• Associate VP, Resolution - CTM Oversight…

    Humana (Tallahassee, FL)
    **Become a part of our caring community and help us put health first** The Associate VP, Resolution- CTM Oversight and Operations will serve as a strategic leader ... Qualifications** + Bachelor's degree + 10 plus years' experience in health insurance operations, complaint management, and CMS STARs programs (experience in… more
    Humana (08/27/25)
    - Related Jobs
  • Director, Financial Planning & Analysis (CFO)…

    Humana (Tallahassee, FL)
    **Become a part of our caring community and help us put health first** The Director, Financial Planning & Analysis analyzes and forecasts financial, economic, and ... in this role coordinates day-to-day financial operations directly with the health plan Chief Executive Officer (CEO). **Location:** Remote WFH (with travel… more
    Humana (08/26/25)
    - Related Jobs
  • Lead Product Manager - Dual Population

    Humana (Tallahassee, FL)
    **Become a part of our caring community and help us put health first** We are looking for a dynamic Lead Product Manager (ideally with a design background) to lead ... at Humana to design, define and deliver clinical solutions to help drive improved health outcomes for our dual members - members that qualify for both Medicare and… more
    Humana (08/23/25)
    - Related Jobs
  • Utilization Management Administration Coordinator…

    Humana (Tallahassee, FL)
    **Become a part of our caring community and help us put health first** The UM Administration Coordinator contributes to administration of utilization management. The ... best and most appropriate treatment, care or services for members utilizing Home Health and Skilled Nursing Facility services. This team sits in the Home Solutions… more
    Humana (08/23/25)
    - Related Jobs
  • Senior Specialty Consultative Pharmacist

    CenterWell (Tallahassee, FL)
    **Become a part of our caring community and help us put health first** The Senior Specialty Consultative Pharmacist processes and dispenses Specialty Rx medication. ... make a significant impact on the lives of patients with serious and rare health conditions within a supportive and professional environment. As a member of the… more
    CenterWell (08/21/25)
    - Related Jobs
  • Lead Product Manager, Next Best Action Decision…

    Humana (Tallahassee, FL)
    **Become a part of our caring community and help us put health first** Humana's Marketing organization is seeking a Lead Product Manager who specializes in Next Best ... the US. Humana is on a mission to deliver simple, personalized, and empathetic health experiences. As the Lead Product Manager for the Next Best Action (NBA)… more
    Humana (08/20/25)
    - Related Jobs
  • Director, Income Tax Accounting

    Humana (Tallahassee, FL)
    **Become a part of our caring community and help us put health first** We are seeking a seasoned and strategic Director, Tax Accounting to lead our tax accounting ... in tax laws, accounting standards, and regulatory guidance, particularly those affecting health insurance and health care operations. + Collaborate with VP… more
    Humana (08/16/25)
    - Related Jobs
  • Quality Improvement RN

    CenterWell (Tampa, FL)
    **Become a part of our caring community and help us put health first** The Stars Improvement, Clinical Professional (RN) is responsible for the development, ... relationships across the following areas: + Quality/clinical management and population health + HEDIS and Stars performance + Operational improvements + Financial… more
    CenterWell (08/13/25)
    - Related Jobs
  • Quality Improvement RN

    CenterWell (New Smyrna Beach, FL)
    **Become a part of our caring community and help us put health first** The Stars Improvement Clinical Professional (RN): + Collaborates with market leadership, and ... relationships across the following areas: + Quality/clinical management and population health + HEDIS and Stars performance + Operational improvements + Financial… more
    CenterWell (08/12/25)
    - Related Jobs
  • Quality Improvement Supervisor, Clinical

    CenterWell (Port St. Lucie, FL)
    **Become a part of our caring community and help us put health first** **Job Profile Summary** The Supervisor, Stars Improvement, Clinical is responsible for ... relationships across the following areas: + Quality/clinical management and population health + HEDIS and Stars performance + Operational improvements + Financial… more
    CenterWell (08/08/25)
    - Related Jobs