- Humana (Indianapolis, IN)
- …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 (Indianapolis, IN)
- …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 (Indianapolis, IN)
- …a variety of strategies, approaches and techniques to manage a member 's physical, environmental and psycho-social health issues. Identifies and resolves barriers ... Environment is fast paced and requires ability to engage quickly with member while concurrently navigating multiple computer applications. Due to the auto dialer… more
- Humana (Indianapolis, IN)
- …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 typically focus on methods, tactics and… more
- Humana (Indianapolis, IN)
- …Medicare members. The Medicare Inbound Contact Representative 2 strives to provide the member a resolution or pathway to resolution on each call while providing a ... Friday. + Shift Bids take place periodically and are based on performance and business needs. + **Some weekends...below) **Work at Home Guidance** To ensure Home or Hybrid Home/Office associates' ability to work effectively, the self-provided… more
- Humana (Indianapolis, IN)
- …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 (Indianapolis, IN)
- …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 (Indianapolis, IN)
- …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 (Indianapolis, IN)
- …+ **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 (Indianapolis, IN)
- …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