- Humana (Tallahassee, FL)
- …will identify complex errors and problems within the encounter process between Humana and CMS and Duals Medicaid using data analysis, claims research, and ... Microsoft SQL or SAS + 1 + year of Edifecs, eHub and Humana image view station, associate Remittance Inquiry and CMS.gov enterprise portal **Additional Information**… more
- Humana (Tallahassee, FL)
- …responsible for prioritizing and overseeing the development team's work and making sure Humana derives as much value as possible from product outcomes. Focuses on ... will be provided a bi-weekly payment for their internet expense. * Humana will provide Home or Hybrid Home/Office associates with telephone equipment appropriate… more
- Humana (Tallahassee, FL)
- …including Departments of Insurance and Secretaries of State, on behalf of Humana and its subsidiaries, and drafts documentation and maintains corporate records for ... interacts with directors and senior officers. + Routinely collaborates with key Humana business segments to support the Company's strategic initiatives and to… more
- Humana (Tallahassee, FL)
- **Become a part of our caring community and help us put health first** Humana Healthy Horizons in Indiana is seeking a Senior Quality Improvement Professional who ... Quality Assurance and Performance Improvement Program for Indiana Pathways Program/ Humana Medicaid including annual program description, work plan, annual… more
- Humana (Tallahassee, FL)
- …+ Utilize MCG criteria to perform acute concurrent front-end reviews on Humana members to determine medical necessity + Coordinates and communicates with providers, ... provided a bi-weekly payment for their internet expense + Humana will provide Home or Hybrid Home/Office associates with...moving forward to next round of interviews. **SSN Format** Humana values personal identity protection. Please be aware that… more
- Humana (Tallahassee, FL)
- …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 ... is based upon company and/or individual performance. **Description of Benefits** Humana , Inc. and its affiliated subsidiaries (collectively, ' Humana ') offers… more
- Humana (Tallahassee, FL)
- …concentration in Business, Finance, or Communications + Background or familiarity with Humana strategy and operation **Scheduled Weekly Hours** 40 **Pay Range** The ... is based upon company and/or individual performance. **Description of Benefits** Humana , Inc. and its affiliated subsidiaries (collectively, ' Humana ') offers… more
- Humana (Tallahassee, FL)
- …to support regional market priorities, which may include an understanding of Humana processes, as well as a focus on collaborative business relationships, value ... healthcare professionals are in agreement with national guidelines, CMS requirements, Humana policies, clinical standards, and (in some cases) contracts. The ideal… more
- Humana (Tallahassee, FL)
- …that focuses on the well-being of their customers? Come be a part of Humana 's Member Calls Organization! Our Call Center Representatives have a passion for assisting ... position for a period of twelve (12) months before applying to other Humana opportunities.** **Work Hours Following 7 Week Training Period** + **Following training,… more
- Humana (Tallahassee, FL)
- …physician, hospital, and/or other provider contracts and agreements for Humana 's Behavioral Health organization. The Provider Contracting Professional 2 work ... minimal direction and receives guidance where needed. Follows established guidelines/procedures. Humana offers a variety of benefits to promote the best health… more
- Humana (Tallahassee, FL)
- …healthcare professionals are in agreement with national guidelines, CMS requirements, Humana policies, clinical standards, and (in some cases) contracts. This is ... education, certifications, etc.$199,400 - $274,400 per year **Description of Benefits** Humana , Inc. and its affiliated subsidiaries (collectively, ' Humana ')… more
- Humana (Tallahassee, FL)
- …is based upon company and/or individual performance. **Description of Benefits** Humana , Inc. and its affiliated subsidiaries (collectively, ' Humana ') offers ... 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… more
- Humana (Tallahassee, FL)
- …like SQL Server, Power BI, and SSRS. This role will support Humana 's Clinical Pharmacy Review (HCPR) function. The role's responsibility will include compliance ... around new data projects. Successful candidate will be expected to learn Humana 's HCPR business and the data that supports it. Prior pharmacy experience,… more
- Humana (Tallahassee, FL)
- …will be provided a bi-weekly payment for their internet expense. + Humana will provide Home or Hybrid Home/Office associates with telephone equipment appropriate ... is based upon company and/or individual performance. **Description of Benefits** Humana , Inc. and its affiliated subsidiaries (collectively, ' Humana ') offers… more
- Humana (Tallahassee, FL)
- …education, certifications, etc.$31,200 - $85,100 per year **Description of Benefits** Humana , Inc. and its affiliated subsidiaries (collectively, ' Humana ') ... which are designed to support whole-person well-being. Among these benefits, Humana provides paid time off, 401(k) retirement savings plan, employee assistance… more
- Humana (Tallahassee, FL)
- …+ Experience with mainframe deployment tools and methodologies. **Additional Information** **Why Humana ** Humana offers a variety of benefits to promote the ... be provided a bi-weekly payment for their internet expense. Humana will provide Home or Hybrid Home/Office employees with...that is best for your schedule. **Social Security Task** Humana values personal identity protection. Please be aware that… more
- Humana (Tallahassee, FL)
- …opportunity to work closely with strategy partners and clinicians to shape Humana 's enterprise clinical strategies and initiatives. The Research Scientist 2 applies ... is based upon company and/or individual performance. **Description of Benefits** Humana , Inc. and its affiliated subsidiaries (collectively, ' Humana ') offers… more
- Humana (Tallahassee, FL)
- …action. As Actuary on the Unit Cost Analysis and Management team within Humana 's Provider Analytics organization, you will enable sustainable growth and support ... Humana 's Health First purpose by executing and enhancing unit...based upon company and/or individual performance. **Description of Benefits** Humana , Inc. and its affiliated subsidiaries (collectively, ' Humana… more
- Humana (Tallahassee, FL)
- …analysis of situations or data requires an in-depth evaluation of variable factors. Humana MarketPoint is seeking a Senior Compliance Professional with a focus on ... be responsible for ensuring marketing materials are compliant and meet not only Humana policies and procedures but also State and Federal rules and regulations,… more
- Humana (Tallahassee, FL)
- …requested to participate in onsite market meetings as business needs. **Alert:** Humana values personal identity protection. Please be aware that applicants may be ... to add the information into your official application on Humana 's secure website. **Interview Format: HireVue** As part of...be provided a bi-weekly payment for their internet expense. Humana will provide Home or Hybrid Home/Office employees with… more
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