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Remote Health Insurance Authorization Specialist

Humana
Located in Ohio
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A leading healthcare company is seeking a Healthcare Insurance Authorization ...
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Summary
About the job:
Specialist to work remotely. The role involves auditing documentation, verifying patient eligibility, and ensuring compliance with payer requirements. Candidates should have at least one year of related experience and a strong knowledge of insurance reimbursement processes. The position offers a salary range of $43,000 to $56,200 annually, along with comprehensive benefits including medical, dental, and retirement savings options.#J-18808-Ljbffr
Location:
Located in Ohio
Job Type:
Full-Time
Permanent
Occupation:
Patient Representatives
Career Level / Education:
Postsecondary nondegree award
Salary:
Upper Middle Income Jobs ($50K-$79K)
From:
Himalayas
Certifications / Licenses:
N/A
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
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Registered Nurse Care Manager- Eau Claire

Humana, Inc.
Eau Claire, WI
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Become a part of our caring community As a RN Care Manager, you will enjoy a ...
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About the job:
true work-life balance with no night or weekend shifts. Reporting to the Manager of Care Coaching, you will support members enrolled in the Wisconsin Family Care Program providing essential care coordination, support, and education. You will make a difference in the lives of those you serve and within your own community. You will: - Assess members, focusing on health and safety needs, to develop a comprehensive Member Care Plan (MCP). - Conduct regular health assessments - Coordinate with acute and primary care...
Location:
Eau Claire, WI
Job Type:
Full-Time
Permanent
Occupation:
Registered Nurses
Career Level / Education:
Bachelor's degree
Salary:
High Income Jobs ($80K-$99K)
From:
Humana, Inc.
Certifications / Licenses:
Certified Registered Nurse
Certified in Long Term Care
Driver's License
Associate Degree in Nursing
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

Lead Software Engineer – Enterprise Observability

Humana International Group
Located in Ohio
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Become a part of our caring community Why Join Enterprise Observability ...
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Summary
About the job:
Engineering? The Enterprise Observability Engineering team is a high-impact, high-autonomy group focused on building intelligent, scalable, and resilient observability solutions. We foster a culture of innovation, agility, and ownership—empowering engineers to solve complex problems, drive strategic initiatives, and shape the future of how we monitor and operate distributed systems. If you're passionate about building tools engineers love, solving unscoped challenges, and leading with technical excellence—this is the team...
Location:
Located in Ohio
Job Type:
Full-Time
Permanent
Occupation:
Computer Systems Engineers/Architects
Career Level / Education:
Bachelor's degree
Salary:
Six Figure Jobs (more than $100K)
From:
Himalayas
Certifications / Licenses:
N/A
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

VP, Direct Marketing Sales / Telesales

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:
With over 10 million sales interactions annually, Humana understands that while great products are important, it’s the quality of our service that truly defines us. We know that when our members and prospects have delightful and memorable experiences, it strengthens their connection with us and enables us to put their Health First. After all, a health services company that has multiple ways to improve the lives of its customers is uniquely positioned to put those customers at the center of everything it does....
Location:
Located in Ohio
Job Type:
Full-Time
Permanent
Occupation:
Market Research Analysts and Marketing Specialists
Career Level / Education:
Bachelor's degree
Salary:
Six Figure Jobs (more than $100K)
From:
De jobs
Certifications / Licenses:
Certified Marketing Specialist
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

Associate Director, Medicaid Insurance Product 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:
Humana Medicaid is seeking a results-driven Associate Director to lead benefit package design, regulatory compliance, and market advisory functions within the Medicaid Product Management organization, driving strategic alignment and market-ready solutions As Associate Director of Medicaid Product Management, you will lead a team of experienced Insurance product managers responsible for delivering high-quality, compliant, and market-responsive Medicaid and Dual Eligible products. You’ll partner closely with Market...
Location:
Located in Ohio
Job Type:
Full-Time
Permanent
Occupation:
Management Analysts
Career Level / Education:
Bachelor's degree
Salary:
High Income Jobs ($80K-$99K)
From:
De jobs
Certifications / Licenses:
N/A
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

Director, Business Intelligence

Humana
Washington
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data-type="string"> Description : **Become a part of our caring community** ...
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About the job:
The Director, Business Intelligence solves complex business problems and issues using data from internal and external sources to provide insight to decision-makers. The Director, Business Intelligence requires an in-depth understanding of how organization capabilities interrelate across the function or segment. The Director, Business Intelligence, is responsible for leading the strategy, development, and execution of data management and analytic functions in support of the Product organization. This role plays an...
Location:
Washington
Job Type:
Full-Time
Permanent
Occupation:
Management 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

Regional Sales Manager

Humana
Washington
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data-type="string"> Description : **Become a part of our caring community** ...
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About the job:
The Regional Sales Manager (RSM), Agency Sales is responsible for developing, recruiting, and supporting partner agencies within an assigned region. You will serve as the primary relationship owner for agencies, balancing new partner recruitment, sales growth, and ongoing support to lead sustained revenue performance. The RSM manages moderately complex to complex situations requiring independent judgment, advanced relationship management skills, and an understanding of the channel/agency landscape. You will operate...
Location:
Washington
Job Type:
Full-Time
Permanent
Occupation:
Sales Managers
Career Level / Education:
Bachelor's degree
Salary:
High Income Jobs ($80K-$99K)
From:
De jobs
Certifications / Licenses:
State insurance license
Certification Processes
Insurance License
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

Associate Director, IT Infrastructure Operations and Process Improvement

Humana
Washington
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data-type="string"> Description : **Become a part of our caring community** ...
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Summary
About the job:
The Associate Director, IT Infrastructure Operations and Process Improvement monitors and measures relevant performance metrics to assess the performance of IT resources, infrastructure systems and optimizes performance through process improvement activities. Associate Director, IT Infrastructure Operations and Process Improvement requires a solid understanding of how organization capabilities interrelate across IT department(s). The AD is an expert in 24/7 operations with high performing and scaling systems that meet...
Location:
Washington
Job Type:
Full-Time
Permanent
Occupation:
Network and Computer Systems Administrators
Career Level / Education:
Bachelor's degree
Salary:
High Income Jobs ($80K-$99K)
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 Behavioral Economics Professional

Humana
Washington
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data-type="string"> Description : **Become a part of our caring community** ...
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Summary
About the job:
The Senior Behavioral Economics Professional (SBEP) is a core member of Humana’s industry-leading Behavioral Economics team. The SBEP brings expertise in experimental and quasi-experimental methods to help Humana’s leaders make informed business decisions, answering questions like: · How can Humana use technological solutions to better support members’ behavioral health needs? · What’s the best way for Humana to respond when a member has a fall? · What specific benefits matter most to our members? This role requires...
Location:
Washington
Job Type:
Full-Time
Permanent
Occupation:
Statisticians
Career Level / Education:
Master'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

CenterWell Strategy & Operations Senior Consultant

Humana
Washington
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data-type="string"> Description : **Become a part of our caring community** ...
Details
Summary
About the job:
The CenterWell Senior Strategy Consultant provides data-based strategic direction to support the broader team and identify and address business issues and opportunities. The role blends strategy development with operating model and execution rigor – providing business intelligence, strategic planning, and program leadership support for business segments and CenterWell at large. The Senior Strategy Consultant works on problems of diverse scope and complexity ranging from moderate to substantial where the analysis of...
Location:
Washington
Job Type:
Full-Time
Permanent
Occupation:
Management 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
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