Healthcare Jobs at Humana with Visa Sponsorship
Healthcare roles at Humana span clinical operations, health plan administration, and care management across a large, established managed care organization. Humana has a consistent track record of sponsoring international workers in this function, making it a realistic target for visa-dependent candidates with healthcare backgrounds.
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As a Senior Network Performance Professional at Humana, you will play a pivotal role in enhancing provider performance and advancing Humana's mission to deliver high-quality healthcare. You will work with providers to improve their STARs ratings and overall performance through strategic initiatives and strong relationship-building. This role offers a unique opportunity to leverage your expertise in healthcare provider relations to influence operational decisions and support the overall success of the organization. You will operate with a high degree of independence, often determining methods/approach to work and establishing own work priorities and timelines. Your work consists of tasks that are moderately complex, requiring minimal instructions to achieve solutions. You may provide coaching and/or review the work of lower-level associates. You will make decisions on moderately complex issues; exercises discretion and judgment over policies and own approach/priorities. Your work impacts the achievement of results for the department and begins to influence the department's strategy.
Key Responsibilities:
- Provider Collaboration: Work with providers to define and advance their goals related to interoperability, quality, value-based arrangements, and risk adjustment strategies. Recommend execution strategies and monitor performance toward these goals.
- Stars/Quality Program Expertise: Serve as an expert on the Stars/Quality program, educating physician groups on HEDIS, patient safety, and patient experience. Collaborate to develop tailored action plans and communicate actionable insights to improve performance.
- Performance Improvement: Actively monitor and analyze provider performance data to identify areas for improvement. Implement strategies to enhance outcomes and provide ongoing support and guidance to providers.
- Resource Liaison: Act as a liaison for providers to access Humana resources, educating and encouraging providers on the use of self-serve tools. Facilitate communication between providers and internal teams to ensure seamless access to necessary resources and support.
- Reward Programs: Educate provider groups on reward programs and target metrics, collaborating to achieve established goals. Monitor and report on the effectiveness of reward programs, making recommendations for enhancements as needed.
- Provider Abrasion Resolution: Resolve provider abrasion issues effectively, ensuring a positive and collaborative relationship between Humana and its providers. Implement strategies to minimize provider abrasion and enhance overall satisfaction.
- Internal Collaboration: Partner with internal teams to track and report on market performance, ensuring alignment with organizational goals. Collaborate with cross-functional teams to drive initiatives that support provider performance.
Use your skills to make an impact
Required Qualifications
- Bachelor's degree in business, finance, health care/administration, nursing (BSN), or a related field, or equivalent work experience.
- Experience with Medicare Risk Adjustment and/or medical coding.
- Experience with Medicare and/or managed care.
- Understanding of NCQA HEDIS measures, PQA Measures, CMS Star Rating System, and CAHPS/HOS survey system.
- Ability to drive interoperability and understanding of Consumer/Patient Experience.
- Proven experience building relationships with physician groups and influencing execution of recommended strategies.
- Strong communication and presentation skills, both verbal and written, with experience presenting to internal and external customers, including high-level leadership.
- Focus on process and quality improvement, with an understanding of metrics, trends, and the ability to identify gaps in care.
- Comprehensive knowledge of Microsoft Office Word, Excel, and PowerPoint.
- Candidates must live in WA or OR.
- Willingness to travel a minimum of 25% within region.
- Must be able to work during 8:00 a.m. – 5:00 p.m. Monday – Friday according to Pacific (PST) or Mountain (MST) time zones.
Additional Information
Work At Home / Internet Statement:
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.
- Satellite, cellular and microwave connection can be used only if approved by leadership.
- 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.
- Humana will provide Home or Hybrid Home/Office employees with telephone equipment appropriate to meet the business requirements for their position/job.
- Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.
