Humana Jobs

- 8,376 Jobs

  • Senior Financial Analytics Professional

    The Senior Financial Analytics Professional will be responsible for maintaining and making continuous improvements to reporting, tools, and forecasting models. Humana knows your life extends outside of work. Humana's health products and services are designed to encourage personal wellness and smart healthcare decisions for you and your family: Medical, dental, and vision benefits, Health plan incentives, Paternity leave, etc. Responsibilities The Senior Financial Analytics Professional collates, models, interprets and analyzes data in order to identify, explain, influence variances and trends. You'll experience the following perks as a full-time Humana employee: When required, an email will be sent from Humana@myworkday.com with instructions to add the information into the application at Humana's secure website. Alert: Humana values personal identity protection. Humana provides growth and career opportunities that can help you develop your skills and build your future with the organization: Internal and external learning events, Tuition assistance, Inclusion and diversity training, etc.
    $35k-54k yearly est.7d ago

  • P&T Event Manager

    SM If you reside in Washington, DC, you'll enjoy the flexibility to telecommute* as you take on some tough challenges.
    $42k-50k yearly est.1d ago

  • Associate Healthcare Advocate

    Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Come make an impact on the communities we serve as we help advance health equity on a global scale. Here, you will find talented peers, comprehensive benefits, a culture guided by diversity and inclusion, career growth opportunities and your life's best work.SM Primary Responsibilities: Manage 50-75 provider groups in a defined market, limited to groups with < 250 members Assist the licensed and/or certified staff/Director/HCA or Mentor in the review of medical records to highlight opportunities for the medical staff Locate medical screening results/documentation to ensure the closure of gaps in care/suspect medical conditions. Will not conduct any evaluation or interpretation of Clinical data and will be supervised by licensed and/or certified staff Activities may include data collection, data entry, quality monitoring, IOA submission and chart collection activities Partner with your leadership team, the practice administrative or clinical staff to determine best strategies to support the practice and our members Utilizing data analysis, identify and target providers who would benefit from our coding, documentation and quality training and resources Develop comprehensive, provider-specific plans to improve performance Anticipate customer needs and proactively develop solutions to meet them Optimize customer satisfaction, positively impact the closing of gaps in care and productivity Manage time effectively to ensure productivity goals are met Ability to problem solve, use best professional judgment and apply critical thinking techniques to resolve issues as they arise. Adhere to corporate requirements related to industry regulations/responsibilities Maintain confidentiality and adhere to HIPAA requirements Collaborate with doctors, coders, facility staff and a variety of internal and external personnel on a wide scope of Risk Adjustment and HEDIS education efforts Function independently, meeting with physicians to discuss OPTUM tools and programs focused on improving the quality of care for Medicare & Medicaid Advantage Members Mentor Health Service Coordinators Educate providers on how to improve their Risk Adjustment Factor (RAF) scores and HEDIS/STARS performance Ability to travel within assigned territory (day trips) 80% of the time Other duties, as assigned You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications: Bachelor's Degree OR 5 years experience working effectively with coding software, EMR and abstracting systems 3 years experience working effectively with coding software, EMR and abstracting systems 2 years of clinic or hospital experience and/or managed care experience Intermediate level of knowledge of ICD10, HEDIS or Stars (example around 6 months of experience) Advanced level of proficiency in MS Office Excel, ability to manipulate data Advanced level of proficiency in MS Office PowerPoint, ability to create and present presentations Advanced level of proficiency in MS Office Word, ability to create, edit and save documents Ability to travel up to 80% of the time in the state of Virginia within the following counties: Virginia Beach, Chesapeake, Suffolk, South Hampton, Sussex, Surry, James City, Williamsburg, York, Gloucester, Matthews, Accomack, Northampton, Newport News, Norfolk, Hampton and Portsmouth. Preferred Qualifications: Master's Degree Certified Professional Coder / CPC-A; equivalent certifications acceptable 4+ years of clinic or hospital experience and/or managed care experience 1+ year of coding performed at a health care facility CRC certification Nursing background i.e., RN, NP Knowledge of EMR for recording patient visits Previous experience in management position in a physician practice Previous experience in Risk Adjustment and HEDIS/Stars Knowledge of billing/claims submission and other related actions Knowledge of ICD10, HEDIS and Stars Careers with Optum. Our objective is to make health care simpler and more effective for everyone. With our hands at work across all aspects of health, you can play a role in creating a healthier world, one insight, one connection and one person at a time. We bring together some of the greatest minds and ideas to take health care to its fullest potential, promoting health equity and accessibility. Work with diverse, engaged and high-performing teams to help solve important challenges. At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission. Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity / Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law. UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment. #RPO, #RED
    $28k-49k yearly est.1d ago

