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Humana

Humana — крупная американская компания в сфере здравоохранения, работающая в индустрии с 1961 года. Она предоставляет широкий спектр страховых медицинских продуктов и услуг, включая программы Medicare Advantage, а также специализируется на управлении уходом за пожилыми людьми.

Активные вакансии (156)

Transformation Office Lead

USA
УдалённаяМенеджмент$127k - $174k
Bachelor's degree with 5+ years of consulting, strategy, or corporate experience; Master's degree with 2+ years' experience; OR equivalent experience Experience developing business recommendations using structured hypothesis-based problem solving Delivery of complex or cross-functional workstreams...
13.01.2026

Business Intelligence Lead

USA
УдалённаяАналитика$118k - $162k
Minimum 5 years of technical experience in Medicare and/or Medicaid data analysis Minimum 3 years of project leadership or process improvement experience Advanced experience in SQL, SAS, and/or other data systems Experience with tools such as Tableau, Power BI for creating data visualization Exp...
13.01.2026

Risk Management Professional

USA
УдалённаяФинансы$65k - $89k
Minimum of 2+ years in either compliance/risk management, pharmacy Healthcare related process improvement, project management skills Strong organization and attention to detail Analytical skills using platforms such as Power BI, SQL, MS Office Suite, Excel Strong interpersonal skills and the abi...
13.01.2026

Medicaid Provider Hospital Reimbursement Methodologies Analyst

USA
УдалённаяФинансы$89k - $121k
3+ years of experience researching state Medicaid hospital reimbursement methodologies that utilize MS-DRG, APR-DRG, APC or EAPG 2+ years of experience with Optum Rate Manager 2+ years of experience with Optum WebStrat or PSI applications Experience reviewing facility claims Prior professional e...
13.01.2026
Responsibilities: Delivering personalized experiences through grassroots marketing, community events, and home visits Differentiating yourself by creating meaningful connections with customers Growing your presence in the market by driving self-generated sales and meeting performance goals
13.01.2026

Value-Based Programs Principal

USA
УдалённаяДругое$139k - $191k
9+ years' healthcare provider contracting experience 5+ years' experience with developing and/or managing value-based payment models/relationships 5+ years of project leadership experience Able to exercise independent judgment and decision making on complex issues Capable of working under minima...
13.01.2026

Senior Data Automation Professional

USA
УдалённаяАналитика$73k - $100k
The ability to own and understand data within a given domain is key to success The ideal candidate has the ability to understand complex data and systems while also possessing a drive to simplify and streamline processes Candidates should have a passion for automation and be able to provide exampl...
12.01.2026

Lead, Cyber Data Protection Management(remote)

USA
УдалённаяДругое$129k - $178k
The candidate should have experience deploying DLP controls as well as data scanning and classification capabilities in complex enterprise environments The candidate should be familiar with data governance and encryption key governance frameworks and platforms The candidate should have experience ...
12.01.2026

Care Delivery Telesales Supervisor, Outbound- Remote

USA
УдалённаяПродажи$65k - $89k
Ability to review and monitor reports and ability to analyze trends and patterns with performance and cyclical inventory periods and events Possess a strong attention to detail, sound critical thinking and follow up skills Previous sales skills or experience Ability to manage multiple priorities ...
12.01.2026

Senior Cloud Solutions Engineer

USA
УдалённаяРазработка$107k - $147k
Bachelor’s degree in Computer Science, a related field, or equivalent professional experience Proven experience designing and implementing cloud-based big data solutions using Azure, AWS, or GCP Minimum of 6 years of experience in cloud application design, development, and testing At least 3 year...
12.01.2026

Director of Authorization & Eligibility Strategy - Remote

USA
УдалённаяМенеджмент$115k - $158k
Candidates should have significant experience in revenue cycle management, especially in complex, multi-site healthcare environments
12.01.2026

Lead Software Engineer- IVR & Omnichannel APIs

USA
УдалённаяРазработка$129k - $178k
At least 8 years of experience in coding and development on cloud-based platforms Demonstrated experience with IVR systems or similar contact center technologies Proven hands-on development expertise with large-scale cloud solutions Strong background in designing and implementing API/Web Services...
12.01.2026

Lead Application Architect

USA
УдалённаяРазработка$129k - $178k
Bachelor's Degree in Computer Science, Information Technology or related field 7+ years' experience as a senior developer in large IT projects 5+ years' experience as a senior developer/architect leading development of Data engineering-based applications in Cloud - Snowflake, Databricks, Prefect e...
11.01.2026

IT Vendor Management Lead ;Network, Telecom & Call Center Platforms

USA
УдалённаяМенеджмент$115k - $158k
Bachelor's degree in supply chain management, business management, business administration or engineering or other related field 7+ years in IT vendor management, strategic sourcing, technology procurement, or related IT leadership roles Experience in managing telecom carriers, network equipment s...
11.01.2026
If so, we are looking for licensed, highly motivated, and self-driven individuals to join our team Required Qualifications: Ability to have daily face to face interactions with prospective members in the field is required for this position Active Health Insurance license or ability to obtain prior...
11.01.2026

Medicaid & Medicare Program Management Lead

USA
УдалённаяМенеджмент$115k - $158k
A leading healthcare company is seeking a Project Management Lead in Washington, D.C. The ideal candidate should have at least 2 years of project leadership experience and a Bachelor's degree
11.01.2026

Senior Full Stack Engineer – AI Enablement

USA
УдалённаяРазработка$107k - $147k
Bachelor’s degree in Computer Science, Computer Engineering, or related field (equivalent work experience accepted) 5 or more years of experience designing, developing, and testing of software applications and/or infrastructure Demonstrated experience in developing applications using Python, .NET, a...
11.01.2026

