• Lead Data Scientist

    Humana (Tallahassee, FL)
    ** Become a part of our caring community and help us put...have the right place for you at Humana. **Work at Home Guidance** To ensure Home or Hybrid Home ... resources available to you that will enable you to become happier, healthier, and more productive in all areas...ability to work effectively, the self-provided internet service of Home or Hybrid Home /Office associates must meet… more
    Humana (08/29/25)
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  • Senior Application Architect Contact Center…

    Humana (Tallahassee, FL)
    ** Become a part of our caring community and help...likely have the right place for you at Humana! **Work-At- Home Requirements** To ensure Home or Hybrid ... resources available to you that will enable you to become happier, healthier, and more productive in all areas...ability to work effectively, the self-provided internet service of Home or Hybrid Home /Office associates must meet… more
    Humana (08/27/25)
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  • Director, Provider Contracting

    Humana (Miami, FL)
    ** Become a part of our caring community and...to a Market Vice President. This position will be based either in our office in Doral. **Key Responsibilities** ... + Initiate, negotiate, and execute value- based Medicare Advantage contracts and agreements with physicians and other healthcare providers + Manage the provider… more
    Humana (08/23/25)
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  • Utilization Management Administration Coordinator…

    Humana (Tallahassee, FL)
    … Health and Skilled Nursing Facility services. This team sits in the Home Solutions organization and contributes to the Value- Based segment partnering with ... ** Become a part of our caring community and...most appropriate treatment, care or services for members. The Home Solutions UM Team is hiring for a UM… more
    Humana (08/23/25)
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  • Coding Educator

    Humana (Tallahassee, FL)
    ** Become a part of our caring community and help us put health first** The Coding Educator 2 identifies opportunities to improve provider documentation and creates ... improvements. + Pull MRA reports + Identify educational needs based on reports + Creating presentations + Building ongoing...+ Medicare Risk Adjustment knowledge **Additional Information** Work at home - with ability to travel (up to 5%)… more
    Humana (08/19/25)
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  • Provider Contracting Executive

    Humana (Tallahassee, FL)
    ** Become a part of our caring community and help us put health first** The Provider Contracting Executive initiates, negotiates, and executes physician, hospital, ... within a tracking system. May assist with identifying and recruiting providers based on network composition and needs. Advises executives to develop functional… more
    Humana (08/19/25)
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  • RN Care Manager - Remote, nationwide

    Humana (Tallahassee, FL)
    ** Become a part of our caring community and help us...All of our SNP RN Care Managers are work at home associates, working from a dedicated home office ... meeting quality and productivity measures daily and maintaining working home internet at all time with demonstrated advanced communication...posting. The pay range may be higher or lower based on geographic location and individual pay will vary… more
    Humana (08/22/25)
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  • Utilization Management Strategy Lead

    Humana (Tallahassee, FL)
    ** Become a part of our caring community and help us put health first** The UM Strategy team is a multi-disciplinary team focused on creating data-driven strategies ... + Health care industry experience **Workstyle:** Remote work at Home **Location:** US **Schedule:** M-F 8:00 AM to 5:00...posting. The pay range may be higher or lower based on geographic location and individual pay will vary… more
    Humana (08/23/25)
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  • Field Care Coordinator

    Humana (Orlando, FL)
    ** Become a part of our caring community and help us put health first** The Care Coach 1 assesses and evaluates member's needs and requirements to achieve and/or ... county area of FLORIDA!** **Current hiring range for this role is $60-65K/yr based on experience & qualifications** This rewarding role allows you to spend time… more
    Humana (07/22/25)
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  • Bilingual Outbound Telephonic UM Coordinator

    Humana (Tallahassee, FL)
    ** Become a part of our caring community and...weekend a quarter. Overtime and schedule subject to change based on business needs. + Live in Eastern Standard ... work 1 weekend a quarter. Schedule subject to change based on business needs. **Language Proficiency Testing** Any Humana...moving forward to next round of interviews. **Work at Home Guidance** To ensure Home or Hybrid… more
    Humana (08/23/25)
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