• Senior Quality Improvement Professional

    Humana (Des Moines, IA)
    **Become a part of our caring community and help us put health first** Humana Healthy Horizons in Indiana is seeking a Senior Quality Improvement Professional who ... Quality Assurance and Performance Improvement Program for Indiana Pathways Program/ Humana Medicaid including annual program description, work plan, annual… more
    Humana (06/07/24)
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  • Sr Product Owner

    Humana (Des Moines, IA)
    …responsible for prioritizing and overseeing the development team's work and making sure Humana derives as much value as possible from product outcomes. Focuses on ... will be provided a bi-weekly payment for their internet expense. * Humana will provide Home or Hybrid Home/Office associates with telephone equipment appropriate… more
    Humana (06/07/24)
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  • Strategy Advancement Analyst

    Humana (Des Moines, IA)
    …concentration in Business, Finance, or Communications + Background or familiarity with Humana strategy and operation **Scheduled Weekly Hours** 40 **Pay Range** The ... is based upon company and/or individual performance. **Description of Benefits** Humana , Inc. and its affiliated subsidiaries (collectively, ' Humana ') offers… more
    Humana (06/07/24)
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  • Senior Business Intelligence Engineer

    Humana (Des Moines, IA)
    …Dakota will be provided a bi-weekly payment for their internet expense. Humana will provide Home or Hybrid Home/Office employees with telephone equipment appropriate ... is based upon company and/or individual performance. **Description of Benefits** Humana , Inc. and its affiliated subsidiaries (collectively, ' Humana ') offers… more
    Humana (06/07/24)
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  • Medical Director - Gulf South

    Humana (Des Moines, IA)
    …to support regional market priorities, which may include an understanding of Humana processes, as well as a focus on collaborative business relationships, value ... healthcare professionals are in agreement with national guidelines, CMS requirements, Humana policies, clinical standards, and (in some cases) contracts. The ideal… more
    Humana (06/07/24)
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  • BILINGUAL Inbound Call Center Representative

    Humana (Des Moines, IA)
    …that focuses on the well-being of their customers? Come be a part of Humana 's Member Calls Organization! Our Call Center Representatives have a passion for assisting ... position for a period of twelve (12) months before applying to other Humana opportunities.** **Work Hours Following 7 Week Training Period** + **Following training,… more
    Humana (06/07/24)
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  • Encounter Data Management Professional

    Humana (Des Moines, IA)
    …will identify complex errors and problems within the encounter process between Humana and CMS and Duals Medicaid using data analysis, claims research, and ... Microsoft SQL or SAS + 1 + year of Edifecs, eHub and Humana image view station, associate Remittance Inquiry and CMS.gov enterprise portal **Additional Information**… more
    Humana (06/07/24)
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  • Utilization Management Project Management Lead

    Humana (Des Moines, IA)
    …is based upon company and/or individual performance. **Description of Benefits** Humana , Inc. and its affiliated subsidiaries (collectively, ' Humana ') offers ... while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time… more
    Humana (06/05/24)
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  • Senior Compliance Professional - Marketing…

    Humana (Des Moines, IA)
    …analysis of situations or data requires an in-depth evaluation of variable factors. Humana MarketPoint is seeking a Senior Compliance Professional with a focus on ... be responsible for ensuring marketing materials are compliant and meet not only Humana policies and procedures but also State and Federal rules and regulations,… more
    Humana (06/05/24)
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  • Senior Program Delivery Professional - Risk…

    Humana (Des Moines, IA)
    …will be provided a bi-weekly payment for their internet expense. + Humana will provide Home or Hybrid Home/Office associates with telephone equipment appropriate ... is based upon company and/or individual performance. **Description of Benefits** Humana , Inc. and its affiliated subsidiaries (collectively, ' Humana ') offers… more
    Humana (06/05/24)
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  • MF Production Control & Turn Center Lead

