- Elevance Health (FL)
- …for managing psychiatric and substance abuse or substance abuse disorder facility- based and outpatient professional treatment health benefits through telephonic or ... is primarily a provider-facing role although it does involve some member facing activities such as providing verbal notifications. **Location:** Virtual: This… more
- Humana (Carson City, NV)
- …improvements and other areas as they relate to provider performance, member experience, market growth, provider experience and operational excellence. Advises ... schedule. **Work At Home / Internet Information:** To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of… more
- Humana (Des Moines, IA)
- …collaborate with cross-functional teams to ensure campaigns are insight-driven, member -centric, and aligned with enterprise priorities. **Key Role Functions** + ... and analytical evaluation **Additional Information** To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet… more
- Humana (St. Paul, MN)
- …and policies in line with regulatory and accreditation requirements for member and provider issues. Coordinates the clinical resolution with internal/external ... am-5 pm Eastern Standard Time **Work at Home Requirements** To ensure Hybrid Office/Home associates' ability to work effectively, the self-provided internet service… more
- Humana (Richmond, VA)
- …Forwards appeals to CMS entity for further review. + Investigates and resolves member and practitioner issues. + Works within broad guidelines with little oversight. ... assigned during training.** + Weekend work may be required based on business needs. There is a 5% shift...to 7pm EST.** **WAH Internet** To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided… more
- Humana (Montgomery, AL)
- …effectively and deliver sustainable improvements that support enterprise performance and member outcomes. **Use your skills to make an impact** **Required ... for this opportunity. **Work at Home Information** To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of… more
- Humana (Baton Rouge, LA)
- …& Strategy Manager - Provider Practice Management role is a critical member of the multidisciplinary clinical initiatives team within Clinical Strategy and ... operationally executable solutions **Additional Information** To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet… more
- CenterWell (Raleigh, NC)
- …metrics to identify inefficiencies and opportunities for improvement (eg, member engagement metrics, scheduling efficiency) + Partner with cross-functional teams ... Time Zones Preferred **Work at Home Requirements** To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of… more
- Humana (Alachua, FL)
- …+ Follows HIPAA confidentiality standards to protect the confidentiality of member information + Demonstrates a professional and courteous manner when communicating ... Record retrieval experience **Additional Information** + Hours 8am-5:30pm, hours subject to change based on business needs As part of our hiring process, we will be… more
- CenterWell (Richmond, VA)
- …data to identify trends, inefficiencies, and opportunities for improvement (eg, member engagement, scheduling processes). + Partner with cross-functional teams to ... Time Zones Preferred **Work at Home Requirements** To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of… more