Qureos Mentor

Humana

<div><h1 class="jobSectionHeader">Become a part of our caring community 
</h1>
We are looking for a highly capable Senior Applied AI Engineer to support advanced AI initiatives focused on generative AI, embeddings, and ServiceNow data integration. 
 
The focus of this role is the advancement of AI capabilities in the IT Service Management (ITSM) space. The hiring team owns a large data store in Databricks Unity Catalog containing all ITSM data that this role will leverage for their work. You will work closely with data engineering and business teams to deliver scalable, intelligent solutions using Databricks and Azure. 
 
Come join our Fortune #40, Best Places to Work company and help us make a difference as we help our members achieve their best health!
Key Responsibilities:<ul><li>
Contribute to software projects emphasizing AI systems in VSCode/Pycharm, GitHub, and Databricks.</li><li>
Deploy and maintain AI systems across Databricks and Microsoft Azure services such as Azure Kubernetes Service.</li><li>
Maintain and extend internal APIs, SDKs, and clients that support our projects.</li><li>
Actively participate in architecting software and cloud solutions.</li><li>
Communicate clearly with adjacent teams and stakeholders and manage expectations.</li></ul>
Why Join Us:<ul><li>
Work on high-impact AI and ML projects with real enterprise data.</li><li>
Collaborative team environment.</li><li>
Exposure to cutting-edge tools and technologies.</li><li>
Opportunity to contribute to strategic initiatives with visibility across the organization.</li></ul><h1 class="jobSectionHeader"> 
Use your skills to make an impact 

</h1>Required Qualifications:<ul><li>
3+ years of strong, hands-on experience with Python.</li><li>
Comfort thinking in terms of engineering systems, not coding scripts.</li><li>
Familiarity with Databricks (including Unity Catalog, MLflow, and notebooks).</li><li>
Strong experience with GitHub (commits, pull requests, integrations).</li><li>
Ability to lead technical walkthroughs and articulate design decisions.</li><li>
Experience deploying apps, servers, or ML models in a production setting.</li></ul>
Preferred Qualifications:<ul><li>
Experience creating CICD workflows in GitHub and/or ADO.</li><li>
Familiarity with ServiceNow data models.</li><li>
Familiarity with RAG architecture, vector databases, or agentic orchestration.</li><li>
Familiarity with developing APIs and clients. Bonus points for MCP experience.</li><li>
JavaScript familiarity.</li><li>
Excellent communication skills.</li></ul>
Additional Notes:<ul><li>
An active GitHub is required and will be requested if selected to move forward.</li><li>
Selected candidates may be asked to complete a small take-home assessment prior to being interviewed and may be asked to do a project walkthrough and pair programming in the interview.</li><li>
This is an advanced engineering role requiring a very technical skillset. Candidates with hands-on experience building, deploying, and supporting AI solutions and software will be most successful in this position.</li></ul>
Work Style:
This position's work style is remote from any of the locations listed below. You must reside in close proximity to one of these locations.
Market Location Options:<ul><li>
Louisville, KY</li><li>
Dallas/Frisco, TX</li><li>
Washington, DC (Arlington, VA)</li><li>
Fort Lauderdale, FL</li><li>
Tampa, FL</li><li>
Atlanta, GA</li><li>
Charlotte, NC</li><li>
Chicago, IL</li><li>
Nashville, TN</li></ul>
Work at Home Requirements To ensure Home or Hybrid Home/Office employees&rsquo; 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. In certain roles, the minimum recommended internet speed required by Humana may not be sufficient for business needs. Humana reserves the right to require associates to upgrade their internet service if necessary. Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information. Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required. 
Scheduled Weekly Hours
40
Pay Range
The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc. 

$142,300 - $195,700 per year 

This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.
Description of Benefits
Humana, Inc. and its affiliated subsidiaries (collectively, &ldquo;Humana&rdquo;) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.<h1 class="jobSectionHeader"> 
About us 
</h1>
About Humana: Humana Inc. (NYSE: HUM) is a leading U.S. healthcare company. 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 &ndash; delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare and Medicaid, families, individuals, military service personnel, and communities at large. Learn more about what we offer at Humana.com and at CenterWell.com. 
 
