- Humana (Tallahassee, FL)
- …us put health first** Humana is a Fortune 50 market leader in integrated healthcare whose dream is to help people achieve lifelong well-being. As a company focused ... organization. + Establish Data Stewardship Programs: Oversee the identification and training of data stewards, ensuring clear ownership and accountability for… more
- Humana (Tallahassee, FL)
- …+ Minimum 3 years of experience working as a social worker in a healthcare setting + Proficient in Microsoft applications including Word, Outlook, Excel + Capacity ... **Additional Information** **Schedule** + The first 2 weeks of training , M-F 8:30am-5pm EST + After training ,...benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also… more
- Humana (Tallahassee, FL)
- …remote environment. **Preferred Qualifications** + Work history supporting experience in healthcare Utilization Management + Minimum 1-year CGX experience + Work ... determination and/or approval letters for Utilization Management determinations to healthcare members and providers. + Comprehensive knowledge of medical… more
- Humana (Tallahassee, FL)
- …+ Master of Business Administration or related Master's degree + Prior healthcare industry experience, preferably within healthcare services or care delivery ... 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 (Tallahassee, FL)
- …and change management skills to balance an evolving set of priorities and deadlines. Healthcare experience is a plus, but not required, though must have a history of ... Demonstrated commitment to personal and professional growth **Preferred Qualifications** + Healthcare industry experience, preferably in the managed care or provider… more
- 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 (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 (Tallahassee, FL)
- …or more years of Administrative support experience + 1 or more years of Healthcare experience + 1 or more years of Outbound telephonic Customer Service 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 (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 (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