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.
AI Product Owner Government Employees Health Association, Inc.AI Product OwnerMORemote$95,118–$120,330 / yearIn 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.
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.
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.
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.
Remote Customer Support Team Lead SweetepictravelsRemote Customer Support Team LeadSaint Louis, MissouriRemoteJoin our dynamic Sweet Epic Travels Team as a Remote Customer Support Team Lead, where your enthusiasm and dedication will elevate client interactions and foster lasting relationships. Your proactive approach will help streamline communication, enhance customer satisfaction, and support the overall success of our client engagement strategies.
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.