Equal Opportunity Employer
It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.</div>

Senior Applied AI Engineer

<div>
 
 Become a part of our caring community
 
 
 
 The Medical Coder / Coding Educator 2 identifies opportunities to improve provider documentation and creates an education plan tailored to each assigned provider. Will report to the Manager, Medicare Risk Adjustment
 
 
 As the Medical Coder / Coding Educator 2 you will
 
 
 <ul>
 <li>
 Arrange educational sessions with assigned providers aimed at quality of care and documentation improvements.
 </li>
 <li>
 Identify educational needs based on reports
 </li>
 <li>
 Prepare comprehensive reports and presentations on coding quality trends, risk areas, and educational outcomes using data visualization techniques.
 </li>
 <li>
 Provider onsite education, based on business needs
 </li>
 <li>
 Collaboration with other market provider facing role
 </li>
 <li>
 Use data analytics tools to assess coding quality, identify error patterns, and monitor compliance with internal and external standards.
 </li>
 <li>
 Analyze coding audit results and other relevant data to develop data-driven educational materials and interventions.
 </li>
 <li>
 Participate in cross-functional teams to improve documentation, data integrity, and workflow processes
 
 
 </li>
 </ul>
 
 Required Qualifications
 
 
 
 
 Use your skills to make an impact
 
 
 
 <ul>
 <li>
 AHIMA or AAPC CPC (Certified Professional Coder) Certification
 </li>
 <li>
 3 or more years of medical coding education and / or auditing in a healthcare setting experience
 </li>
 <li>
 Proficiency with data analytics tools (such as Excel, Power BI, or similar) and experience in interpreting large data sets
 </li>
 <li>
 Experience speaking with leadership, webinars public speaking and/or presentation skills with healthcare providers
 </li>
 <li>
 Risk Adjustment knowledge
 </li>
 <li>
 Familiar with coding guidelines
 </li>
 <li>
 Live in NC, SC, GA, VA, MD or TN
 
 
 </li>
 </ul>
 
 Preferred Qualifications
 
 
 
 <ul>
 <li>
 Bachelor's Degree
 </li>
 <li>
 CRC -Certified Risk Adjustment Coder
 </li>
 <li>
 Experience working with healthcare providers
 </li>
 <li>
 Strong knowledge of all Microsoft Office applications
 </li>
 <li>
 Valid Driver's license and reliable transportation
 </li>
 <li>
 Medicare Risk Adjustment knowledge
 
 
 </li>
 </ul>
 
 Additional Information
 
 
 
 Work at home - with travel (up to 5%) to surrounding provider offices
 
 
 As part of our hiring process, we will be using an exciting interviewing technology provided by HireVue, a third-party vendor. This technology provides our team of recruiters and hiring managers an enhanced method for decision-making.
 
 
 If you are selected to move forward from your application prescreen, you will receive correspondence inviting you to participate in a pre-recorded Voice Interview and/or an SMS Text Messaging interview. If participating in a pre-recorded interview, you will respond to a set of interview questions via your phone. You should anticipate this interview to take approximately 10-15 minutes.
 
 
 If participating in a SMS Text interview, you will be asked a series of questions to which you will be using your cell phone or computer to answer the questions provided. Expect this type of interview to last anywhere from 5-10 minutes. Your recorded interview(s) via text and/or pre-recorded voice will be reviewed and you will subsequently be informed if you will be moving forward to next round of interviews.
 
 
 
 Work at Home Guidance
 
 
 
 To Ensure Home Or Hybrid Home/Office Associates' Ability To Work Effectively, The Self-provided Internet Service Of Home Or Hybrid Home/Office Associates Must Meet The Following Criteria
 
 
 <ul>
 <li>
 At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is suggested
 </li>
 <li>
 Satellite, cellular and microwave connection can be used only if approved by leadership
 </li>
 <li>
 Associates who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense.
 </li>
 <li>
 Humana will provide Home or Hybrid Home/Office associates with telephone equipment appropriate to meet the business requirements for their position/job.
 </li>
 <li>
 Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information
 
 
 </li>
 </ul>
 Work at Home Requirements To ensure Home or Hybrid Home/Office employees&rsquo; 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. In certain roles, the minimum recommended internet speed required by Humana may not be sufficient for business needs. Humana reserves the right to require associates to upgrade their internet service if necessary. Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information. Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.
 
 
 
 Scheduled Weekly Hours
 
 
 
 40
 
 
 
 Pay Range
 
 
 
 The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.
 
 
 $59,300 - $80,900 per year
 
 
 This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.
 
 
 
 Description Of Benefits
 
 
 
 Humana, Inc. and its affiliated subsidiaries (collectively, &ldquo;Humana&rdquo;) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.
 
