ZipRecruiter

Log In

1

Humana Insurance Rn Jobs (NOW HIRING)

Humana, Inc.

Nurse Medical Coder

$19.25 - $25.50/hr

Active RN license (BSN preferred) or equivalent clinical licensure * Certified Professional Coder ... Through our Humana insurance services and our CenterWell healthcare services, we make it easier for ...

Excel Nursing Services

Registered Nurse

Athol, MA · On-site

$32 - $100/hr

Health insurance * Opportunity for advancement * Paid time off * Signing bonus * Training & development * Vision insurance Registered Nurse Pay: $32.00 - $100.00 per hour Registered Nurse (RN) ...

Humana

Home Health Licensed Practical Nurse

Aventura, FL · On-site

$53K - $73K/yr

The Home Health Nursing, LPN/LVN work assignments are often straightforward and of moderate ... Through our Humana insurance services and our CenterWell healthcare services, we make it easier for ...

Humana

Home Health Licensed Practical Nurse

Aventura, FL · On-site

$53K - $73K/yr

The Home Health Nursing, LPN/LVN work assignments are often straightforward and of moderate ... Through our Humana insurance services and our CenterWell healthcare services, we make it easier for ...

Humana

Home Health Licensed Practical Nurse

Aventura, FL · On-site

$53K - $73K/yr

The Home Health Nursing, LPN/LVN work assignments are often straightforward and of moderate ... Through our Humana insurance services and our CenterWell healthcare services, we make it easier for ...

Humana, Inc.

RN, Field Care Manager

Fredericksburg, VA · On-site

$76K - $97K/yr

The RN, Field Care Manager supports achieving and/or maintaining optimal wellness by guiding ... Through our Humana insurance services and our CenterWell healthcare services, we make it easier for ...

University Health

Dialysis RN

San Antonio, TX

Dental * Pet Insurance * RN Student Loan Repayment Program. Requirements: · BSN is highly preferred. · Verification of course completion in accordance with all American Heart Association Basic ...

next page

Showing results 1-20

All JobsHumana Insurance Rn Jobs

Humana Insurance RN information

See salary details

$12

$22

$34

How much do humana insurance rn jobs pay per hour?

As of Jul 8, 2026, the average hourly pay for humana insurance rn in the United States is $22.34, according to ZipRecruiter salary data. Most workers in this role earn between $18.27 and $25.48 per hour, depending on experience, location, and employer.

What is a Humana Insurance RN job?

A Humana Insurance RN (Registered Nurse) is a nursing professional who works for Humana, a health insurance company, to provide care management, health assessments, and support for members. They may review medical claims, coordinate care, educate patients on health conditions, and work with healthcare providers to ensure appropriate treatment plans. This role typically involves telephonic or remote work, focusing on improving patient outcomes and reducing healthcare costs.

What are typical daily responsibilities for a Humana Insurance RN?

As a Humana Insurance RN, your day often involves reviewing medical records, conducting telephonic or virtual health assessments, and collaborating with members, providers, and support teams to coordinate care. You may perform utilization reviews, document clinical determinations, and assist members in understanding their benefits and healthcare options. The role requires balancing clinical judgment with insurance guidelines to ensure high-quality, cost-effective care. Additionally, you'll participate in team meetings and ongoing training to stay current with best practices and regulatory requirements.

What are the key skills and qualifications needed to thrive in the Humana Insurance Rn position, and why are they important?

To thrive as a Humana Insurance RN, you need an active RN license, strong clinical assessment abilities, and experience in case management or utilization review. Familiarity with healthcare management systems, Microsoft Office Suite, and accreditation standards such as NCQA or URAC is typically required. Excellent communication, critical thinking, and organizational skills help you effectively coordinate care with members, providers, and internal teams. These qualities are vital for ensuring accurate care recommendations, compliance with insurance protocols, and high member satisfaction.

More about Humana Insurance RN jobs
What cities are hiring for Humana Insurance Rn jobs? Cities with the most Humana Insurance Rn job openings:
What states have the most Humana Insurance Rn jobs? States with the most job openings for Humana Insurance Rn jobs include:
What job categories do people searching Humana Insurance Rn jobs look for? The top searched job categories for Humana Insurance Rn jobs are:
Humana Insurance RN jobs near you
Infographic showing various Humana Insurance Rn job openings in the United States as of July 2026, with employment types broken down into 30% Locum Tenens, 6% Internship, 20% Full Time, 4% Part Time, 39% Nights, and 1% Summer. Highlights an 79% Physical, 1% Hybrid, and 20% Remote job distribution, with an average salary of $46,461 per year, or $22.3 per hour.
Nurse Medical Coder

Nurse Medical Coder

Humana, Inc.

Remote

$19.25 - $25.50/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

This job post has expired today. Applications are no longer accepted.

Humana rating

7.9

Company rating: 7.9 out of 10

Based on 260 frontline employees who took The Breakroom Quiz

155th of 278 rated insurance

Job description

Become a part of our caring community
The Senior Market Consultation / Partnership Professional (Nurse Medical Coder) supports Clinical Support Team (CST) initiatives by promoting accurate, compliant, and complete documentation and coding practices that enhance the quality and measurement of programs across risk adjustment. Work assignments involve moderately complex to complex issues where analysis of clinical documentation, coding accuracy, and risk adjustment data requires evaluation of multiple variable factors.
Key Responsibilities
  • Perform detailed medical record reviews to ensure accurate ICD-10-CM coding, risk adjustment capture, and alignment with CMS-HCC (e.g., V24/V28) models
  • Validate diagnosis coding and ensure documentation meets compliance standards
  • Identify and escalate coding trends and documentation gaps
  • Serve as a coding subject matter expert supporting CST workflows, including PDV, chart review prioritization, and provider outreach
  • Partner with clinical and operational teams to drive coding accuracy
  • Engage and partner with physicians, physician groups, and market leadership to improve documentation and coding practices
  • Deliver targeted coder education focused on compliance, coding specificity and accuracy
  • Analyze coding trends, audit findings, and performance metrics to identify opportunities for improvement
  • Develop actionable insights and recommendations to improve coding accuracy
  • Support continuous quality improvement processes across CST and stakeholders
  • Exercise judgment in selecting methodologies and approaches to meet program objectives

Use your skills to make an impact
Required Qualifications
  • Active RN license (BSN preferred) or equivalent clinical licensure
  • Certified Professional Coder (CPC), CRC, CCS
  • Strong knowledge of ICD-10-CM coding guidelines, risk adjustment methodologies, and documentation standards
  • Experience with medical record review, coding validation, and audit processes
  • Proficiency in analyzing and interpreting data trends and applying continuous quality improvement processes
  • Excellent written and verbal communication skills
  • Strong proficiency in Microsoft Office tools (Word, Excel, Access)
  • Demonstrated ability to work independently and manage multiple priorities

Preferred Qualifications
  • Experience in Medicare Advantage risk adjustment (CMS-HCC models)
  • Background in provider education, clinical documentation improvement (CDI), or market-based consulting
  • Experience working in a matrixed environment supporting cross-functional teams

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.
$86,300 - $118,700 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, "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, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.
Application Deadline: 07-05-2026
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 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.

What Humana employees say

Pay

Benefits

Hours and flexibility

Workplace

Get the full story on Breakroom

Humana logo

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

FacebookTwitter

View All Humana Jobs

Apply