associate Director, Coding Education, to enhance provider documentation and deliver tailored education plans. This role requires strong leadership and technical experience, along with CPC certification. The ...

A leading U.S. healthcare company seeks a Senior Technology Solutions Professional to devise strategies for IT initiatives and improve processes. This role requires 5+ years of experience, a solid understanding of technology, and a passion for enhancing consumer experiences...

A leading U.S. healthcare company is seeking a Utilization Management Administration Coordinator to provide remote non-clinical support. Responsibilities include managing chart reviews, building authorizations, and communicating with providers and members about clinical...

A leading healthcare company is hiring a Utilization Management Administration Coordinator to provide non-clinical support remotely. In this role, you will engage with providers and members to manage clinical information, requests, and letters, among various responsibilities...

A healthcare company seeks a Director of Authorizations & Eligibility to oversee authorization and eligibility processes. The ideal candidate will have extensive experience in healthcare revenue cycle management, including a minimum of 5 years leading authorization functions...

A leading healthcare company is seeking an Associate Director of Coding Education in Salt Lake City, Utah. This role involves creating tailored education plans to enhance provider documentation and quality care. Candidates must have a Bachelor's Degree, extensive technical...

A leading healthcare company is seeking an experienced Utilization Management Administration Coordinator to provide non-clinical support. This fully remote position involves managing chart reviews, building authorizations, and engaging with providers and members. Candidates...

A leading healthcare company is seeking an Associate Director, Coding Education to enhance provider documentation through tailored education plans. This remote role requires a Bachelor's degree, significant technical and management experience, and certifications in coding...

A leading healthcare company is seeking a Utilization Management Administration Coordinator to provide remote support for utilization management processes. Candidates should have over a year of experience in administrative roles and proficiency in Microsoft Office. The...

A leading healthcare company is seeking a strategic leader with deep expertise in UX and product design to transform digital experiences. The ideal candidate will build and inspire a high-performing design team while collaborating with cross-functional leaders. Responsibilities...

A leading healthcare company in Arizona is seeking a Medical Director to conduct clinical reviews of inpatient records and support decision-making for patient care. The role requires an MD or DO with over five years of clinical experience and strong analytical and communication...

A leading healthcare company is seeking a qualified Inpatient Medical Coding Auditor to analyze and code clinical information from medical records. This is a remote position with the possibility of travel to company offices for training. Candidates must have significant...

A leading healthcare company is seeking a Medical Director to ensure quality inpatient care through expert clinical reviews and collaboration with physicians. Candidates should hold an MD or DO with over 5 years of post-residency experience, possess strong analytical and...

A leading healthcare company in the United States is seeking a Manager for Encounter Data Management. This role involves developing efficient business processes for Medicaid/Medicare encounter submissions, ensuring all submissions meet compliance standards. The ideal candidate...

A healthcare company is seeking an Associate Actuary in Analytics/Forecasting to analyze financial data and provide insights for strategic decisions. This remote position requires a Bachelor's Degree and ASA designation, along with strong communication skills. Candidates...

A leading healthcare company is seeking a Coding Educator 2 to enhance provider documentation through tailored educational plans. The role includes arranging educational sessions, analyzing data trends, and collaborating with providers for quality improvement. The right...

A healthcare solutions company in Austin, Texas is seeking a professional Pharmacy Technician to manage prescriptions and resolve issues while providing excellent customer support. You will need an active pharmacy technician license and at least 1 year of related experience...

A leading healthcare company is seeking a Medical Director to conduct clinical reviews of inpatient medical records. The candidate will analyze complex cases and ensure adherence to medical necessity guidelines. This position offers a chance to impact patient care through...

A leading healthcare company is seeking a Director of Clinical Pharmacy to lead the development and implementation of clinical programs aimed at improving health outcomes through optimized medication use. The ideal candidate will have extensive experience in clinical management...

A leading healthcare company is seeking a Senior IT Portfolio Management Professional in Pierre, SD. This role involves aligning technology portfolio with enterprise priorities, managing project intake, and influencing strategy based on complex analysis of business and...

A leading healthcare company is seeking a Medical Director to join their remote team in Columbia. This role involves reviewing health claims, performing clinical evaluations, and guiding decision-making for inpatient care. Candidates should possess an MD or DO with at ...