- Humana (Tallahassee, FL)
- …to execute existing and new state implementations to include solving for business issues and/or opportunities related to monitoring DSNP encounter submissions ... and payments. They will be responsible for the creation of process flows and will write...and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and… more
- Humana (Tallahassee, FL)
- …caring community and help us put health first** The Principal Enterprise Architect for Infrastructure, Networking, and Security plays a pivotal role in guiding the ... organization's technical strategy. This role ensures that the architecture and roadmap for these foundational capabilities are aligned with the evolving needs of the… more
- Humana (Tallahassee, FL)
- …provides actuarial support across a broad range of actuarial and business needs for Medicaid product lines. The Actuary works on problems of diverse scope and ... from moderate to substantial. The Medicaid Pricing Actuary may be responsible for any combination of capitation rate review, drafting rate advocacy communications,… more
- Humana (Tallahassee, FL)
- …3 assists in ensuring TRICARE beneficiaries receive the highest quality health care for Autism Spectrum Disorder (ASD) related services in accordance with the Autism ... and resources; monitor activated & non-activated referral reports to prioritize beneficiaries for outreach; and direct incoming phone calls to the appropriate ASN to… more
- Humana (Tallahassee, FL)
- …of the Medicaid and Duals lines of business. This is a unique opportunity for a motivated individual to influence the mission of a leading healthcare company ... purpose is to develop new benefits and wellness programs for members in our Medicaid and Duals health plans....and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and… more
- CenterWell (Callahan, FL)
- …decisions on moderately complex to complex issues regarding technical approach for project components, and work is performed without direction. Exercises ... care. . Follows level of medical care and quality for patients and monitors care using available data and...and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and… more
- CenterWell (Tallahassee, FL)
- …and/or within established policies/practices and guidelines with minimal opportunity for deviation. In our CenterWell Specialty Pharmacy (CWSPC) department, we ... as an inbound call center dedicated to managing specialty medication needs for our members. Our primary responsibilities include scheduling the delivery of specialty… more
- Humana (Tallahassee, FL)
- …are typically focus on interpretation of area/department policy and methods for completing assignments. Works within defined parameters to identify work expectations ... works under minimal direction. Follows standard policies/practices that allow for some opportunity for interpretation/deviation and/or independent discretion.… more
- Humana (Tallahassee, FL)
- …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 team ... building the agentic AI capabilities and solutions. This role is ideal for a hands-on technical leader who understands the complexities of building production-ready… more
- Humana (Tallahassee, FL)
- …issues and opportunities. Provides business intelligence and strategic planning support for business segments or the company at large. The Strategy Advancement ... issues and opportunities. Provides business intelligence and strategic planning support for the Enterprise Growth vertical. The Strategy Advisor's work involves… more