  • Pharmacy Technician

    High School Diploma/GED (or higher) OR 6+ months equivalent Pharmacy Technician experience Genoa is a pharmacy care services company that is part of Optum and UnitedHealth Group's family of businesses.
    $28k-31k yearly est.11d ago

  • RN Utilization/Care Review Supervisor - (remote - must reside in Iowa)

    Molina Healthcare Services (HCS) works with members, providers and multidisciplinary team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term care, for members with high need potential. KNOWLEDGE/SKILLS/ABILITIES Oversees an integrated Care Access and Monitoring team responsible for prior authorizations, inpatient/outpatient medical necessity/utilization review, and/or other utilization management activities aimed at providing Molina Healthcare members with the right care at the right place at the right time.
    $66.5k-129.6k yearly3d ago

  • Sr. Specialist, Government Contracts (Remote in NE and ideal candidate will have SharePoint experience)

    Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance.
    $45.4k-88.5k yearly20d ago

  • Field Based Community Health Worker

    Location: Winchester, Front Royal and surrounding communities VA. Local travel up to 50% and mileage is reimbursed at current government rate. Field Based Community Health Worker If you reside in Winchester, Front Royal and surrounding communities Virginia, you'll enjoy the flexibility to telecommute* as you take on some tough challenges. The Field Based Community Health Worker What are the reasons to consider working for UnitedHealth G
    $34k-40k yearly est.4d ago

  • Patient Access Specialist - National Remote

    *All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy.
    $31k-34k yearly est.2d ago

  • Optum Clinical Technology Solutions Chief Medical Information Officer (CMIO)

    Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Come make an impact on the communities we serve as we help advance health equity on a global scale. Here, you will find talented peers, comprehensive benefits, a culture guided by diversity and inclusion, career growth opportunities and your life's best work.(sm) Clinical Technology Services is a clinically oriented health IT consulting group within Optum. We partner technology experts, management consultants, and skilled clinical leaders together to help health systems and provider entities achieve clinical and financial return from their technology investments. Our holistic approach to Electronic Health Record (EHR) optimization includes clinical workflow redesign, technical solutions, stakeholder engagement and education, and reporting capabilities to help health systems prepare for and thrive under value-based and risk-based models by focusing on three constituencies critical to care delivery: providers and their care teams, patients, and payers. Our Clinical team assists our clients in their efforts to solve challenging issues while delivering excellent results. They have a unique opportunity to engage directly with our clients and participate in creating and implementing solutions. The Chief Medical Information Officer (CMIO) will be assigned to a client site and will lead the informatics team. The CMIO plays a key role across the clinical transformation of the organization. They will lead various projects and programs, proactively look for efficiencies and workflow enhancements, lead and mentor team members, and participate/lead clinical governance councils. While serving as the client CMIO, you will lead clinical and technology optimization efforts across the organization and operate as the clinical liaison for both the client & Optum. You will function as one of our clinical leaders supporting our client in various endeavors including workflow adoption and optimization, improving efficiencies, clinical decision support, and technology/EHR innovation. We are seeking experienced CMIOs with deep EHR technical expertise in Epic who want to be part of an innovative and forward-thinking team. You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities Client Delivery: Support the development of consulting methodologies to address the current challenges facing health systems related to the adoption and use of health IT Serve as the client CMIO/clinical leader for optimization solution implementations (lead client meetings; defines clinical strategy; recommends best practice Epic configurations, advises on training for clinicians and adoption approach; manages informaticists; leads clinical governance councils; etc.) Lead informatics team to accurately diagnose the issues the client has identified (as well as underlying issues), and determine the appropriate solutions that will lead the client to achieve best practice performance specific to clinical decision support Lead clinical governance councils and build consensus among client stakeholders who play a critical key role in the health system's ability to successfully implement the identified solutions Communicate effectively and accurately in writing and verbally to prospects, members, and other staff Solution / Product Development Provide subject matter expertise to other Optum business units Provide vision and focus for development of new solutions / products Responsible for direction and decision making related to performance of select products(s) / solution(s) Collaborate with internal clinical, technical, and operational leadership to enhance select products / solutions Business Development Support Business Development and Marketing efforts, including preparation for and participation in business development meetings, demonstration of products and solutions, and overall go to market strategy Serve as a Clinical Subject Matter Expert for business development activities You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications: 5+ years serving as a ACMIO or CMIO 7+ years of clinical experience as an advanced practitioner or physician Proven experience with Epic, including Epic Clinical (EpicCare Inpatient Procedure Orders, EpicCare Ambulatory, EpicCare Pathways) Background in Clinical Decision Support, Care Pathway Design, and Clinical Quality Demonstrated experience leading large-scale projects (ie, engagement management), including leading multiple engagements simultaneously Previous involvement supporting solution marketing and business development activities Proven relationship management skills in complex situations Consultative and collaborative style with demonstrated ability to team with cross-functional teams Self-motivation, individual leadership and team collaboration skills History of fostering a culture of diversity and inclusion and driving innovation Willing and able to travel at least 80% of the time or willing to relocate to client site location Proficiency in MS Office Suite; Word, PowerPoint, Excel Full COVID-19 vaccination is an essential job function of this role. Candidates located in states that mandate COVID-19 booster doses must also comply with those state requirements. UnitedHealth Group will adhere to all federal, state and local regulations as well as all client requirements and will obtain necessary proof of vaccination, and boosters when applicable, prior to employment to ensure compliance. Candidates must be able to perform all essential job functions with or without reasonable accommodation Preferred Qualifications: In-depth knowledge of Epic EMR and the full implementation lifecycle of Epic's suite electronic medical record applications from conception through development into production Experience with digital enablement, hospital at home and third-party integration Demonstrated ability to build partnerships and influence others, including working across different groups to drive commonality and reusability in solutioning To protect the health and safety of our workforce, patients and communities we serve, UnitedHealth Group and its affiliate companies require all employees to disclose COVID-19 vaccination status prior to beginning employment. In addition, some roles and locations require full COVID-19 vaccination, including boosters, as an essential job function. UnitedHealth Group adheres to all federal, state and local COVID-19 vaccination regulations as well as all client COVID-19 vaccination requirements and will obtain the necessary information from candidates prior to employment to ensure compliance. Candidates must be able to perform all essential job functions with or without reasonable accommodation. Failure to meet the vaccination requirement may result in rescission of an employment offer or termination of employment. Careers with Optum. Our objective is to make health care simpler and more effective for everyone. With our hands at work across all aspects of health, you can play a role in creating a healthier world, one insight, one connection and one person at a time. We bring together some of the greatest minds and ideas to take health care to its fullest potential, promoting health equity and accessibility. Work with diverse, engaged and high-performing teams to help solve important challenges.
    $244k-349k yearly est.38d ago

  • Coding Quality Analyst - National Remote

    *All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy. Must live in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service Perform Surgery coding quality assurance reviews on all clients and coders monthly and/or quarterly in a Microsoft Excel - based tool As part of our centralized quality assurance team, this role will be responsible for performing coding quality assurance reviews for our Surgery coders.
    $47k-58k yearly est.1d ago

  • Delivery / Warehouse Driver Technician - Columbia, MD

    Suite A Columbia, MD 21046.
    $29k-32k yearly est.3d ago

  • Inpatient Facility Medical Coder

    As Inpatient Facility Medical Coder
    $39k-44k yearly est.1d ago

  • Senior Billing Representative - National Remote

    *All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy.
    $29k-32k yearly est.1d ago

  • Pharmacy Technician / Pharm Tech Apprenticeship

    As a Walgreens Pharmacy Technician or Pharmacy Technician Apprentice, you'll be front and center - interacting with our customers and developing strong patient relationships. Our pharmacy technician positions have undergone an exciting transformation, moving from a transaction-based environment to a much more patient-centric one. This apprenticeship program gives you an entry point to a career in health care by guiding you in taking steps towards becoming a Pharmacy Technician Certification Board (PTCB) Certified Pharmacy Technician and helping you maintain the high level of skill required in the pharmacy care industry. Whether you are new to working in pharmacies or are an experienced Pharmacy Technician Apply Now! Walgreens is proud to invest & champion an earn while you learn Pharmacy Technician Training Program recognized by ASHP & Department of Labor. The courses, learning activities, and resources provided to you in our pharmacy technician training program are designed to give you foundational and advanced knowledge, skills, and on-the-job experiences you need to prepare to become a certified pharmacy technician. Walgreens will train you to use your skills and talents to serve and care for our patients and customers. Models and shares customer service best practices with all team members to deliver a distinctive and delightful customer experience, including interpersonal habits (e.g., greeting, eye contact, courtesy, etc.) and Walgreens service traits (e.g., offering help proactively, identifying needs, servicing until satisfied, etc.).
    $27k-31k yearly est.1d ago

