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Business Intelligence Lead

Humana
Pierre, SD
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data-type="string"> Description : **Become a part of our caring community** ...
Details
Summary
About the job:
The Business Intelligence Lead solves complex business problems and issues using data from various data sources to provide insight to decision-makers. You will work on problems of diverse scope with a heavy focus on all things Power BI and SQL, reporting to the Associate Director, Business Intelligence. **What You Will Do:** + You will apply analytical and problem-solving expertise to navigate complex new and existing business challenges, leveraging data to uncover solutions and drive continuous improvement. + Lead...
Location:
Pierre, SD
Job Type:
Full-Time
Permanent
Occupation:
Business Intelligence Analysts
Career Level / Education:
Bachelor's degree
Salary:
Six Figure Jobs (more than $100K)
From:
De jobs
Certifications / Licenses:
N/A
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

Associate Actuary

Humana
Located in Ohio
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data-type="string"> Description : **Become a part of our caring community** ...
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About the job:
The Associate Actuary will support Medicare Market & Provider Finance with a focus on hospital unit cost financial impacts, provider reimbursement analytics, and actual-to-expected cost evaluation. You will develop and maintain analyses that assess hospital contract performance, support unit cost assumption development, and quantify the financial impact of provider and network strategies. You will partner with Network, Provider, Finance, and other cross-functional stakeholders to deliver clear, actionable insights...
Location:
Located in Ohio
Job Type:
Full-Time
Permanent
Occupation:
Actuaries
Career Level / Education:
Bachelor's degree
Salary:
Six Figure Jobs (more than $100K)
From:
De jobs
Certifications / Licenses:
Member of the American Academy of Actuaries
Associate of the Society of Actuaries
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

VP, Medicaid Clinical Operations

Humana
Located in Ohio
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data-type="string"> Description : **Become a part of our caring community** ...
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About the job:
The VP, Medicaid Clinical Operations is an enterprise executive responsible for leading Medicaid clinical operations, utilization management, care management/service coordination, and clinical program delivery across Medicaid markets. This leader translates Medicaid strategy, market requirements, quality priorities, and regulatory expectations into standardized operating models, scalable workflows, measurable performance outcomes, and ensures operational excellence. The role is accountable for operational execution,...
Location:
Located in Ohio
Job Type:
Full-Time
Permanent
Occupation:
Medical and Health Services Managers
Career Level / Education:
Bachelor's degree
Salary:
N/A
From:
De jobs
Certifications / Licenses:
N/A
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

Senior Product Designer - Benefits Servicing

Humana
Located in Ohio
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data-type="string"> Description : **Become a part of our caring community** ...
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Summary
About the job:
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 their healthcare coverage with confidence. Through exceptional design execution, user-centered thinking, and cross-functional collaboration, you will create intuitive experiences that simplify complex benefits information, support informed healthcare decisions, and improve members’ ability to navigate care. In this...
Location:
Located in Ohio
Job Type:
Full-Time
Permanent
Occupation:
Web and Digital Interface Designers
Career Level / Education:
Bachelor's degree
Salary:
Six Figure Jobs (more than $100K)
From:
De jobs
Certifications / Licenses:
N/A
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

Nurse Clinical Lead - Provider Education

Humana
Located in Ohio
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data-type="string"> Description : **Become a part of our caring community** ...
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About the job:
The Nurse Clinical Lead reports to, and partners closely with, the National Medical Director, Risk Adjustment and Stars. They support corporate and regional strategies for provider success in Medicare Stars, Risk-Adjustment (MRA), and Interoperability. This individual provides clinical and coding expertise and serves a vital individual contributor role. They provide clinical guidance for programs, policies, and educational materials to optimize provider performance in these domains. **Key responsibilities for the...
Location:
Located in Ohio
Job Type:
Full-Time
Permanent
Occupation:
Registered Nurses
Career Level / Education:
Bachelor's degree
Salary:
N/A
From:
De jobs
Certifications / Licenses:
Certified Rehabilitation Counselor
Medical Coding Certification
Certified Registered Nurse
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

