• UM Behavioral Health Professional

    Humana (Tallahassee, FL)
    …skills to support the coordination, documentation, and communication of medical services and/or benefit administration determinations. The Utilization Management ... documents in Spanish **Additional Information** **Workstyle:** Remote Work at Home **Location:** US - Must have an active Kentucky...posting. The pay range may be higher or lower based on geographic location and individual pay will vary… more
    Humana (09/04/25)
    - Related Jobs
  • Utilization Management Strategy Lead

    Humana (Tallahassee, FL)
    …Lead will analyze complex problems and issues related to member care and medical cost. This role is highly collaborative and will work closely with associates ... + Health care industry experience **Workstyle:** Remote work at Home **Location:** US **Schedule:** M-F 8:00 AM to 5:00...posting. The pay range may be higher or lower based on geographic location and individual pay will vary… more
    Humana (08/23/25)
    - Related Jobs
  • Compliance UM Coordinator

    Humana (Tallahassee, FL)
    …determinations to healthcare members and providers. + Comprehensive knowledge of medical terminology, ICD10, CPT4, and/or HCPC codes + Comprehensive knowledge of ... Knowledge of Medicaid Utilization Management + Certified Nurse Assistant or Medical Assistant background **Additional Information** **Workstyle:** Remote work at … more
    Humana (09/04/25)
    - Related Jobs
  • PRN MSW

    HCA Healthcare (Fort Myers, FL)
    …organization that invests in you as a(an) PRN MSW? At HCA Florida Healthcare at Home , you come first. HCA Healthcare has committed up to $300 million in programs to ... course of three years. **Benefits** HCA Florida Healthcare at Home , offers a total rewards package that supports the...colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no… more
    HCA Healthcare (06/21/25)
    - Related Jobs
  • CenterWell Strategy & Operations Senior Consultant

    Humana (Tallahassee, FL)
    …help us put health first** The CenterWell Strategy Senior Consultant provides data- based strategic direction to support broader team and identify and address ... CenterWell leadership and senior leaders across our Primary Care, Home , and Pharmacy businesses to advance delivery of personalized...posting. The pay range may be higher or lower based on geographic location and individual pay will vary… more
    Humana (09/04/25)
    - Related Jobs
  • Senior Product Owner - Telephony

    CenterWell (Tallahassee, FL)
    …+ Superuser experience with leading EMR vendor + Superuser experience with cloud based telephony solution, including knowledge of FCC, CTIA TCPA, GDPR, and DNC ... Estimated travel 25% annually to PCO markets **Work at Home Statement** To ensure Home or Hybrid...posting. The pay range may be higher or lower based on geographic location and individual pay will vary… more
    CenterWell (08/29/25)
    - Related Jobs
  • Service Technician

    Leaffilter (Altamonte Springs, FL)
    …is responsible for servicing previously installed windows and doors at customer's home based on established service ticket requests. This individual will ... Springs, FL 32701, USA $25.00/hour Job Description At Leaf Home , people are at the heart of everything we...doors. . Perform necessary services to gutter protection systems based on logged service ticket and onsite inspection .… more
    Leaffilter (08/26/25)
    - Related Jobs
  • Lead Data Scientist - Autonomous Goal Management

    Humana (Tallahassee, FL)
    …modeling with transformers + Experience with symbolic planning, causal reasoning, and model- based RL + Experience with large-scale ETL **Use your skills to make ... semi-autonomous agents in production or simulation + Experience with LLM- based agents with scratchpad/self-reflection or hierarchical task decomposition +...the right place for you at Humana. **Work at Home Guidance** To ensure Home or Hybrid… more
    Humana (08/16/25)
    - Related Jobs
  • Lead Data Scientist - Safety Alignment

    Humana (Tallahassee, FL)
    …+ Contribute to and publish novel research on alignment of LLM- based agents, multi-agent cooperation/conflict, or value learning + Proactively identify and ... large-scale ML systems + Experience with deploying or auditing LLM- based agents or multi-agent AI systems + Experience with...the right place for you at Humana. **Work at Home Guidance** To ensure Home or Hybrid… more
    Humana (08/16/25)
    - Related Jobs
  • Staff Utilization Management Pharmacist

    Humana (Tallahassee, FL)
    …Management Pharmacist is a clinical expert responsible for conducting medical necessity and comprehensive medication reviews for prescriptions requiring prior ... 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)
    - Related Jobs