- Humana (Tallahassee, FL)
- …Well-being Assessment (IHWA) team and play a critical role in ensuring exceptional member experience and compliance with CMS standards. As a Senior Program Delivery ... & Appeals (G&A). Candidates must be comfortable with queue based work.** **Use your skills to make an impact**...or equivalent years of experience + 5+ years in member /provider grievance management + Strong knowledge of Microsoft Office… more
- Elevance Health (FL)
- **Be Part of an Extraordinary Team** A proud member of the Elevance Health family of companies, CarelonRx (formerly IngenioRx) leverages the power of new ... technologies and a strong, clinical-first lens, to deliver member -centered, lasting pharmacy care. **Title** : Project Leader - Pharmacy and Therapeutics ** Hybrid… more
- Humana (Alachua, FL)
- …+ Follows HIPAA confidentiality standards to protect the confidentiality of member information + Demonstrates a professional and courteous manner when communicating ... Record retrieval experience **Additional Information** + Hours 8am-5:30pm, hours subject to change based on business needs As part of our hiring process, we will be… more
- CenterWell (Tallahassee, FL)
- …metrics to identify inefficiencies and opportunities for improvement (eg, member engagement metrics, scheduling efficiency) + Partner with cross-functional teams ... Time Zones Preferred **Work at Home Requirements** To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of… more
- Humana (Tallahassee, FL)
- …& Strategy Manager - Provider Practice Management role is a critical member of the multidisciplinary clinical initiatives team within Clinical Strategy and ... operationally executable solutions **Additional Information** To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet… more
- CenterWell (Tallahassee, FL)
- …data to identify trends, inefficiencies, and opportunities for improvement (eg, member engagement, scheduling processes). + Partner with cross-functional teams to ... Time Zones Preferred **Work at Home Requirements** To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of… more
- Humana (Tallahassee, FL)
- …and customer service, each essential to delivering a comprehensive and high-quality member experience. In this role, you will identify and engage with each ... Qualifications** + Master's Degree **Additional Information** To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet… more
- Humana (Fort Lauderdale, FL)
- …of care and documentation improvements. + Pull MRA reports, identify educational needs based on reports and presenting information. + Utilize data analytics tools to ... with staff and providers teams + Virtual education and/or Provider onsite education, based on business needs + Collaboration with other market provider facing roles… more
- Humana (Tallahassee, FL)
- …by story implementation + Prioritization and Capacity Management - provide value- based guidance on backlog prioritization to the implementation team. Coordinate with ... the Product Manager and set boundaries that are based on objective team capacity, taking special care to...experience a plus **Additional Information** To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided… more
- Humana (Tallahassee, FL)
- …within a tracking system. May assist with identifying and recruiting providers based on network composition and needs. Advises executives to develop functional ... degree + Experience with ACO/Risk Contracting + Experience with Value Based Contracting + Ideally located in North Carolina **Additional Information** This… more