- Humana (Harrisburg, PA)
- …we are at the forefront of delivering cutting-edge AI technologies for improving care quality and experience of millions of consumers. We are actively seeking top ... the right place for you at Humana. **Work at Home Guidance** To ensure Home or Hybrid...serve to achieve their best health - delivering the care and service they need, when they need it.… more
- Humana (Harrisburg, PA)
- …+ 5 years of established clinical experience + Knowledge of the managed care industry including Medicare, Medicaid and or Commercial products + Must be passionate ... Emergency Medicine, and General Surgery clinical specialists **Work at Home Guidance** To ensure Home or Hybrid...serve to achieve their best health - delivering the care and service they need, when they need it.… more
- Humana (Harrisburg, PA)
- …years of established, post-residency clinical experience + Knowledge of the managed care industry including Medicare, Medicaid and/or Commercial products + Must be ... and other healthcare providers, patient interaction, etc. **Work at Home Guidance** To ensure Home or Hybrid...serve to achieve their best health - delivering the care and service they need, when they need it.… more
- Humana (Harrisburg, PA)
- …we are at the forefront of delivering cutting-edge AI technologies for improving care quality and experience of millions of consumers. We are actively seeking top ... the right place for you at Humana. **Work at Home Guidance** To ensure Home or Hybrid...serve to achieve their best health - delivering the care and service they need, when they need it.… more
- Humana (Harrisburg, PA)
- **Become a part of our caring community and help us put health first** Take your career to the next level as a Senior BPO Technology Leadership Professional where ... time that is best for your schedule. To ensure Home or Hybrid Home /Office employees' ability to...serve to achieve their best health - delivering the care and service they need, when they need it.… more
- Humana (Harrisburg, PA)
- …and other health plans to millions. By integrating insurance with care delivery through CenterWell, Humana is improving healthcare access, coordination, and ... advanced degree + Healthcare industry experience, particularly in managed care or provider sectors + Experience leading strategy projects...time that is best for your schedule. To ensure Home or Hybrid Home /Office employees' ability to… more
- CenterWell (Harrisburg, PA)
- …clinical professional responsible for conducting comprehensive reviews of medication care plans. This includes evaluating medical necessity, analyzing overall ... the consumer experience **Preferred Qualifications:** + Experience in managed care pharmacy, particularly in utilization management review **Additional… more
- Humana (Harrisburg, PA)
- …organization that is responsible for improving health outcomes and advancing the care experience of our members and provider partners through quality solutions. HQS ... Prescription Drug Plans using approximately 40 measures covering preventive care screenings, health condition management, health outcomes, patient experience, and… more
- Humana (Harrisburg, PA)
- …you'll enable Humana leaders as they leverage modern technology to deliver health care and insurance for patients and members. Our team operates at the evolving ... digital transformation experience + Health insurance, provider, and/or integrated health care experience + Experience working with/in large organizations + Business… more
- Humana (Harrisburg, PA)
- …or related field;work experience may meet this need + 5 + years managed care experience + 5 + years in Medicaid program implementation or healthcare operations, with ... Medicaid preferred + Comprehensive understanding of a Medicaid Managed Care architecture, tools, utilities and processes utilized to deliver...time that is best for your schedule. To ensure Home or Hybrid Home /Office employees' ability to… more