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Job Information Humana Senior Compliance Registered Nurse in Troy Michigan Description Humana Healthy Horizons in Ohio is seeking a Senior Compliance Nurse. This position ensures mandatory reporting for Case Management and ..
Job Information Humana Licensed Behavioral Health Professional - Quality Audit in Troy Michigan Description Humana Healthy Horizons in Ohio is seeking a Licensed Behavioral Health Quality Audit Professional. This position ensures ..
Job Information Humana Clinical Auditor Registered Nurse Care Management or Utilization Management in Troy Michigan Description Humana Healthy Horizons in Ohio is seeking a Utilization and Case Management Clinical Auditors. This ..
Job Information Humana Associate Vice President, Quality Improvement for Healthy Horizons in Troy Michigan Description As a company whose primary focus is on the well-being of its members, Humana is dedicated ..
Description Humana Healthy Horizons in Florida is seeking a STARS Improvement Professional 2 who will develop, implement, and manage oversight of the company's Medicaid Stars Program. They will direct all quality ..
Job Information Humana Senior Innovation Portfolio Strategy Professional in Troy Michigan Description The Humana Healthy Horizons Strategic Solutions team's purpose is to accelerate the ideation and development of transformational initiatives that ..
Job Information Humana AVP, MD, Stars and Risk Adjustment Clinical Strategy and Leadership in Troy Michigan Description The Healthcare Quality Reporting & Improvement (HQRI) organization is seeking an AVP to lead ..
Job Information Humana AVP, Stars and Risk Adjustment National Medical Director in Troy Michigan Description The Healthcare Quality Reporting & Improvement (HQRI) organization is seeking a talented Physician executive that can ..
Job Information Humana Fraud and Waste Investigator - Work At Home (Anywhere in the US) in Troy Michigan Description Humana is looking for an experienced Healthcare Investigator to join its industry ..
Description The Director, Pharmacy Clinical Pipeline oversees the medical and pharmacy drug pipeline tracking and forecasting, supports financial sales analysis and market event news. This position will work and collaborate with ..
Description Humana's Primary Care Organization (PCO) is seeking a Senior Product Marketer to join working remote anywhere in the U.S. This marketing professional is responsible for the implementation of marketing strategies, ..
Description The Utilization Management Nurse 2 utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations for Humana's Kentucky Medicaid Plan. The Utilization ..
Description Humana is seeking an experienced and dynamic Associate Director of Accreditation to manage a team of subject matter experts on NCQA Health Plan Accreditation and NCQA Health Equity Accreditation. The ..
Job Information Humana RN, Senior Stars Improvement, Clinical Professional in Troy Michigan Description Humana Healthy Horizons in Florida is seeking a RN, Senior Stars Improvement, Clinical Professional who will be responsible ..
Description The Intern - Care Manager, Registered Nurse, RN performs varied activities moderately complex administrative/operational/member support and semi-routine assignments to support the business needs. Responsibilities The Intern - Care Manager, Registered ..
Description Humana's Primary Care Organization (PCO) is looking for an experienced and passionate Senior Product Marketing Professional to join the PCO's Field Marketing team. This is a remote role that will ..
Description The Medical Records Retrieval Representative travels to provider offices within the region and scans medical records into a secure system. The records are reviewed by Humana's Coding staff. Responsibilities The ..
Description The Humana Healthy Horizons Strategic Solutions team's purpose is to accelerate the ideation and development of transformational initiatives that maximize customer value to create a differentiated value proposition for Humana ..
Job Information Humana Telephonic Behavioral Health Care Manager in Troy Michigan Description The Behavioral Health Care Manager, in a telephonic environment, assesses and evaluates members' needs and requirements to achieve and/or ..
Description Humana is seeking a Physician Strategy Sr. Professional to join our growing team. The Physician Strategy professional will be responsible for setting and implementing strategy for internal and external physician ..
Description The Remote Systems Clinical Pharmacist will provide excellent customer service to both internal and external customers by developing and maintaining relationships with Account / Clinical Management and PCO-IPU Operations teams. ..
Description The Intern - Care Manager, Registered Nurse, RN performs varied activities moderately complex administrative/operational/member support and semi-routine assignments to support the Florida Medicaid team. Responsibilities The Intern - Care Manager, ..