Empleos en Humana

“Remote Claims Research & Resolution Representative 2 role at Humana. Manage claims, resolve issues, and provide customer support. Requires 1+ years of call center experience, healthcare background, and basic Microsoft Office skills. Full-time, 40 hours/week, with an 18-month commitment. Training for 8-10 weeks. Pay range: $40,000 - $52,300 per year. Benefits include medical, dental, vision, 401(k), and more.”

“Provider Contracting Professional 2 role at CarePlus Health Plans, a Humana subsidiary. Negotiate and manage provider contracts, ensure compliance, and support cross-functional teams. Requires 2+ years of contract negotiation experience, strong communication skills, and proficiency in financial analysis. Remote position with occasional travel, offering a competitive salary range of $65,000-$88,600 per year, benefits, and a bonus incentive plan.”

“Remote Staff Utilization Management Clinical Pharmacist role in the US. Responsible for conducting medical necessity and comprehensive medication reviews. Requires a Pharm.D. or Bachelor's degree, active pharmacist license, and experience in managed care pharmacy. Offers a $5,000 hiring bonus, competitive benefits, and a pay range of $104,000-$143,000 per year. Occasional travel may be required.”

“Fraud and Waste Investigator role at Humana. Conduct Medicaid fraud investigations, coordinate with law enforcement, and audit provider records. Requires a bachelor's degree, 2+ years of healthcare fraud experience, and strong analytical skills. Remote work with occasional travel. Competitive salary up to $88,600/year, benefits, and bonus incentives. Deadline: Jan 16, 2026.”

“RN Quality Assurance Clinical Manager position in Brunswick, GA. Full-time, on-site role ensuring clinical documentation compliance. Requires ADN, active RN license, home health experience, and OASIS knowledge. Pays $77,200 - $106,200 annually with benefits and bonus eligibility.”

“Risk Management Lead role in Risk Adjustment Operations. Responsible for risk assessment, compliance, and process improvement. Requires 3+ years of project leadership and 2+ years of audit/compliance experience. Remote position with occasional travel. Compensation range: $104,000 - $143,000 per year.”

“Sales Support Professional role supporting Large Group Sales Representatives in North Region. Responsibilities include sales cycle support, RFP info collection, implementation process assistance, and collaboration with internal stakeholders. Remote position with occasional travel. Requires Sales Enablement or Project Management experience, advanced Excel skills, and excellent communication. Bachelor's degree and healthcare/insurance industry experience preferred. Compensation range: $53,700 - $72,600 per year.”

“RN Quality Assurance Clinical Manager position in Aiken, SC. Full-time, on-site role ensuring clinical documentation compliance. Requires ADN, RN license, 2+ years RN experience, quality assurance, and home health experience. OASIS and CMS PDGM knowledge required. Pays $77,200-$106,200/year with bonus eligibility.”

“Telephonic Care Coach 1 role in a telephonic environment, evaluating member's needs for optimal wellness. Full-time, 40 hours/week, Monday-Friday, 9am-5:30pm EST. Requires 2+ years of related experience, proficiency in Microsoft Office, and exceptional communication skills. Preferred qualifications include a Bachelor's degree in health and human services, experience with Medicare & Medicaid, and health promotion. Remote position with occasional travel. Compensation range: $53,700 - $72,600 per year. Benefits include medical, dental, vision, 401(k), and more.”

“Maternity Care Management Field Nurse role in Louisiana. Requires 2+ years of maternity/L&D experience, RN license, and strong communication skills. Remote with field visits. $71,100-$97,800/year, benefits, and bonus incentive plan. Travel and valid driver's license required.”

“Community Engagement Specialist role in Michigan. Responsible for building visibility, engaging communities, and addressing health equity issues. Requires 2+ years of experience in community outreach, marketing, or sales. Remote position with up to 75% travel. Pays $58,700 - $70,400 per year.”

“Manager, Clinic/Center Administration role at Conviva, a Humana subsidiary. Lead outpatient care teams, develop staffing plans, and collaborate cross-departmentally. Requires 6+ years technical experience, 2+ years management, and knowledge of EMRs/HIMs. Full-time, Monday-Friday, 8 AM-5 PM. Offers benefits, 401k, tuition reimbursement, and career growth. Pay range: $71,100-$97,800/year with bonus potential.”