Associate Director, Technology Solution Implementation

USA
УдалённаяМенеджмент$118k - $162k
Oracle Financials experience - On Premise and Cloud Primary focus: Oracle GL/FA/AR/Projects/HUB, Blackline, other vended accounting solutions Experience with Configurations and system administration Bachelor's Degree 2 or more years of management experience Knowledge of Systems Development Life...
10.01.2026

Helpdesk Support Technician 2

USA
УдалённаяПоддержка$45k - $60k
2-3 years of technical experience Effective verbal and written communication skills Effective problem-solving skills, multi-tasking, and time management skills Proficient in use of Microsoft Office products Must be passionate about contributing to an organization focused on continuously improvin...
10.01.2026

Director AI Strategy and Transformation - Full-time

USA
УдалённаяМенеджмент$185k - $254k
**5+ years of management experience** , including talent development and cross-functional leadership **Progressive experience** with a **top management consulting firm** (or equivalent internal strategy leadership), working with executives, senior leaders, and subject-matter experts **6–10 years** i...
10.01.2026

Senior Insurance Product Project Management

USA
УдалённаяПродукт$86k - $119k
Curious - Adept at research to gain comprehensive knowledge Creative - Produce/update materials that we are proud to provide to our members Adaptive - Rapidly learn new knowledge, skills, and behaviors in response to changing circumstances Bachelor's Degree **OR** 4+ years in the field of health ins...
10.01.2026

Lead Software Engineer - Enterprise Observability

USA
УдалённаяРазработка$129k - $178k
You should be fluent in the principles of open telemetry, log ingestion, and event correlation across distributed systems Associate degree in Computer Science, Engineering, or related field 7+ years in software/infrastructure engineering with observability/logging focus Strong foundation in operatin...
10.01.2026

Associate Director, Technology Solution Implementation

USA
УдалённаяМенеджмент$118k - $162k
Oracle Financials experience - On Premise and Cloud Primary focus: Oracle GL/FA/AR/Projects/HUB, Blackline, other vended accounting solutions Experience with Configurations and system administration Bachelor's Degree 2 or more years of management experience Knowledge of Systems Development Life...
10.01.2026

Senior Program Delivery, Enterprise Transformation

USA
УдалённаяМенеджмент$86k - $119k
3–5 years of experience in performance metrics or data analytics, preferably in healthcare or provider networks 2+ years of account management, clinical engagement, or relationship management experience Strong communication skills to translate complex data insights for clinical and non-clinical au...
10.01.2026

Director, AI Strategy & Transformation — Remote

USA
УдалённаяМенеджмент$185k - $254k
Candidates should have significant experience in strategy, leadership, and AI / ML applications
10.01.2026

Principal Data Scientist

Remote
УдалённаяАналитика$157k - $215k
Educational Background : Master’s degree or Ph.D. in Data Science, Computer Science, Artificial Intelligence, or a related field Experience : Minimum of 10 years of relevant experience in data science 5+ years specifically focused on AI and NLP applications Analytical Expertise : Demonstrated abilit...
09.01.2026

Actuarial Analyst

USA
УдалённаяФинансы$67k - $91k
Bachelor's Degree Successful completion of at least 1 actuarial exam Strong communication Must be passionate about contributing to an organization focused on continuously improving consumer experiences
09.01.2026

Care Management Support Professional

USA
УдалённаяПоддержка$45k - $61k
Master's degree in Social Work (Non-licensed MSW only) 2+ years' experience working in a medical and/or community-based setting Proficiency with Microsoft Office Word and Outlook Ability to learn new systems and work in multiple platforms Experience working with people who have social determinan...
09.01.2026

Care Manager, Telephonic Behavioral Health

USA
УдалённаяДругое$59k - $81k
The Care Manager, Telephonic Behavioral Health 2 (Autism Care Navigator) must meet one of the following requirements: Active unrestricted Registered Nurse, (RN) license without disciplinary action with the following Minimum three, (3) years of clinical experience in: pediatrics, behavioral health, a...
09.01.2026

Principal Data Scientist

USA
УдалённаяАналитика$157k - $215k
Educational Background : Master’s degree or Ph.D. in Data Science, Computer Science, Artificial Intelligence, or a related field Experience : Minimum of 10 years of relevant experience in data science 5+ years specifically focused on AI and NLP applications Analytical Expertise : Demonstrated abilit...
09.01.2026

Financial Analytics Professional

USA
УдалённаяФинансы$67k - $91k
Bachelor's Degree 5 years technical experience Experience in managing data to support and influence decisions on day-to-day operations, strategic planning and specific business performance issues Possess a working knowledge and understand department, segment and organizational strategy Must be passi...
09.01.2026

Manager, Fraud and Waste, Special Investigation Unit-Triage

USA
УдалённаяДругое$78k - $108k
Bachelor's Degree Minimum of 3 yrs health insurance claims or Medicare experience Minimum 3 years of experience with Fraud, Waste, and Abuse in either a Managed Care or a government setting Minimum 3 years of proven leadership skills and significant experience directly managing a group of seasone...
08.01.2026

Customer Success Agent

USA
УдалённаяПоддержка$49k - $66k
****This position requires you to have a current and valid Health Care Sales License in your current state of residence You will not qualify for this position without a Health Care Sales License.** Active resident Health insurance license for your state of residence (based on the resident state's ...
08.01.2026

RN Care Manager - Remote, nationwide

USA
УдалённаяДругое$71k - $98k
Environment is fast paced and requires ability to engage quickly with member while concurrently navigating multiple computer applications Active Registered Nurse (R.N.) license with no disciplinary action Hold an active Compact nursing license and reside in the state that holds your compact licens...
08.01.2026

Senior Program Delivery, Enterprise Transformation

USA
УдалённаяМенеджмент$86k - $119k
3–5 years of experience in performance metrics or data analytics, preferably in healthcare or provider networks 2+ years of account management, clinical engagement, or relationship management experience Strong communication skills to translate complex data insights for clinical and non-clinical au...
07.01.2026
Associate degree in Physical Therapy from an American Physical Therapy Association Current state license to practice Physical Therapy Valid driver’s license, auto insurance and reliable transportation Proof of current CPR certification Minimum two years experience as a Physical Therapy Assistant...
07.01.2026