 
 
 About Us
 
 
 
 About Humana: Humana Inc. (NYSE: HUM) is a leading U.S. healthcare company. 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 &ndash; delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare and Medicaid, families, individuals, military service personnel, and communities at large. Learn more about what we offer at Humana.com and at CenterWell.com.
 
 
 
 Equal Opportunity Employer
 
 
 
 It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.
 
 
</div>

Medical Coder Educator

<div><h1 class="jobSectionHeader">Become a part of our caring community 
</h1>
The Lead Cloud Solutions Engineer provides senior-level solutions engineering leadership for Humana's cloud-based CCaaS platforms, including Genesys Cloud and Google CX Agent Studio. This role drives implementation, integration, migration, and modernization efforts, including the Nuance Migration Project, by translating business needs into secure, scalable, and reliable technical solutions. 
The role partners across product, engineering, operations, architecture, security, compliance, and vendor teams. This partnership delivers cloud-enabled contact center capabilities aligned with Humana's modernization standards, approved design patterns, and operational expectations.This position represents a senior technical leadership role combining deep hands-on engineering expertise, architecture ownership, and cross-functional leadership. The Lead Cloud Engineer sets technical direction, defines standards, and ensures successful delivery of scalable, secure, and high-performing cloud-based customer experience platforms. The role handles highly complex challenges, influences enterprise technology strategy, and operates with broad autonomy.
The Lead Cloud Solutions Engineer is a senior hands-on technology leader within Humana's Customer Experience Center Platform ecosystem. This leader is focused on delivering practical, scalable, and secure cloud-based solutions across platforms such as Genesys Cloud and Google CX Agent Studio.
This role partners closely with product teams, engineering teams, operations, enterprise architecture, and vendor partners to translate business needs into effective technical solutions. The Lead Cloud Solutions Engineer drives solution design, implementation planning, platform integration, automation, and delivery execution while ensuring alignment with enterprise standards for security, reliability, compliance, and performance.
The role emphasizes solutions engineering, hands-on technical leadership, platform enablement, and delivery outcomes rather than enterprise architecture ownership. The Lead serves as a technical problem-solver and engineering advisor, helping teams modernize contact center capabilities, improve customer and associate experiences, and maximize the value of Humana's cloud-based CCaaS investments.<h3 class="jobSectionHeader">
Primary Responsibilities</h3><ul><li>
Lead solutions engineering and technical delivery for Humana's cloud-based Contact Center as a Service platforms, including Genesys Cloud, Google CX Agent Studio / Dialogflow CX, and related GCP services.</li><li>
Translate business, product, and operational requirements into secure, scalable, and supportable technical solutions.</li><li>
Provide hands-on technical guidance for platform configuration, application integration, API enablement, automation, testing, deployment readiness, troubleshooting, and production stabilization.</li><li>
Support major modernization and migration initiatives, including legacy platform exits and the Nuance migration, by driving technical execution and removing delivery blockers.</li><li>
Partner with product, software engineering, cloud engineering, operations, enterprise architecture, security, compliance, and vendor teams to deliver high-quality CCaaS and conversational AI capabilities.</li><li>
Lead implementation of omnichannel customer engagement solutions, including voice, chat, routing, authentication, virtual agents, automation, reporting, and analytics.</li><li>
Promote reusable engineering patterns, implementation standards, documentation, and operational best practices.</li><li>
Evaluate and pilot emerging capabilities in conversational AI, cloud-native platforms, analytics, and automation to improve customer and associate experiences.</li><li>
Ensure delivered solutions meet enterprise expectations for security, compliance, reliability, scalability, observability, performance, and cost efficiency.</li><li>
Serve as a senior technical advisor and escalation point for complex platform, integration, and production issues.</li><li>
Mentor engineers and contribute to a collaborative engineering culture focused on delivery quality, operational stability, and continuous improvement.</li></ul><h1 class="jobSectionHeader"> 

