- Humana (Tallahassee, FL)
- …and presentation skills with healthcare providers + Medicare Risk Adjustment knowledge **Additional Information ** Work at home - with ability to travel (up to ... improvements. + Pull MRA reports + Identify educational needs based on reports + Creating presentations + Building ongoing...Professional Coder) Certification + 4 or more years of medical coding experience + Risk Adjustment knowledge + Familiar… more
- Humana (Tallahassee, FL)
- …orders and arrange a safe facility discharge. + Work with UM Nurses, Pharmacy, Medical Directors and other Departments. + During downtime make calls to UM Nurses, ... in both languages without limitations or assistance. See Additional Information on testing + 1 or more years of...must have ability to work Nights, Weekends and Holidays based on business needs. **Preferred Qualifications** + Proficient utilizing… more
- Humana (Tallahassee, FL)
- …with ACO/Risk Contracting + Experience with Value Based Contracting **Additional Information ** This role is "remote/work at home ", however, you must live ... tracking system. May assist with identifying and recruiting providers based on network composition and needs. Advises executives to...Florida to be considered for this opportunity. **Work at Home Information ** To ensure Home … more
- 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 ... **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:**… more
- 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 ... healthcare setting, with a focus on technology solution **Additional Information :** + Remote Role + Remote work position; must...Estimated travel 25% annually to PCO markets **Work at Home Statement** To ensure Home or Hybrid… more
- Humana (Tallahassee, FL)
- …our Special Needs Program (SNP) team. All of our SNP RN Care Managers are work at home associates, working from a dedicated home office space. Work at home ... for meeting quality and productivity measures daily and maintaining working home internet at all time with demonstrated advanced communication and interpersonal… more
- 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
- CenterWell (Tallahassee, FL)
- …a member of the Specialty Clinical Team, you can work a variety of tasks based upon business need. Daily work assignments include both inbound and outbound calls to ... experience + Previous clinical experience in managed care **Additional Information ** + This is a remote position however all...shifts being 10am-6:30pm EST + Holiday shifts are rotated based on business operational hours and coverage needs +… more
- 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 +… more
- 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 ... high performance, large-scale ML systems + Experience with deploying or auditing LLM- based agents or multi-agent AI systems + Experience with large-scale ETL **Use… more