Remote Associate Actuary, Medicare Pricing & Forecasting
Humana Inc. is seeking an Associate Actuary, Pricing to set pricing assumptions for Medicare Part D bids and to develop pricing tools for standard and custom benefits. You will analyze utilization trends, working with pricing, forecasting, clinical, pharmacy, …
Remote Research Scientist II: Healthcare Analytics
Humana Inc. is seeking a Research Scientist 2 (Remote) to apply statistical and epidemiologic methods to large data sets, informing clinical outcomes and cost savings for Medicare Advantage members. You will collaborate with clinicians and strategists to shape…
Senior Workforce Analyst
Become a part of our caring community We're looking for a Senior workforce planning analyst to own and elevate our forecasting, budgeting, and capacity planning practices. This is a high-visibility role on a centralized Workforce management (WFM) Planning team…
Senior Workforce Strategist: Forecasting & Capacity (Remote)
CenterWell Pharmacy is seeking a Senior Workforce Planning Analyst to own forecasting, budgeting, and capacity planning for a centralized WFM team supporting multiple pharmacy departments. You will not only model but improve and standardize workforce planning …
Associate Actuary, Pricing
Become a part of our caring community The Associate Actuary, Pricing is responsible for setting pricing assumptions to support Medicare Part D bids. You will provide guidance to Product Development on new product/benefit cost impacts. You will develop and main…
VP, Regional CMO, Primary Care
Become a part of our caring community Provides executive leadership to Humana. The Regional Chief Medical Officer (CMO) is an entrepreneurial & experienced physician leader committed to the principles of comprehensive primary care and unlocking the power of va…
Risk Adjustment Coding Analyst
Become a part of our caring community The Risk Adjustment Coding Analyst provides operational, analytical, and administrative support to business leaders and teams. You will analyze data to support decision-making, performance monitoring, project tracking, and…
Remote Medical Coding Auditor - Outpatient APC Specialist
Humana is seeking a Medical Coding Auditor for the Outpatient Facility/APC Coding Team. You will verify and review codes, analyze documentation, and ensure accurate CPT/HCPCS coding while supporting QA initiatives. This remote role may require occasional trave…
Remote Inpatient Medical Director & Utilization Review Leader
Humana Inc. in the United States seeks a Medical Director to perform expert inpatient medical necessity reviews, applying national guidelines, CMS regulations, Humana policies and recognized clinical standards. You will analyze complex hospital cases, communic…
Senior Workforce Strategist: Forecasting & Capacity (Remote)
CenterWell Pharmacy is seeking a Senior Workforce Planning Analyst to own forecasting, budgeting, and capacity planning for a centralized WFM team supporting multiple pharmacy departments. You will not only model but improve and standardize workforce planning …