Associate Jobs

Description Humana is continuing to grow! We have several new Inbound Contact Representatives openings that will have the pleasure of taking inbound calls from our Medicare Members and provide excellent service ..

Job Information Humana Compact License-Utilization Management Behavioral Health Professional 2--Remote, MI, NV, CA, OH in Cincinnati Ohio Description The Utilization Management Behavioral Health Professional 2 utilizes behavioral health knowledge and skills ..

Job Information Humana Senior Clinic Emerging Markets Trainer, Merger & Acquisition - Remote in Cincinnati Ohio Description The Senior Clinic Emerging Markets Trainer creates and implements processes and programs to ensure ..

Job Information Humana Telephonic Behavioral Health Care Manager in Cincinnati Ohio Description The Behavioral Health Care Manager, in a telephonic environment, assesses and evaluates members' needs and requirements to achieve and/or ..

Job Information Humana RN Care Manager--Compact License Required-WAH Nationwide in Cincinnati Ohio Description The Care Manager, Telephonic Nurse 2 , in a telephonic environment, assesses and evaluates members' needs and requirements ..

Job Information Humana Utilization Management Registered Nurse - Remote in Cincinnati Ohio Description The Utilization Management Nurse utilizes clinical nursing skills to support the coordination, documentation and communication of medical services ..

Description The Associate Director, Payment Integrity uses technology and data mining, detects anomalies in data to identify and collect overpayment of claims. Contributes to the investigations of fraud waste and our ..

Job Information Humana Associate Director of Clinical Audit, Payment Integrity - REMOTE in US in Cincinnati Ohio Description The Associate Director of Clinical Audit, Payment Integrity uses their clinical experience and ..

Job Information Humana RN Care Manager--Compact License Required-Spanish Bilingual strongly preferred-WAH Nationwide in Cincinnati Ohio Description The Care Manager, Telephonic Nurse 2 , in a telephonic environment, assesses and evaluates members' ..

Job Information Humana Oncology Market Director in Cincinnati Ohio Description The Market Director, Oncology leverages targeted geographic analysis, engages with Physician offices to influence physicians to route patients' prescriptions to Humana ..

Job Information Humana RN Care Manager--Compact License Required-Spanish Bilingual a plus-WAH Nationwide in Cincinnati Ohio Description The Care Manager, Telephonic Nurse 2 , in a telephonic environment, assesses and evaluates members' ..

Job Information Humana Utilization Management Administration Coordinator - Remote in Cincinnati Ohio Description The UM Administration Coordinator contributes to administration of utilization management. The UM Administration Coordinator performs varied activities and ..

Job Information Humana Pharmacy Sales Oncology Lead in Cincinnati Ohio Description The Pharmacy Sales Oncology Lead leverages targeted geographic analysis, engages with Physician offices to influence physicians to route patients' prescriptions ..

Job Information Humana Grievances & Appeals Representative 4 (FULLY BILINGUAL English/Spanish) Remote, anywhere with-in Eastern Time Zone in Cincinnati Ohio Description The Grievances & Appeals Representative 4 manages client medical denials ..

Job Information Humana Subrogation Professional 2 Remote/WAH in USA in Cincinnati Ohio Description The Subrogation Professional 2 identifies, investigates, and collects recoveries from third parties who are legally responsible for paying ..

Job Information Humana Manager, Utilization Management RN - Remote in Cincinnati Ohio Description The Manager, Utilization Management Nursing utilizes clinical nursing skills to support the coordination, documentation and communication of medical ..

Job Information Humana Bilingual Spanish RN Care Manager--Compact License Required-WAH Nationwide in Cincinnati Ohio Description The Care Manager, Telephonic Nurse 2 , in a telephonic environment, assesses and evaluates members' needs ..

Job Information Humana Bilingual Quality Auditor in Cincinnati Ohio Description The Bilingual Quality Auditor/ Professional 2 ensures that products meet specific Centers for Medicaid and Medicare Services standards of quality. Review ..

Job Information Humana Quality Audit Professional 2 (Grievance & Appeals) -(FULLY BILINGUAL English/Spanish) Remote, anywhere with-in Eastern Time Zone in Cincinnati Ohio Description The Quality (Non-Calls) Professional 2 ensures that products ..

Job Information Humana Manager, Specialty Pharmacy Sales in Cincinnati Ohio Description The Manager, Pharmacy Sales - Specialty leverages targeted geographic analysis, engages with Physician offices to influence physicians to route patients' ..

Job Information Humana Grievances and Appeals Representative in Cincinnati Ohio Description Do you enjoy helping those in need? Do you love researching, analyzing medical documents to determine if something was missed? ..

Job Information Humana Quality Audit Professional 2 (Grievance & Appeals) -Remote, anywhere with-in Eastern Time Zone in Cincinnati Ohio Description The Quality (Non-Calls) Professional 2 ensures that products meet specific Centers ..

Job Information Humana Medical Claims Processing Representative 2 in Cincinnati Ohio Description The Medical Claims Processing Representative 2 reviews and adjudicates complex or specialty claims, submitted either via paper or electronically. ..