• Value Based Programs Lead

    Humana (Phoenix, AZ)
    ** Become a part of our caring community and help us put health first** The Value- Based Programs Lead supports successful value- based provider relationships ... leading the beginning-to-end operational support of specialty Medicaid value based payment (VBP) models in alignment with segment strategy...a time that is best for your schedule.To ensure Home or Hybrid Home /Office employees' ability to… more
    Humana (04/18/24)
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  • Value Based Program - Data & Reporting Lead

    Humana (Phoenix, AZ)
    ** Become a part of our caring community and help us put health first** The Value Based Programs Lead generates ad hoc reports and regular datasets and/or report ... information for end-users using queries and scripts to inform value- based payment (VBP) model design and administration. The Data...a time that is best for your schedule.To ensure Home or Hybrid Home /Office employees' ability to… more
    Humana (04/12/24)
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  • Associate Director, Medicaid Value Based

    Humana (Phoenix, AZ)
    ** Become a part of our caring community and help us put health first** The Associate Director, Value- Based Solutions will be responsible for leading the ... operational performance of Humana Healthy Horizon's specialty value- based payment (VBP) model portfolio. The Associate Director will...a time that is best for your schedule.To ensure Home or Hybrid Home /Office employees' ability to… more
    Humana (04/12/24)
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  • Medical Director- South Central

    Humana (Phoenix, AZ)
    ** Become a part of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement to make ... this knowledge in their daily work. The Medical Director's work includes computer- based review of moderately complex to complex clinical scenarios, review of all… more
    Humana (04/09/24)
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  • Lead Software Engineer

    Humana (Phoenix, AZ)
    ** Become a part of our caring community and help us put health first** Do you want be part of a team that is continuously learning and evolving to build modernized ... motivated to transform today's complex healthcare processes into simpler microservices based architecture using cutting edge technologies? Do you love the challenge… more
    Humana (04/17/24)
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  • Inbound Contacts Beneficiary Service Rep (TRICARE…

    Humana (Phoenix, AZ)
    ** Become a part of our caring community and help us put health first** If you are a problem solver, resourceful, and looking to make a difference for your family as ... experiences to our TRICARE members as a Work from Home Inbound Contact Beneficiary Service Representative (BSR). * Deliver...systems, policies, and tools, and it takes time to become proficient in the role. You must be willing… more
    Humana (04/14/24)
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  • Licensed Virtual Inside Sales Agent

    Humana (Phoenix, AZ)
    ** Become a part of our caring community and...11:00 pm local time. _Hours are subject to change based on business needs_ + **Training Hours** - Training ... + Active resident Health insurance license for your state of residence ( based on the resident state's Department of Insurance requirements) + Flexibility -… more
    Humana (03/23/24)
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  • Senior Business Intelligence Engineer

    Humana (Phoenix, AZ)
    ** Become a part of our caring community and help us put...have the right place for you at Humana. **Work at Home Guidance** To ensure Home or Hybrid Home ... resources available to you that will enable you to become happier, healthier, and more productive in all areas...ability to work effectively, the self-provided internet service of Home or Hybrid Home /Office associates must meet… more
    Humana (04/09/24)
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  • Workforce Management Professional 2

    Centerwell (Phoenix, AZ)
    ** Become a part of our caring community and help us put health first** The Workforce Management Professional 2 applies and integrates advanced and predictive ... and present suggestions for metric improvement or efficiency gains based on analysis of the metrics and operational observations....time that is best for your schedule. To ensure Home or Hybrid Home /Office employees' ability to… more
    Centerwell (04/19/24)
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  • Senior Marketing Campaign Developer (AEP)

    Humana (Phoenix, AZ)
    ** Become a part of our caring community and help us put health first** In the fast-paced, ever-growing world of healthcare, Humana relies on the latest technology ... development, enhancement, and maintenance + Optimizes audience segmentation and targeting based on performance metrics and insights + Provides consultation to… more
    Humana (04/14/24)
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  • MarketPoint Reporting Director

