• Senior Accreditation Professional

    Humana (Austin, TX)
    …Experience working with cross-functional business areas. **Preferred Qualifications** + Managed care , Medicaid health plan experience. + Advanced degree in a ... healthcare-related field. **Work at Home Requirements** To ensure ...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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  • Medical Director - Medicare Grievances and Appeals…

    Humana (Austin, TX)
    …+ 5 years of established clinical experience + Knowledge of the managed care industry including Medicare, Medicaid and or Commercial products + Must be passionate ... Medicine and Rehabilitation, Emergency Medicine, and General Surgery clinical specialists **Work at Home Guidance** To ensure Home or Hybrid Home /Office… more
    Humana (08/26/25)
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  • Medicaid Lead, Technology Solutions

    Humana (Austin, TX)
    …operations; Medicaid preferred + Comprehensive understanding of a Medicaid Managed Care architecture, tools, utilities and processes utilized to deliver on core ... the right place for you at Humana. **Work at Home Guidance** To ensure Home or Hybrid...and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and… more
    Humana (08/26/25)
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  • Principal Solutions Architect - Humana Military

    Humana (Austin, TX)
    …strategy and support model for the Veterans Administration (VA) Community Care Network (CCN) contract and responsible for designing, planning, and overseeing ... the right place for you at Humana. **Work at Home Guidance** To ensure Home or Hybrid...and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and… more
    Humana (08/21/25)
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  • Lead Data Scientist - Safety Alignment

    Humana (Austin, TX)
    …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 ... the right place for you at Humana. **Work at Home Guidance** To ensure Home or Hybrid...and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and… more
    Humana (08/16/25)
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  • Lead Data Scientist - AI-Human Interaction

    Humana (Austin, TX)
    …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 ... the right place for you at Humana. **Work at Home Guidance** To ensure Home or Hybrid...and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and… more
    Humana (08/16/25)
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  • Lead Data Scientist - Autonomous Goal Management

    Humana (Austin, TX)
    …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 ... the right place for you at Humana. **Work at Home Guidance** To ensure Home or Hybrid...and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and… more
    Humana (08/16/25)
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  • Medical Director - Medicare Grievances and Appeals…

    Humana (Austin, TX)
    …years of established, post-residency clinical experience + Knowledge of the managed care industry including Medicare, Medicaid and/or Commercial products + Must be ... insurance organizations, hospitals and other healthcare providers, patient interaction, etc. **Work at Home Guidance** To ensure Home or Hybrid Home /Office… more
    Humana (08/08/25)
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  • Staff Utilization Management Pharmacist

    Humana (Austin, TX)
    …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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  • Licensed Medical Social Worker - LMSW

    Jet Health (Denton, TX)
    …Doctoral Degree from an accredited school of Social Work. + Hospice experience required + Home Care Home Base experience highly preferred + Active social ... servicesin theDenton, TX and surrounding areas. The successful candidate will provide coordinated care in the home to patients of all age groups, performing… more
    Jet Health (07/23/25)
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