Bilingual Medicare Sales Field Agent - EnglishChineseKorean

USA
УдалённаяПродажи$80k - $125k
Active Health Insurance License or ability to obtain required state license Bilingual fluency in English and either Chinese or Korean (speak, read, write) — must pass a federal Interagency Language Rating (ILR) assessment Must reside in the designated local territory to serve the community effecti...
07.01.2026

Medicare Sales Field Agent- Northern VA at Humana Stafford, VA

USA
УдалённаяПродажи$35k - $48k
If so, we are looking for licensed, highly motivated, and self-driven individuals to join our team Ability to have daily face to face interactions with prospective members in the field is required for this position Active Health Insurance license or ability to obtain prior to the start date Exper...
07.01.2026
Bachelor's Degree in Political Science, Public Policy, Law, or a related field Minimum of 10 years' experience in federal government relations, public policy, or legislative affairs, with demonstrated success in advocacy and relationship management Deep understanding of federal legislative and reg...
07.01.2026
*Required Experience/Skills:** Meet the education and experience requirements for Certification of Clinical Competence in Speech Language Pathology or Audiology granted by ASHA Minimum of six months experience as a speech therapist / speech language pathologist Current and unrestricted license C...
07.01.2026
A Doctor of Pharmacy degree Active pharmacy licensure >=5 years' experience in managed care/pharmacy-related field or equivalent
07.01.2026
Associate degree in Physical Therapy from an American Physical Therapy Association Current state license to practice Physical Therapy Valid driver’s license, auto insurance and reliable transportation Proof of current CPR certification Minimum two years experience as a Physical Therapy Assistant...
07.01.2026
*Required Experience/Skills:** Diploma, Associate, or Bachelor Degree in Nursing Strong med surg, ICU, ER, acute experience Current and unrestricted Registered Nurse licensure Current CPR certification Strong organizational and communication skills A valid driver’s license, auto insurance, and...
07.01.2026

Medicare Sales Field Agent - CarePlus LakeMarionSumter

USA
УдалённаяПродажи$80k - $125k
Active Health Insurance License or ability to obtain one prior to selling Medicare products Must reside in the designated local territory (Philadelphia, PA metro) and be able to serve the community in-person Comfortable with daily face-to-face interactions in prospective members’ homes and communi...
07.01.2026
Technical skills Proficiency in SQL, Python, and data analysis/data mining tools Experience with language modeling with transformers Experience with symbolic planning, causal reasoning, and model-based RLExperience with large-scale ETLUse your skills to make an impact Required Qualifications Master'...
07.01.2026

Remote Provider Contracting Executive – EST Hours

USA
УдалённаяПродажи$95k - $131k
Candidates should have extensive experience in network management and contract negotiations, along with strong analytical skills
06.01.2026

Senior Process Improvement Professional

USA
УдалённаяДругое$78k - $108k
Bachelor's degree in Business, Operations, Healthcare Administration, or related field 3+ years of experience in the healthcare industry Strong analytical skills with experience in data analysis and process mapping tools (e.g., virtual whiteboarding tools, Power BI) Proven ability to work with cr...
06.01.2026

Lead - Finance Special Projects

USA
УдалённаяФинансы$95k - $131k
2+ years of project leadership experience Strong analytical, problem-solving, and organizational skills Proven ability to synthesize complex information and communicate effectively with diverse audiences Exceptional interpersonal skills and a collaborative approach Must be passionate about contribut...
06.01.2026

Pre-Authorization Nurse

USA
УдалённаяДругое$71k - $98k
Our Department of Defense Contract requires U.S. citizenship for this position Successfully receive interim approval for government security clearance (NBIS - National Background Investigation Service) HGB is not authorized to do work in Puerto Rico per our government contract Registered Nurse wi...
06.01.2026

Senior Healthcare Network Consultant

USA
УдалённаяДругое$78k - $108k
2 or more years of Experience with Medicare and/or managed care 3 or more years of NCQA HEDIS measures, PQA Measures, CMS Star Rating System and CAHPS/HOS survey system experience 1 or more years of experience understanding of Consumer / Patient Experience 2 or more years of experience building r...
06.01.2026

Associate, Marketing Data Scientist

USA
УдалённаяАналитика$107k - $147k
Strong analytical thinking and problem-solving skills Ability to manage multiple priorities and deliver results in a fast-paced environment 1–3 years of experience in applying data science or advanced analytics in marketing or healthcare Minimum of 1 year of demonstrated experience with data visuali...
06.01.2026

Remote Actuary: Analytics

USA
УдалённаяФинансы$129k - $178k
Ideal candidates will have a Bachelor's degree, relevant actuarial designations, and strong communication skills
06.01.2026

Lead Data Scientist - Safety Alignment

USA
УдалённаяАналитика$142k - $196k
Proficiency in SQL, Python, and data analysis / data mining tools Experience with high performance, large-scale ML systems Experience with deploying or auditing LLM-based agents or multi-agent AI systems Experience with large-scale ETL Master's Degree and 4+ years of experience in research / ML engi...
06.01.2026
Become a part of our caring community and help us put health first The Program Management Lead, Offshore Coding 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 Program Management Lead, Offsh...
06.01.2026
Become a part of our caring community and help us put health first The Senior Data and Reporting Professional manages information from various sources, transforming and loading data while enforcing accuracy and integrity in order to support ongoing reporting and analytics efforts. The Senior Data an...
06.01.2026

Medical Director – Nat'l UM IP (4x10 hr)

