• Staff Utilization Management Pharmacist

    Humana (Springfield, IL)
    …clinical professional responsible for conducting comprehensive reviews of medication care plans. This includes evaluating medical necessity, analyzing overall ... the consumer experience **Preferred Qualifications:** + Experience in managed care pharmacy, particularly in utilization management review ​ **Additional… more
    Humana (08/27/25)
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  • Clinical Educator, Tzield - Minneapolis - Chicago…

    Sanofi Group (Chicago, IL)
    …(MD, NP, PA), HCFs (Nurses, Pharm D, Leadership) and HHA nurses who provide in home care for our patients. The CE provides sophisticated and in-depth education ... PI. + Delivers in-depth disease and product in-services, for home health care providers of patients receiving...to present to small and large groups of patients, caregiver and Health Care professionals. + Ability… more
    Sanofi Group (08/17/25)
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  • Technology Program Lead

    Humana (Springfield, IL)
    …we are at the forefront of delivering cutting-edge AI technologies for improving care quality and experience of millions of consumers. We are actively seeking top ... time that is best for your schedule. To ensure Home or Hybrid Home /Office employees' ability to...and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and… more
    Humana (08/29/25)
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  • Technology Strategy Lead

    Humana (Springfield, IL)
    …we are at the forefront of delivering cutting-edge AI technologies for improving care quality and experience of millions of consumers. We are actively seeking top ... time that is best for your schedule. To ensure Home or Hybrid Home /Office employees' ability to...and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and… more
    Humana (08/27/25)
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  • Senior Project Manager

    Humana (Springfield, IL)
    …we are at the forefront of delivering cutting-edge AI technologies for improving care quality and experience of millions of consumers. We are actively seeking top ... time that is best for your schedule. To ensure Home or Hybrid Home /Office employees' ability to...and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and… more
    Humana (08/27/25)
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  • Senior Application Architect

    Humana (Springfield, IL)
    …Salesforce Health Cloud platform, driving impactful projects that enhance patient care and operational efficiency. If you're passionate about advancing digital ... data standards, interoperability, and compliance frameworks. **Additional Information** To ensure Home or Hybrid Home /Office employees' ability to work… more
    Humana (08/01/25)
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  • Senior Application Architect Contact Center…

    Humana (Springfield, IL)
    …for helping people, we likely have the right place for you at Humana! **Work-At- Home Requirements** To ensure Home or Hybrid Home /Office associates' ability ... to work effectively, the self-provided internet service of Home or Hybrid Home /Office associates must meet...and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and… more
    Humana (08/27/25)
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  • Vendor Management Lead

    Humana (Springfield, IL)
    …healthcare or insurance setting. + Knowledge of Medicaid. **Additional Information** **Work at Home Criteria** To ensure Home or Hybrid Home /Office ... employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home /Office employees must meet the following criteria: + At… more
    Humana (08/26/25)
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  • Provider Engagement Professional

    Humana (Springfield, IL)
    …+ Communicate updates on Humana's policies and procedures and Cardinal Care programmatic updates. + Coordinate periodic regional provider townhalls and/or trainings. ... Attend Network Meetings/Conferences. + Ensure compliance with all Virginia managed care contractual requirements for provider relations, such as timeframes for… more
    Humana (08/02/25)
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  • Process Improvement Lead, Healthcare

    Humana (Springfield, IL)
    …Operations, or related field + 5+ years of experience in health care process improvement, or project management, or operations (Medicaid specific preferred) + ... Nationwide Stateside + **Work Style:** Remote **WAH Internet Statement** To ensure Home or Hybrid Home /Office employees' ability to work effectively, the… more
    Humana (08/29/25)
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