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Provider Network Operations
Become a part of our caring community Humana Healthy Horizons is looking for a Network Operations Professional who maintains provider relations to support customer service activities through data integrity management and gathering of provider claims data needed for service operations.
VP, Clinical Policy & Risk Management
Become a part of our caring community Humana maintains a robust clinical risk management function to ensure effective risk mitigation, control, and governance processes across Care Management and Utilization Management. The mission of the Medicare and Medicaid Operational Risk Management Department is to partner with CM/UM teams to...
CarePlus Call Center Rep - Puerto Rico
Become a part of our caring community The CarePlus Medicare Call Center Representative 2 represents the company by addressing incoming telephone, digital, or written inquiries from Medicare members. The CarePlus Medicare Call Center Rep performs varied activities and moderately complex administrative / operational / customer support...
Business Support Coordinator 2
Become a part of our caring community The Business Support Coordinator 2 follows established procedures and guidelines to provide timely and effective clerical support to an office, business unit, department, or other organization group. The Business Support Coordinator 2 performs varied activities and moderately complex administrative/operational/customer...
Field Service Coordinator
Become a part of our caring community The Field Service Coordinator (Care Coach 1) assesses and evaluates member's needs. This evaluation aims to achieve and maintain wellness state by guiding members/families toward resources. The coordinator facilitates interaction with these resources, which are appropriate for the care and...
Associate Director, Process Improvement
Become a part of our caring community The Associate Director, Process Improvement leads strategic initiatives that enhance clinical and operational workflows across care management and utilization management programs. You will serve as a key liaison between Clinical Health Services, IT, and Operations to design, improve, and resolve...
Senior Strategy Advancement Professional
Become a part of our caring community Humana is looking for a Senior Strategy Advancement Professional to join our Consumer Strategy team. In this remote role, you will collaborate with colleagues to address strategic challenges, conduct analysis, and develop applicable recommendations that increase membership growth, retention and...
Director, State Public Policy for Pharmacy and Pharmacy Benefit Management
Become a part of our caring community The Director, State Public Policy, within Humana’s Government Affairs team, is responsible for shaping and executing state-level policy strategy, with a primary focus on pharmacy-related issues, including pharmacist licensure, pharmacy shared services, pharmacy benefit management (PBM), occupational...
Account Management Professional - VSP
Become a part of our caring community The Account Management Professional is responsible for growing membership within existing accounts and for directly managing business relationships with client accounts. The Account Management Professional 1 work assignments are often straightforward and of moderate complexity.
Senior Business Intelligence Engineer
Become a part of our caring community The Senior Business Intelligence Engineer solves complex business problems and issues using data from internal and external sources to provide insight to decision-makers. The Senior Business Intelligence Engineer work assignments involve moderately complex to complex issues where the analysis...
Clinical Coding Educator
Become a part of our caring community The Clinical Coding Educator / Coding Educator 2 identifies opportunities to improve provider documentation and creates an education plan tailored to each assigned provider. Will report to the Manager, Medicare Risk Adjustment As the Clinical Coding Educator / Coding Educator 2 you will • Arrange...
Consumer Account Representative
Become a part of our caring community Humana’s Consumer Service Operations team is committed to providing an exceptional service experience for our agents, brokers, employers and sales partners. The Consumer Account Representative/ Consumer Service Operations Professional 2 contributes to this mission by supporting the daily operations...
Integration Migration Lead
Project description This project involves the migration of integration services from TIBCO 5.x to Apache Camel as part of an integration modernisation initiative. The programme is currently in the Proof of Concept (POC) phase, validating the target architecture, migration approach, and technical feasibility.
Integration Migration Lead
Project description This project involves the migration of integration services from TIBCO 5.x to Apache Camel as part of an integration modernisation initiative. The programme is currently in the Proof of Concept (POC) phase, validating the target architecture, migration approach, and technical feasibility.
Test Analyst - Automotive Electronic Systems
Project description We are looking for motivated candidates for an Automotive Validation & Testing position, with hands-on automotive experience and strong growth potential, to support electrical and electronic validation activities for automotive bus chassis projects.
Engineering Manager - Communication Reporting
Project description We are seeking an experienced Engineering Manager to lead Communication Reporting platforms and engineering initiatives within the Banking & Capital Markets domain. The role focuses on managing technology solutions related to client communication reporting, operational reporting, regulatory communication workflows,...
Treasury FO BA
Project description We are initiating a new project to upgrade our clients Existing Treasury Management System- FMC (Finmechanics Converge) Looking for consultants, who could help us in Business/Technical analysis, primarily for Front Office Responsibilities Analyse requirements and assess feasibility of upgradation Required to assist...
Technical Delivery Manager - Trade Surveillance
Project description We are looking for a motivated and experienced Delivery Manager responsible for ensuring that our service delivery team delivers an exceptional customer experience that will result in increased business engagement and customer satisfaction.
VSP System Engineer/Architect
Project description Client engages in the business of designing, manufacturing and exporting motor vehicles, engines, transmissions, differentials and their components at its manufacturing locations in Turkey, for sales in the domestic and foreign markets.
VSP System Engineer/Architect
Project description Client engages in the business of designing, manufacturing and exporting motor vehicles, engines, transmissions, differentials and their components at its manufacturing locations in Turkey, for sales in the domestic and foreign markets.