USA
УдалённаяДругое$224k - $313k
MD or DO degree 4 x 10h (Fri, Sat, Sun, Mon) 5+ years of direct clinical patient care experience post residency or fellowship, which preferably includes some experience in an inpatient environment and/or related to care of a Medicare type population (disabled or >65 years of age) Current and ongoing...
06.01.2026

Lead - Finance Special Projects

USA
УдалённаяФинансы$95k - $131k
2+ years of project leadership experience Strong analytical, problem-solving, and organizational skills Proven ability to synthesize complex information and communicate effectively with diverse audiences Exceptional interpersonal skills and a collaborative approach Must be passionate about contribut...
06.01.2026

Lead - Finance Special Projects

USA
УдалённаяФинансы$95k - $131k
2+ years of project leadership experience Strong analytical, problem-solving, and organizational skills Proven ability to synthesize complex information and communicate effectively with diverse audiences Exceptional interpersonal skills and a collaborative approach Must be passionate about contribut...
06.01.2026
The leader may be a data scientist, financial analyst, economist, or other analytical professional; though experience in Medicaid or government healthcare programs is essential The ideal candidate will be a results-oriented, get-stuff-done (GSD) leader who can translate complex analytics into enter...
05.01.2026
Bachelor's degree in any field Experience in data analysis is required
05.01.2026
Responsibilities: A leading health organization seeks a Billing Analyst to support billing operations focused on contract interpretation and payer setup Billing accuracy Compliance with regulations
05.01.2026

Remote Insurance Strategy Lead for Growth

USA
УдалённаяМенеджмент
Responsibilities: We are seeking a Strategy Advancement Advisor to provide data-based strategic direction and support for our business segments Lead impactful strategy projects analyzing market data and preparing executive-level presentations Ensure actionable recommendations contribute to long-term...
05.01.2026
Responsibilities: The Actuary works on problems of diverse scope and complexity ranging from moderate to substantial This role will be a subject matter expert on the End Stage Renal Disease (ESRD) population for Humana's individual Medicare Advantage plans Owning and improving our ESRD claims foreca...
05.01.2026
Bachelor's Degree Proficiency with at least one software coding language
05.01.2026

Remote RN Care Manager

USA
УдалённаяДругое
The ideal candidate will hold an Associate's degree in Nursing and have at least 3 years of clinical acute care experience Coordinate care
05.01.2026

Actuary - Financial Planning and Analysis

USA
УдалённаяФинансы$129k - $178k
Bachelor's Degree MAAA Strong communication skills
02.01.2026

Director, IT Portfolio Management & Shared Services

USA
УдалённаяМенеджмент$172k - $237k
Bachelor’s Degree in a related field 7 or more years of progressive experience in IT, finance, technology strategy, or related areas 5 or more years of management experience Excellent communication, collaboration, and interpersonal skills; able to engage and influence stakeholders at various leve...
01.01.2026

Manager, Learning (Clinical Operations)

USA
УдалённаяДругое$95k - $131k
Bachelor's degree Four (4) or more years of learning design, program design and/or clinical operations experience Two (2) or more years of formal or informal leadership experience Proficiency in Articulate 360 Suite To ensure Home or Hybrid Home/Office employees’ ability to work effectively, the...
01.01.2026

Director, Government Affairs - DC

USA
УдалённаяДругое$185k-254k
Ideal candidates will have proven ability in communicating and advocating complex issues, including demonstrated successful experience working closely with policymakers, policymaker staff, and stakeholders on shared public policy objectives Proven ability to create and implement advocacy campaigns d...
01.01.2026

Actuary - Financial Planning and Analysis

USA
УдалённаяФинансы$129k - $178k
Bachelor's Degree MAAA Strong communication skills
01.01.2026

Medical Director - Medicaid (remote)

USA
УдалённаяМенеджмент$224k - $313k
CANDIADATES MAY LIVE ANYWHERE THE IN THE US AND MUST WILLING TO WORK CENTRAL TIME ZONE HOUR S MD or DO degree OK and LA licenses, or ability to obtain 5+ years of direct clinical patient care experience post residency or fellowship, which preferably includes some experience in an inpatient environme...
01.01.2026

Pharmacy Stars Improvement Lead

USA
УдалённаяДругое$104k - $143k
Bachelor's Degree in Business, Finance, Health Care or a related field 2 or more years of project leadership experience Prior Medicare/Medicaid experience Strategic thinking and planning capabilities; organized and detail-oriented Excellent communication skills Enthusiasm and motivation essenti...
31.12.2025
10+ years experience in finance strategy, portfolio management, and transformational initiatives within a large, complex organization Proven ability to lead cross-functional teams and manage large-scale projects or portfolios Strong understanding of finance operations, process improvement, and eme...
31.12.2025

Director, Product Management - CenterWell Pharmacy Digital

USA
УдалённаяПродукт$168k - $231k
Bachelor's degree in Communication, Business, Pharmacy, or related field A minimum of eight years of experience in product management, with at least 3 years leading digital products in healthcare, pharmacy, or a related field Proven experience managing web and mobile product portfolios, ideally in...
31.12.2025

Lead - Finance Portfolio Management and Strategy

USA
УдалённаяФинансы$104k - $143k
Bachelor's degree in Finance, Accounting, Business Administration, or related field 6+ years of experience in portfolio management, strategy development, and project management within a Finance or corporate environment 2 or more years of project leadership experience Proven ability to lead and su...
31.12.2025

Sr. Medicare

USA
Другое
Become a part of our caring community At Humana Inc., we're dedicated to putting health first – for our teammates, customers and company. We make it easier for people with Medicare Medicaid families individuals military service personnel and communities at large to achieve their best health delive...
28.12.2025

Sr. Program Delivery Professional, IHWA - Performance

USA
УдалённаяМенеджмент$86k - $119k
The successful candidate demonstrates the ability to make independent decisions on moderately complex to complex technical matters related to project components Minimum three, (3) years of experience in root cause analysis, inner working of provider office and systems, or risk adjustment Proven ab...
26.12.2025
Strong skills in project management and Microsoft Office applications required
26.12.2025

