Become a part of our caring community The Senior Compliance Professional ensures adherence to government regulations and requirements. Your role will involve work assignments of moderate to high complexity, requiring comprehensive analysis and evaluation of variable
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
Become a part of our caring community The Senior Informaticist coordinates with other analytics, IT and business areas across the organization to ensure work is completed with insights from knowledge SMEs. The Senior Informaticist work assignments
Become a part of our caring community The Data Product & Strategy Lead drives enterprise value by developing automation opportunities across CenterWell segments, including Home Health, Primary Care, and Pharmacy. You will partner with others to
Become a part of our caring community The Senior Counsel advises on complex, cross-functional matters. In this position, you must have the ability to perform sophisticated legal analysis and clearly communicate with business partners and other
Become a part of our caring community The National Medical Director of Clinical Excellence & Safety is a pivotal leadership position within CenterWell Senior Primary Care. This role is responsible for guiding patient safety initiatives, ensuring
Become a part of our caring community Humanas distribution organization, MarketPoint, plays an important part in driving Humanas long-term vision to achieve leading growth in Medicare and individual products. We created the MarketPoint strategy team to
Become a part of our caring community The Senior Pharmacy Clinical Advisor advises and collaborates with cross functional leaders with goals of combining clinical pharmacy acumen with holistic desired health outcomes. The Senior Pharmacy Clinical Advisor
Become a part of our caring community The Informatics Lead solves complex business problems using data from internal and external sources to provide insight to decision-makers. You will work with analytics, IT, and departments across the
Become a part of our caring community Humana Healthy Horizons is looking for candidates to join our Medicaid Product Organization to support the strategic direction and growth of the Medicaid line of business. This is a
Become a part of our caring community Humana Healthy Horizons is seeking a, detail-oriented Senior Insurance Product Content Professional to join our Medicaid Insurance Product Organization. You will have a unique opportunity to contribute to the
Become a part of our caring community The Assistant Vice President, Strategy Advancement serves as the strategic right hand to the Vice President of Pharmacy Hub Operations, driving execution, alignment, innovation, and scalability across all hub
Become a part of our caring community The Risk Management Professional 2 is responsible for leading and executing quality audits within the CenterWell Utilization Management (UM) program, ensuring compliance with regulatory requirements, including CMS and NCQA
Become a part of our caring community The Associate Actuary will support Medicare Market & Provider Finance with a focus on hospital unit cost financial impacts, provider reimbursement analytics, and actual-to-expected cost evaluation. You will develop
Become a part of our caring community The Nurse Clinical Lead reports to, and partners closely with, the National Medical Director, Risk Adjustment and Stars. They support corporate and regional strategies for provider success in Medicare
Become a part of our caring community The Business Intelligence Lead solves complex business problems and issues using data from various data sources to provide insight to decision-makers. You will work on problems of diverse scope
Become a part of our caring community The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing Home Health, SNF, DME, dual Medicare/Medicaid requests. The Medical Director reviews and determines whether healthcare
Become a part of our caring community The Medicaid Capture Management team’s purpose is to successfully position Humana to enter new markets enabling the future of the business. As a centrally positioned strategic function this team
Become a part of our caring community The Senior Insurance Product Compliance Professional negotiates with state and federal regulatory agencies to secure approval for insurance policies and certificates. This role supports the implementation and ongoing maintenance
Become a part of our caring community Enterprise Risk Management Leader The Vice President Enterprise Risk Management (ERM) is responsible for rebuilding and leading a best-in-class ERM program in a complex healthcare environment. This executive will