    Humana (Phoenix, AZ)
    ** Become a part of our caring community and help us put health first** The MarketPoint Reporting Director leads a dynamic team of data and reporting professionals in ... Humana's internal policies, procedures and systems **Additional Information** Work at Home /Remote Requirements **Work-At- Home Requirements** + To ensure Home more
    Humana (04/18/24)
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  • MarketPoint Implementation Director

    Humana (Phoenix, AZ)
    ** Become a part of our caring community and help us put health first** The MarketPoint Implementation Director gathers and documents business system and functional ... into Louisville, KY for meetings as needed.** Work at Home /Remote Requirements **Work-At- Home Requirements** + To ensure...Wireless, Wired Cable or DSL connection is suggested. + Satellite , cellular and microwave connection can be used only… more
    Humana (04/18/24)
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  • Lead SDLC Process Owner

    Humana (Phoenix, AZ)
    ** Become a part of our caring community and help...significance + This role is a remote, work at home role anywhere in the US. Candidates in Louisville will ... have flexibility to work both in office and at home . **Required Qualifications** + Bachelor's degree or 5+ years...recommended; wireless, wired cable or DSL connection is suggested Satellite , cellular and microwave connection can be used only… more
    Humana (04/06/24)
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  • Associate Benefits Professional

    Humana (Phoenix, AZ)
    ** Become a part of our caring community and help us put health first** The Associate Benefits Professional 2 will be integral to enhancing the company's position as ... written and verbal communication and consultation in support of and lead team- based efforts to address business issues and achieve well-being and benefit goals.… more
    Humana (04/19/24)
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  • Grievances & Appeals Representative

    Humana (Phoenix, AZ)
    ** Become a part of our caring community and help us put health first** The G&A rep 3 investigates and resolves grievances and appeals submitted by members and ... further request is warranted and then delivers final determination based on trained skillsets and/or partnerships with clinical and...+ Experience using CAS, CRM, CGX, and/or PA Hub **Work-At- Home Requirements** To ensure Home or Hybrid… more
    Humana (04/18/24)
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  • IT Cloud Procurement Category Lead

    Humana (Phoenix, AZ)
    ** Become a part of our caring community and help us put health first** The Sr. Manager, Lead Category Manager will report directly into the Director of IT ... Category Manager investigates available products, evaluate and recommend products based on user requirements. Advises executives to develop functional strategies… more
    Humana (04/14/24)
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  • Senior Data and Reporting Professional

    Humana (Phoenix, AZ)
    ** Become a part of our caring community and help us put health first** Humana Healthy Horizons is in search of a Senior Data and Reporting Professional who can ... resources. The role may entail creating specifications for reports based on business needs, determining the technical strategy for...with Tableau + Experience with Guiding Care **Work at Home Guidance** To ensure Home or Hybrid… more
    Humana (04/10/24)
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  • M&A Senior Solutions Architect

    Humana (Phoenix, AZ)
    ** Become a part of our caring community and help us put health first** The Senior Solutions Architect works with user groups to solve business problems with ... + Assist in developing an IT integration model for the technology functions based on the proposed deal structure and IT integration hypothesis. + Develop a… more
    Humana (03/23/24)
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  • HEDIS Data and Reporting Lead, Medicaid Quality

    Humana (Phoenix, AZ)
    ** Become a part of our caring community and help us put health first** Humana is seeking a HEDIS Data and Reporting Lead to join the National Medicaid Quality team. ... in a system analytics and/or data warehousing environment. **Additional Information:** + **Workstyle:** Home . Home workstyle is defined as remote but will use… more
    Humana (04/19/24)
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  • Business Intelligence Lead - Medicaid

    Humana (Phoenix, AZ)
    ** Become a part of our caring community and help us put health first** The population health analytics team within Humana is dedicated to transforming health ... of care and trend analysis. **Additional Information:** + **Workstyle:** Home . Home workstyle is defined as remote...wireless, wired cable or DSL connection is suggested. + Satellite , cellular and microwave connection can be used only… more
    Humana (04/19/24)
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