• Analyst, Performance Suite Analytics

    Evolent (Sacramento, CA)
    …analyses into succinct presentations. + Perform research and analysis of complex healthcare claims, eligibility, and pharmacy data to make recommendations based on ... major (eg actuarial, statistics, operations research, mathematics, economics) or healthcare focus (health administration, epidemiology, public health, biology) +… more
    Evolent (06/24/25)
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  • Medical Director - Medicare Grievances and Appeals…

    Humana (Sacramento, CA)
    …and decisions about the appropriateness of services provided by other healthcare professionals in compliance with review policies, procedures, and performance ... 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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  • Formulary and Medical Strategies Senior…

    Humana (Sacramento, CA)
    …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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  • Lead Data Scientist - Safety Alignment

    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 drive the ... multi-agent alignment + Experience in regulated domains such as healthcare , finance, or defense **Additional Information** **Location/Work Style:** Remote...the right place for you at Humana. **Work at Home Guidance** To ensure Home or Hybrid… more
    Humana (08/16/25)
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  • Medical Director - Medicare Grievances and Appeals…

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

    Evolent (Sacramento, CA)
    …mission. Stay for the culture. **What You'll Be Doing:** **Senior Architect Healthcare Integration - EMR/FHIR Specialist** **What You'll Be Doing** **Drive ... Healthcare Transformation Through Technology** + Architect enterprise-level EMR integration...all employees have the following technical capability at their home : High speed internet over 10 Mbps and, specifically… more
    Evolent (06/26/25)
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  • Utilization Management Strategy Lead

    Humana (Sacramento, CA)
    …processes for our provider partners and reducing unnecessary costs from the healthcare system. Our team employs a rigorous process to set specific business ... + Health care industry experience **Workstyle:** Remote work at Home **Location:** US **Schedule:** M-F 8:00 AM to 5:00...benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also… more
    Humana (08/23/25)
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  • Project Manager - MedTech Support

    IQVIA (Carlsbad, CA)
    …opportunity to employ their technical experience by collaborating with healthcare professionals and leading technical initiatives in medical device technology. ... medical device industry! This role is a work from home remote position. Travel may be required for initial...need. _IQVIA takes the approach to helping customers drive healthcare forward in this challenging, fast-paced environment. We help… more
    IQVIA (08/31/25)
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  • Care Management Support Assistant

    Humana (Sacramento, CA)
    …not able to hire candidates that are currently living in Puerto Rico.** + Healthcare professional with a minimum of a Bachelor's degree in social work, psychology ... hospital case management, managed care settings, Autism services and/or other healthcare settings. + Above average written and verbal communication skills. +… more
    Humana (08/27/25)
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  • RN Care Manager - Remote, nationwide

    Humana (Sacramento, CA)
    …our Special Needs Program (SNP) team. All of our SNP RN Care Managers are work at home associates, working from a dedicated home office space. Work at home ... for meeting quality and productivity measures daily and maintaining working home internet at all time with demonstrated advanced communication and interpersonal… more
    Humana (08/22/25)
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