SSN Alert Statement: Humana values personal identity protection. Please be aware that applicants may be asked to provide their Social Security Number, if it is not already on file. When required, an email will be sent from Humana@myworkday.com with instructions on how to add the information into your official application on Humana’s secure website.
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.
$78,400 - $107,800 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, “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.
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.
Become a part of our caring community
As a Senior Network Performance Professional at Humana, you will play a pivotal role in enhancing provider performance and advancing Humana's mission to deliver high-quality healthcare. You will work with providers to improve their STARs ratings and overall performance through strategic initiatives and strong relationship-building. This role offers a unique opportunity to leverage your expertise in healthcare provider relations to influence operational decisions and support the overall success of the organization. You will operate with a high degree of independence, often determining methods/approach to work and establishing own work priorities and timelines. Your work consists of tasks that are moderately complex, requiring minimal instructions to achieve solutions. You may provide coaching and/or review the work of lower-level associates. You will make decisions on moderately complex issues; exercises discretion and judgment over policies and own approach/priorities. Your work impacts the achievement of results for the department and begins to influence the department's strategy.
Key Responsibilities:
- Provider Collaboration: Work with providers to define and advance their goals related to interoperability, quality, value-based arrangements, and risk adjustment strategies. Recommend execution strategies and monitor performance toward these goals.
- Stars/Quality Program Expertise: Serve as an expert on the Stars/Quality program, educating physician groups on HEDIS, patient safety, and patient experience. Collaborate to develop tailored action plans and communicate actionable insights to improve performance.
- Performance Improvement: Actively monitor and analyze provider performance data to identify areas for improvement. Implement strategies to enhance outcomes and provide ongoing support and guidance to providers.
- Resource Liaison: Act as a liaison for providers to access Humana resources, educating and encouraging providers on the use of self-serve tools. Facilitate communication between providers and internal teams to ensure seamless access to necessary resources and support.
- Reward Programs: Educate provider groups on reward programs and target metrics, collaborating to achieve established goals. Monitor and report on the effectiveness of reward programs, making recommendations for enhancements as needed.
- Provider Abrasion Resolution: Resolve provider abrasion issues effectively, ensuring a positive and collaborative relationship between Humana and its providers. Implement strategies to minimize provider abrasion and enhance overall satisfaction.
- Internal Collaboration: Partner with internal teams to track and report on market performance, ensuring alignment with organizational goals. Collaborate with cross-functional teams to drive initiatives that support provider performance.
Use your skills to make an impact
Required Qualifications
- Bachelor's degree in business, finance, health care/administration, nursing (BSN), or a related field, or equivalent work experience.
- Experience with Medicare Risk Adjustment and/or medical coding.
- Experience with Medicare and/or managed care.
- Understanding of NCQA HEDIS measures, PQA Measures, CMS Star Rating System, and CAHPS/HOS survey system.
- Ability to drive interoperability and understanding of Consumer/Patient Experience.
- Proven experience building relationships with physician groups and influencing execution of recommended strategies.
- Strong communication and presentation skills, both verbal and written, with experience presenting to internal and external customers, including high-level leadership.
- Focus on process and quality improvement, with an understanding of metrics, trends, and the ability to identify gaps in care.
- Comprehensive knowledge of Microsoft Office Word, Excel, and PowerPoint.
- Candidates must live in WA or OR.
- Willingness to travel a minimum of 25% within region.
- Must be able to work during 8:00 a.m. – 5:00 p.m. Monday – Friday according to Pacific (PST) or Mountain (MST) time zones.
Additional Information
Work At Home / Internet Statement:
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.
- Satellite, cellular and microwave connection can be used only if approved by leadership.
- 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.
- Humana will provide Home or Hybrid Home/Office employees with telephone equipment appropriate to meet the business requirements for their position/job.
- Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.
SSN Alert Statement: Humana values personal identity protection. Please be aware that applicants may be asked to provide their Social Security Number, if it is not already on file. When required, an email will be sent from Humana@myworkday.com with instructions on how to add the information into your official application on Humana’s secure website.