Business Intelligence Lead

Humana
Located in Ohio
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data-type="string"> Description : **Become a part of our caring community** ...
Details
Summary
About the job:
The Business Intelligence Lead solves complex business problems and issues using data from various data sources to provide insight to decision-makers. You will work on problems of diverse scope with a heavy focus on all things Power BI and SQL, reporting to the Associate Director, Business Intelligence. **What You Will Do:** + You will apply analytical and problem-solving expertise to navigate complex new and existing business challenges, leveraging data to uncover solutions and drive continuous improvement. + Lead...
Location:
Located in Ohio
Job Type:
Full-Time
Permanent
Occupation:
Business Intelligence Analysts
Career Level / Education:
Bachelor's degree
Salary:
Six Figure Jobs (more than $100K)
From:
De jobs
Certifications / Licenses:
N/A
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

Strategic Project Manager - Medicaid Capture Management

Humana
Located in Ohio
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data-type="string"> Description : **Become a part of our caring community** ...
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Summary
About the job:
The Medicaid Capture Management team’s purpose is to successfully position Humana to enter new markets enabling the future of the business. As a centrally positioned strategic function this team coordinates with growth partners across the enterprise and industry to accelerate product strategy and define the operating model for new markets. We deliver value through detailed research, data-driven insights, strategic planning, structured problem solving, and project management rigor. The Strategic Project Manager plays a...
Location:
Located in Ohio
Job Type:
Full-Time
Permanent
Occupation:
Project Management Specialists
Career Level / Education:
Bachelor's degree
Salary:
Six Figure Jobs (more than $100K)
From:
De jobs
Certifications / Licenses:
Project Management Professional
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

Lead Content Designer

Humana
Olympia, WA
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data-type="string"> Description : **Become a part of our caring community** ...
Details
Summary
About the job:
At Humana, we're building human-centered experiences that help people navigate healthcare with confidence. We're looking for a Lead Content Designer to drive content design, influence product strategy, shape systems, implement frameworks and execute across our digital ecosystem. You will report to the Director of Content Development. You'll operate as a cross-product leader, shaping experiences across web, mobile, apps, virtual assistants, and emerging AI surfaces. This role is ideal for someone who thrives in...
Location:
Olympia, WA
Job Type:
Full-Time
Permanent
Occupation:
Data Warehousing Specialists
Career Level / Education:
Bachelor's degree
Salary:
N/A
From:
De jobs
Certifications / Licenses:
N/A
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

Medical Director - OneHome

Humana
Olympia, WA
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data-type="string"> Description : **Become a part of our caring community** ...
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About the job:
The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing Home Health, SNF, DME, dual Medicare/Medicaid requests. The Medical Director reviews and determines whether healthcare services provided by other healthcare professionals align with national guidelines, CMS requirements, Humana policies, clinical standards, and applicable contracts. The Medical Director evaluates the medical necessity of healthcare services, ensuring decisions comply with regulatory and organizational...
Location:
Olympia, WA
Job Type:
Full-Time
Permanent
Occupation:
Medical and Health Services Managers
Career Level / Education:
Bachelor's degree
Salary:
N/A
From:
De jobs
Certifications / Licenses:
Board Certified
Medical License
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

Clinical Policy Operations Professional 2

Humana
Olympia, WA
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data-type="string"> Description : **Become a part of our caring community** ...
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Summary
About the job:
The Clinical Policy Operations Professional 2 provides operational support to clinical pharmacists for the implementation, maintenance, submission, and ongoing management of clinical policies, drug lists, and benefit requirements. This role focuses on accurately translating approved clinical strategies into operational systems and tools, requiring strong attention to detail, independent problem solving, and consistent execution within established processes. The Clinical Policy Operations Professional 2 ensures...
Location:
Olympia, WA
Job Type:
Full-Time
Permanent
Occupation:
Pharmacists
Career Level / Education:
Doctoral or professional degree
Salary:
N/A
From:
De jobs
Certifications / Licenses:
N/A
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information
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