- Humana (Charleston, WV)
- …with DSNP, Medicaid Managed Care, OH Medicaid , and/or OH Medicaid NextGen program to actively advocate for Network Optimization's network priorities with ... integrity as required by CMS, The Ohio Department of Medicaid , and Humana internal reporting compliance. This role will...from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information **Interview Format** As part… more
- Humana (Charleston, WV)
- …on the well-being of their customers? Come be a part of Humana's Member Calls Organization! Our Call Center Representatives have a passion for assisting people ... with their healthcare needs; in particular, our Medicaid members, to provide the best solutions and outcomes...by conducting outreach calls to our members. As their advocate , you will assist them with PCP changes, locating… more
- Humana (Charleston, WV)
- …you interested in leveraging technology and business strategy to deliver improved member & patient experiences and health outcomes? Are you IT Professional obsessed ... Architecture unit, our mission is to deliver a perfect member /patient experience by bringing forth the alignment of business...system architects across Humana. + Serve as a strong advocate for the business within IT and ensure that… more
- HealthEdge Software Inc (Charleston, WV)
- …and enterprise level. Our Reimbursement Transformation features Medicare and Medicaid content coupled with flexible contract configuration capabilities for ... transformation, reduce costs, and improve both clinical outcomes and the member experience. **Your impact** **:** + Maintain deep understanding ofHealthEdge/Customer… more