- 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
- Humana (Tallahassee, FL)
- …that optimize healthcare delivery, lower medical cost while improve member health outcomes, through applying mathematical, statistical, epidemiologic and data ... other specific healthcare areas such as EMR, Episode grouper, utilization management, value- based care, low value care etc. **Additional Information** To ensure Home… more
- Humana (Tallahassee, FL)
- …on conducting market scan on emerging AI/GAI technologies and capabilities. This team member will work closely with our AI Research & Development, as well as ... in the AI/GAI space + Prioritize areas to implement, based on deep understanding of opportunities and challenges at...is best for your schedule. To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided… more
- Humana (Tallahassee, FL)
- …their daily work specifically for DSNP. The Medical Director's work includes computer- based review of moderately complex to complex clinical scenarios, review of all ... the care received by members in an assigned market, member population, or condition type. May also engage in...committees. Work at Home Guidance To ensure Home or Hybrid Home/Office associates' ability to work effectively, the self-provided… more
- Elevance Health (Miami, FL)
- **Clinical Provider Auditor II** **Supports the Payment Integrity line of business** ** Hybrid 1** : This role requires associates to be in-office **1-2** days per ... considered. + _Please note that per our policy on hybrid /virtual work, candidates not within a reasonable commuting distance...required by law._ Carelon Payment Integrity is a proud member of the Elevance Health family of companies, Carelon… more
- Humana (Tallahassee, FL)
- …AI systems. **Job Description** The Technology Program Lead is a key team member on the Enterprise AI team, supporting key AI initiatives and programs across ... is best for your schedule. To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided...from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information. Travel: While this is… more
- Humana (Niceville, FL)
- …improvements and other areas as they relate to provider performance, member experience, market growth, provider experience and operational excellence. Understands ... that is best for your schedule. **WAH Statement** To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of… more
- Elevance Health (Tampa, FL)
- **_CarelonRx_** , a proud member of the Elevance Health family of companies, leverages the power of new technologies and a strong, clinical-first lens to deliver ... member -centered, lasting pharmacy care. **Staff VP, Specialty Pharmacy Clinical...be considered. Please note that, per our policy on hybrid /virtual work, candidates not within a reasonable commuting distance… more
- Elevance Health (FL)
- **Investigator Senior** **Supports the Payment Integrity line of business** ** Hybrid 1:** This role requires associates to be in-office **1-2** days per week, ... considered. + _Please note that per our policy on hybrid /virtual work, candidates not within a reasonable commuting distance...required by law._ Carelon Payment Integrity is a proud member of the Elevance Health family of companies, Carelon… more
- Humana (Tallahassee, FL)
- …within a tracking system. May assist with identifying and recruiting providers based on network composition and needs. Makes decisions on moderately complex to ... Degree + Experience with ACO/Risk Contracting + Experience with Value Based Contracting **Additional Information** This role is considered "remote/work at home",… more