- Humana (Richmond, VA)
- …tools to effectively create and develop content to a wide audience + Prior work experience with instructional design and learning modules or materials to increase ... content conceptualization + Proficiency utilizing Microsoft Office applications + Prior work experience working with the ADDIE model or similar instructional design… more
- Humana (Virginia Beach, VA)
- …in the Commonwealth of Virginia without disciplinary action. + Two (2) years of prior experience in health care and/or case management. + One (1) year of experience ... property damage or whichever is higher. **Preferred Qualifications** + Prior experience with Medicare, Medicaid and dual eligible populations. + Experience with… more
- Humana (Richmond, VA)
- …data management experience** **Demonstrated deep dive research and analysis skills** ** Prior experience in a fast-paced insurance or health care setting** ... age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our… more
- Humana (Richmond, VA)
- …+ 1-2 years of customer service or operations work experience + Prior experience utilizing multiple computer applications simultaneously as well as performing ... age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our… more
- Humana (Richmond, VA)
- …and help us put health first** The Pre-Authorization Nurse 2 reviews prior authorization requests for appropriate care and setting, following guidelines and ... age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our… more
- Humana (Richmond, VA)
- …and written communication skills with analytic and interpretative skills from prior experience focusing on quality, utilization, and/or case management + Knowledge ... age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our… more
- Humana (Richmond, VA)
- …unrestricted Registered Nurse (RN) license + 5 years or more of prior clinical experience + Strategic thinking and planning capabilities; organized and ... age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our… more
- Humana (Richmond, VA)
- …EAPG grouper logic + Experience processing or reviewing facility claims + Prior professional experience utilizing Microsoft Excel (eg performing basic data analysis ... age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our… more
- Humana (Richmond, VA)
- …medical necessity and comprehensive medication reviews for prescriptions requiring prior authorization. This role involves evaluating complex clinical scenarios and ... age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our… more
- Humana (Richmond, VA)
- …+ Knowledge of infrastructure-as-code and cloud testing (Azure/AWS/GCP). + Prior involvement in developing AI-powered quality engineering tools or agents. ... age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our… more