Pediatric Field Care Manager, Nurse Humana IncPediatric Field Care Manager, NurseMORemote$71,100–$97,800 / yearOverview: The Pediatric Care Manager (Care Manager, Nurse 2) performs telephonic and face-to-face assessments and evaluations of Moderate to High acuity member's needs and requirements to achieve and/or maintain optimal wellness by guiding members/families toward and facilitate interaction with resources appropriate for the care and well-being of pediatric members and their families/caregivers, including children with acute, chronic, complex, and special healthcare needs. Work at Home Requirements: To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested.
Care Coach Humana IncCare CoachMORemote$53,700–$72,600 / yearWork at Home Requirements: To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. Screen members using targeted intervention business rules and processes to identify needed medical services, make appropriate referrals to medical services staff and coordinate the required services in accordance with the benefit plan.
NewCare Manager, Behavioral Health Humana IncCare Manager, Behavioral HealthMORemote$65,000–$88,600 / yearWork at Home Requirements: To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. Collaborates with internal departments, providers, and community-based organizations to link to appropriate services and create a seamless, culturally competent care experience that respects the members' preferences and needs.
Customer Care Center Rep Wisconsin Physicians Service Insurance CorpCustomer Care Center RepMissouri, MORemoteWe are open to remote work in the following approved states: Colorado, Florida, Georgia, Illinois, Indiana, Iowa, Michigan, Minnesota, Missouri, Nebraska, New Jersey, North Carolina, Ohio, South Carolina, Texas, Virginia, Wisconsin. We recognize the benefits of employee engagement as an investment in our workforce-both current and future-to effectively seek, leverage, and include differing and unique perspectives that fuel agility and innovation on high-performing teams.
AI Product Owner Government Employees Health AssociationAI Product OwnerMissouriRemoteIn this role, you will collaborate closely with full stack developers, data scientists, compliance & risk teams, and business stakeholders to deliver AI-driven solutions that improve member experiences, optimize internal operations, and ensure ethical, secure, and compliant use of data. Familiarity with Modern Tech Stacks: Experience working with cloud-based AI/ML platforms (e.g., Azure AI, Google Cloud AI, AWS SageMaker) and modern data architecture (e.g., Kafka, Snowflake, Fabric).
Senior Hospital Contracting Strategist Humana IncSenior Hospital Contracting StrategistMORemote$78,400–$107,800 / yearWork at Home Requirements: To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. Through our Humana insurance services and our CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it.
Sr AI Solution Architect Government Employees Health Association, Inc.Sr AI Solution ArchitectMORemote$138,859–$175,665 / yearOperating at the intersection of AI engineering, solution strategy, and developer experience, you will ensure our AI solutions act as a force multiplier, are robust, HIPAA-compliant, and capable of supporting GEHA's strategic modernization directives in collaboration with enterprise IT infrastructure, security and data teams. Drive AI FinOps best practices by designing cost-effective LLM integration patterns, optimizing token usage, caching strategies, and managing compute resources across cloud environments in partnership with IT Ops.
NewCreative Services Traffic Manager Government Employees Health Association, Inc.Creative Services Traffic ManagerMORemote$100,430–$127,050 / yearThe Traffic Manager is responsible for resource allocation pipeline, project management, process optimization, maintains project alignment across stakeholders and provides timely reporting - including development of Workfront dashboards to support Growth, Member Communications, Clinical and Shared Services workflow. The ideal candidate demonstrates strong leadership with expert-level technical acumen, is accountable and has mastery of team workflow, has exceptional organizational skills, and excels at mapping processes, and a background in working with creative teams.
Utilization Management Registered Nurse Humana IncUtilization Management Registered NurseMORemote$71,100–$97,800 / yearWork-at-Home Information: To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. Through our Humana insurance services and our CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it.
NewClinical Program Advisor - Express Scripts - Remote (Clinical Operations) CarePathRx Holding Company LLCClinical Program Advisor - Express Scripts - Remote (Clinical Operations)MORemote$120,000–$200,000 / yearProvide operational Subject Matter Expertise (SME) to Clinical Account Executives/Implementation Manager (CAE/IPM's), Client Benefit Administrators (CBA), Clinical Application Teams (DCRS, FRS, CRS, Criteria), Product Owners. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State.
Sr AI Solution Architect Government Employees Health AssociationSr AI Solution ArchitectMissouriRemoteOperating at the intersection of AI engineering, solution strategy, and developer experience, you will ensure our AI solutions act as a force multiplier, are robust, HIPAA-compliant, and capable of supporting GEHA’s strategic modernization directives in collaboration with enterprise IT infrastructure, security and data teams. Drive AI FinOps best practices by designing cost-effective LLM integration patterns, optimizing token usage, caching strategies, and managing compute resources across cloud environments in partnership with IT Ops.
