Jobs / United States / Humana INC
Program Integrity Researcher
Humana INC · 🇺🇸 Remote Kentucky · Remote
Sponsorship verdict
Sponsorship possible
One solid signal, not two — worth applying, and worth asking about sponsorship early.
- Employer is on a government sponsor recordThe US Department of Labor certified 260 H-1B/E-3 labor condition applications for this employer between Oct 2025 and Jun 2026 (latest Jun 2026) — the step every H-1B hire needs first. USCIS also records 130 H-1B approvals in FY2023. Source: LCA disclosure data (US Department of Labor (OFLC)).
- The posting doesn’t mention sponsorshipSilence isn’t a refusal — ask the recruiter before investing much time.
- No salary bar for this routeH-1B has no fixed salary bar: the employer must pay at least the prevailing wage for the role and area. Cap-subject employers enter a lottery weighted by wage level. Source: https://www.federalregister.gov/documents/2025/12/29/2025-23853/weighted-selection-process-for-registrants-and-petitioners-seeking-to-file-cap-subject-h-1b, rules effective 2026-02-27.
- Confirmed live todayWhen a source last listed this job as open.
US H-1B: cap-subject employers enter a lottery weighted by wage level — Level I gets 1 entry, Level IV gets 4 (DHS projected selection odds ≈15% at Level I to ≈61% at Level IV). Universities and non-profit research employers are cap-exempt. The $100,000 fee for new petitions from abroad is currently blocked by a court order (appeal pending).
A verdict summarises public evidence; it is not legal advice and never a guarantee — the employer and the immigration authority decide. Sign in to factor in where you can already work.
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Sponsor Radar — Humana INC
The US Department of Labor certified 260 H-1B/E-3 labor condition applications for this employer between Oct 2025 and Jun 2026 (latest Jun 2026) — the step every H-1B hire needs first. USCIS also records 130 H-1B approvals in FY2023. Source: LCA disclosure data (US Department of Labor (OFLC)).
Past sponsorship or register membership never guarantees sponsorship for this vacancy or for you. Full Sponsor Radar for Humana INC →
About the role
Become a part of our caring community The Program Integrity Researcher is responsible for reviewing, documenting, and researching incoming allegations, referrals, and requests related to potential fraud, waste, and abuse. This role supports program integrity operations by creating and maintaining accurate database records, gathering relevant information through follow-up outreach, and obtaining supporting documentation such as medical records and claims data. The position requires strong attention to detail, organizational skills, and the ability to handle sensitive information professionally and confidentially. Our Government Contract Requires US Citizenship for this Position KEY ACCOUNTABILITIES 40% - Review incoming referrals and documentation to ensure all relevant details are captured in the case management system. 40% - Conduct follow-up calls to members, providers, internal partners, or other involved parties to verify information and gather additional details needed for research or case development 20% - Request and track medical records needed to support program integrity reviews and investigations. Request, obtain, and organize claims data for analysis and review. Support analysts, investigators, and leadership by preparing case information and documentation for further review Use your skills to make an impact Required Qualifications • High School Diploma • Basic Computer Knowledge • Experience Conducting Telephone Outreach and Follow-up Conversations • Strong Data Entry and Documentation Skills with High Attention to Detail • Ability to Manage Multiple Assignments and Prioritize • Organizational and Time Management Preferred Qualifications • Basic Medical Claims Experience • Experience Working with Healthcare Documentation and Databases • Experience in Program Integrity, Healthcare, Claims Review Additional Information Communication Effectively conveys information in a clear, concise, and professional manner, both verbally and in writing. Listens actively, shares relevant information with appropriate audiences, and adjusts messaging to meet the needs of different stakeholders. Builds understanding and supports collaboration through open and respectful communication. Attention to Detail Demonstrates accuracy and thoroughness in completing work. Carefully reviews information, identifies inconsistencies or errors, and ensures tasks, documentation, and processes are completed correctly and completely. Maintains a high standard of quality while following established requirements and procedures. Critical Thinking Uses logic, analysis, and sound judgment to evaluate information, solve problems, and make decisions. Identifies root causes, considers risks and alternatives, and applies facts and data to develop effective solutions. Approaches challenges thoughtfully and recommends practical next steps. Organization Effectively plans, prioritizes, and manages work to meet deadlines and achieve goals. Maintains orderly records, tracks multiple tasks efficiently, and uses time and resources productively. Demonstrates the ability to coordinate responsibilities in a structured and dependable manner. 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 pr