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Humana Government Business Jobs (NOW HIRING)

Humana

Records Retrieval Specialist

Carlisle, PA · Remote

$40K - $52K/yr

... CMS) and other government agencies. This is a remote role with field-based responsibility ... for business needs. Humana reserves the right to require associates to upgrade their internet ...

Humana

Records Retrieval Specialist

Lancaster, PA · Remote

$40K - $52K/yr

... CMS) and other government agencies. This is a remote role with field-based responsibility ... for business needs. Humana reserves the right to require associates to upgrade their internet ...

Humana

Records Retrieval Specialist

York, PA · Remote

$40K - $52K/yr

... CMS) and other government agencies. This is a remote role with field-based responsibility ... for business needs. Humana reserves the right to require associates to upgrade their internet ...

Humana

Records Retrieval Specialist

Harrisburg, PA · Remote

$40K - $52K/yr

... CMS) and other government agencies. This is a remote role with field-based responsibility ... for business needs. Humana reserves the right to require associates to upgrade their internet ...

Humana

Records Retrieval Specialist

York, PA · Remote

$40K - $52K/yr

... CMS) and other government agencies. This is a remote role with field-based responsibility ... for business needs. Humana reserves the right to require associates to upgrade their internet ...

Humana

Records Retrieval Specialist

York, PA · Remote

$40K - $52K/yr

... CMS) and other government agencies. This is a remote role with field-based responsibility ... for business needs. Humana reserves the right to require associates to upgrade their internet ...

Humana

Medicare Sales Field Agent

Montgomery, AL · On-site

... Federal Government. * Alert: Humana values personal identity protection. Please be aware that ... for business needs. Humana reserves the right to require associates to upgrade their internet ...

Humana

Medicare Sales Field Agent

Montgomery, AL

$31K - $123K/yr

... Federal Government. * Alert: Humana values personal identity protection. Please be aware that ... for business needs. Humana reserves the right to require associates to upgrade their internet ...

Humana

Medicare Sales Field Agent

Montgomery, AL

... Federal Government. * Alert: Humana values personal identity protection. Please be aware that ... for business needs. Humana reserves the right to require associates to upgrade their internet ...

Humana

Medicare Sales Field Agent

Jackson, MS

$28K - $119K/yr

... Federal Government. * Alert: Humana values personal identity protection. Please be aware that ... for business needs. Humana reserves the right to require associates to upgrade their internet ...

Humana

Care Management Support Assistant

Knowledge of payer policies, insurance companies and government health programs. * Possess an ... for business needs. Humana reserves the right to require associates to upgrade their internet ...

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Humana Government Business information

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$41K

$84.1K

$151K

How much do humana government business jobs pay per year?

As of Aug 21, 2026, the average yearly pay for humana government business in the United States is $84,057.00, according to ZipRecruiter salary data. Most workers in this role earn between $55,000.00 and $97,000.00 per year, depending on experience, location, and employer.

What is Humana Government Business?

Humana Government Business is a division of Humana Inc. that specializes in providing healthcare services and insurance solutions to government programs, primarily focusing on military and federal health plans such as TRICARE. The division manages administrative services, provider networks, and customer support for beneficiaries of these programs. Humana Government Business works closely with federal agencies to ensure quality healthcare access and compliance with government regulations. This includes supporting active duty military members, retirees, and their families with comprehensive health benefits.

How does a professional in Humana Government Business typically collaborate with other departments to ensure compliance with government regulations?

Professionals working in Humana Government Business frequently collaborate with compliance, legal, and clinical teams to ensure that all processes and member services adhere to federal and state regulations. This often involves attending cross-functional meetings, sharing updates on regulatory changes, and working together to develop procedures that align with government requirements. Effective communication and teamwork are essential, as regulatory environments can change rapidly and require coordinated responses across departments. This collaboration not only helps maintain compliance but also supports quality service delivery to members.

What are the key skills and qualifications needed to thrive in a Humana Government Business role, and why are they important?

To thrive in a Humana Government Business role, candidates typically need a background in healthcare administration, knowledge of government insurance programs like TRICARE, and experience with regulatory compliance. Familiarity with healthcare management systems, claims processing platforms, and certifications such as Certified Professional Coder (CPC) or Certified Case Manager (CCM) are often valuable. Strong analytical thinking, attention to detail, and effective communication skills make professionals stand out in this environment. These competencies ensure accurate program administration, regulatory adherence, and high-quality service for government-insured populations.

What is the difference between Humana Government Business vs Humana Commercial Business?

