- Humana (Albany, NY)
- …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 (Albany, NY)
- …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 (Albany, NY)
- …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 (Albany, NY)
- …dynamic, fast-paced environment + Deliver executive-level presentations that frame data- based challenges, opportunities, and the strategic roadmaps to deliver ... are required to live within commutable distance for a hybrid (~3 days in-office) work arrangement. _Preferred_ _locations are:_...from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information. Travel: While this is… more
- Humana (Albany, NY)
- …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 (Albany, NY)
- …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 (Albany, NY)
- …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 (Albany, NY)
- …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 (Albany, NY)
- …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 (Albany, NY)
- …to fill open positions. + Provide effective team leadership by ensuring each member understands their role and expected contributions by holding regular 1x1 meetings ... 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