Remote Workforce Management Analyst

USA
УдалённаяДругое
Less than 3 years of experience in workforce management Detailed knowledge of WFM tools like Verint and Microsoft Office
26.12.2025

Sr. Program Delivery Professional IWHA-Interoperability

USA
УдалённаяДругое$86k - $119k
Minimum three, (3) years of IT project management or business process automation, experience in technology solutions Excellent communication skills, both oral and written Proven experience in interoperability or data integration within a healthcare or technology setting Strong problem-solving ski...
26.12.2025

Workforce Management Professional 2

USA
УдалённаяДругое$59k - $81k
2 years or more of Workforce Management experience Knowledge & experience with WFO software such as Verint and Genesys Ability to work Eastern Standard Time Comprehensive knowledge of Microsoft products such as OneDrive, Excel, and PowerPoint Demonstrated ability to articulate ideas effectively ...
25.12.2025
Bachelor's Degree or Relevant Experience 5+ years prior successful sales experience in the health and wellness solutions industry working with large group segment brokers, employers and/or unions Active health and life insurance agent license Excellent broker/consultant relationships within assig...
25.12.2025

Junior Enterprise Architect

USA
УдалённаяРазработка$89k - $121k
Bachelor’s degree in Computer Science; or a related field Less than 5 years of experience in designing, developing, and testing software applications Experience as an architect or senior technical lead for large IT projects spanning multiple enterprise systems Knowledge and experience with enterpris...
25.12.2025

Workforce Management Professional 2

USA
УдалённаяДругое$59k - $81k
2 years or more of Workforce Management experience Knowledge & experience with WFO software such as Verint and Genesys Ability to work Eastern Standard Time Comprehensive knowledge of Microsoft products such as OneDrive, Excel, and PowerPoint Demonstrated ability to articulate ideas effectively ...
25.12.2025
Bachelor's degree Licensed Practical Nurse (LPN) or Licensed Registered Nurse (RN) without restriction in applicable state Minimum 5 years of experience with Humana or other healthcare claims systems Ability to do extensive research on a given topic Microsoft Excel skills (including sorting/filt...
25.12.2025

Senior Healthcare Network Consultant

USA
УдалённаяДругое$78k - $108k
2 or more years of Experience with Medicare and/or managed care 3 or more years of NCQA HEDIS measures, PQA Measures, CMS Star Rating System and CAHPS/HOS survey system experience 1 or more years of experience understanding of Consumer / Patient Experience 2 or more years of experience building rela...
24.12.2025

Manager, Fraud and Waste, Special Investigation Unit-Triage

USA
УдалённаяДругое$78k - $108k
*Required Qualifications - What it takes to Succeed** Bachelor's Degree Minimum of 3 yrs health insurance claims or Medicare experience Minimum 3 years of experience with Fraud, Waste, and Abuse in either a Managed Care or a government setting Minimum 3 years of proven leadership skills and signific...
24.12.2025

Senior Configuration Professional

USA
УдалённаяДругое$98k - $134k
Strategic thinking and planning capabilities; organized and detail-oriented Ability to use appropriate problem solving, research and analysis tools Proficient with Data Analysis - Understanding Data and how to interpret and use it Demonstrated ability to articulate ideas effectively in both written ...
24.12.2025

Senior Data Automation Professional

USA
УдалённаяАналитика$73k - $100k
The ability to own and understand data within a given domain is key to success The ideal candidate has the ability to understand complex data and systems while also possessing a drive to simplify and streamline processes Candidates should have a passion for automation and be able to provide exampl...
24.12.2025

Inbound Contacts Representative

USA
УдалённаяПоддержка$38k - $46k
Must have effective verbal and listening communication skills Must be passionate about contributing to an organization focused on continuously improving consumer experiences 2 years of customer service experience MUST reside in the Eastern or Central Time Zone Strong customer service orientation Str...
23.12.2025

Inpatient Medical Coding Auditor

USA
УдалённаяДругое$71k - $98k
RHIA, RHIT or CCS Certification (should have held at least one of these qualifications for 4 years) MS-DRG coding/auditing experience Experience reading and interpreting claims Experience in performing inpatient coding reviews/ audits in health insurance and/or hospital settings Working knowledg...
23.12.2025

Fraud and Waste Investigator

USA
УдалённаяДругое$65k - $89k
Bachelor's degree or equivalent work experience Strong clinical experience to include multiple practice areas At least 2 years of healthcare fraud investigations and auditing experience Knowledge of healthcare payment methodologies Strong organizational, interpersonal, and communication skills Inqui...
23.12.2025

Lead Product Manager - Growth & Operations

USA
УдалённаяПродукт$126k - $174k
Natural leadership instincts with proven ability to innovate and influence Deep user empathy and strong user experience sensibilities for end customers and internal agents Ability to work well with designers and engineers in an agile environment An entrepreneurial work style, you're a self-starte...
23.12.2025

Remote Care Manager

USA
УдалённаяМенеджмент
Responsibilities: As a Care Manager at Humana Inc., you will ensure continuity of care for patients by providing information on home health services and navigating healthcare options Navigate healthcare systems to advocate for patients' needs Provide education on home health services to patients and...
23.12.2025

Software Development Engineer in Test- SDET

USA
УдалённаяТестирование$105k - $144k
You should be proficient in coding within languages and frameworks compatible with that ecosystem - .Net Core (C#), and Java Bachelor's Degree in Computer Science or a related field 5-8 years experience as QA Engineer / SDET Experience with software development process Experience with para-functiona...
23.12.2025

