• Supervisor, Health Homes Care Management

    Graham Windham (Bronx, NY)
    …service. The Graham approach to Care Management is family focused and supports a strength- based system of care. Our Health Home program is structured in Care ... Teams composed of a Supervisor and five (5) Health Home Care Managers. Teams will be in the Bronx...to ensure that all health needs are being met based on assessments and provider recommendations. + Ensures that… more
    Graham Windham (06/20/25)
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  • Behavioral Health Service Provider

    OLV Human Services (Lackawanna, NY)
    …services through our Children and Family Treatment and Support Services (CTFSS) and Home and Community Based Services (HCBS) programs, empowering individuals to ... that include Behavior Health Service Provider jobs, click here: https://www.olvhs.org/hcbs-children- home -and-community- based -services Perks: + Flexible schedule + Casual… more
    OLV Human Services (06/06/25)
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  • Strategy Advancement Advisor

    Humana (Albany, NY)
    …Humana leaders as they leverage modern technology to deliver health care and insurance for patients and members. Our team operates at the evolving and mission-driven ... dynamic, fast-paced environment + Deliver executive-level presentations that frame data- based challenges, opportunities, and the strategic roadmaps to deliver… more
    Humana (07/25/25)
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  • Medicaid Senior Project Manager (Remote)

    Humana (Albany, NY)
    …skills + Strong analytical and reasoning skills + This is a work from home position that will require the possibility of travel up to 10% **Preferred ... be limited training needed for this position. **Work at Home Requirements** * To ensure Home or...posting. The pay range may be higher or lower based on geographic location and individual pay will vary… more
    Humana (08/27/25)
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  • Utilization Management Strategy Lead

    Humana (Albany, NY)
    …**Role Desirables** + Health care industry experience **Workstyle:** Remote work at Home **Location:** US **Schedule:** M-F 8:00 AM to 5:00 PM Eastern **Travel:** ... that is best for your schedule. **Remote Work at Home Guidance** To ensure Home or Hybrid...posting. The pay range may be higher or lower based on geographic location and individual pay will vary… more
    Humana (08/23/25)
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  • Wound Care Utilization Management RN

    Elevance Health (Latham, NY)
    …+ Develops coordinated collaborative care plans with all involved providers. + Reviews Home based services for clinical appropriateness of the continued care. + ... the type of wound. Identifies and monitors delivery of home - based services responds to a members total...term disability benefits, 401(k) +match, stock purchase plan, life insurance , wellness programs and financial education resources, to name… more
    Elevance Health (08/29/25)
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  • Medical Director - Medicare Grievances and Appeals…

    Humana (Albany, NY)
    …+ Medical utilization management experience, + working with health insurance organizations, hospitals and other healthcare providers, patient interaction, etc. ... Emergency Medicine, and General Surgery clinical specialists **Work at Home Guidance** To ensure Home or Hybrid...posting. The pay range may be higher or lower based on geographic location and individual pay will vary… more
    Humana (08/26/25)
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  • Principal Service Designer

    Humana (Albany, NY)
    …initiatives that span the entire service ecosystem. You'll work across insurance , digital, operations, clinical, and support teams to orchestrate experiences that ... Portfolio demonstrating strategic service design leadership and measurable impact **Work-At- Home Information** To ensure Home or Hybrid...posting. The pay range may be higher or lower based on geographic location and individual pay will vary… more
    Humana (08/23/25)
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  • Sr Compliance RCM & Coding Auditor

    Humana (Albany, NY)
    …Knowledge/understanding of laws and regulations governed by the Department of Insurance and CMS **Preferred Qualifications** + Compliance regulations knowledge and ... CMC) + Experience with metrics and reporting **Additional Information** **Work-At- Home Requirements:** To ensure Home or Hybrid...posting. The pay range may be higher or lower based on geographic location and individual pay will vary… more
    Humana (08/23/25)
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  • Senior Data Scientist

    Humana (Albany, NY)
    …at Humana is a pioneering force, driving AI innovation across our Insurance and CenterWell business segments. By collaborating with world-leading experts, we are ... the right place for you at Humana. **Work at Home Guidance** To ensure Home or Hybrid...posting. The pay range may be higher or lower based on geographic location and individual pay will vary… more
    Humana (08/16/25)
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