• Utilization Management Administration Coordinator…

    Humana (Tallahassee, FL)
    …Accounts + Flex Spending Accounts + Life Insurance + 401(k) + PTO including 8 paid holidays, one personal holiday, one day of volunteer time off, 23 days of annual ... a metric driven environment + Prior experience in the healthcare industry **Additional Information** + **Remote position with possibility...Monday to Friday between 8am and 8pm EST (8 paid hours per business day)** + **Overtime available based… more
    Humana (08/23/25)
    - Related Jobs
  • Utilization Management Nurse

    CenterWell (Tallahassee, FL)
    **Become a part of our caring community and help us put health first** Healthcare isn't just about health anymore. It's about caring for family, friends, finances, ... their lives, the lives of our patients, and the healthcare industry as a whole. Conviva Care Solutions is...benefits, 401k with company matching, tuition reimbursement, 3 weeks paid vacation time, paid holidays, work-life balance,… more
    CenterWell (08/02/25)
    - Related Jobs
  • Medical Director - Medicare Grievances and Appeals…

    Humana (Tallahassee, FL)
    …and decisions about the appropriateness of services provided by other healthcare professionals in compliance with review policies, procedures, and performance ... experience, + working with health insurance organizations, hospitals and other healthcare providers, patient interaction, etc. + Internal Medicine, Family Practice,… more
    Humana (08/26/25)
    - Related Jobs
  • Senior Data Engineer (Python/Databricks)

    Humana (Tallahassee, FL)
    …integrity, and compliance with security and privacy regulations, particularly in healthcare or cybersecurity contexts. + Collaborate with data scientists, analysts, ... + Experience working with sensitive data in cybersecurity or healthcare , and familiarity with relevant compliance standards. Remote/WAH requirements: +… more
    Humana (08/26/25)
    - Related Jobs
  • Medical Director - OneHome

    Humana (Tallahassee, FL)
    …medical interpretation and determinations whether services provided by other healthcare professionals are in agreement with national guidelines, CMS requirements, ... and decisions about the appropriateness of services provided by other healthcare professionals in compliance with review policies, procedures, and performance… more
    Humana (08/25/25)
    - Related Jobs
  • Telephonic UM Administration Coordinator

    Humana (Tallahassee, FL)
    …1 or more years of Administrative support experience + 1 or more years of Healthcare experience + 1 or more years of telephonic Customer Service experience + Working ... a remote position, occasional travel to Humana's offices for training or meetings may be required. **Scheduled Weekly Hours**...benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also… more
    Humana (08/25/25)
    - Related Jobs
  • Formulary and Medical Strategies Senior…

    Humana (Tallahassee, FL)
    …help us put health first** The Senior Professional collaborates with healthcare professionals, pharmacists, and other business functions to implement formulary and ... assignments. The Senior Formulary Operations Management Professional collaborates with healthcare professionals, pharmacists, and other business functions to implement… more
    Humana (08/20/25)
    - Related Jobs
  • Coding Educator

    Humana (Tallahassee, FL)
    …Degree + CRC -Certified Risk Adjustment Coder + Experience interacting with healthcare providers + Strong technical knowledge of all Microsoft Office applications + ... + Experience with public speaking and presentation skills with healthcare providers + Medicare Risk Adjustment knowledge **Additional Information** Work… more
    Humana (08/19/25)
    - Related Jobs
  • Provider Contracting Executive

    Humana (Tallahassee, FL)
    …network management experience including hospital contracting and network administration in a healthcare company + 2 or more years of project leadership experience + ... a remote position, occasional travel to Humana's offices for training or meetings may be required. **Scheduled Weekly Hours**...benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also… more
    Humana (08/19/25)
    - Related Jobs
  • Behavioral Health Medical Director - Medicare

    Humana (Tallahassee, FL)
    …on various behavioral health topics to the clinical operations team and healthcare organization. The Medical Director's work includes computer based review of ... management organizations, hospitals/ Integrated Delivery Systems, health insurance, other healthcare providers, clinical group practice management + Utilization management… more
    Humana (08/09/25)
    - Related Jobs