Lead Product Manager - Growth & Operations

USA
УдалённаяПродукт$126k - $174k
Natural leadership instincts with proven ability to innovate and influence Deep user empathy and strong user experience sensibilities for end customers and internal agents Ability to work well with designers and engineers in an agile environment An entrepreneurial work style, you're a self-starte...
23.12.2025

Inpatient Medical Coding Auditor

USA
УдалённаяДругое$71k - $98k
RHIA, RHIT or CCS Certification (should have held at least one of these qualifications for 4 years) MS-DRG coding/auditing experience Experience reading and interpreting claims Experience in performing inpatient coding reviews/ audits in health insurance and/or hospital settings Working knowledg...
23.12.2025

Senior Provider Contracting Professional

USA
УдалённаяДругое$78k-108k
Bachelor's Degree and/or equivalent experience 5 or more years of progressive network management experience including hospital contracting and network administration in a healthcare company Experienced in negotiating managed care contracts with large physician groups, ancillary providers and hospi...
22.12.2025

Remote Life

USA
УдалённаяДругое
A leading healthcare organization in Annapolis, US is seeking a Life & Disability Financial Underwriter with a Bachelor's degree and several years of underwriting experience
22.12.2025
Bachelor's Degree MAAA Demonstrated project management skills with the ability to drive work independently and effectively lead through collaboration Experience in managing large healthcare claim datasets and conducting trend analysis Advanced knowledge of Databricks, SQL, or Python Ability to trans...
22.12.2025

Remote Enterprise Transformation Lead, Interoperability

USA
УдалённаяМенеджмент
Manage provider recruitment
21.12.2025

National Dental Contracting Professional - Medicaid

USA
УдалённаяДругое$65k - $89k
Minimum of 4 years of experience in dental provider Medicaid recruitment, provider service and retention Excellent communication, public speaking and relationship-building skills Strong organizational and project management abilities Proficiency with Microsoft Office and salesforce platform At m...
21.12.2025

Remote Lead, Tech Risk

USA
УдалённаяДругое
Extensive cybersecurity experience and IT risk management expertise required Exceptional communication abilities necessary for successful engagement
21.12.2025

Remote Actuary: Analytics

USA
УдалённаяФинансы$129k - $178k
Hold a Bachelor's Degree along with advanced actuarial designations Strong communication skills and experience in multiple functions This remote position involves occasional travel for meetings
21.12.2025
Responsibilities: You'll build trust by educating individuals about Humana's Medicare Advantage plans, Life dental vision prescription coverage in face-to-face interactions You will also create meaningful connections through grassroots marketing community events in-home visits providing personalized...
21.12.2025

National Dental Contracting Professional - Medicaid - VSP

USA
УдалённаяДругое$65k - $89k
Minimum of 4 years of experience in dental provider Medicaid recruitment, provider service and retention Excellent communication, public speaking and relationship-building skills Strong organizational and project management abilities Proficiency with Microsoft Office and salesforce platform At m...
21.12.2025

Manager, Identity and Access Management

USA
УдалённаяМенеджмент$105k - $144k
1 + years of experience in Identity and Access Management (IAM) 2 + years in a leadership or management role Experience in integrating Security Policies, virtual access, and controls Demonstrated ability to assess urgency, prioritize tasks, and make effective decisions based on situational circumsta...
21.12.2025
Responsibilities: Lead teams in product management with deep expertise in enterprise architecture and EHR systems
21.12.2025

Life & Disability Financial Underwriter

USA
УдалённаяФинансы$65k - $89k
Bachelor's degree or equivalent experience Two or more years of Short-Term and Long-Term Disability underwriting and risk analysis experience Comprehensive understanding of risk pool management Knowledge of the competitor landscape Strong negotiation skills Proficiency with Microsoft Word, Exce...
21.12.2025
Advanced SQL skills required At least five years of experience in healthcare data analysis necessary
21.12.2025

Remote Insurance Strategy Lead for Growth

USA
УдалённаяМенеджмент
Responsibilities: Lead impactful strategy projects Analyze market data Prepare executive-level presentations
21.12.2025

Encounter Data Management Professional

USA
УдалённаяАналитика$59k - $81k
Bachelor's degree or 2 years or more of medical claims experience Strong analysis, critical thinking, and analytical problem-solving skills Ability to manage multiple tasks and deadlines with attention to detail Excellent verbal and written communication skills Previous encounter submissions experie...
21.12.2025

Senior Clinical Recruiter: Strategic Talent Partner Remote

USA
УдалённаяHR и Рекрутинг
Responsibilities: You will manage sourcing, screening, and hiring processes while acting as a strategic advisor to business leaders Lead full-cycle recruitment efforts across various business units
21.12.2025

Field Care Manager Behavioral Health

USA
УдалённаяДругое$65k - $89k
Must be able to work with autonomy but reach out when support is needed Bachelor's degree in social work, psychology or other health or human services related field Virginia licensed LMHP, LPC or LCSW Minimum of 2 years of post-degree clinical experience in behavioral health setting Case managem...
20.12.2025

Senior Data Scientist - Financial Planning and Analysis

USA
УдалённаяАналитика$118k - $162k
Bachelor's Degree and 5 years of applicable experience OR Master's Degree and 3 or more years of experience Experience in working with assignments that involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors Experience...
20.12.2025

Senior Data Scientist - Financial Planning and Analysis

USA
УдалённаяАналитика$118k - $162k
Bachelor's Degree and 5 years of applicable experience OR Master's Degree and 3 or more years of experience Experience in working with assignments that involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors Experience...
20.12.2025

Principal Applied AI Engineer

USA
УдалённаяРазработка$172k - $237k
Bachelor’s orMaster’s in Computer Science, Engineering, or a related quantitative field 10+ years of professional software or platform engineering experience Deepexpertisein Python, including building production services and shared libraries used by others Expert-level understanding ofFastAPI, Flask...
20.12.2025

