• Lead Data Scientist

    Humana (Sacramento, CA)
    …for effective risk management and measurement. Join us in shaping the future of healthcare through AI excellence. We are seeking a Lead Data Scientist to guide the ... Our goal is to create safe AI solutions that will revolutionize and improve healthcare experience and outcomes for our customers. Join our rapidly expanding team of… more
    Humana (08/29/25)
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  • Senior Accreditation Professional

    Humana (Sacramento, CA)
    …on Humana's health plan accreditations, performing complex tasks related to compliance with accreditation standards across multiple operational areas within Humana. ... Experience (ME) and Medicaid Module (MED) requirements, advising stakeholders on compliance . + Works closely with operational areas to prepare documentation and… more
    Humana (08/29/25)
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  • Medicaid Lead, Technology Solutions

    Humana (Sacramento, CA)
    …discuss IT priorities, new requests, and collaborate with Market Operations and Compliance teams. Facilitate and communicate with state agencies on outages, impacts, ... and template for market-based reporting to ensure clarity and accountability. + Compliance and Reporting Tracking: Track market compliance and reporting SLAs… more
    Humana (08/26/25)
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  • Director of Product Security Architecture(remote)

    Humana (Sacramento, CA)
    …with little oversight or direction. You will report directly to the Associate Vice President of Product Security. **Responsibilities** : * Collaborate with ... our strategy * Partner with cross-functional teams to ensure compliance with industry standards and regulations (eg, SOC 2,...space lacking ongoing interruptions to protect member PHI / HIPAA information Travel: While this is a remote position,… more
    Humana (08/29/25)
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  • Strategy Advancement Advisor - Distribution…

    Humana (Sacramento, CA)
    …Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information Any Humana associate who speaks with a member in a ... and change management skills to balance an evolving set of priorities and deadlines. Healthcare experience is a plus, but not required, though must have a history of… more
    Humana (08/27/25)
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  • Medical Director - Medicare Grievances and Appeals…

    Humana (Sacramento, CA)
    …interpretation and decisions about the appropriateness of services provided by other healthcare professionals in compliance with review policies, procedures, and ... experience, + working with health insurance organizations, hospitals and other healthcare providers, patient interaction, etc. + Internal Medicine, Family Practice,… more
    Humana (08/26/25)
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  • Medical Director - Medicare Grievances and Appeals…

    Humana (Sacramento, CA)
    …regarding the appropriateness and medical necessity of services provided by other healthcare professionals in compliance with coverage policies, procedures, and ... experience + Working with health insurance organizations, hospitals and other healthcare providers, patient interaction, etc. **Work at Home Guidance** To ensure… more
    Humana (08/08/25)
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  • Technology Strategy Lead

    Humana (Sacramento, CA)
    …are actively seeking top talent to join us in shaping the future of healthcare through AI excellence. We are seeking a dynamic and experienced Technology Strategy ... create safe AI solutions that will revolutionize and improve healthcare experience and outcomes for our customers. Join our...space lacking ongoing interruptions to protect member PHI / HIPAA information. Travel: While this is a remote position,… more
    Humana (08/27/25)
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  • Strategy Advancement Advisor

    Humana (Sacramento, CA)
    …our IT Strategy team! We design and activate strategies to address healthcare opportunities and challenges with technology-enabled solutions. As an Advisor in our ... the evolving and mission-driven intersection of strategy, technology, and healthcare . This role offers you the chance to help...space lacking ongoing interruptions to protect member PHI / HIPAA information. Travel: While this is a remote position,… more
    Humana (07/25/25)
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  • Utilization Management Administration Coordinator…

    Humana (Sacramento, CA)
    …experience in a metric driven environment + Prior experience in the healthcare industry **Additional Information** + **Remote position with possibility of flexible ... 10 Mbps is recommended to support Humana applications, per associate . + Wireless, Wired Cable or DSL connection is...space lacking ongoing interruptions to protect member PHI / HIPAA information **Our Hiring Process** As part of our… more
    Humana (08/23/25)
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