- Humana (Harrisburg, PA)
- …interpretation and decisions regarding the appropriateness and medical necessity of services provided by other healthcare professionals in compliance with coverage ... or Hybrid Home/Office associates' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office associates must meet the following… more
- Humana (Harrisburg, PA)
- …for the ongoing quality control, development, and delivery of IT products and services for their assigned state. + Partners with strategy advancement to drive ... or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following… more
- Humana (Harrisburg, PA)
- …Manage third-party vendors and contracts-including SLAs, renewals, and RFPs-ensuring service quality, cost-effectiveness, and future scalability. + Collaborate with ... 10mpbs upload) is required. + Satellite and Wireless Internet service is NOT allowed for this role. + A...our customers and our company. Through our Humana insurance services and CenterWell healthcare services , we make… more
- Humana (Harrisburg, PA)
- …stakeholders such as marketing, product, actuarial, underwriting, account installation and service . + Creation and Distribution of scheduled market communication. + ... Hybrid Office/Home associates' ability to work effectively, the self-provided internet service of Hybrid Office/Home associates must meet the following criteria: +… more
- Humana (Harrisburg, PA)
- …overseeing large-scale print production operations to ensure regulatory compliance, service level adherence, and operational efficiency. This position manages all ... resolve any contractual or invoice discrepancies + Robustly manage and track Service Level Agreements (SLAs) for all production activities through internal software… more
- Humana (Harrisburg, PA)
- …management. + Hands-on experience with Kubernetes, including AKS (Azure Kubernetes Service ) or GKE (Google Kubernetes Engine) for deployment, scaling, and management ... 10mpbs upload) is required. + Satellite and Wireless Internet service is NOT allowed for this role. + A...our customers and our company. Through our Humana insurance services and CenterWell healthcare services , we make… more
- Humana (Harrisburg, PA)
- …25x10 (25mpbs download x 10mpbs upload) is required. * Satellite and Wireless Internet service is NOT allowed for this role. * A dedicated space lacking ongoing ... Humana continues to monitor the situation, and will adjust service levels as the coronavirus situation evolves. The following...our customers and our company. Through our Humana insurance services and CenterWell healthcare services , we make… more
- CenterWell (Harrisburg, PA)
- …to make an impact** **Required Qualifications** + 1 - 3 years of customer service experience + Less than 2 years of leadership experience + Must have experience ... + Associate's or Bachelor's Degree + Previous inbound call center or related customer service experience + 1 - 3 years of grievance and appeals experience + Previous… more
- Humana (Harrisburg, PA)
- …+ Engage with the producers and the Center for Medicare and Medicaid Services /Department of Insurance regulations specific to them if there are concerns related to ... + Analyze and interpret Center for Medicare and Medicaid Services and Department of Insurance regulations to establish required...achieve their best health - delivering the care and service they need, when they need it. These efforts… more
- Humana (Harrisburg, PA)
- …requests. The Medical Director provides medical interpretation and determinations whether services provided by other healthcare professionals are in agreement with ... Director provides medical interpretation and decisions about the appropriateness of services provided by other healthcare professionals in compliance with review… more