Senior Data Scientist - Financial Planning and Analysis

USA
УдалённаяАналитика$118k - $162k
Bachelor's Degree and 5 years of applicable experience OR Master's Degree and 3 or more years of experience Experience in working with assignments that involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors Experience...
20.12.2025

Care Manager, Telephonic RN

USA
Другое$71k - $98k
Responsibilities: The Compact licensed telephonic Care Manager works from home in a call center environment Assess and evaluate members' needs and requirements to achieve or maintain optimal wellness by providing care coordination and facilitating member or family interaction with resources appropri...
20.12.2025

Chief Medical Officer - Group Medicare

USA
УдалённаяДругое$50 - $150
A current and unrestricted medical Physician (MD/DO) license in at least one jurisdiction Demonstrates exceptional communication and presentation skills, effectively translating complex clinical initiatives into clear, actionable messages 10+ years of established clinical experience Knowledge of ...
20.12.2025

Actuary - Financial Planning and Analysis

USA
УдалённаяФинансы$129k - $178k
Bachelor's Degree MAAA Strong communication skills
20.12.2025
Ideal candidates have a bachelor's degree in marketing or related fields and proven success in grassroots marketing
20.12.2025

Chief Medical Officer - Group Medicare

USA
УдалённаяДругое$50 - $150
A current and unrestricted medical Physician (MD/DO) license in at least one jurisdiction Demonstrates exceptional communication and presentation skills, effectively translating complex clinical initiatives into clear, actionable messages 10+ years of established clinical experience Knowledge of ...
20.12.2025

Financial Planning & Analysis Lead

USA
УдалённаяФинансы$104k - $143k
Bachelor’s degree in finance, accounting or related field 8 or more years of finance and/or accounting experience, or equivalent 2 or more years of project leadership experience Experience advising senior leadership on financial strategies Knowledge of complex accounting and financial transactio...
20.12.2025

Financial Planning & Analysis Lead

USA
УдалённаяФинансы$104k - $143k
Bachelor’s degree in finance, accounting or related field 8 or more years of finance and/or accounting experience, or equivalent 2 or more years of project leadership experience Experience advising senior leadership on financial strategies Knowledge of complex accounting and financial transactio...
20.12.2025

Senior Data Scientist - Financial Planning and Analysis

Remote
УдалённаяАналитика$118k - $162k
Bachelor's Degree and 5 years of applicable experience OR Master's Degree and 3 or more years of experience Experience in working with assignments that involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors Experience...
20.12.2025

Field Care Manager Behavioral Health

USA
УдалённаяДругое$65k - $89k
Bachelor's degree in social work, psychology or other health or human services related field Virginia licensed LMHP, LPC or LCSW Minimum of 2 years of post-degree clinical experience in behavioral health setting Case management experience working with complex SMI or SED population Must reside in...
20.12.2025

Payment Integrity Coding Professional

USA
УдалённаяДругое$65k - $89k
AAPC or AHIMA Coding Certification Minimum 3 years post certification experience utilizing coding guidelines by reading and interpreting claims Working knowledge of Microsoft Office Programs Word, PowerPoint, and Excel Strong attention to detail Can work independently and determine appropriate cours...
20.12.2025

Senior Learning Designer - IT Associate Skilling

USA
УдалённаяДизайн$71k - $98k
5+ years of experience designing and delivering learning solutions, including e-learning modules and facilitated learning events that support upskilling for technical audiences 3+ years of facilitating engaging in-person and virtual learning experiences using diverse instructional techniques Proven ...
20.12.2025

Financial Planning & Analysis Lead

USA
УдалённаяФинансы$104k - $143k
Bachelor’s degree in finance, accounting or related field 8 or more years of finance and/or accounting experience, or equivalent 2 or more years of project leadership experience Experience advising senior leadership on financial strategies Knowledge of complex accounting and financial transactio...
20.12.2025

Actuarial Principal - Financial Planning and Analysis

USA
УдалённаяФинансы$157k - $215k
Highly skilled with broad, advanced technical experience Bachelor's degree, in some instances a Master's or Doctorate's degree 10 or more years of technical experience 2–5 years of project/people leadership MAAA Strong communication skills Must be passionate about contributing to an organization foc...
20.12.2025

Senior Data Scientist - Financial Planning and Analysis

USA
УдалённаяАналитика$118k - $162k
Bachelor's Degree and 5 years of applicable experience OR Master's Degree and 3 or more years of experience Experience in working with assignments that involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors Experience...
20.12.2025

Actuarial Principal - Financial Planning and Analysis

USA
УдалённаяФинансы$157k - $215k
Highly skilled with broad, advanced technical experience Bachelor's degree, in some instances a Master's or Doctorate's degree 10 or more years of technical experience 2–5 years of project/people leadership MAAA Strong communication skills Must be passionate about contributing to an organization foc...
20.12.2025

Actuary - Financial Planning and Analysis

USA
УдалённаяФинансы$129k - $178k
Bachelor's Degree MAAA Strong communication skills
20.12.2025

Actuary - Financial Planning and Analysis

USA
УдалённаяФинансы$129k - $178k
Bachelor's Degree MAAA Strong communication skills
20.12.2025

Senior Data Scientist - Financial Planning and Analysis

USA
УдалённаяАналитика$118k - $162k
Bachelor's Degree and 5 years of applicable experience OR Master's Degree and 3 or more years of experience Experience in working with assignments that involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors Experience...
20.12.2025
Ideal candidates have 5+ years of experience in product design and a strong portfolio showcasing mobile design expertise
20.12.2025

Actuarial Principal - Financial Planning and Analysis

USA
УдалённаяФинансы$157k - $215k
Highly skilled with broad, advanced technical experience Bachelor's degree, in some instances a Master's or Doctorate's degree 10 or more years of technical experience 2–5 years of project/people leadership MAAA Strong communication skills Must be passionate about contributing to an organization foc...
20.12.2025