AspectHumana Government BusinessHumana Commercial Business
Work EnvironmentFocuses on government contracts, federal and state programsServes individual and employer health plans in the private sector
Required CredentialsLikely requires knowledge of government healthcare regulations, certifications like Medicare/Medicaid trainingRequires health insurance licensing, sales certifications
Employer & Industry UsagePart of Humana's division dedicated to government programsPart of Humana's division serving private sector clients

Humana Government Business primarily handles government healthcare programs like Medicare and Medicaid, requiring specific regulatory knowledge. In contrast, Humana Commercial Business focuses on private health insurance plans for individuals and employers. Both roles involve health insurance expertise but differ in their target markets and regulatory environments.

More about Humana Government Business jobs

What cities are hiring for Humana Government Business jobs?

Cities with the most Humana Government Business job openings:

What states have the most Humana Government Business jobs?

States with the most job openings for Humana Government Business jobs include:

What job categories do people searching Humana Government Business jobs look for?

The top searched job categories for Humana Government Business jobs are:

Humana Government Business jobs near you
Infographic showing various Humana Government Business job openings in the United States as of August 2026, with employment types broken down into 84% Full Time, 13% Part Time, and 3% Contract. Highlights an 89% Physical, 3% Hybrid, and 8% Remote job distribution, with an average salary of $84,057 per year, or $40.4 per hour.

Records Retrieval Specialist

Humana

Carlisle, PA • Remote

$40K - $52K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 14 days ago

Humana rating

8.0

Company rating: 8.0 out of 10

Based on 266 frontline employees who took The Breakroom Quiz

166th of 311 rated insurance

Job description

Become a part of our caring community
The Medical Records Retrieval Specialist conducts quality assurance audits of medical records and ICD 9/10 diagnosis codes submitted to the Centers for Medicare and Medicaid Services (CMS) and other government agencies. This is a remote role with field-based responsibility, requiring travel to provider offices to retrieve, review, and validate medical records on site in Pennsylvania and its surrounding counties, reporting directly to the Risk Adjustment Supervisor.

As the Medical Records Retrieval Specialist (Risk Adjustment Representative 2) you will:

  • Collect medical records and conduct research to ensure accuracy of member information and obtain provider signatures.
  • Travel will consist of driving to locations close to your home in an assigned territory and other areas as needed. Overnight travel may be required within the Northeast region on occasion.
  • Collaborate with provider offices through phone calls and visits.
  • Use multiple EMR systems to access records following all HIPAA guidelines.
  • Use a laptop computer, portable scanner, and external thumb drive to retrieve medical records which will be uploaded into a database.
  • Schedule appointments and visits to physician offices in a timely, efficient manner to meet all deadlines.
  • Will assist with regional phone calls and administrative projects.

Use your skills to make an impact

Scheduled Hours:

  • The normal business hours for this position are Monday - Friday from 8:00 am - 5:00 pm EST.
  • Occasional schedule flexibility may be required to support business needs.

Travel Requirements:

  • Reside in South Central PA within the counties of: Adams, Cumberland, Dauphin, Franklin, Lancaster, Lebanon, Perry or York.
  • Must be available to travel up to 100% in assigned territory and occasionally stay overnight, as needed.
  • Must have reliable car transportation.

Required Qualifications

  • 1 or more years of experience working with various Electronic Medical Records (EMR) systems.
  • 1 or more years of experience in a hospital and/or provider setting.
  • Ability to travel overnight occasionally within the region (Northeast).
  • This role is part of Humana's Driver safety program and therefore requires an individual to have a valid state driver's license and proof of personal vehicle liability insurance with at least 100/300/100 limits.

Preferred Qualifications

  • Experience using Microsoft 365 and associated applications including Word, Excel, and Teams.
  • Previous experience in a managed care setting.
  • Familiarity with medical terminology and/or ICD-10 codes.
  • Medical record retrieval experience.
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. 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.


$40,000 - $52,300 per year


Description of Benefits

Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") 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 - 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 atHumana.comand atCenterWell.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.

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About Humana

Sourced by ZipRecruiter

Humana Inc., headquartered in Louisville, KY., is a leading health care company that offers a wide range of insurance products and health and wellness services that incorporate an integrated approach to lifelong well-being. By leveraging the strengths of its core businesses, Humana believes it can better explore opportunities for existing and emerging adjacencies in health care that can further enhance wellness opportunities for the millions of people across the nation with whom the company has relationships.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Louisville, KY, US

Year founded

1961

Social media

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