• Senior Accreditation Utilization Management…

    Humana (Lansing, MI)
    **Become a part of our caring community and help us put health first** We are seeking a Senior Accreditation Professional who will work in a team environment on ... Humana's health plan accreditations, performing complex tasks related to compliance...team engagement meetings, onsite audits, and trainings. **Work at Home Requirements** To ensure Home or Hybrid… more
    Humana (09/03/25)
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  • Manager, Fraud and Waste

    Humana (Lansing, MI)
    **Become a part of our caring community and help us put health first** The Special Investigations Unit Manager leads and monitors investigations of allegations of ... offer a remote opportunity for this job. Our Fortune 100 Company values associate engagement & your well-being. We also provide excellent professional development &… more
    Humana (09/04/25)
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  • Utilization Management Registered Nurse

    Humana (Lansing, MI)
    **Become a part of our caring community and help us put health first** The Utilization Management Nurse 2 utilizes clinical nursing skills to support the ... experience in prior authorization, claims, and/or utilization management in healthcare, health insurance, evaluating medical necessity and appropriateness of care + … more
    Humana (09/04/25)
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  • Senior Provider Engagement Professional

    Humana (Southfield, MI)
    **Become a part of our caring community and help us put health first** The Senior Provider Relations Professional is responsible for fostering positive, long-term ... role will require critical thinking/problem solving skills, keen understanding for health plan operations, and strong interpersonal skills. **Role Overview** +… more
    Humana (08/16/25)
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  • Social Services Care Manager

    Humana (Lansing, MI)
    **Become a part of our caring community and help us put health first** The Care Manager, Telephonic Behavioral Health 2, in a telephonic environment, assesses ... for the care and wellbeing of members The Care Manager, Telephonic Behavioral Health 2 is a **Licensed,** **Masters level, social worker** who functions as an… more
    Humana (08/08/25)
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  • Program Lead, Patient Service Advisor Program

    CenterWell (Lansing, MI)
    …largest provider of senior-focused primary care, one of the largest providers of home health services, and fourth largest pharmacy benefit manager, CenterWell is ... part of our caring community and help us put health first** **Overview** The Program Lead will be responsible...and Leadership Workshops as needed. **Additional Information** To ensure Home or Hybrid Home /Office employees' ability to… more
    CenterWell (07/30/25)
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  • Utilization Management Nurse Lead

    Humana (Lansing, MI)
    **Become a part of our caring community and help us put health first** The Utilization Management Nurse Lead uses clinical knowledge, communication skills, and ... the results of the targeted interventions designed to reduce health disparities and address health inequities. +...Up to 5 associates. **WAH Internet Statement** To ensure Home or Hybrid Home /Office employees' ability to… more
    Humana (08/20/25)
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  • Utilization Management Strategy Lead

    Humana (Lansing, MI)
    …Desirables** + Health care industry experience **Workstyle:** Remote work at Home **Location:** US **Schedule:** M-F 8:00 AM to 5:00 PM Eastern **Travel:** None ... part of our caring community and help us put health first** The UM Strategy team is a multi-disciplinary...that is best for your schedule. **Remote Work at Home Guidance** To ensure Home or Hybrid… more
    Humana (08/23/25)
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  • Technology Program Lead

    Humana (Lansing, MI)
    **Become a part of our caring community and help us put health first** The Enterprise AI organization at Humana is a pioneering force, driving AI innovation across ... supporting AI or data science initiatives and programs. This associate will need to be delivery-focused, willing to wear...time that is best for your schedule. To ensure Home or Hybrid Home /Office employees' ability to… more
    Humana (08/29/25)
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  • Senior Product Owner

    CenterWell (Lansing, MI)
    …largest provider of senior-focused primary care, one of the largest providers of home health services, and fourth largest pharmacy benefit manager, CenterWell is ... part of our caring community and help us put health first** We are seeking a skilled and collaborative...collaborative Digital Product Owner to lead the delivery of associate -facing contact center technologies that support Pharmacy and Medicare… more
    CenterWell (08/23/25)
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