    Humana (Des Moines, IA)
    …+ Experience with mainframe deployment tools and methodologies. **Additional Information** **Why Humana ** Humana offers a variety of benefits to promote the ... be provided a bi-weekly payment for their internet expense. Humana will provide Home or Hybrid Home/Office employees with...that is best for your schedule. **Social Security Task** Humana values personal identity protection. Please be aware that… more
    Humana (06/05/24)
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  • Military Spouse Fellowship Medical Coding…

    Humana (Des Moines, IA)
    …education, certifications, etc.$31,200 - $85,100 per year **Description of Benefits** Humana , Inc. and its affiliated subsidiaries (collectively, ' Humana ') ... which are designed to support whole-person well-being. Among these benefits, Humana provides paid time off, 401(k) retirement savings plan, employee assistance… more
    Humana (06/05/24)
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  • Accounting Lead - CPA Required

    Humana (Des Moines, IA)
    …will be provided a bi-weekly payment for their internet expense. + Humana will provide Home or Hybrid Home/Office associates with telephone equipment appropriate ... interruptions to protect member PHI / HIPAA information. **Why Humana ? You will experience the following rewards as a...You will experience the following rewards as a full-time Humana employee:** **Compensation and Financial Security -** Our pay… more
    Humana (06/05/24)
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  • Actuary

    Humana (Des Moines, IA)
    …action. As Actuary on the Unit Cost Analysis and Management team within Humana 's Provider Analytics organization, you will enable sustainable growth and support ... Humana 's Health First purpose by executing and enhancing unit...based upon company and/or individual performance. **Description of Benefits** Humana , Inc. and its affiliated subsidiaries (collectively, ' Humana more
    Humana (06/05/24)
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  • Home Solutions Medical Director - Temporary

    Humana (Des Moines, IA)
    …healthcare professionals are in agreement with national guidelines, CMS requirements, Humana policies, clinical standards, and (in some cases) contracts. This is ... education, certifications, etc.$199,400 - $274,400 per year **Description of Benefits** Humana , Inc. and its affiliated subsidiaries (collectively, ' Humana ')… more
    Humana (06/05/24)
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  • Senior Data and Reporting Professional

    Humana (Des Moines, IA)
    …like SQL Server, Power BI, and SSRS. This role will support Humana 's Clinical Pharmacy Review (HCPR) function. The role's responsibility will include compliance ... around new data projects. Successful candidate will be expected to learn Humana 's HCPR business and the data that supports it. Prior pharmacy experience,… more
    Humana (06/05/24)
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  • Research Scientist

    Humana (Des Moines, IA)
    …opportunity to work closely with strategy partners and clinicians to shape Humana 's enterprise clinical strategies and initiatives. The Research Scientist 2 applies ... is based upon company and/or individual performance. **Description of Benefits** Humana , Inc. and its affiliated subsidiaries (collectively, ' Humana ') offers… more
    Humana (06/05/24)
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  • Inpatient Medical Coding Auditor (PPI Coding…

    Humana (Des Moines, IA)
    …determination of the appropriate courses of action. **Where you Come In** Humana is looking for an experienced **Inpatient MSDRG medical coding auditor** to ... the Inpatient Coding Auditor (MSDRG) - Coding Disputes Team opportunity with Humana . The Inpatient Medical Coding Auditor contributes to overall cost reduction, by… more
    Humana (06/05/24)
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  • Provider Contracting Professional 2

    Humana (Des Moines, IA)
    …physician, hospital, and/or other provider contracts and agreements for Humana 's Behavioral Health organization. The Provider Contracting Professional 2 work ... minimal direction and receives guidance where needed. Follows established guidelines/procedures. Humana offers a variety of benefits to promote the best health… more
    Humana (06/05/24)
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  • Associate Benefits Professional

    Humana (Des Moines, IA)
    …digital and cohesive response communications strategy for the Well-Being and Benefits team. At Humana , caring is everything and your growth is what drives Humana ... Come join our team and have real impact on Humana 's members and patients. As part of the Associate...Must be fully accountable for understanding APA style and Humana branding guidelines, as will be designing and managing… more
    Humana (06/05/24)
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