Become a part of our caring community The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex to complex issues where the analysis of situations or data
Become a part of our caring community As the E-Referral & Vendor Optimization Lead, you will be a strategic individual contributor and team leader responsible for managing electronic referral workflows and overseeing relationships with 90+ referral
Become a part of our caring community Provides executive leadership to Humana. The Regional Chief Medical Officer (CMO) is an entrepreneurial & experienced physician leader committed to the principles of comprehensive primary care and unlocking the
Become a part of our caring community This is a remote position working with members who speak English and also members who speak Spanish. You must be fluent in both English and Spanish for this position.
Become a part of our caring community Humana, a Fortune 100 Company, is looking for an experienced and Certified Inpatient Medical Coding Auditor to review inpatient hospital claims for proper reimbursement and resolve provider disputes. Your
Become a part of our caring community The Associate Actuary, Analytics/Forecasting analyzes and forecasts financial, economic, and other data to provide accurate and timely information for strategic and operational decisions. Establishes metrics, provides data analyses, and
Become a part of our caring community The UM Administration Coordinator 1 contributes to administration of utilization management. The UM Administration Coordinator 1 performs basic administrative/clerical/operational/customer support/computational tasks. Typically works on routine and patterned assignments. UM
Become a part of our caring community The UM Administration Coordinator 1 contributes to administration of utilization management. The UM Administration Coordinator 1 performs basic administrative/clerical/operational/customer support/computational tasks. Typically works on routine and patterned assignments. UM
Become a part of our caring community The Risk Adjustment Coding Analyst provides operational, analytical, and administrative support to business leaders and teams. You will analyze data to support decision-making, performance monitoring, project tracking, and partner
Become a part of our caring community The Senior Process Improvement Professional plays a critical role within the Procurement Systems Optimization team, leading enterprise-wide procurement systems, processes, digital transformation, and AI-driven initiatives across procurement and supplier
Become a part of our caring community Become a part of our caring community and help us put health first.We are seeking a skilled Decision Intelligence Engineer to design, train, and continuously improve the reinforcement learning
Become a part of our caring community The Senior Platform Engineer keeps the entire NBA platform healthy, reliable, and maintainable for the long term. You develop a working understanding of every layer of the technology stack
Become a part of our caring community The Lead Decision Intelligence Engineer (AI) owns the application of Decision Intelligence and agentic AI across the NBA platform. This role analyzes and formalizes the business decisions that drive
Become a part of our caring community The Lead Full Stack Engineer owns the NBA platforms orchestration and state machine — the system that carries a decision from the moment it is made to the moment
Become a part of our caring community The Enterprise AI organization at Humana is a pioneering force, driving AI innovation across our Insurance and CenterWell business segments. By collaborating with world-leading experts, we are at the
Become a part of our caring community We are searching for a Senior Software Engineer to architect, develop, and maintain action and policy platforms that enable real-time, personalized decisioning across both digital and assisted channels. These
Become a part of our caring community The Inpatient Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate procedural terminology and medical codes (e.g., ICD-10-CM, CPT) to patient records. The
Cardinal Health Sonexus Access and Patient Support helps specialty pharmaceutical manufacturers remove barriers to care so that patients can access, afford and remain on the therapy that is life changing and life saving. Our diverse expertise
Become a part of our caring community Reporting to the Part D CFO, this position will be responsible for developing and maintaining Part D pharmacy forecasting models that support Medicare Advantage and Prescription Drug Plan (PDP)
What Individualized Care contributes to Cardinal Health Delivering an exclusive model that fully integrates direct drug distribution to site-of-care with non-commercial pharmacy services, patient access support, and financial programs, Sonexus Health, a subsidiary of Cardinal Health,