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Humana Careers 35 Jobs in Nashville, TN

  • Associate Director, Care Management (Maternal - Child Health)

    Humana - Nashville, Tennessee
    ... in Virginia is seeking an Associate Director, Care Management (Maternal-Child Health) who will lead ... . The Associate Director, Care Management (Maternal-Child Health) works within specific guidelines and ...
  • Medical Director - Gulf South

    Humana - Nashville, Tennessee
    ... Become a part of our caring community and help us put health first The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve ...
  • Medical Director - Southeast Region

    Humana - Nashville, Tennessee
    ... , depending on size of region or line of business. The Medical Director conducts Utilization Management of the ... Become a part of our caring community and help us put health first The Medical Director ...
  • Medical Director - Mid West Region

    Humana - Nashville, Tennessee
    ... Become a part of our caring community and help us put health first The Medical Director ... Medical Director's work includes computer-based review of moderately complex to complex clinical scenarios ...
  • Associate Director, Partner Channel Inside Sales

    Humana - Nashville, Tennessee
    ... our team. As an Associate Director, Partner Channel Inside Sales, you will support Humana's production ... candidates with multilingual skill sets to service our consumers. The Associate Director, Partner Channel ...
  • Medical Director - South Central

    Humana - Nashville, Tennessee
    ... , depending on size of region or line of business. The Medical Director conducts Utilization Management of the ... Become a part of our caring community and help us put health first The Medical Director ...
  • Medical Director - National Medicare Team

    Humana - Nashville, Tennessee
    ... Director conducts Utilization Management of the care received by members in an assigned market, member ... Become a part of our caring community and help us put health first The Medical Director ...
  • Program Delivery Professional 2

    Humana - Nashville, Tennessee
    ... payment processing and budget management. 2+ years' experience with data file monitoring and error ... quality (Stars) solutions that leverage data and technology to empower members, providers, and Humana ...
  • Sr Data Quality/Integrity Engineer

    Humana - Nashville, Tennessee
    ... and implement master data management solutions. The Senior Data Quality/Integrity Engineer work ... testing and system validation to troubleshoot issues related to master data management and system ...
  • Senior Care Manager, Behavioral Health (BCBA)

    Humana - Nashville, Tennessee
    ... medical management systems. The associate understands department, segment, and organizational strategy and ... position with responsibility for utilization management and clinical decision-making as outlined in the ...
  • Utilization Management Analyst

    Humana - Nashville, Tennessee
    ... outside the organization to establish benchmark data. Collects and analyzes process data to initiate ... re-engineering, change management and measurement, and/or process-driven systems requirements ...
  • Senior Data Scientist

    Humana - Nashville, Tennessee
    ... : Microsoft Certified: Azure Data Scientist Associate _Microsoft Certified: Azure AI Engineer Associate ... , data discovery, rapid prototyping, model lifecycle management, model deployment, and solution and data ...
  • Behavioral Health Medical Director - N. Central Medicaid

    Humana - Nashville, Tennessee
    ... Medical Director may develop procedures, processes, productivity targets, and new delivery models ... performed without direction. The Behavioral Health Medical Director actively uses their medical ...
  • Lead Full Stack Software Engineer

    Humana - Nashville, Tennessee
    ... depth knowledge of data encryption and encryption key management protocols  Enterprise Security ... Humana Data and Digital (D&D) stands at the vanguard of innovation, relentlessly driving the development ...
  • Director, Long-Term Supports and Services Strategy

    Humana - Nashville, Tennessee
    ... is seeking a Director, Long-Term Supports and Services (LTSS) Strategy who will oversee day-to-day ... coordination, data and trend analysis, and quality improvements, establishing long range goals, objectives, and ...
  • Medicare Strategy Lead

    Humana - Nashville, Tennessee
    ... . Humana is seeking an experienced team member with meaningful management consulting experience to support ... team members, subject matter experts, members of Humana's executive Management Team, and corporate ...
  • Referrals Coordinator

    Humana - Nashville, Tennessee
    ... Coordinator 2* handles some inbound calls, performs data entry into the medical management system, assigning ... * Recognizes a sensitive diagnosis and/or referral requiring Case Management and pend to appropriate point of ...
  • Actuarial Analyst- Analytics/Forecasting

    Humana - Nashville, Tennessee
    ... , Analytics/Forecasting analyzes and forecasts financial, economic, and other data to provide accurate and timely information for strategic and operational decisions. Establishes metrics, provides data analyses ...
  • Principal Enterprise Architect

    Humana - Nashville, Tennessee
    ... ) solutions Technical experience must include use of NoSQL databases, microservices, service mesh, data modeling, data architecture (document, relational and graph), API Management Platforms, high-availability ...
  • Senior Enterprise Architect (remote virtual)

    Humana - Nashville, Tennessee
    ... architecting information management technology solutions inclusive of modern data / cloud technologies and ... . Experience with: Enterprise data pipeline management and integration technologies and platforms ...
  • Business Intelligence Valuation Lead

    Humana - Nashville, Tennessee
    ... opportunities, supplying both quantitative and qualitative data, with intense focus on the associate and member ... Lead solves complex business problems and issues using data from internal and external sources to ...
  • Senior Medicare Strategy Professional

    Humana - Nashville, Tennessee
    ... '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 Cloud Automation Architect .NET / C#

    Humana - Nashville, Tennessee
    ... where the analysis of situations or data requires an in-depth evaluation of variable factors to ... environments. Further develops configuration management playbooks to bootstrap applications onto deployed ...
  • Market Finance Lead - New York, NY

    Humana - Nashville, Tennessee
    ... collects, analyzes and reports on various market data to connect financial outcomes with operational ... Provider Engagement internally Leverages data analytics, business insights, cross-functional ...
  • Senior Communications Professional

    Humana - Nashville, Tennessee
    ... management experience with proven expertise in developing workflow automations for multichannel communication delivery Adept at data and analytics Demonstrated ability to independently plan, lead and ...
  • Senior Process Improvement Professional

    Humana - Nashville, Tennessee
    ... data requires an in-depth evaluation of variable factors. Join our Talent Acquisition team as a ... management and measurement, and process-driven systems requirements. Job Responsibilities: Lead and ...
  • Senior Research Scientist

    Humana - Nashville, Tennessee
    ... through an evidence-based approach using data analytics, clinical expertise, strategic mindset, and ... opportunities using high volumes of complex data. Responsibilities As a Senior Research Scientist in ...
  • Senior Disability Underwriter

    Humana - Nashville, Tennessee
    ... the analysis of situations or data requires an in-depth evaluation of variable factors. The Senior ... analysis experience Comprehensive understanding of risk pool management Proficiency with ...
  • Senior Financial Underwriter

    Humana - Nashville, Tennessee
    ... moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation ... lines of coverage. Comprehensive understanding of risk pool management Proficiency with ...
  • Strategy Advancement Advisor

    Humana - Nashville, Tennessee
    ... -level presentations that frame data-based challenges, opportunities, and the strategic roadmaps to ... experience with a top management consulting firm 2-5 years of corporate, business, and/or IT strategy ...
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