Actuary - Financial Planning and Analysis

USA
УдалённаяФинансы$129k - $178k
Bachelor's Degree MAAA Strong communication skills
20.12.2025

Field Care Manager Behavioral Health

USA
УдалённаяДругое$65k - $89k
Bachelor’s degree in social work, psychology or other health or human services related field Virginia licensed LMHP, LPC or LCSW Minimum of 2 years of post-degree clinical experience in behavioral health setting Case management experience working with complex SMI or SED population Must reside in...
20.12.2025

Senior Technology Solutions Professional - AI and Automation

USA
УдалённаяРазработка$98k - $134k
7+ years of experience in technology leadership roles, with demonstrated success supporting large-scale, time-sensitive programs (preferably in healthcare or regulated industries) Deep expertise in DevOps, CI/CD, and process automation within complex enterprise environments Strong project management...
20.12.2025

Director, Office of the CEO

USA
УдалённаяМенеджмент$139k-191k
Executive presence and the ability to influence at the highest levels Deep understanding of Humana’s business and strategic levers Exceptional organizational and communication skills – particularly executive communications High emotional intelligence and adaptability in dynamic environments Mast...
19.12.2025

Financial Planning & Analysis Lead

USA
УдалённаяФинансы$104k - $143k
Bachelor’s degree in finance, accounting or related field 8 or more years of finance and/or accounting experience, or equivalent 2 or more years of project leadership experience Experience advising senior leadership on financial strategies Knowledge of complex accounting and financial transactio...
19.12.2025

Associate Director, Technology Solution Implementation

USA
УдалённаяМенеджмент$118k - $162k
Oracle Financials experience - On Premise and Cloud Primary focus: Oracle GL/FA/AR/Projects/HUB, Blackline, other vended accounting solutions Experience with Configurations and system administration Bachelor's Degree 2 or more years of management experience Knowledge of Systems Development Life...
19.12.2025

Associate Director, Technology Solution Implementation

USA
УдалённаяМенеджмент$118k - $162k
Oracle Financials experience - On Premise and Cloud Primary focus: Oracle GL/FA/AR/Projects/HUB, Blackline, other vended accounting solutions Experience with Configurations and system administration Bachelor's Degree 2 or more years of management experience Knowledge of Systems Development Life...
19.12.2025

AVP, Quality Engineering

USA
Тестирование$172k-237k
Executive stakeholder engagement, cross-enterprise collaboration, presentation, and communication Deep expertise in engineering best practices and standardization across the SDLC Agile-aligned expertise that supports rapid iteration and scalability, including familiarity with SAFe or similar framewo...
19.12.2025

Actuarial Analyst, Pricing

USA
УдалённаяФинансы$81k - $110k
Bachelor's Degree Successful completion of at least 3 actuarial exams Strong communication skills Must be passionate about contributing to an organization focused on continuously improving consumer experiences
19.12.2025

Field Care Manager Behavioral Health

USA
УдалённаяДругое$65k - $89k
Bachelor’s degree in social work, psychology or other health or human services related field Virginia licensed LMHP, LPC or LCSW Minimum of 2 years of post-degree clinical experience in behavioral health setting Case management experience working with complex SMI or SED population Must reside in...
19.12.2025

Field Care Manager Behavioral Health

USA
УдалённаяДругое$65k - $89k
Bachelor’s degree in social work, psychology or other health or human services related field Virginia licensed LMHP, LPC or LCSW Minimum of 2 years of post-degree clinical experience in behavioral health setting Case management experience working with complex SMI or SED population Must reside in...
19.12.2025

Director, Pharmacy Revenue Cycle Management

USA
УдалённаяФинансы$126k - $174k
Bachelor's degree in finance, accounting or related field 8 or more years of revenue cycle management 5 or more years of management experience Experience advising senior leadership on billing/collections strategies Knowledge of pharmacy revenue cycle management Prior experience developing metho...
19.12.2025
Must reside in Los Angeles or Orange County, CA or surrounding areas Must be willing to travel within the community, as this is a field-based role A bachelor's degree in marketing, business, communication, or a related field or equivalent experience Proven experience in community outreach, grassr...
19.12.2025

Field Care Manager Behavioral Health

USA
УдалённаяДругое$65k - $89k
Bachelor's degree in social work, psychology or other health or human services related field Virginia licensed LMHP, LPC or LCSW Minimum of 2 years of post-degree clinical experience in behavioral health setting Case management experience working with complex SMI or SED population Must reside in...
19.12.2025

Director, Business Systems Analysis

USA
УдалённаяМенеджмент$157k - $215k
Master's degree Minimum 8 years of progressive experience in business systems analysis within a large, complex technical environment Experience with Agile product development tools and methodologies (e.g., Jira, Azure Dev Ops) including Scaled Agile Framework (SAFe) and Lean Portfolio Management (LP...
19.12.2025

Business Systems Analysis Professional

USA
УдалённаяАналитика$61k - $83k
The Business Systems Analysis Professional 2 formulates and defines systems and objectives based on both user needs and a good understanding of applicable business systems and industry requirements 5+ years of technical experience - Working with computers and utilizing Microsoft office suite includi...
19.12.2025

Learning Design Lead, AI

USA
УдалённаяДизайн$95k-130k
Bachelor’s degree ininstructional design, learning design or similar (or equivalent work experience) 4+ years of experience in leading corporate learningprograms 2+ years of experience leading corporate AI or emerging technology training Proven experience managing cross-functional projects with exec...
19.12.2025

Enterprise Transformation Lead

USA
УдалённаяМенеджмент$115k - $158k
Strong understanding of Electronic Medical Record (EMR) vendor ecosystems (Epic, eCW, athenahealth, Veradigm) Prior experience in managed care, Medicare, or Medicaid Excellent interpersonal and communication skills with the ability to manage both internal and external relationships Demonstrated abil...
19.12.2025