- Elevance Health (Atlanta, GA)
- …onboarding and skill development. Please note that per our policy on hybrid /virtual work, candidates not within a reasonable commuting distance from the posting ... that require nursing judgment, critical thinking, and holistic assessment of member 's clinical presentation to determine whether to approve requested service(s) as… more
- Humana (Atlanta, GA)
- …Systems **Why Humana?** Work-life harmony is not just a phrase here-it's a practice! Hybrid and remote work are considered normal. Near an office? No problem - stop ... rated by our associates. **Additional Information** To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service… more
- Humana (Atlanta, GA)
- …ranging from moderate to substantial. **Location:** remote or strong preference for hybrid in Waterside Louisville, KY office The IHWA Follow-up Senior Program ... care environment/managed care **Additional Information** To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet… more
- Humana (Atlanta, GA)
- …+ Build trusting relationships with business areas and leadership to improve member and provider experiences. + Provide leadership and guidance to engagement teams ... project activities. + Travel may be once a quarter for a week however dictated based on business needs **Use your skills to make an impact** **Role Essentials** +… more
- Humana (Atlanta, GA)
- …appeal or further request is warranted and then delivers final determination based on trained skillsets and/or partnerships with clinical and other Humana parties. ... or face to face, further/support quality related goals. Investigates and resolves member and practitioner issues. Decisions are typically focus on methods, tactics… more
- Humana (Atlanta, GA)
- …and presentation of data to identify trends and opportunities for improved member health and measure compliance + Internal and external partnerships to coordinate, ... or a related field **Additional Information** To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service… more
- Humana (Atlanta, GA)
- …hours of 8:00 AM to 6:00 PM Eastern. + Overtime _may_ be offered, based on business needs. **Preferred Qualifications** + Bachelor's Degree + Prior claims processing ... Proficiency Testing** Any Humana associate who speaks with a member in a language other than English must take...Government. **Work at Home Guidance** To ensure Home or Hybrid Home/Office associates' ability to work effectively, the self-provided… more
- Humana (Atlanta, GA)
- …building newsletters and taking meeting minutes. + Assist in document review of member handbooks and provider manuals to ensure NCQA compliance. + Support leadership ... a year) **Work-at-Home (WAH) Internet Statement** To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service… more
- Humana (Atlanta, GA)
- …Define and drive service design strategy across enterprise initiatives, connecting member needs to operational capabilities. + **Systems Thinking:** Create service ... leadership and measurable impact **Work-At-Home Information** To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet… more
- Humana (Atlanta, GA)
- …organization focused on eliminating health disparities and improving the member /patient experience **Preferred Qualifications** + Bachelor's degree + Advanced Degree ... your schedule. **Work at Home/Remote Requirements** To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service… more
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