• Sr Compliance RCM & Coding Auditor

    Humana (Atlanta, GA)
    ** Become a part of our caring community and help us put health first** CenterWell Senior Primary Care (PCO) is a growing provider organization that currently ... (CPC, CRC, and/or CMC) + Experience with metrics and reporting **Additional Information** **Work-At- Home Requirements:** To ensure Home or Hybrid Home /Office… more
    Humana (08/23/25)
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  • Formulary and Medical Strategies Senior…

    Humana (Atlanta, GA)
    ** Become a part of our caring community and help us...a time that is best for your schedule. **Work at home requirements:** To ensure Home or Hybrid ... ability to work effectively, the self-provided internet service of Home or Hybrid Home /Office employees must meet...upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. Satellite, cellular and… more
    Humana (08/20/25)
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  • Medical Director - Medicare Grievances and Appeals…

    Humana (Atlanta, GA)
    ** Become a part of our caring community and...and other healthcare providers, patient interaction, etc. **Work at Home Guidance** To ensure Home or Hybrid ... ability to work effectively, the self-provided internet service of Home or Hybrid Home /Office associates must meet...upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is suggested + Satellite, cellular… more
    Humana (08/08/25)
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  • Program Lead, Patient Service Advisor Program

    CenterWell (Atlanta, GA)
    ** Become a part of our caring community and help us put health first** **Overview** The Program Lead will be responsible for managing the Patient Service Advisor ... and Leadership Workshops as needed. **Additional Information** To ensure Home or Hybrid Home /Office employees' ability to...upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. Satellite, cellular and… more
    CenterWell (07/30/25)
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  • Stars Program Delivery Lead - HEDIS Controlling…

    Humana (Atlanta, GA)
    ** Become a part of our caring community and help us put health first** Health Quality and Stars (HQS) is an organization that is responsible for improving health ... determine course of action: + Ability to make recommendations based on reporting and monitoring by contract, region, provider...time that is best for your schedule. To ensure Home or Hybrid Home /Office employees' ability to… more
    Humana (09/03/25)
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  • Staff Utilization Management Pharmacist

    Humana (Atlanta, GA)
    ** Become a part of our caring community and help us put health first** The Staff Utilization Management Pharmacist is a clinical expert responsible for conducting ... This role involves evaluating complex clinical scenarios and applying evidence- based criteria to ensure appropriate medication use. The pharmacist addresses… more
    Humana (08/27/25)
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  • Technology Strategy Lead

    Humana (Atlanta, GA)
    ** Become a part of our caring community and help us put health first** The Enterprise AI organization at Humana is a pioneering force, driving AI innovation across ... in the AI/GAI space + Prioritize areas to implement, based on deep understanding of opportunities and challenges at...time that is best for your schedule. To ensure Home or Hybrid Home /Office employees' ability to… more
    Humana (08/27/25)
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  • Associate Director, AI Engineering

    Humana (Atlanta, GA)
    ** Become a part of our caring community and help us put health first** We're looking for an experienced and passionate Associate Director of AI Engineering to lead a ... proxy/gateways, observability, etc.). + Contribute to drive the team roadmap based on company-wide agentic AI initiatives, balancing near-term needs with long-term… more
    Humana (08/27/25)
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  • Medicaid Quality Testing Engineer

    Humana (Atlanta, GA)
    ** Become a part of our caring community and help us...a time that is best for your schedule. 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...upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. Satellite, cellular and… more
    Humana (09/03/25)
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  • Program Delivery Lead/Stars Market Member…

    Humana (Atlanta, GA)
    ** Become a part of our caring community and help us...a time that is best for your schedule. 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...upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. Satellite, cellular and… more
    Humana (09/03/25)
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