- Humana (Tallahassee, FL)
- …**Masters level, social worker** who functions as an interdisciplinary care team member , receiving referrals to assist members with Social Determinant of Health ... needs. In a telephonic environment, they assess and evaluate member needs related to their physical, environmental, and psycho-social health. This includes… more
- Humana (Tallahassee, FL)
- …& Deliver** + Lead cross-functional squads through agile product development, prioritizing backlog based on business impact and member needs + Ensure NBA ... Optimize** + Establish test-and-learn frameworks to evaluate NBA effectiveness and evolve logic based on member behavior and campaign performance + Define and… more
- 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 ... most important opportunities and challenges. CenterWell is seeking a team member with prior management consulting experience or professional experience leveraging… more
- Humana (Tallahassee, FL)
- …patient experience, and plan operations. **Location:** Remote or if near Louisville hybrid The Lead for HEDIS Controlling Blood Pressure is responsible for the ... objectives focused on clinical gap closure, health outcomes and improved member experience. **Key Responsibilities** Apply in-depth and broad knowledge of HEDIS… more
- Humana (Tallahassee, FL)
- …This team sits in the Home Solutions organization and contributes to the Value- Based segment partnering with CenterWell and Onehome. + Manages NLP's for chart ... Proficient and/or experience with medical terminology and/or ICD-10 codes + Prior member service or customer service telephone experience desired + Experience with… more
- Humana (Tallahassee, FL)
- …after the authorizations + Document all calls and requests. + Process and email member letters (Letter of Agreements, Approvals, Denials etc.) + Assist the team with ... and work 1 weekend a quarter. Overtime and schedule subject to change based on business needs. + Live in Eastern Standard State (EST) **Preferred Qualifications**… more
- Humana (Tallahassee, FL)
- …process to identify discrete opportunities for enhanced clinical outcomes, cost control, quality, and member experience. This role would be a great fit if * You are ... Lead will analyze complex problems and issues related to member care and medical cost. This role is highly...**Remote Work at Home Guidance** To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided… more
- Humana (Tallahassee, FL)
- …dynamic Lead Product Manager (ideally with a design background) to lead member research, develop engagement best practices, and design clinical solutions for members ... marketing, engineering, technology, and other team members to deeply understand member and provider needs. + Iteratively and consistently work to improve… more
- Humana (Tallahassee, FL)
- …and medical strategies to mitigate Humana's costs and trend while improving our member 's health outcomes and costs. + Performs formulary and medical drug list ... across multiple departments to support Medicaid drug list changes for member communications (monthly, quarterly, and ad-hoc). + Prepares presentations to… more
- Humana (Tallahassee, FL)
- …+ **Work Location (Address):** Nationwide Stateside + **Work Style (Remote, Office, Hybrid , Field):** Remote + **Travel Requirements (Percentage and Scope)** : 5% ... audits, and trainings. **Work at Home Requirements** To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service… more