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Humana Careers 55 Jobs in Massachusetts

  • Senior Vendor Management Professional

    Humana - Boston, Massachusetts
    ... calendar year beginning 1/1/2025. The Senior Vendor Management Professional builds and maintains ... equivalent experience 3+ years of demonstrated vendor management experience Familiar with ...
  • AVP, Provider Process and Network Operations Transformation Office

    Humana - Boston, Massachusetts
    ... prioritization process, caring for vendor management, change management and training across the organization and ... customer needs and to achieve specific cost and success outcomes. Owns the vendor management strategy ...
  • Director, Technology Solutions

    Humana - Boston, Massachusetts
    ... Director of Technology Solutions. We are on a mission to revolutionize our Customer Relationship Management ... strategy and execution of IT initiatives that are vital to our business operations. Your deep understanding ...
  • Utilization Management Strategy Lead

    Humana - Boston, Massachusetts
    ... creating strategy and/or operations experience Past experience working in a utilization management ... authorization and claims review, UM vendor management, analytics / reporting) Knowledge of utilization and ...
  • Lead, LTSS Process Improvement

    Humana - Boston, Massachusetts
    ... , Operations Management, Healthcare Administration, or related field. Eight (8) plus years business experience ... , business process analysis and re-engineering, change management and measurement, and/or process-driven ...
  • Capture Lead, Medicaid Clinical & Population Health Strategy

    Humana - Boston, Massachusetts
    ... serves. The Medicaid Capture Management team's purpose is to successfully position Humana to ... -driven insights, strategic planning, structured problem solving, and project management rigor. We are ...
  • Manager Business Intelligence

    Humana - Boston, Massachusetts
    ... Operations. The Data & Analytics team is seeking a Manager, Business Intelligence to solve complex ... Operations Enablement (EOE) - CPSS Data & Analytics - BI (Business Intelligence) team is a high performing ...
  • Senior Vendor Management Professional

    Humana - Boston, Massachusetts
    ... Management Professional works as liaison between vendors and organization. The Senior Vendor Management ... data requires an in-depth evaluation of variable factors. The Senior Vendor Management Professional ...
  • Product Security Product Manager(Remote)

    Humana - Boston, Massachusetts
    ... visionary Product Manager to lead our Product Security and DevSecOps initiatives. In this critical role, you ... is Eligible for EIP Avenues Program The Lead, IT Product Management works with relevant Humana ...
  • Project Manager 2

    Humana - Boston, Massachusetts
    ... Become a part of our caring community and help us put health first The Project Manager 2 ... . The Project Manager 2 work assignments are varied and frequently require interpretation and ...
  • Provider Contracting Coordinator

    Humana - Boston, Massachusetts
    ... data auditing for compliance Data management for reporting **Use your skills to make an impact ... operations experience Working knowledge of Microsoft Office applications including Excel (pivot tables ...
  • Technology Leadership SkillBridge Intern

    Humana - Boston, Massachusetts
    ... Suite Program or project management experience including small to large scale projects Strong ... consumers. Preferred Qualifications Possess a solid understanding of operations, technology in ...
  • Inbound Contacts Representative

    Humana - Boston, Massachusetts
    ... Become a part of our caring community and help us put health first The Inbound Contacts Repre ...
  • Senior Financial Analytics Professional

    Humana - Boston, Massachusetts
    ... work directly with senior management, including the Segment President, Senior Leaders, and SVPs, to ... management. Use your skills to make an impact Required Qualifications: 5+ years of finance ...
  • Medicaid Senior Insurance Product Manager

    Humana - Boston, Massachusetts
    ... frameworks to maximize available resources to achieve growth The Medicaid Senior Insurance Product Manager ... Medicaid Senior Insurance Product Manager plays a critical role in developing and managing Medicaid and ...
  • Staff Utilization Management Pharmacist (Contract)

    Humana - Boston, Massachusetts
    ... Management Clinical Pharmacist 2 (VSP/PT) is a clinical pharmacist who completes medical necessity and comprehensive medication reviews for prescriptions requiring pre-authorization. The Utilization Management ...
  • Associate Actuary - Medicaid Trend

    Humana - Boston, Massachusetts
    ... defend the results of the analysis. -strong technical skills time management and organization ...
  • Behavioral Health Medical Director - Medicaid

    Humana - Boston, Massachusetts
    ... Medical Director responsible for behavioral health care strategy and/or operations. The Behavioral Health ... possible participation in care management, with clinical scenarios arising from outpatient or inpatient ...
  • Strategy Advancement Advisor

    Humana - Boston, Massachusetts
    ... Utilization Management operating model. The Advisor must exercise independent judgment and decision-making on ... Clinical - Utilization Management (UM) domain** Serve as the primary point of contact (POC) to discuss ...
  • Senior Software Engineer

    Humana - Boston, Massachusetts
    ... translate requirements between business, project management and technical projects or programs Highly ...
  • Lead Product Manager - Provider Directory

    Humana - Boston, Massachusetts
    ... Become a part of our caring community and help us put health first The Lead Product Manager - Provider Directory helps identify, validate, and implement improvements to the Humana provider directory ...
  • Actuarial Analyst 1

    Humana - Boston, Massachusetts
    ... Become a part of our caring community and help us put health first The Actuarial Analyst 1, A ...
  • Media Marketing Professional

    Humana - Boston, Massachusetts
    ... communication skills (written and verbal) Strong planning and time management skills Proficiency using ...
  • Senior Product Marketer

    Humana - Boston, Massachusetts
    ... management, including planning, campaign messaging (VAT, live agent, email, direct mail, digital touchpoints ... excellent time management skills Excellent communications skills, written and verbal, able to ...
  • Data and Reporting Professional 2

    Humana - Boston, Massachusetts
    ... Become a part of our caring community and help us put health first The Data and Reporting Pro ...
  • Telephonic Care Manager, RN

    Humana - Boston, Massachusetts
    ... first? The Care Management Registered Nurse, RN, Intern will utilize Humana's training and ... Manager, Registered Nurse, RN, Intern will utilize Humana's Medicaid training and engage formerly acquired ...
  • Senior Medicare Strategy Consultant

    Humana - Boston, Massachusetts
    ... 's largest businesses. Humana is seeking a team member with prior management consulting experience to ... 's executive Management Team, and corporate, functional, and business unit leaders. Recent example projects ...
  • Senior Clinical Research Scientist

    Humana - Boston, Massachusetts
    ... as EMR, Episode grouper, utilization management, value-based care, low value care etc ...
  • Clinical Research Scientist 2

    Humana - Boston, Massachusetts
    ... /or other specific healthcare areas such as EMR, Episode grouper, utilization management, value-based ...
  • VP, Brokerage Channel

    Humana - Boston, Massachusetts
    ... ** Create a value proposition through our operations, service and support model that establishes the ... business. Operational Management Ensure operational effectiveness and efficiency while growing ...
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