“RN Clinical Manager position in Newberry, SC. Full-time, on-site role with a $10K sign-on bonus. Oversees clinical operations, patient care, and staff management. Requires 2+ years of RN experience and 1+ year of management experience in home care or hospice. Competitive pay range of $77,200 - $106,200 per year with benefits and bonus incentives.”

“Dynamic Strategy & Operations Lead role for Provider Practice Management. Develop clinical solutions, reduce 30-day readmissions, and improve provider performance. Requires healthcare expertise, data literacy, and cross-functional collaboration. Remote with occasional travel. $126,300-$173,700/year plus benefits and bonus.”

“Client Executive role managing 100+ Specialty Only clients, focusing on retention, cross-selling, and strategic business partnerships. Requires 8+ years of healthcare client management experience, strong communication skills, and a consultative selling background. Offers a competitive salary range of $93,400 - $127,300 per year with benefits and remote work options.”

“Consumer Service Operations Representative III in Port St. Lucie, FL. Travel between 4 locations daily. Requires 1+ year healthcare customer service, Microsoft Office proficiency. Preferred: degree, healthcare experience. $43k-56k/year, benefits. Full-time, 40 hrs/week.”

“Per Diem Pharmacy Technician role in Florida. Requires 2+ years of experience, active Pharmacy Technician license, and National Certification (PTCB). Travel to Port Orange, Ormond Beach, and Orange City. Up to 40 hours per week. $40,000-$52,300 per year. Benefits include paid time off, 401(k), and more.”

“Remote Bilingual Referral Coordinator role in Orlando, FL. Prepare and process managed care referral paperwork, schedule patient exams, and maintain strict confidentiality. Requires 1-3 years of healthcare experience, proficiency in medical terminology, and bilingual English/Spanish skills. Full-time, Monday to Friday 8AM-5PM. Pay range: $40,000 - $52,300 per year.”

“Referral Coordinator role at Conviva, a Humana subsidiary. Schedule patients, handle referrals, and communicate with providers. Requires 2 years of healthcare experience, proficiency in Microsoft Office, medical terminology, and electronic medical records. Bilingual English/Spanish preferred. Full-time, Monday-Friday, 8 AM-5 PM. Offers health benefits, 401k, tuition reimbursement, and more. Pay range: $39,000-$49,400 per year with bonus incentives.”

“IT Vendor Management Lead role for Network, Telecom & Call Center Platforms. Manage mission-critical suppliers, oversee large carrier agreements, and optimize spending. Requires 7+ years of experience in IT vendor management, strategic sourcing, and telecom contract structures. Remote position with occasional travel, offering a competitive salary range of $115,200 - $158,400 per year and benefits.”

“Utilization Management Registered Nurse role. Coordinate medical services, review Medicaid claims, and resolve provider disputes. Remote work, 40 hrs/week, $71,100-$97,800/year. 3+ years clinical nursing experience required, preferably in acute care. Bachelor's degree preferred. Occasional travel. Full benefits.”

“RN Clinical Manager position in Lancaster, PA. Salary up to $106,200 plus $10K sign-on bonus. Full-time, on-site role. Requires 2 years RN experience with 1 year management in home care or hospice. Oversees clinical operations, patient care, and staff management. Benefits include medical, dental, vision, 401(k), and more.”

“Case Manager position in Racine, WI for Humana/iCare. Responsibilities include psychosocial assessments, care plan development, and coordination of services for adults with disabilities and the frail elderly. Requires relevant degree and experience. Travel up to 50%. Salary range $53,700-$72,600 per year.”

“Remote Care Delivery Telesales Supervisor role leading a team for outbound sales in a primary care setting. Responsibilities include re-engaging Medicare patients, guiding customer service, and ensuring policy adherence. Requires sales experience, critical thinking, and a passion for improving consumer experiences. Offers a competitive salary range of $65,000 to $88,600 per year, benefits, and occasional travel for training or meetings.”

“IT Vendor Management Lead role for EMR, Clinical, Care Delivery & Home Health Platforms. Manage strategic suppliers, contracts, and relationships. Requires 7+ years in IT vendor management, experience with EMR/EHR, and strong financial acumen. Remote position with occasional travel, offering a competitive salary range of $115,200 - $158,400 per year and benefits.”