Use your skills to make an impact
 
</h1><h3 class="jobSectionHeader">Required Qualifications</h3><ul><li>
Bachelor's degree in Computer Science, Information Technology, Engineering, or a related field.</li><li>
10+ years of experience delivering complex software, cloud, SaaS, or platform-based technology solutions.</li><li>
Experience leading technical delivery for cloud, SaaS, CCaaS, customer experience, or enterprise integration platforms.</li><li>
Hands-on experience with solution implementation, application integration, APIs, cloud services, automation, testing, troubleshooting, and production support.</li><li>
Experience working with cross-functional teams, including product, engineering, operations, architecture, security, compliance, and vendor partners.</li><li>
Strong analytical, problem-solving, communication, and technical leadership skills.</li><li>
Ability to guide engineering teams, influence technical decisions, and drive delivery outcomes in a matrixed environment.</li><li>
Commitment to improving customer, member, and associate experiences through reliable and modern technology solutions.</li></ul><h2 class="jobSectionHeader">
Preferred Qualifications</h2><ul><li>
Experience with CCaaS platforms such as Genesys Cloud, NICE, Five9, Amazon Connect, or similar customer engagement platforms.</li><li>
Experience with Google CX Agent Studio, Dialogflow CX, Vertex AI, BigQuery, Cloud Run, GKE, or other GCP services.</li><li>
Experience delivering conversational AI, IVR, virtual agent, speech recognition, routing, chat, messaging, or contact center automation solutions.</li><li>
Experience integrating CCaaS platforms with enterprise systems such as Salesforce, ServiceNow, Microsoft Dynamics, identity providers, data platforms, and API gateways.</li><li>
Experience with cloud migration, platform modernization, vendor transition, or legacy platform retirement initiatives.</li><li>
Understanding of cloud security, IAM, networking, monitoring, logging, cost optimization, and operational support practices.</li><li>
Experience with Agile, SAFe, or hybrid delivery models.</li><li>
Experience creating technical documentation, implementation patterns, operational runbooks, and engineering best practices.</li><li>
Healthcare or regulated industry experience preferred.</li></ul><h3 class="jobSectionHeader">
Google Cloud Platform (GCP) &amp; Conversational AI &ndash; Preferred Skills</h3><ul><li>
Hands-on experience with Google Cloud Platform services for customer experience, contact center, conversational AI, or enterprise integration use cases.</li><li>
Experience with Google CX Agent Studio or Dialogflow CX, including agent design, conversation flows, intents, entities, fulfillment, integrations, and environment management.</li><li>
Experience with Vertex AI or other AI/ML capabilities for customer experience use cases, including model consumption, prompt-based solutions, inference, and AI-enabled automation.</li><li>
Experience using BigQuery for reporting, analytics, operational insights, conversation analysis, or large-scale data processing.</li><li>
Experience with Cloud Run, Google Kubernetes Engine, Compute Engine, or similar services for scalable application and integration deployments.</li><li>
Understanding of GCP security and operational practices, including IAM, service accounts, networking, logging, monitoring, alerting, and cost management.</li><li>
Experience integrating GCP services with CCaaS platforms, APIs, webhooks, event streams, enterprise applications, data platforms, and identity services.</li><li>
Exposure to speech recognition, text-to-speech, natural language processing, conversation analytics, sentiment analysis, and AI-driven contact center insights.</li><li>
Experience implementing observability, logging, monitoring, and troubleshooting practices for cloud-based conversational AI and contact center solutions.</li></ul>
Additional Information
Work-At-Home Requirements<ul><li>
WAH requirements: Must have the ability to provide a high speed DSL or cable modem for a home office. Associates or contractors who live and work from home in the state of California will be provided payment for their internet expense.</li><li>
A minimum standard speed for optimal performance of 25x10 (25mpbs download x 10mpbs upload) is required.</li><li>
Satellite and Wireless Internet service is NOT allowed for this role.</li><li>
A dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information</li></ul>
Work at Home Requirements To ensure Home or Hybrid Home/Office employees&rsquo; 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. In certain roles, the minimum recommended internet speed required by Humana may not be sufficient for business needs. Humana reserves the right to require associates to upgrade their internet service if necessary. Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information. Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required. 
Scheduled Weekly Hours
40
Pay Range
The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc. 

$129,300 - $177,800 per year 

This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.
Description of Benefits
Humana, Inc. and its affiliated subsidiaries (collectively, &ldquo;Humana&rdquo;) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.<h1 class="jobSectionHeader"> 
About us 
</h1>
About Humana: Humana Inc. (NYSE: HUM) is a leading U.S. healthcare company. 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 &ndash; delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare and Medicaid, families, individuals, military service personnel, and communities at large. Learn more about what we offer at Humana.com and at CenterWell.com. 
 
