• Director, Strategy Advancement - Experience…

    Humana (Harrisburg, PA)
    …make an impact** **Required Qualifications** + Bachelor's degree in Business, Strategy, Healthcare Administration, or related field + A Minimum ten years of ... professional experience in healthcare or an adjacent field. + A minimum of...space lacking ongoing interruptions to protect member PHI / HIPAA information Travel: While this is a remote position,… more
    Humana (08/20/25)
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  • Technology Strategy Lead

    Humana (Harrisburg, PA)
    …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 (08/20/25)
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  • Clinical Strategy Lead

    Humana (Harrisburg, PA)
    …the opportunity to analyze complex business and clinical issues leveraging healthcare and operational data, while working collaboratively with clinicians, data ... + Bachelor's degree + 7 years or more of healthcare , payor, provider and/or consulting experience + Strategy experience;...space lacking ongoing interruptions to protect member PHI / HIPAA information As part of our hiring process for… more
    Humana (08/08/25)
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  • Strategy Advancement Advisor

    Humana (Harrisburg, PA)
    …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 (Harrisburg, PA)
    …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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  • Coding Auditor Educator

    Highmark Health (Harrisburg, PA)
    …with coding principles and guidelines. Promotes cooperation with CDMP and compliance programs to improve documentation which supports compliant coding. Interacts ... and modifier systems, missed secondary diagnoses and procedures and ensures compliance with DRG/APC structure and regulatory requirements. Performs periodic claim… more
    Highmark Health (08/08/25)
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  • RN Care Manager - Remote, nationwide

    Humana (Harrisburg, PA)
    …time with demonstrated advanced communication and interpersonal skills. This is a very compliance driven and highly visible program at Humana. The nature of the work ... computer applications. Due to the auto dialer process and compliance needs of the business there is limited day...space lacking ongoing interruptions to protect member PHI / HIPAA information **Additional Information - How we Value You**… more
    Humana (08/22/25)
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  • Encounter Data Management Professional

    Humana (Harrisburg, PA)
    …encounter submissions to Medicaid/Medicare. Ensures encounter submissions meet or exceed all compliance standards via analysis of data, and develops tools to enhance ... Medicaid/Medicare + Ensure encounter submissions meet or exceed all compliance standards via analysis of data + Develop tools...space lacking ongoing interruptions to protect member PHI / HIPAA information** **Our Hiring Process** **As part of our… more
    Humana (08/19/25)
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  • Lead Enterprise AI/ML DevOps Engineer

    Humana (Harrisburg, PA)
    …pillars, including continuous integration (CI), continuous delivery (CD), quality, security, compliance , metrics, and reporting. + Ensure compliance with ... from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information. Travel: While this is a remote position, occasional travel to… more
    Humana (07/29/25)
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  • Formulary and Medical Strategies Senior…

    Humana (Harrisburg, PA)
    …help us put health first** The Senior Professional collaborates with healthcare professionals, pharmacists, and other business functions to implement formulary and ... assignments. The Senior Formulary Operations Management Professional collaborates with healthcare professionals, pharmacists, and other business functions to implement… more
    Humana (08/20/25)
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