• Data & Reporting Professional, SPARx

    Humana (Dover, DE)
    …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 (04/25/24)
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  • RN - Nursing Educator 2 (UM, CM, Pre-Certs,…

    Humana (Dover, DE)
    …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 (04/25/24)
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  • Senior Accreditation Professional

    Humana (Dover, DE)
    …Senior Accreditation Professional who will work in a team environment on Humana 's health plan accreditations, performing complex tasks related to compliance with ... accreditation standards across multiple operational areas within Humana . **Role Responsibilities:** + Serves as subject matter expert on NCQA Health Plan… more
    Humana (04/25/24)
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  • Medical Director - North Central Region - Medicaid

    Humana (Dover, DE)
    …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. + Completes… more
    Humana (04/25/24)
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  • Business Intelligence Engineer - Group Benefits

    Humana (Dover, DE)
    …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 (04/25/24)
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  • Medical Director - Northeast Region

    Humana (Dover, DE)
    …to support regional market priorities, which may include an understanding of Humana processes, as well as a focus on collaborative business relationships, value ... based care, population health, or disease or care management. Medical Directors support Humana values, and Humana 's Bold Goal mission, throughout all activities.… more
    Humana (04/25/24)
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  • Referrals Coordinator

    Humana (Dover, DE)
    …appropriate point of contact for review. + Understands TRICARE benefits/limitations and Humana Military referral processes, MOUs with MTFs, and referral and UM ... or Military Spouse + Individuals with an understanding of TRICARE benefits/limitations, Humana Military referral processes, MOUs with MTFs, and referral and UM… more
    Humana (04/25/24)
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  • UM Administration Coordinator

    Humana (Dover, DE)
    …a part of our caring community and help us put health first** Humana Healthy Horizons in Ohio is seeking a Utilization Management Administration Coordinator 2 ... You will be part of a caring community at Humana . When you meet us, you can tell we...preferably within a managed care organization **Additional Information** **About Humana ** **Your growth is what drives Humana more
    Humana (04/25/24)
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  • Utilization Behavioral Health Professional

    Humana (Dover, DE)
    …a part of our caring community and help us put health first** Humana Healthy Horizons is seeking a Utilization Management Behavioral Health Professional 2 who ... You will be part of a caring community at Humana . When you meet us, you can tell we...provided a bi-weekly payment for their internet expense. + Humana will provide Home or Hybrid Home/Office associates with… more
    Humana (04/25/24)
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  • Social Services (LMSW/LCSW) - Care Management…

    Humana (Dover, DE)
    …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 (04/25/24)
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  • Program Delivery Professional 2

    Humana (Dover, DE)
    …that leverage data and technology to empower members, providers, and Humana . The Risk Adjustment Prospective Provider Programs organization within HQRI delivers ... Qualifications** + Medicare Risk Adjustment and/or Stars experience. + Experience with Humana Medicare data + Knowledge of Electronic Medical Record (EMR) systems. +… more
    Humana (04/25/24)
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  • Business Intelligence Engineer

    Humana (Dover, DE)
    …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 (04/24/24)
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  • Medicaid (PPS) Provider Hospital Reimbursement…

    Humana (Dover, DE)
    …other business teams involved in the administration of Medicaid business at Humana . The Senior Business Intelligence Engineer will develop and maintain expertise in ... tables and various functions such as VLOOKUP) + Meet Humana 's WAH policy listed in additional information ​ **Preferred...be provided a bi-weekly payment for their internet expense. Humana will provide Home or Hybrid Home/Office employees with… more
    Humana (04/24/24)
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  • Associate Actuary - Medicaid Trend

    Humana (Dover, DE)
    …Society of Actuaries (ASA) designation + Meets eligibility requirements for Humana 's Actuarial Professional Development Program (APDP) + MAAA + Strong communication ... is based upon company and/or individual performance. **Description of Benefits** Humana , Inc. and its affiliated subsidiaries (collectively, ' Humana ') offers… more
    Humana (04/24/24)
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  • Senior Category Manager Enterprise Consulting,…

    Humana (Dover, DE)
    …strong alignment. Finally, this leader will partner with business leadership in Humana 's segments to drive enterprise-wide value. + Develop and implement robust ... forward-thinking strategy, considering internal / external factors, and aligning to Humana 's overall business objectives and values + Develop risk- and… more
    Humana (04/24/24)
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  • Medical / Financial Risk Evaluation Professional

    Humana (Dover, DE)
    …will be provided a bi-weekly payment for their internet expense. + Humana will provide Home or Hybrid Home/Office associates with telephone equipment appropriate ... number so we may be able to research your request quicker. Alert: Humana values personal identity protection. Please be aware that applicants selected for leader… more
    Humana (04/24/24)
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  • Actuarial Analyst- Analytics/Forecasting

    Humana (Dover, DE)
    …completion of at least 3 actuarial exams + Meets requirements for Humana 's Actuarial Professional Development Program (APDP) + Strong communication skills + Must ... is based upon company and/or individual performance. **Description of Benefits** Humana , Inc. and its affiliated subsidiaries (collectively, ' Humana ') offers… more
    Humana (04/24/24)
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  • Actuary

    Humana (Dover, DE)
    …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 (04/24/24)
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  • Partner Sales Executive

    Humana (Dover, DE)
    …Degree + Veteran or spouse of Veteran preferred **Additional Information** + Any Humana associate who speaks with a member in a language other than English ... English as provided and required by the Federal Government. ** Humana Perks:** Full time associates enjoy: + Base salary...children + And much more! **Social Security Task:** Alert: Humana values personal identity protection. Please be aware that… more
    Humana (04/24/24)
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  • Senior Learning Design Professional

    Humana (Dover, DE)
    …Work experience in a health care and/or Insurance setting **Additional Information** Humana is an organization with careers that change lives-including yours. As an ... that is growing and poised to make an impact on the future of healthcare, Humana has the right opportunity for you. **Scheduled Weekly Hours** 40 **Pay Range** The… more
    Humana (04/24/24)
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