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Humana Careers 19 Jobs in Raleigh, NC

  • Manager, Care Management (Disease Management & Care Coordination)

    Humana - Raleigh, North Carolina
    ... in Virginia is seeking a Manager, Care Management who will lead teams of Disease Management nurses and care coordinators. The Manager, Care Management works within specific guidelines and procedures ...
  • RN - Telephonic Utilization Management Nurse- Medicare- Remote - Southeast Region

    Humana - Raleigh, North Carolina
    ... appropriate treatment, care or services for members. Coordinates and communicates with providers, members, or other parties to facilitate optimal care and treatment Coordinates and communicates with ...
  • LMSW Care Manager, Telephonic Behavioral Health

    Humana - Raleigh, North Carolina
    ... Become a part of our caring community and help us put health first The Care Manager ... interaction with resources appropriate for the care and wellbeing of members The Care Manager, Telephonic ...
  • Risk Adjustment Strategic Partnership Lead

    Humana - Raleigh, North Carolina
    ... care environment. Scheduled Weekly Hours 40 Pay Range The compensation range below ... the millions of people we serve to achieve their best health - delivering the care and service they ...
  • Financial Analytics Lead

    Humana - Raleigh, North Carolina
    ... people we serve to achieve their best health - delivering the care and service they need, when they need ...
  • Utilization Management Review Nurse - RN/SNF required

    Humana - Raleigh, North Carolina
    ... , policies, and procedures to provide the best and most appropriate treatment, care or services for members. Coordinates and communicates with providers, members, or other parties to facilitate optimal care and ...
  • Medical Director - PRN

    Humana - Raleigh, North Carolina
    ... services, requested level of care, and/or requested site of service should be authorized. All work occurs ... internal associates, participation in care management and possible participation in care facilitation with ...
  • Learning Facilitator/Preceptor (Utilization Management)

    Humana - Raleigh, North Carolina
    ... . Supports the Audit and Process Improvement teams by providing feedback to Care Coordinators and/or Service ... the millions of people we serve to achieve their best health - delivering the care and service they ...
  • Senior Portfolio Manager

    Humana - Raleigh, North Carolina
    ... and dynamic Senior Portfolio Manager to support our Associate End User Experience Organization and ... the care and service they need, when they need it. These efforts are leading to a better quality of ...
  • Senior Research Scientist

    Humana - Raleigh, North Carolina
    ... research; policy, payment, and care delivery; and health equity and the impact of social determinants of ... economic trends and impact. Work with complex health care databases to produce statistical output and ...
  • Claims Financial Recovery Coding Specialist

    Humana - Raleigh, North Carolina
    ... Recovery Coding Specialist /Medical Coding Coordinator 2 for the Financial Recovery Team, is responsible ... Recovery Coding Specialist / Medical Coding Coordinator 2 Maintains required standards of ...
  • Senior Data Scientist

    Humana - Raleigh, North Carolina
    ... and/or related quantitative field Healthcare or managed care experience Experience in ... Experience in cost of care and trend analysis Actuarial background or experience **Work-At-Home ...
  • Capture Lead, Medicaid Clinical & Population Health Strategy

    Humana - Raleigh, North Carolina
    ... achieve growth. Candidates will possess Medicaid managed care operations expertise and have experience in designing solutions for key Medicaid programs and subpopulations. Areas of focus include Care ...
  • Compliance Professional 2

    Humana - Raleigh, North Carolina
    ... millions of people we serve to achieve their best health - delivering the care and service they need, when ...
  • Director, Provider Contracting - NC

    Humana - Raleigh, North Carolina
    ... the performance of contracted providers, ensuring high quality care and service delivery ... the care and service they need, when they need it. These efforts are leading to a better quality of ...
  • Senior HEDIS Medicaid Data Manager

    Humana - Raleigh, North Carolina
    ... Become a part of our caring community and help us put health first The Senior Data Manager ... Manager work assignments involve moderately complex to complex issues where the analysis of situations or ...
  • Senior Tax Accountant

    Humana - Raleigh, North Carolina
    ... people we serve to achieve their best health - delivering the care and service they need, when they need ...
  • Group Sales Representative

    Humana - Raleigh, North Carolina
    ... the millions of people we serve to achieve their best health - delivering the care and service they ...
  • Delaware Valley ACO Fellowship/Provider Engagement Professional

    Humana - Raleigh, North Carolina
    ... (DVACO) is an accountable care organization that participates in the Centers for Medicare and Medicaid ... , the program may include rotations through various DVACO departments including Care Coordination ...
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