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  • Lead AI Engineer - NBA

    Humana Inc.

    Remote, United States

    Strong judgment on when AI is the right tool and when it is not - especially in a regulated, member-facing context

  • Lead Applied Scientist, NBA – Reinforcement Learning

    Humana Inc.

    Remote, United States

    Incorporate clinical eligibility, member preferences, business rules, operational capacity, and other constraints into intelligent decision systems.

  • Home Health Facility Licensure & Regulatory Compliance Analyst

    CenterWell Health Services (USA), LLC

    Remote, United States

    …commitment to delivering compliant, high-quality home health…

  • Home Health Strategy Advancement Advisor

    CDO 1, LLC

    Remote, United States

    …a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA…

  • Utilization Management Behavioral Health Professional

    Humana Insurance Company

    Remote, United States

    …the coordination, documentation, and communication of medical services and/or benefit administration determinations. You will work on assignments that are varied and frequently require…

  • Patient Care Coordinator - Remote - Gastroenterology

    Providence

    Remote, United States

    The Remote Patient Care Coordinator provides various receptionist and skilled clerical duties to support the department. This position may be responsible for scheduling patients, obtaining…

  • Field Service Engineer 1

    GE HealthCare

    Remote, United States

    • $72,000 to $108,000 USD / year

    Associate's or Bachelor's degree in Electrical Engineering, Biomedical Engineering, Mechanical Engineering, or related field; OR equivalent military education; OR participant in the formal…

  • Utilization Mgmt. Coordinator

    Humana Insurance Company

    Remote, United States

    …Administration Coordinator role supports UM operations through provider/member-facing phone support and back-office administrative responsibilities. As a UMAC 2, you will report to the…

  • UM Onboarding Representative

    Humana Inc.

    Remote, United States

    Associate's or bachelor's degree in healthcare administration, business, human resources, or a related field.

  • Senior Workforce Management Professional, Tactical

    Humana Insurance Company

    Remote, United States

    The Senior Workforce Management Professional is an important member of Humana's Workforce Management team, supporting the Medicaid Inpatient and Outpatient Utilization Management (UM)…

  • Lead, Organic Risk Adjustment

    Humana Insurance Company

    Remote, United States

    …a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA…

  • Senior Recruiter

    Humana Inc.

    Remote, United States

    …based on business need. VSP associates are not eligible for associate bonuses and receive limited benefits, which are effective upon hire. Work hours may vary based on business needs and…

  • Counsel

    Humana Inc.

    Remote, United States

    The Counsel provides a full range of legal advice and services. The Counsel work assignments involve moderately complex to complex issues where the analysis of situations or data requires…

  • Lead, Conditions Management Marketing

    Humana Inc.

    Remote, United States

    …translating journey strategies into high-quality, scalable member experiences delivered through Adobe Experience Platform (AXP). Working closely with the Communications Strategy Lead,…

  • Lead Service Designer

    Humana Inc.

    Remote, United States

    …a leading health and well-being company, we are reimagining member experiences to deliver empathy, clarity, and ease - at every…

  • Director, Population Health Strategy – Chronic Condition Management

    Humana Insurance Company

    Remote, United States

    …complex conditions. Using population data, clinical evidence, member needs, and market priorities, the Director, Population Health Strategy – Chronic Condition Management leads a team that…

  • AVP, Procurement Center of Excellence

    Humana Inc.

    Remote, United States

    The Associate Vice President, Procurement Center of Excellence will lead the enterprise capabilities that power Procurement performance. The AVP will own the Procurement technology…

  • Director of Enterprise Sales - Remote

    Center for Internet Security, Inc.

    Remote, United States

    The Director of Enterprise Sales is part of the Sales and Business Services (SBS) department, which resides on the Sales team and reports to the VP of Sales. The Director of Enterprise…

  • Senior Casualty Claims Specialist - Specialty Human Services

    GAIC Great American Insurance Company

    Remote, United States

    The Specialty Human Services Division is currently looking for a Senior Casualty Claims Specialist. This position is fully remote with some expectations of travel.

  • Operations Associate

    Staffing Management LLC

    Remote, United States

    • $24 to $26 USD / hour

    …physician assistants, and physicians to underserved rural and remote communities in Alaska and the Northwestern United States. Our mission is to ensure access to quality healthcare services…

  • Care Management Associate - OhioRISE - Must reside in Ohio

    Aetna Medicaid Administrators

    Remote, United States

    …inquiries from both members/guardians or parties assisting with services. They will be responsible for taking referrals for OhioRISE, confirming their Medicaid eligibility and processing…

  • Group Health Customer Service Representative

    Dane Street, LLC

    Remote, United States

    …clients, our technical team, and our operations teams. As a member of our team, you will be responsible for the scheduling and selection of reviewers for referrals received within the Dane…

  • Accounting Specialist

    North Haven Solutions

    Remote, United States

    North Haven Government Services Solutions is seeking a skilled and experienced Accounting Specialist to join our dynamic team. As a pivotal member of our finance department, you will be…

  • Inbound Contact Representative 2 - Dental

    Humana Insurance Company

    Remote, United States

    Address multiple member and provider needs, including benefit questions, service issues, and general inquiries

  • Compliance Professional 2

    Humana Insurance Company

    Remote, United States

    Work Style: This is a fully remote position, applicants must live in the contiguous United States. Occasional travel to Humana's offices for training or meetings may be required.