  • Conversational AI Platform - Senior Software Engineer

    As a team member of the AI Center of Excellence, you would contribute to some of the most exciting and impactful data driven application development at Humana. If you share our passion for helping people, we likely have the right place for you at Humana. + Work with a team of machine learning developers and data scientists with deep experience in Humana's offerings and health care data. ** At Humana, we know your well-being is important to you, and it's important to us too. Working in the team also enables access to various parts of Humana's business, enabling team members to understand exactly how their contributions are making an impact to Humana's business and our members. At Humana, our AI and Machine learning development is done within the Azure ecosystem of data services.
    $95k-115k yearly est.3d ago

  • DoD SkillBridge or Military Spouse Information Technology, IT Intern

    The DoD SkillBridge Information Technology, IT, Intern performs moderate to complex analysis of situations or data that requires an in-depth evaluation and provides support to improve agile ways of working across the MACS Organization. + Transitioning Service Member eligible to participate in the DoD SkillBridge, or Military Spouse eligible to participate in the Military Spouse Fellowship Program The DoD SkillBridge Information Technology, IT, will work with a team to devise effective strategies to include supporting the execution and delivery on IT business initiatives. **Responsibilities** The DoD SkillBridge Information Technology, IT, Intern, as an apprentice while they are in the process of transitioning out of the military.
    $34k-49k yearly est.11d ago

  • Medicare Supplement Administrative and Product Support

    **Responsibilities** The Medicare Supplement Administrative and Product Support will support the VP of Medicare Supplement, and AVP/RVP within the Medicare Supplement leadership team, in addition to providing product marketing support. The Medicare Supplement Administrative and Product Support follows established procedures and guidelines to provide timely and effective secretarial support to an office, business unit, department, or other organization. + Experience with Executive Level Administrative Support including calendar and travel coordination. * Humana will provide Home or Hybrid Home/Office associates with telephone equipment appropriat
    $37k-44k yearly est.5d ago

  • Field Based Community Health Worker

    If you reside near New Orleans and Baton Rouge, LA, you'll enjoy the flexibility of a field-based hybrid-remote position* as you take on some tough challenges. Location: New Orleans and Baton Rouge, LA. The Field Based Community Health Worker Field Based Community Health Worker (CHW)
    $33k-40k yearly est.1d ago

  • Senior Product Manager

    The Senior Product Manager Leads all phases of the product life cycle, from inception to introduction into the marketplace, by developing products to meet specific, smaller-scale customer needs and achieve specific cost and success outcomes. + Humana will provide Home or Hybrid Home/Office associates with telephone equipment appropriate to meet the busines **Responsibilities** The Senior Product Manager conceives of, develops, delivers, and manages products for customer use. The Senior Product Manager work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors. The Senior Product Manager Conceives of, develops, delivers, and manages products for customer use.
    $102k-124k yearly est.5d ago

  • Lead Cognitive/Machine Learning Professional - MLP

    Some examples of how we add capabilities to Humana's Machine Learning Platform include: + Understand best practices for effective predictive models, including cluster management and algorithms, and evangelize with Humana Data Scientists If you share our passion for helping people, we likely have the right place for you at Humana. ** At Humana, we know your well-being is important to you, and it's important to us too. Humana is seeking a Lead Cognitive/Machine Learning Professional to join our Fortune #40, Best Places to Work company and help us make a different as a help our members achieve their best health!
    $81k-111k yearly est.2d ago

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Yes, it is hard to get a job at Humana. Being one of the largest insurance companies in the nation, it has a selective hiring process that favors candidates with professional experience and demonstrable skills.

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Yes, Humana is a good company to work for. The company has strong values, good employee benefits, and is committed to employee well-being through its supportive culture. There are many reasons Humana is a good company to work for. Here are some of the top reasons:

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Updated June 5, 2023

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