- Humana (Columbus, OH)
- **Become a part of our caring community and help us put health first** The Associate Actuary, Valuation is responsible for estimates of short term and long term ... Insurance lines of business, with a primary focus on Medicaid . The Associate Actuary, Valuation will also assist with...**Preferred Qualifications** + 3 or more years of relevant health -related actuarial work experience + 3 or more years… more
- Humana (Columbus, OH)
- **Become a part of our caring community and help us put health first** The Compliance Nurse 2 reviews utilization management activities and documentation to ensure ... difficulties in a remote environment. **Preferred Qualifications** + BSN + Behavioral Health Utilization Management + Health Plan experience working with large… more
- Humana (Columbus, OH)
- … health insurance, evaluating medical necessity and appropriateness of care + Health Plan experience + Previous Medicare/ Medicaid Experience a plus + ... part of our caring community and help us put health first** The Utilization Management Nurse 2 utilizes clinical...a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at… more
- Humana (Columbus, OH)
- **Become a part of our caring community and help us put health first** The Senior Research Scientist participates in research study design, analysis and ... modeling and analytics in support of our Medicare and Medicaid business. The HQRI team plays a pivotal role...+ Master's degree or higher education + Experience in health care, insurance, or risk adjustment **This position is… more
- Humana (Columbus, OH)
- **Become a part of our caring community and help us put health first** The Research Scientist 2 participates in research study design, analysis and interpretation of ... modeling and analytics in support of our Medicare and Medicaid business. The HQRI team plays a pivotal role...+ Master's degree or higher education + Experience in health care, insurance, or risk adjustment **This position is… more
- Humana (Columbus, OH)
- **Become a part of our caring community and help us put health first** The Senior Data Scientist uses mathematics, statistics, modeling, business analysis, and ... modeling and analytics in support of our Medicare and Medicaid business. The HQRI team plays a pivotal role...+ Master's degree or higher education + Experience in health care, insurance, or risk adjustment **This position is… more
- Humana (Columbus, OH)
- **Become a part of our caring community and help us put health first** The Staff Utilization Management Pharmacist (VSP/PT) is a clinical expert responsible for ... residence + Eligibility to participate in federal prescription programs (eg, Medicare/ Medicaid ) + Self-directed with the ability to work effectively both… more
- Humana (Columbus, OH)
- …relies on fundamentals of CMS Medicare Guidance on following and reviewing home health , SNF, DME, dual Medicare/ Medicaid and Waiver requests. The Medical ... us** Humana Inc. (NYSE: HUM) is committed to putting health first - for our teammates, our customers and...a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at… more
- Humana (Columbus, OH)
- **Become a part of our caring community and help us put health first** Become a part of our caring community and help us put health first The Encounter Data ... or adjacent sectors **Preferred Qualifications** + Comprehensive knowledge of Medicare, Medicaid , and DSNP encounter processes and policies. + Working knowledge of… more
- Humana (Columbus, OH)
- …Qualifications** + Education: BSN or Bachelor's degree in a related field + Health Plan experience + Previous Medicare/ Medicaid Experience a plus + Call ... part of our caring community and help us put health first** The Utilization Management Registered Nurse 2 utilizes...a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at… more