NewCreative Services Traffic Manager Government Employees Health AssociationCreative Services Traffic ManagerMissouriRemoteThe Traffic Manager is responsible for resource allocation pipeline, project management, process optimization, maintains project alignment across stakeholders and provides timely reporting – including development of Workfront dashboards to support Growth, Member Communications, Clinical and Shared Services workflow. The ideal candidate demonstrates strong leadership with expert-level technical acumen, is accountable and has mastery of team workflow, has exceptional organizational skills, and excels at mapping processes, and a background in working with creative teams.
Transition of Care Coordinator RN/LCSW TriWest Healthcare AllianceTransition of Care Coordinator RN/LCSWKansas City, MORemoteFull timeThe Transition of Care Coordinator provides clinical oversight and coordination for beneficiaries moving between levels of care, supports discharge planning, conducts post-discharge follow up, completes assessments and reassessments as needed, identifies barriers to care, and reviews and processes authorization and referral requests according to policy. Technical Skills: Thorough knowledge of internal policies and procedures, utilization management principles, managed care concepts, medical terminology, and medical management system, clinical decision support tools, International Classification of Diseases, and Current Procedural Terminology.
Maternal Child Clinical Visiting Professor (Part-Time) Covista IncMaternal Child Clinical Visiting Professor (Part-Time)St. Louis, MORemoteChamberlain students experience practice settings that include large and small hospitals, long-term care facilities, community and public-health agencies, faith-based service organizations, independent practices, ambulatory care centers, public health agencies, military services (Army, Navy, and Air Force), VA Medical Centers, schools, home health environments…anywhere healthcare is delivered. From individual professor support and student-led study groups to diverse clinical and career networking opportunities, the institution"s community shares a common goal: to give each other the care we need to succeed and make a difference by transforming healthcare.
NewPartner Integration Product Owner, Individual Dental - Cigna Healthcare - Remote The Cigna GroupPartner Integration Product Owner, Individual Dental - Cigna Healthcare - RemoteMORemoteThis role serves as a strategic liaison between external enrollment partners, internal business stakeholders, technology teams, operations, and Agile delivery teams to ensure partner integrations are implemented effectively, maintained reliably, and continuously improved to support growth, service continuity, and a strong broker and customer experience. The Advisor translates business and partner needs into actionable requirements, manages priorities across a high-volume portfolio of partner-facing work, supports implementation and post-launch performance, and drives alignment across product, engineering, operations, compliance, sales, and external partner teams.
CPS Service Technician Ingersoll Rand IncCPS Service TechnicianSaint Louis, MORemote$75,000–$120,000 / yearMust possess a valid driver's license for a minimum of 12 months, with no major or frequent traffic violations including, but not limited to: DUI in the previous 5 years, Hit & Run, License Suspension, Reckless/Careless Driving or multiple smaller infractions or preventable collisions in the previous 3 years. Job Overview: The Centrifugal Service Technician is a highly skilled field-based technical professional responsible for installing, commissioning, troubleshooting, repairing, and maintaining Ingersoll Rand centrifugal and reciprocating compressor systems.
Data Measurement & Reporting Advisor - Evernorth - Remote The Cigna GroupData Measurement & Reporting Advisor - Evernorth - RemoteSt. Louis, MORemote$96,700–$161,100 / yearThis role is critical to delivering technical reporting solutions, user interfaces, data pipelines, and automation workflows that support provider data quality, regulatory compliance, and operational readiness across several high‑visibility enterprise initiatives. Working closely with business and technical stakeholders, the advisor designs, develops, and delivers scalable, production‑ready technical solutions tied to major transformation efforts and enterprise-wide strategic projects.
Product Management Lead Analyst, Med D Plan Finder - Express Scripts - Remote The Cigna GroupProduct Management Lead Analyst, Med D Plan Finder - Express Scripts - RemoteMORemote$76,100–$126,900 / yearIn this role, you'll work across Product, Account Management, Operations, Compliance, and Regulatory teams to ensure accurate submissions, successful Open Enrollment execution, clear stakeholder communications, and continuous process improvement. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State.
Business Analytics Advisor - Remote The Cigna GroupBusiness Analytics Advisor - RemoteWork at Home, MORemote$98,200–$163,600 / yearThese states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State. If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.
NewSales & Broker Lead Analyst, Individual Dental - Cigna Healthcare - Remote The Cigna GroupSales & Broker Lead Analyst, Individual Dental - Cigna Healthcare - RemoteMORemoteThe individual will partner closely with internal stakeholders and broker distribution teams to enhance dental sales workflows, identify trends and friction points, and deliver scalable solutions aligned to the dental strategy. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State.