• Medical Director-Payment Integrity

    Humana (Richmond, VA)
    …their medical background, experience, and judgement to make determinations whether requested services , requested level of care, and/or requested site of service ... this knowledge in their daily work. The Medical Director's work includes computer -based review of moderately complex to complex clinical scenarios, review of all… more
    Humana (12/11/25)
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  • RN, Field Care Manager (Adults and Pediatrics)

    Humana (Richmond, VA)
    …+ Develops and coordinates care plans ensuring that patients receive appropriate services to manage their health needs effectively. + Addresses barriers to health ... attestations and clinical oversights. + Ensures members are receiving services in the least restrictive setting to achieve and/or...at all levels of care. + Intermediate to advanced computer skills and experience with Microsoft Word, Excel, and… more
    Humana (12/04/25)
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  • Medical Director - IP Claims Management

    Humana (Richmond, VA)
    …their medical background, experience, and judgement to make determinations whether requested services , requested level of care, and/or requested site of service ... this knowledge in their daily work. The Medical Director's work includes computer -based review of moderately complex to complex clinical scenarios, review of all… more
    Humana (12/11/25)
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  • Data Scientist - Generative AI

    Humana (Richmond, VA)
    …& AI within Humana is dedicated to transforming members' journeys and Humana's services using technology and analytics. We are looking for a Data Scientist who ... least 4 years of technical experience OR a Master's Degree in Math, Computer Science, Analytics, Quantitative Social Sciences, or related analytical field and 1 year… more
    Humana (01/02/26)
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  • Lead Software Engineer - Enterprise Observability

    Humana (Richmond, VA)
    …skills to make an impact** **Required Qualifications** . Associate degree in Computer Science, Engineering, or related field. . 7+ years in software/infrastructure ... any portion of the cost of their self-provided internet service , with the exception of associates who live or...a set of interview questions over your phone and computer , and you will provide recorded or text message/written… more
    Humana (01/10/26)
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  • Junior Enterprise Architect

    Humana (Richmond, VA)
    …enterprise architecture standards. * Foster innovation and evolution of cloud-based services (IaaS, PaaS, SaaS) in collaboration with segment teams and Enterprise ... Shared Services . * Maintain best practices, standards, and policies, and...make an impact** **Required Qualifications** + Bachelor's degree in Computer Science; or a related field. + Less than… more
    Humana (01/08/26)
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  • Fraud and Waste Investigator

    Humana (Richmond, VA)
    …skills + Inquisitive nature with ability to analyze data to metrics + Computer literate (MS, Word, Excel, Access) + Strong personal and professional ethics + ... a series of questions to which you will be using your cell phone or computer to answer the questions provided. Expect this type of interview to last anywhere from… more
    Humana (01/10/26)
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  • Infrastructure Operations Lead - Cloud…

    Humana (Richmond, VA)
    …make an impact** **Key Responsibilities:** + Lead and provide direction for our Managed Service Provider (MSP) + Lead Managed Service Provider in Operations for ... Participate and develop client relationships within Operations, Business partners, Managed Service Providers and Cloud Providers + Work with cross-functional teams… more
    Humana (12/13/25)
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  • Behavioral Health Medical Director

    Humana (Richmond, VA)
    …Uses their medical background, experience, and judgement to make determinations whether requested services , requested level of care, or requested site of service ... knowledge in their daily work in their assigned cluster + Work includes computer -based review of moderately complex to complex clinical scenarios, review of all… more
    Humana (01/13/26)
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  • Lead Solutions Architect

    Humana (Richmond, VA)
    …your skills to make an impact** **Required Qualifications** + Bachelor's Degree in Computer Science or a related field + 8 years of progressive information ... within regulated environments (HIPAA/PHI). + Hands‑on architecture across Azure services and Snowflake/Databricks (data lake/data platform patterns, data sharing,… more
    Humana (01/09/26)
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