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.
$78,400 - $107,800 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, “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.
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.
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Get Access To All JobsTips for Finding Healthcare Jobs at Humana Jobs
Align your credentials to U.S. standards early
Healthcare roles at Humana often require U.S.-recognized licensure or certifications. If you hold foreign credentials, get them evaluated through a NACES-approved body before applying so hiring managers aren't encountering that question for the first time mid-process.
Target roles tied to Humana's core business
Humana's sponsorship activity concentrates in health plan operations, utilization management, and clinical quality roles. Applying to positions directly supporting Medicare Advantage or Medicaid lines of business puts you where the highest hiring demand sits within this organization.
Search open Healthcare roles on Migrate Mate
Filter by Humana on Migrate Mate to see which Healthcare positions are actively listed alongside sponsorship signals. This cuts out the guesswork of cold-applying to roles where sponsorship eligibility isn't stated upfront.
Clarify TN eligibility before your offer stage
Canadian and Mexican nationals targeting clinical or health services roles at Humana should confirm their specific job title maps to a qualifying TN occupation category under USMCA before negotiations begin. The title on your offer letter matters to the border officer.
Ask about OPT STEM extension viability in interviews
F-1 OPT holders in healthcare informatics, health data analytics, or similar fields should ask Humana's talent team early whether the role is classified under a STEM-designated SOC code. This determines whether you can extend your work authorization window while USCIS processes an H-1B.
Prepare for PERM timing if you're thinking long-term
Green Card pathways through EB-2 or EB-3 require Humana to run a PERM labor certification with DOL before filing your immigrant petition. In healthcare, this process can take a year or more, so raising long-term sponsorship intentions early in offer discussions is practical, not presumptuous.
Healthcare at Humana jobs are hiring across the US. Find yours.
Find Healthcare at Humana JobsFrequently Asked Questions
Does Humana sponsor H-1B visas for Healthcares?
Yes, Humana sponsors H-1B visas for Healthcare roles. The company has an established sponsorship process across clinical operations, health plan administration, and care management positions. Sponsorship is typically handled through Humana's in-house HR and legal teams, though not every open role is automatically eligible, so confirming sponsorship availability before applying saves time for both parties.
Which visa types does Humana commonly use for Healthcare roles?
Humana sponsors multiple visa types for Healthcare positions, including H-1B, F-1 OPT and CPT, TN, J-1, and immigrant visa categories EB-2 and EB-3. The right category depends on your nationality, degree field, and role classification. Clinical and health informatics roles tend to align with H-1B, while Canadian and Mexican nationals often use TN status for qualifying healthcare occupations.
What qualifications does Humana expect for sponsored Healthcare positions?
Humana typically expects a relevant bachelor's degree at minimum for sponsored Healthcare roles, with graduate-level credentials preferred for clinical, analytical, or management positions. U.S.-recognized licensure is required for any licensed clinical function. Roles in health data, utilization management, and quality often prioritize experience with Medicare or Medicaid programs, which Humana runs at scale across its managed care operations.
How do I apply for Healthcare jobs at Humana?
Start by searching Healthcare openings at Humana on Migrate Mate, which surfaces roles where visa sponsorship is a realistic option. From there, apply directly through Humana's careers portal. Tailor your application to the specific business unit, whether that's Medicare Advantage, Medicaid, or clinical services, and make your visa situation clear in your cover materials so recruiters can route you correctly from the first touchpoint.
How do I think about timing when targeting a sponsored Healthcare role at Humana?
H-1B cap-subject petitions must be filed in April for an October 1 start date, so Humana would need to complete your hiring process by February or March at the latest to file on your behalf. If you're on OPT with an expiring authorization date, build backward from that deadline and flag it to your recruiter early. USCIS premium processing, currently available for H-1B, can compress the approval window to a few weeks if timing is tight.
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