• Medicare Sales Field Agent

    Humana (Louisville, KY)
    …Based Role:** + **Deliver** : Build trust and educate individuals on Humana's Medicare Advantage plans and additional offerings like Life, Dental, Vision, and ... The MarketPoint Career Channel Team is looking for skilled Medicare Field Sales Agents. This is a field-based role,...Humana apart. + **Grow** : Drive self-generated sales, meet performance goals, and expand Humana's presence in the market… more
    Humana (11/19/25)
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  • Senior Analyst, Quality Analytics…

    Molina Healthcare (Bowling Green, KY)
    **Job Description** **Job Summary** The Analyst, Quality Analytics and Performance Improvement role will support Molina's Quality Analytics team. Designs and ... tracking outcome. Assist with research, development, and completion of special performance improvement projects. **ESSENTIAL JOB DUTIES:** + Work cross functionally… more
    Molina Healthcare (12/05/25)
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  • Medical Director-Payment Integrity

    Humana (Frankfort, KY)
    …internal teaching conferences, and other reference sources. Medical Directors will learn Medicare , Medicaid, and Medicare Advantage requirements and will ... **Preferred Qualifications** + Knowledge of the managed care industry including Medicare Advantage , Managed Medicaid and/or Commercial products, or other… more
    Humana (12/11/25)
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  • Medical Director - Pharmacy Appeals

    Humana (Frankfort, KY)
    …Policies and Procedures, and clinical literature as appropriate. Medical Directors will learn Medicare Part D and Medicare Advantage requirements and will ... Director will collaborate with clinicians and support staff to provide Humana members with optimal value based care in...experience in a medical management review organization such as Medicare Advantage , managed Medicaid, or Commercial health… more
    Humana (12/03/25)
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  • Growth Strategy Principal - IPA Development

    CenterWell (Frankfort, KY)
    …approval processes, financial reporting and maintaining market level sales materials for Medicare Advantage and ACO offerings + Develop and implement ... nationally + Negotiate complex IPA/MSO agreements with net new provider groups as well as payor expansions with existing...year experience in Healthcare, with a specific focus on Medicare advantage with a history of effectively… more
    CenterWell (12/04/25)
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  • BI Analyst

    Humana (Frankfort, KY)
    …Health Plans is a recognized leader in healthcare delivery that has been offering Medicare Advantage health plans in Florida over 23 years. CarePlus strives to ... business problems and issues using data from internal and external sources to provide insight to decision-makers BI Analyst / Business Intelligence Engineer 2 +… more
    Humana (12/19/25)
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  • Medical Director - Medicaid (remote)

    Humana (Frankfort, KY)
    …internal teaching conferences, and other sources of expertise. Medical Directors will learn Medicare and Medicare Advantage requirements, and will understand ... **Preferred Qualifications** + Knowledge of the managed care industry including Medicare Advantage , Managed Medicaid and/or Commercial products, or other… more
    Humana (01/01/26)
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  • Medical Director - IP Claims Management

    Humana (Frankfort, KY)
    …internal teaching conferences, and other reference sources. Medical Directors will learn Medicare , Medicare Advantage , and Medicaid requirements and will ... **Preferred Qualifications** + Knowledge of the managed care industry including Medicare Advantage , Managed Medicaid and/or Commercial products, or other… more
    Humana (12/11/25)
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  • Medical Director - Nat'l IP UM Team

    Humana (Frankfort, KY)
    …internal teaching conferences, and other reference sources. Medical Directors will learn Medicare and Medicare Advantage requirements and will understand ... hours** **Preferred Qualifications** + Knowledge of the managed care industry including Medicare Advantage , Managed Medicaid and/or Commercial products, or other… more
    Humana (11/15/25)
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  • Growth Strategy Manager

    Humana (Frankfort, KY)
    … and Medicaid's highest priority projects and initiatives, with an emphasis on Medicare Advantage strategy development. As a Manager, you will deconstruct issues ... Humana's businesses. The team has a strong dotted-line partnership with the Medicare and Medicaid organization, Humana's largest, which comprises over 80% of the… more
    Humana (12/29/25)
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