Medical Director National OP Medicare
Become a part of our caring community The Medical Director relies on medical background and reviews preauthorization requests for services.
Jobs at 004 Humana Insurance Company
34 live vacancies in the US.
Bilingual Compliance UM Coordinator 3
Become a part of our caring community Become a part of our caring community The Compliance (UM) Coordinator 3 reviews utilization management activities and documentation to ensure adherence to policies, procedures, and regulations.
Provider Services Education and Communications Pro
Become a part of our caring community The Provider Services Educational and Communications Professional (Contract Tools, Educations, Processes Professional 2) reports directly to the Provider Services Director.
Onsite Care Coordination Nurse
Become a part of our caring community At Humana, we put the health and well-being of our members at the center of everything we do.
Onsite Care Coordination Nurse
Become a part of our caring community At Humana, we put the health and well-being of our members at the center of everything we do.
Onsite Care Coordination Nurse
Become a part of our caring community At Humana, we put the health and well-being of our members at the center of everything we do.
Inpatient Medical Coding Auditor
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…
Growth Strategy Principal
Become a part of our caring community Humana, a Fortune 50 Healthcare Company Humana is a publicly traded, Fortune 50 health benefits company with a long history of successful innovation and reinvention.
FCP Case Manager
Become a part of our caring community Humana/iCare is seeking a Case Manager/ to join the growing GSR3 team (Milwaukee, Racine, Kenosha, Walworth, Waukesha, Washington, Ozaukee, Sheboygan) in the Family Care Partnership (FCP) program.
Manager, Quality Assurance (LTSS)
Become a part of our caring community Humana is seeking a Manager, Quality Assurance (External LTSS Oversight Team Manager) who will lead a team of Quality Assurance Professionals responsible for ensuring consistency of use and compliance…
Onsite Care Coordination Nurse
Become a part of our caring community At Humana, we put the health and well-being of our members at the center of everything we do.
Onsite Care Coordination Nurse
Become a part of our caring community At Humana, we put the health and well-being of our members at the center of everything we do.
Onsite Care Coordination Nurse
Become a part of our caring community At Humana, we put the health and well-being of our members at the center of everything we do.
DCFS CM/Field Care Manager
Become a part of our caring community The Field Care Manager, Behavioral Health assesses and evaluates member's needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families toward and facilitate…
RN Care Manager- Baraboo
Become a part of our caring community Great nursing careers should leave room for your life, too!
Senior Product Designer - Benefits Servicing
Become a part of our caring community As a Senior Product Designer – Benefits Servicing, you will help shape the end-to-end medical benefits experience across Humana’s digital ecosystem, enabling members to understand, access, and maximize…
Utilization Management Administration Coordinator - SNF
Become a part of our caring community The UM Administration Coordinator (UMAC) provides non-clinical support for policies ensuring the most appropriate treatment, care or services for members using services.
Records Retrieval Specialist
Become a part of our caring community The Medical Records Retrieval Specialist conducts quality assurance audits of medical records and ICD‑9/10 diagnosis codes submitted to the Centers for Medicare and Medicaid Services (CMS) and other…
Senior Product Manager
Become a part of our caring community This is a remote position. As a Senior Product Manager, you will lead cross-functional product initiatives aligned with enterprise strategy and operational goals.
Licensed Behavioral Health UM, Tuesday-Saturday (RN, SW, Counseling, Psychology)
Become a part of our caring community The Licensed Behavioral Health Utilization Management Professional uses behavioral health knowledge and skills to support the coordination, documentation, and communication of medical services and/or…