- Humana (Trenton, NJ)
- **Become a part of our caring community and help us put health first** The Care Manager, Telephonic Behavioral Health 2, in a telephonic environment, assesses ... for the care and wellbeing of members The Care Manager, Telephonic Behavioral Health 2 is a **Licensed,** **Masters level, social worker** who functions as an… more
- Humana (Trenton, NJ)
- **Become a part of our caring community and help us put health first** Join our innovative team as a Senior Application Architect and play a pivotal role in ... lead the design and integration of cutting-edge solutions on the Salesforce Health Cloud platform, driving impactful projects that enhance patient care and… more
- Humana (Trenton, NJ)
- **Become a part of our caring community and help us put health first** The Clinical Strategy Team is a multi-disciplinary team focused on using data analysis and ... improve experiences for our members and providers, drive positive health outcomes, and reduce total cost of care. We...to think outside the box **Additional Information** To ensure Home or Hybrid Home /Office employees' ability to… more
- Humana (Trenton, NJ)
- **Become a part of our caring community and help us put health first** Do you consider yourself a data connoisseur? Are you excited about all the advancements with ... offers a variety of benefits to promote the best health and well-being of our employees and their families....at a time that is best for your schedule. **Work-At- Home Requirements** To ensure Home or Hybrid… more
- Humana (Trenton, NJ)
- **Become a part of our caring community and help us put health first** The Senior Program Delivery Professional strategically identifies, develops, and implements ... offers a variety of benefits to promote the best health and well-being of our employees and their families....Resource Groups (NRGs) + Career development opportunities **Work At Home / Internet Information:** To ensure Home … more
- Humana (Trenton, NJ)
- …Qualifications** + Education: BSN or Bachelor's degree in a related field + Health Plan experience + Previous Medicare /Medicaid Experience a plus + Call ... part of our caring community and help us put health first** The Utilization Management Registered Nurse 2 utilizes...center or triage experience + Bilingual is a plus **Work-At- Home Requirements** * Must have the ability to provide… more
- NASCO (Trenton, NJ)
- …laws and regulations related to our products and services, including for our Medicare Advantage and ACA Exchanges business + Interacts with vendors and customers on ... on compliance issues, including related to HIPAA + Experience supporting Medicare Advantage and ACA Exchanges business **Required Training, Certification and… more
- The Cigna Group (Morris Plains, NJ)
- …and managing risk for the pharmacy benefit for their regulated markets populations- Medicare , Medicaid, dual-eligible and health exchange. If you will be ... activities that influence how Regulated Markets lines of business ( Medicare , Medicaid, EGWP, Marketplace) show up in the market....value in pharmacy, medical and beyond to further total health for all. Express Scripts PBM is evolving. We… more
- CenterWell (Trenton, NJ)
- …largest provider of senior-focused primary care, one of the largest providers of home health services, and fourth largest pharmacy benefit manager, CenterWell is ... part of our caring community and help us put health first** The Advisor of Strategy Advancement will play...cost improvement for high-risk senior populations in full risk Medicare arrangements. This individual will help assess the value… more
- Humana (Trenton, NJ)
- **Become a part of our caring community and help us put health first** The Enterprise AI organization at Humana is a pioneering force, driving AI innovation across ... few: + Work-Life Balance + Generous PTO package + Health benefits effective day 1 + Annual Incentive Plan...the right place for you at Humana. **Work at Home Guidance** To ensure Home or Hybrid… more