Associate Jobs

Description Humana is continuing to grow! We have several new Inbound Contact Representatives openings that will have the pleasure of taking inbound calls from our Medicare Members and provide excellent service ..

Job Information Humana Oncology Market Director in Portland Maine Description The Market Director, Oncology leverages targeted geographic analysis, engages with Physician offices to influence physicians to route patients' prescriptions to Humana ..

Job Information Humana Senior Clinic Emerging Markets Trainer, Merger & Acquisition - Remote in Portland Maine Description The Senior Clinic Emerging Markets Trainer creates and implements processes and programs to ensure ..

Job Information Humana RN Care Manager--Compact License Required-WAH Nationwide in Portland Maine Description The Care Manager, Telephonic Nurse 2 , in a telephonic environment, assesses and evaluates members' needs and requirements ..

Description The Associate Director, Payment Integrity uses technology and data mining, detects anomalies in data to identify and collect overpayment of claims. Contributes to the investigations of fraud waste and our ..

Job Information Humana Medical Claims Processing Representative 2 in Portland Maine Description The Medical Claims Processing Representative 2 reviews and adjudicates complex or specialty claims, submitted either via paper or electronically. ..

Job Information Humana Utilization Management Registered Nurse - Remote in Portland Maine Description The Utilization Management Nurse utilizes clinical nursing skills to support the coordination, documentation and communication of medical services ..

Job Information Humana Bilingual Medicare Sales Field Agent (English / Russian) - Portland OR in Portland Oregon Description Are you passionate about the Medicare population, looking for an opportunity to work ..

Job Information Humana Subrogation Professional 2 Remote/WAH in USA in Portland Maine Description The Subrogation Professional 2 identifies, investigates, and collects recoveries from third parties who are legally responsible for paying ..

Job Information Humana Manager, Specialty Pharmacy Sales in Portland Maine Description The Manager, Pharmacy Sales - Specialty leverages targeted geographic analysis, engages with Physician offices to influence physicians to route patients' ..

Job Information Humana Quality Audit Professional 2 (Grievance & Appeals) -(FULLY BILINGUAL English/Spanish) Remote, anywhere with-in Eastern Time Zone in Portland Maine Description The Quality (Non-Calls) Professional 2 ensures that products ..

Job Information Humana Bilingual Spanish RN Care Manager--Compact License Required-WAH Nationwide in Portland Maine Description The Care Manager, Telephonic Nurse 2 , in a telephonic environment, assesses and evaluates members' needs ..

Job Information Humana RN Care Manager--Compact License Required-Spanish Bilingual strongly preferred-WAH Nationwide in Portland Maine Description The Care Manager, Telephonic Nurse 2 , in a telephonic environment, assesses and evaluates members' ..

Job Information Humana Manager, Utilization Management RN - Remote in Portland Maine Description The Manager, Utilization Management Nursing utilizes clinical nursing skills to support the coordination, documentation and communication of medical ..

Job Information Humana Telephonic Behavioral Health Care Manager in Portland Maine Description The Behavioral Health Care Manager, in a telephonic environment, assesses and evaluates members' needs and requirements to achieve and/or ..

Job Information Humana Quality Audit Professional 2 (Grievance & Appeals) -Remote, anywhere with-in Eastern Time Zone in Portland Maine Description The Quality (Non-Calls) Professional 2 ensures that products meet specific Centers ..

Job Information Humana Utilization Management Administration Coordinator - Remote in Portland Maine Description The UM Administration Coordinator contributes to administration of utilization management. The UM Administration Coordinator performs varied activities and ..

Job Information Humana Bilingual Quality Auditor in Portland Maine Description The Bilingual Quality Auditor/ Professional 2 ensures that products meet specific Centers for Medicaid and Medicare Services standards of quality. Review ..

Job Information Humana Bilingual Medicare Sales Field Agent in Portland Oregon Description Are you passionate about educating others, engaging in the community and working with seniors? Are you looking for an ..

Job Information Humana RN Care Manager--Compact License Required-Spanish Bilingual a plus-WAH Nationwide in Portland Maine Description The Care Manager, Telephonic Nurse 2 , in a telephonic environment, assesses and evaluates members' ..

Job Information Humana Bilingual Medicare Sales Field Agent (English / Russian) in Portland Oregon Description Are you passionate about the Medicare population, looking for an opportunity to work in sales, with ..

Job Information Humana Associate Director of Clinical Audit, Payment Integrity - REMOTE in US in Portland Maine Description The Associate Director of Clinical Audit, Payment Integrity uses their clinical experience and ..

Job Information Humana Grievances & Appeals Representative 4 (FULLY BILINGUAL English/Spanish) Remote, anywhere with-in Eastern Time Zone in Portland Maine Description The Grievances & Appeals Representative 4 manages client medical denials ..