• Staff Utilization Management Pharmacist

    Humana (Sacramento, CA)
    **Become a part of our caring community and help us put health first** The Staff Utilization Management Pharmacist is a clinical expert responsible for ... (eg, Micromedex, Lexicomp) + Pharmacy benefit management (PBM) platforms + Electronic health records (EHRs) + Passion for contributing to an organization focused on… more
    Humana (08/27/25)
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  • Senior Process Improvement Professional

    Humana (Sacramento, CA)
    **Become a part of our caring community and help us put health first** The Senior Process Improvement Professional, DSNP Encounters Data Management supports the ... consumable information within Excel + Knowledgeable in regulations governing health care industries or related adjacent industries **Additional Information**… more
    Humana (08/27/25)
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  • Medicaid Lead, Technology Solutions

    Humana (Sacramento, CA)
    **Become a part of our caring community and help us put health first** The Medicaid Lead, Technology Solutions builds strategic partnerships and manages ... few: + Work-Life Balance + Generous PTO package + Health benefits effective day 1 + Annual Incentive Plan...whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your… more
    Humana (08/26/25)
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  • Medical Director - OneHome

    Humana (Sacramento, CA)
    **Become a part of our caring community and help us put health first** The Medical Director relies on fundamentals of CMS Medicare Guidance on following and ... reviewing home health , SNF, DME, dual Medicare/Medicaid and Waiver requests. The...whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your… more
    Humana (08/25/25)
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  • Utilization Management Strategy Lead

    Humana (Sacramento, CA)
    **Become a part of our caring community and help us put health first** The UM Strategy team is a multi-disciplinary team focused on creating data-driven ... general technical difficulties in a remote environment. **Role Desirables** + Health care industry experience **Workstyle:** Remote work at Home **Location:** US… more
    Humana (08/23/25)
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  • Encounter Data Management Professional

    Humana (Sacramento, CA)
    **Become a part of our caring community and help us put health first** The Encounter Data Management Professional ensures data integrity for claims errors. The ... Finance, Accounting, Operations or other related fields + X12 experience + Prior health insurance industry experience + Working knowledge of Microsoft SQL or SAS… more
    Humana (08/22/25)
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  • Formulary and Medical Strategies Senior…

    Humana (Sacramento, CA)
    **Become a part of our caring community and help us put health first** The Senior Professional collaborates with healthcare professionals, pharmacists, and other ... medical strategies to mitigate Humana's costs and trend while improving our member's health outcomes and costs. + Performs formulary and medical drug list analysis… more
    Humana (08/20/25)
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  • Lead Cloud Network Engineer

    Humana (Sacramento, CA)
    **Become a part of our caring community and help us put health first** The Lead, Cloud Network Engineer designs, analyzes, plans and modifies network components ... support by ensuring the network operations team is monitoring the performance and health of the enterprise network and running point as the restoration lead for… more
    Humana (08/20/25)
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  • Lead Data Scientist - AI-Human Interaction

    Humana (Sacramento, CA)
    **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 ... few: + Work-Life Balance + Generous PTO package + Health benefits effective day 1 + Annual Incentive Plan...whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your… more
    Humana (08/16/25)
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  • Lead Data Scientist - Autonomous Goal Management

    Humana (Sacramento, CA)
    **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 ... few: + Work-Life Balance + Generous PTO package + Health benefits effective day 1 + Annual Incentive Plan...whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your… more
    Humana (08/16/25)
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