Humana
2 open remote positions
Salary Distribution (2 of 2 jobs with salary data)
β¨ Benefits Overview (2 of 2 jobs list additional benefits)
Address client concerns and denials as a Grievances & Appeals Representative on Humanaβs Internal Review Team. Perform thorough reviews of clinical documentation to assess the justification of grievances, appeals, or additional requests. Provide final determinations using expertise and collaboration with clinical and Humana teams, directly supporting Humanaβs commitment to high-quality service.
Drives continuous improvement and operational excellence across all procurement functions, focusing on enhancing procurement policies, processes, governance, and compliance to improve efficiency, reduce risk, and ensure regulatory adherence. Leads transformation initiatives, performance monitoring, and change management delivering strategic value and strengthen procurement capabilities.