“Insurance Product Compliance Lead role at Humana. Research, analyze, and assess risk for insurance products. Partner with stakeholders, draft and file documents with regulators, and advise executives. Requires Medicare Advantage experience, Microsoft Office proficiency, and ability to work independently. Remote position with occasional travel. $94,900 - $130,500 per year, plus benefits and bonus incentive plan.”

“Actuarial Analyst role at Humana, focusing on analytics and forecasting. Requires a Bachelor's degree and at least one actuarial exam. Strong communication skills needed. Remote position with occasional travel. Pays $66,800 - $91,100 per year. Supports Medicaid forecasting and data modeling.”

“Remote Staff Specialty Operations Pharmacist role in Arizona or Ohio. Requires 3+ years of pharmacy experience, active license, and ability to work independently. Schedule includes 1-2 closing shifts per week and rotating Saturdays. Pay range: $115,200 - $158,400 per year with benefits and bonus incentive plan.”

“Humana Gold Plus Integrated seeks a Long-Term Services and Support (LTSS) Care Coordinator in Illinois. The role involves assessing members' needs, coordinating care, and guiding families towards appropriate resources. Requirements include a bachelor's degree in social sciences or related fields, or an active LPN license with relevant experience. The position requires 75-90% local travel and offers a compensation range of $53,700 to $72,600 per year.”

“Floating Ultrasound Technician role at CenterWell Senior Primary Care. Perform X-ray and ultrasound procedures, maintain records, and manage equipment. Requires ARRT certification, RDMS certification, and 1+ years of experience. Full-time, 40 hours/week, Monday to Friday, 8AM-5PM. Pay range $70,700-$96,400 per year with benefits including medical, dental, vision, 401(k), and PTO. Travel between clinics is reimbursed.”

“Care Manager, Telephonic Behavioral Health role focuses on coordinating care for beneficiaries with Autism Spectrum Disorder (ASD) under the Autism Care Demonstration (ACD). Responsibilities include assessment, care planning, and advocacy. Requires RN or LCSW license with relevant experience. Remote work with occasional travel. Full-time, 40 hours/week. Pay range: $59,300 - $80,900 per year. Benefits include medical, dental, vision, 401(k), and more.”

“Medical Receptionist role at CenterWell Senior Primary Care in Apopka, FL. 40-hour week, $38,000-$45,800/year. Requires 1 year experience, MS Outlook, teamwork, and communication skills. Bilingual (English/Spanish) preferred. Benefits include health insurance, 401(k), tuition assistance, and more. TB screening required.”

“Financial Reporting Professional 2 role at Humana. Ensure compliance with regulations, prepare consolidation journal entries, and eliminate intercompany transactions. Requires a Bachelor's degree in Accounting/Finance, 2+ years of experience, Excel proficiency, and strong communication skills. Hybrid office role with a pay range of $71,100 - $97,800 per year, plus benefits and bonus incentive plan.”

“Humana Healthy Horizons in Indiana seeks a LTSS Provider Education & Outreach Representative to manage relationships with network providers, focusing on LTSS and HCBS. Responsibilities include provider onboarding, training, education, and resolving issues. Requires a Bachelor's degree, 1-5 years of healthcare experience, and residence in the Indianapolis metro area. Offers a competitive salary range of $59,300 - $80,900 per year, benefits, and occasional travel.”

“Patient Service Coordinator role in Home Health. Responsible for scheduling visits, managing office tasks, and coordinating care. Requires 1 year of home health experience, strong communication, and organizational skills. Full-time, 40 hours/week, with a pay range of $40,000-$52,300 per year. Benefits include medical, dental, vision, 401(k), and more.”

“Actuary, Pricing role at Humana. Responsible for pricing assumptions, rate filings, and market analysis. Requires Bachelor's Degree, FSA or ASA, MAAA, strong communication skills, and experience in multiple actuarial functions. Remote position with occasional travel. Pay range: $129,300 - $177,800 per year plus bonus. Full benefits package.”

“Regional Vice President, Network Performance role at Humana. Manage health plan development, operations, and performance in the Pacific Southwest Region. Responsible for provider engagement, quality, risk adjustment, and member experience. Requires extensive healthcare leadership experience, strategic planning, and strong communication skills. Bachelor's degree required, Master's preferred. Remote position with occasional travel. Compensation range: $168,000 - $231,000 per year, plus benefits and bonus incentive plan.”

