Remote Jobs at Humana

Candidates must hold an MD or DO degree, possess a current and unrestricted license in at least one state, and be willing to obtain the necessary licenses for various states within the assigned region. Board certification in an approved ABMS Medical Specialty, such as Internal Medicine, Family Practice, Geriatrics, Hospitalist, Emergency Medicine, Physical Medicine and Rehab, Anesthesiology, or General Surgery, is required, along with five years of established, post-residency clinical experience…

Candidates should possess a Bachelor’s degree in computer science, Engineering, or a related field, and have at least 10 years of experience as a DevOps Engineer with a focus on governance, cloud infrastructure, and automation. Extensive experience with cloud platforms such as AWS, Azure, or GCP is required, along with proficiency in scripting languages like Python, Bash, or similar, and familiarity with containerization and orchestration tools like Docker and Kubernetes. Experience with infrast…

Candidates should possess a Bachelor’s degree and a minimum of 3 years of healthcare experience in revenue cycle management, specifically related to billing, coding, and collections for Medicare and Medicaid claims. They must have experience with auditing and monitoring of healthcare records, the ability to work core business hours on EST time between 9am-5pm, and a willingness to travel up to 10% to conduct audits at site locations. Strong attention to detail, effective verbal and written commu…

Candidates must be a Licensed Registered Nurse (RN) in the state of Indiana without restrictions, and possess at least one (1) year of experience in providing case management or similar health care services. Intermediate to advanced computer skills, including proficiency in Microsoft Word, Excel, and Outlook, are required, along with exceptional communication and interpersonal skills, critical thinking abilities, and the capacity to manage multiple priorities.

Candidates must possess a Doctor of Medicine (MD) or Doctor of Osteopathic Medicine (DO) degree, a valid Florida medical license, and at least 5 years of direct clinical patient care experience post-residency or fellowship, preferably including inpatient experience and experience with Medicare-eligible populations. They must also be board-certified in a recognized medical specialty and hold an unrestricted license in at least one jurisdiction, with willingness to obtain additional licenses if ne…

Candidates must possess a Bachelor's degree in finance, accounting, or a related field. Required qualifications include experience with SQL, multi-dimensional databases, and Power BI, along with strong financial modeling skills emphasizing accuracy, detail, analytic consistency, and data integrity. Proficiency in ETL processes, advanced Microsoft Office skills (Excel and PowerPoint), strong analytical and strategic thinking abilities, and excellent communication skills are also necessary. A team…

Candidates must possess an MD or DO degree and have at least 5 years of direct clinical patient care experience post residency or fellowship, preferably including inpatient or Medicare population care. A current and unrestricted medical license in at least one jurisdiction, ongoing Board Certification in an approved ABMS Medical Specialty, and no current sanctions from governmental organizations are required. Strong analytical and interpretation skills, along with excellent verbal and written co…

Candidates must have at least 3 years of experience researching state Medicaid hospital reimbursement methodologies that utilize MS-DRG, APR-DRG, APC, or EAPG. A minimum of 2 years of experience researching MS-DRG, APR-DRG, and/or EAPG grouper logic is required, along with experience processing or reviewing facility claims. Prior professional experience utilizing Microsoft Excel, including performing basic data analysis, using pivot tables, and functions like VLOOKUP, is also necessary.

Candidates must be fully bilingual in English and Spanish, passing a speaking, reading, and writing test. A Bachelor's Degree in Nursing (BSN) and an active, unrestricted RN license in Puerto Rico are required. An active RN license in Florida or having passed the NCLEX exam is also necessary, along with affiliation with the CPEPR. Prior clinical experience in adult acute care, skilled nursing, rehabilitation, or discharge planning is essential. The ability to work independently and as part of a …

Candidates must possess active MD or DO licensure with appropriate training and certification, along with at least 5 years of clinical practice and 5 years in the managed care industry. A thorough understanding of healthcare utilization, quality metrics, and the impact of value-based contracting on providers is essential.

Candidates must possess an active MD or DO license with appropriate training and certification. A minimum of 5 years of clinical practice and 5 years in the managed care industry (provider or payer) is required. A thorough understanding of healthcare utilization and quality metrics, along with the impact of value-based contracting on providers, is essential. The role also requires an in-depth understanding of how organizational capabilities interrelate across segments and enterprise-wide.

Candidates must be a transitioning service member eligible for SkillBridge or a military spouse eligible for the Military Spouse Fellowship. A Bachelor's degree in social work or a behavioral health-related field, or an active RN license in Florida without disciplinary action is required. A minimum of one year of experience in social work or a behavioral health-related field, one year of experience with the pediatric population, and one year of case management experience are necessary. An ACHA L…

Candidates should have experience as a Lead Solutions Architect with large-scale cloud contact center solutions implementation on the Genesys cloud platform. Preferred qualifications include experience as a Cloud Architect with large-scale cloud contact center solutions (SaaS vendor solutions like NICE, Genesys, etc.), implementing capabilities such as Omni-channel, Softphone, Voice Authentication, Desktop Process Automation and Analytics, Speech Analytics, Call Recording, Workforce Management, …

Candidates must possess a resident state Pharmacy Technician License or National Pharmacy Technician Certification, along with a High School Diploma or equivalent. Required qualifications include excellent written and verbal communication skills, applied knowledge of insurance processing, customer service, or call center processes, high-speed hardwired internet (minimum 20Mbps), and a designated, lockable workspace. Flexibility to work any hours between 8:00 am and 7:00 pm EST, including holiday…

Candidates must possess a Bachelor's degree or 8 years of experience in Lead GCP Architecture, with 8 or more years of overall cloud technical experience and at least 2 years of project leadership experience. A GCP Certification is preferred, and candidates must be passionate about improving consumer experiences and have the ability to provide a high-speed DSL or cable modem for a home office with a minimum speed of 25mbps download and 10mbps upload.