• Senior Project Manager

    Humana (Lansing, MI)
    …are actively seeking top talent to join us in shaping the future of healthcare through AI excellence. We are seeking a dynamic and experienced Senior Project Manager ... create safe AI solutions that will revolutionize and improve healthcare experience and outcomes for our customers. Join our...time that is best for your schedule. To ensure Home or Hybrid Home /Office employees' ability to… more
    Humana (08/27/25)
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  • Medical Director - Medicare Grievances and Appeals…

    Humana (Lansing, MI)
    …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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  • Bilingual Outbound Telephonic UM Coordinator

    Humana (Lansing, MI)
    …or more years of Administrative support experience + 1 or more years of Healthcare experience + 1 or more years of Outbound telephonic Customer Service experience + ... moving forward to next round of interviews. **Work at Home Guidance** To ensure Home or Hybrid...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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  • Formulary and Medical Strategies Senior…

    Humana (Lansing, MI)
    …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 (Lansing, MI)
    …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 (Lansing, MI)
    …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 (Lansing, MI)
    …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 (Lansing, MI)
    …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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  • Homeless Services Liaison

    Humana (Lansing, MI)
    …and services. This position involves collaborating with community-based organizations, healthcare providers, and government agencies to address the unique needs ... and social needs. + Collaborates with case managers, social workers, and healthcare providers to develop individualized care plans. + Coordinates services such as… more
    Humana (08/20/25)
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  • Care Management Support Assistant

    Humana (Lansing, MI)
    …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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