“Field Care Manager RN role in Illinois. Assess and evaluate members' needs, create care plans, and coordinate with stakeholders. Requires RN license, clinical experience, and 75-90% travel. Hybrid remote position with occasional office visits. Competitive salary range $71,100-$97,800 per year plus benefits and bonus incentives.”

“IT Vendor Management Lead role for SaaS platforms. Responsible for managing high-impact SaaS suppliers, complex contracts, and enterprise platform ecosystems. Requires 7+ years of experience in IT vendor management, strong financial acumen, and executive presence. Remote position with occasional travel, offering a competitive salary range of $115,200 - $158,400 per year and comprehensive benefits.”

“Humana Gold Plus Integrated seeks a Manager, Care Management to lead teams of nurses and care coordinators in Illinois. The role requires 5+ years of healthcare experience, 2+ years of leadership, and an active RN, LCSW, or LCPC license. Responsibilities include supervising staff, monitoring case management activities, and developing audit plans. The position is remote with 50-75% travel, offering a pay range of $86,300-$118,700 per year and benefits.”

“Actuarial Analyst 2 role focusing on analytics and forecasting. Analyzes financial, economic data for strategic decisions. Requires a Bachelor's degree, 3 actuarial exams, strong analytical and communication skills. Technical expertise in Excel, SAS, VBA, Databricks preferred. Remote position with occasional travel. Pays $80,900 - $110,300 per year, plus benefits and bonus incentive plan.”

“Regional Vice President, Contracting role at Humana. Manage contract negotiations in the Pacific Southwest Region. Requires a Bachelor's Degree, healthcare leadership experience, and strong negotiation skills. Offers a competitive salary range of $203,400 - $279,800 per year, benefits, and a bonus incentive plan. Remote position with occasional travel.”

“Humana seeks a Medicare Sales Field Agent in Houston, TX. This field-based role involves educating individuals on Medicare Advantage plans, building community connections, and driving sales. Requirements include an active health insurance license, local residency, and comfort with face-to-face interactions. The position offers a competitive pay range of $80,000 - $125,000 per year, including base pay and commission, along with comprehensive benefits and flexible scheduling.”

“Dispensing Pharmacist role at CenterWell Pharmacy. Responsible for accurate medication dispensing, quality assurance, and team collaboration. Requires PharmD degree, state licensure, and 3+ years of experience. Full-time, on-site position with a pay range of $104,000-$143,000 per year, including benefits and bonus incentives.”

“Retail Pharmacy Technician role in West Palm Beach, FL. Requires active Florida Pharmacy Technician license, 1 year of retail/long-term care pharmacy experience, and basic MS Office skills. Full-time, 40 hours/week, $40,000-$52,300/year. Responsibilities include prescription management, customer support, and administrative tasks. PTCB certification preferred. Spanish-speaking and BLS/CPR certified are pluses. On-site role with possible travel within Palm Beach County.”

“Care Management Support Assistant role in Schaumburg, IL. Requires 2+ years of healthcare admin experience, Microsoft Office skills, and medical terminology knowledge. Hybrid work model with 2-3 in-office days. Bilingual candidates preferred. $42,900-$54,300/year, 40 hrs/week, benefits included.”

“CenterWell Home Health seeks a Registered Nurse Case Manager to provide personalized home care, manage patient cases, and coordinate with healthcare teams. Requirements include a nursing degree, 1+ year of experience, and valid RN licensure. Offers competitive pay ($77,200-$106,200/year), benefits, and career growth opportunities.”

“Occupational Therapist needed for home health role. Duties include patient evaluation, treatment administration, and teaching daily living activities. Requirements: OT degree, state license, CPR certification, and valid driver's license. Pay range: $85,400 - $117,500 per year. Humana offers benefits and values diversity.”

“Pediatric Care Coach role at Humana. Requires a bachelor's degree in Health and Human Services, 2+ years of pediatric experience, and strong communication skills. Remote position with occasional travel. Pays $53,700-$72,600 per year. Responsibilities include evaluating member needs, coordinating services, and monitoring patient care. Preferred qualifications include LPN credential and experience with CGX and early childhood screenings.”

“Policy Governance Lead role at Humana, focusing on Utilization Management (UM) policies, compliance, and quality reporting. Requires 8+ years of technical experience, 2+ years of project leadership, and knowledge of healthcare regulatory standards. Remote position with occasional travel, offering competitive benefits and a salary range of $115,200 - $158,400 per year.”