- Humana (Albany, NY)
- …provider relations, claims submission and payment, utilization management processes, behavioral health processes, and dispute resolution. **Work at Home ... part of our caring community and help us put health first** Humana Healthy Horizons is seeking a Medicaid...Requirements** To ensure Home or Hybrid Home /Office associates' ability to work effectively, the self-provided internet… more
- Humana (Albany, NY)
- **Become a part of our caring community and help us put health first** Humana Healthy Horizons is seeking a Provider Support Model Lead, Provider Engagement to ... at least two of which are working for a health plan. + 5+ years HEDIS and quality measures...provider experiences. **Additional Information** + **Workstyle:** Remote work at home + **Location:** US + **Core Workdays & Hours:**… more
- CenterWell (Albany, NY)
- …Experience a plus + Current nursing experience in Hospital, SNF, LTAC, DME or Home Health . + Bilingual We offer tangible and intangible benefits such as ... provider of senior-focused primary care, one of the largest providers of home health services, and fourth largest pharmacy benefit manager, CenterWell is focused… more
- Humana (Albany, NY)
- **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 (Albany, NY)
- **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
- Molina Healthcare (NY)
- …members including behavioral health care and long term services and supports, home and community to enhance the continuity of care for Molina members. + Assesses ... licensed RN to join Molina to work with our Medicare members in the San Antonio service delivery area;...integrated delivery of care across the continuum, including behavioral health and long-term care, for members with high need… more
- Humana (Albany, NY)
- **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 (Albany, NY)
- **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 (Albany, NY)
- **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
- Healthfirst (NY)
- … home or facility visits for intake/reassessments or start of care (SOC) Community Home Health Agency (CHHA) visits Work experience preferred in one or more ... **Duties and Responsibilities:** Conducts home assessments (and virtual assessments, as needed) for...planning, case management, and/or medical surgical nursing Knowledge of health insurance, Medicaid, Medicare and MLTCP Experience… more