Equal Opportunity Employer
It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.</div>

Lead Cloud Engineer - Contact Center Technology

<div>
 
 Become a part of our caring community
 
 
 
 The Utilization Management Registered Nurse uses clinical nursing skills to interpret and support the coordination, documentation and communication of medical services and benefit administration determinations. You will report to the Manager of Utilization Management and serve as a member of the One Home/Home Solutions Utilization Management team. This team manages post-acute care services. These services include Skilled Nursing Facility (SNF), Home Health, and Durable Medical Equipment (DME). The team's goal is to ensure members receive the appropriate level of care in the most appropriate setting.
 
 
 
 As a Utilization Management Registered Nurse
 
 
 
 <ul>
 <li>
 You will use clinical nursing skills to interpret and support the coordination, documentation and communication of medical services and benefit administration determinations.
 </li>
 <li>
 Using established medical criteria, you will make determinations based on information provided by the attending physician and other care providers
 </li>
 <li>
 You will complete request determinations within established processing time frames. (i.e. 10 reviews per day?)
 </li>
 <li>
 You will communicate with providers, members, or other parties to facilitate care and treatment.
 </li>
 <li>
 You will help deliver coordinated care for our members
 </li>
 <li>
 You will understand department, segment, and organizational strategy and operating goals, including their linkages to related areas.
 
 
 </li>
 </ul>
 
 Required Qualifications
 
 
 
 
 Use your skills to make an impact
 
 
 
 <ul>
 <li>
 Must hold Compact Registered Nurse (RN) license in your state of residence
 </li>
 <li>
 Greater than one year of clinical experience as a RN in a hospital, SNF, Home Health, or acute care setting.
 </li>
 <li>
 Must be passionate about contributing to an organization focused on improving consumer experiences
 
 
 </li>
 </ul>
 
 Preferred Qualifications
 
 
 
 <ul>
 <li>
 Previous experience in utilization management/utilization review for a health plan or acute care setting
 </li>
 <li>
 Basic knowledge of medical necessity criteria such as Milliman Care Guidelines or Interqual.
 </li>
 <li>
 Experience working in a fully remote, metrics-focused role
 </li>
 <li>
 Experience as an MDS Coordinator or discharge planner in an acute care setting
 </li>
 <li>
 Experience as an RN for a Medicare Certified Home Health agency
 </li>
 <li>
 Health Plan or Medicare / Medicaid Experience
 </li>
 <li>
 Call center or triage experience
 </li>
 <li>
 BSN or bachelor's degree in a related field
 
 
 </li>
 </ul>
 Additional Information
 
 
 
 Work-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:
 
 
 <ul>
 <li>
 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.
 </li>
 <li>
 Satellite, cellular and microwave connection can be used only if approved by leadership.
 </li>
 <li>
 Employees who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense.
 </li>
 <li>
 Humana will provide Home or Hybrid Home/Office employees with telephone equipment appropriate to meet the business requirements for their position/job.
 </li>
 <li>
 Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.
 
 
 </li>
 </ul>
 Work at Home Requirements To ensure Home or Hybrid Home/Office employees&rsquo; 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. In certain roles, the minimum recommended internet speed required by Humana may not be sufficient for business needs. Humana reserves the right to require associates to upgrade their internet service if necessary. Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information. Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.
 
 
 
 Scheduled Weekly Hours
 
 
 
 40
 
 
 
 Pay Range
 
 
 
 The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.
 
 
 $71,100 - $97,800 per year
 
 
 This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.
 
 
 
 Description Of Benefits
 
 
 
 Humana, Inc. and its affiliated subsidiaries (collectively, &ldquo;Humana&rdquo;) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.
 
 
 
 About Us
 
 
 
 About Humana: Humana Inc. (NYSE: HUM) is a leading U.S. healthcare company. 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 &ndash; delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare and Medicaid, families, individuals, military service personnel, and communities at large. Learn more about what we offer at Humana.com and at CenterWell.com.
 
 
 
 Equal Opportunity Employer
 
 
 
 It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.
</div>

Utilization Management Registered Nurse

Join Humana and explore 55   exciting career opportunities. They're hiring for various roles with options for remote or on-site work. Apply today and become part of their innovative team.

Humana

About Company

Senior Applied AI Engineer

Medical Coder Educator

Medical Coder Educator

Lead Cloud Engineer - Contact Center Technology

Utilization Management Registered Nurse

Utilization Management Registered Nurse

Utilization Management Registered Nurse