• Humana (Birmingham, AL)
    …records for fraud, waste or abuse as well as review of Humana Medical Coverage Policies, CMS regulations, peer reviewed literature, and professional society's ... coding concepts and processes + Proficiency with ExcelAdditional InformationAt Humana , we know your well-being is important to you,...you share our passion for helping people, we likely have the right place for you at Humana .Scheduled Weekly… more
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  • Humana (Tampa, FL)
    …service is NOT allowed for this role); and recommended speed for optimal performance from Humana systems is 10M x 1MBe a part of our Clinical Space - Provide ... interaction or services that connect people with lifelong well-being. Humana is seeking a Genetic Counselor, you will be...this role); and recommended speed for optimal performance from Humana systems is 10M x 1M Desired Qualifications +… more
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  • Humana (Orlando, FL)
    …Medicine + This role is considered patient facing and is part of Humana /Senior Bridge's Tuberculosis (TB) screening program. If selected for this role, you will ... be required to be screened for TB. + Must be passionate about contributing to an organization focused on continuously improving consumer experiencesPreferred QualificationsAdditional InformationScheduled Weekly Hours40 more
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  • Humana (Olathe, KS)
    …minimal direction and receives guidance where needed. Follows established guidelines/procedures. Job Overview Humana At Home is a division of Humana that is ... this role); and recommended speed for optimal performance from Humana systems is 10M x 1M+ Able to work...applies ONLY to associates working in the state of Arizona: Humana is committed to providing a safe and healthy… more
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  • Humana At Home (Scottsdale, AZ)
    …per competency checklist.This role is considered patient facing and is part of Humana 's Tuberculosis (TB) screening program. If selected for this role, you will be ... required to be screened for TB.This role is part of Humana 's Driver safety program and therefore requires an individual to have a valid state driver's license and… more
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  • Humana (Tampa, FL)
    …_This is a job posting for various Pharmacy Technician jobs with Humana Pharmacy. Opportunities may vary between Mail Order, Clinical Programs, Clinical Services, ... insurance plans and Medicare Additional Information Learn more about Humana Pharmacy Solutions and what we do. /#Pharmacytechnician The...ONLY to associates working in the state of Arizona: Humana is committed to providing a safe and healthy… more
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  • Humana (Las Vegas, NV)
    …Care Evaluates and treats center patients in accordance with standards of care Follows level of medical care and quality for patients and monitors care using ... available data and chart reviews Assists in the coordination of patient services, including but not limited to specialty referrals, hospital and SNF coordination, durable medical equipment and home health care Acts as an active participant and key source of… more
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  • Humana (Miami, FL)
    …Conviva Care Solutions is about togetherness and the commitment we have to one another while providing excellent healthcare. We are a management care organization ... representing physicians, practices, clinicians, and patients across the states of Florida and Texas. Conviva is seeking a dedicated, compassionate and cheerful - MEDICAL ASSISTANT for North Miami Beach - who has a soft spot for our senior members and wants to… more
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  • Humana (Houston, TX)
    …The Primary Care Physician (PCP) works as a lead in our team-based care environment. We are a value based care provider focused on quality of care for the patients we ... DescriptionHealthcare isn't just about health anymore. It's about caring for family, friends, finances, and personal life goals. It's about living life fully. At Partners in Primary Care (PIPC), we want to help people everywhere, including our associates, lead… more
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  • Humana (Phoenix, AZ)
    …Clinical Programs Pharmacy Technician Representative 2 will make outbound calls to Humana members and educate them on alternative medications and opportunities for ... our members to maximize their benefits and get the most from their Humana insurance. Drives health awareness with patients through Rx Education and targeted… more
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  • Humana (Spartanburg, SC)
    …note if you are currently not certified, we will require completion of Humana approved certification program within one year from hire date)Experience in a fast ... based on business needThis role is considered patient facing and is part of Humana 's Tuberculosis (TB) screening program. If selected for this role, you will be… more
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  • Humana (Atlanta, GA)
    …YES to one or more of the above you should strongly consider Humana 's Nurse Auditor 2 Professional opportunity.Performs in a production based environment of clinical ... and requires minimal direction and receives guidance when neededWhat Humana OffersWe are fortunate to offer a remote opportunity...this role); and recommended speed for optimal performance from Humana systems is 10M x 1MInterview FormatAs part of… more
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  • Humana (Jacksonville, FL)
    …Conviva Care Solutions is a management services organization representing nearly 300 physician practices, 800 clinicians, and 300,000 patients across the states of ... Florida and Texas. We need people with a passion for helping others and making change happen. We don't want to be like everyone else in the industry-we want to be better. And we're looking for talent that wants to grow, be challenged and inspired to help make… more
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  • Humana (Irving, TX)
    …distancing and reduce health risks for associates, members and public health, Humana is deploying virtual and video technologies for all hiring activities. This ... speed of 10m x 1m and a dedicated secure home workspace are required. Humana continues to monitor the situation, and will adjust service levels as the coronavirus… more
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  • Humana (San Antonio, TX)
    …InformationThe following policy applies ONLY to associates working in the state of Arizona: Humana is committed to providing a safe and healthy work environment and ... promoting the health and well-being of its associates. Effective July 1, 2011, Humana adopted a tobacco-free hiring policy that will promote a healthier workplace… more
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  • Humana (Louisville, KY)
    …to related areas. The Nurse Auditor follows all established guidelines/procedures. Humana is seeking an individual to focus on preventing unnecessary payments ... to providers and recovering overpayments when they happen.+ Reviews claims submitted to ensure correct guidelines have been followed+ Utilizes clinical expertise when necessary when reviewing Itemized Bills+ Perform routine and special audits of par provider… more
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  • Humana (Hialeah, FL)
    …area - FL+ This Job is considered patient facing and is part of Humana Tuberculosis (TB) screening program. If selected for this role, you will be required ... to be screened for TB. Scheduled Weekly Hours 40 more
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  • Humana (New York, NY)
    …All of our caregivers have the support of professional care managers and receive some of the best training in the industry. We ALL work as a TEAM to meet the needs of ... our clients. Below I indicated all the necessary information in order to apply.SeniorBridge is seeking passionate nursing professionals; dedicated to delivering the highest quality in-home shift nursing programs. As a shift nurse you will provide direct care… more
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  • Humana (Phoenix, AZ)
    …payment.This is a job posting for various Pharmacy Technician jobs with Humana Pharmacy. Opportunities may vary between Mail Order, Clinical Programs, Clinical ... Experience working with insurance plans and MedicareAdditional InformationLearn more about Humana Pharmacy Solutions and what we do. following policy applies ONLY… more
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  • Demand and Portfolio Lead, Digital Health…

    Humana (Washington, DC)
    …selecting, and implementing Digital Health and Analytics on behalf of the Humana Enterprise. **Required Qualifications** + Bachelor's degree + 8 or more years ... of technical experience + 2 or more years of project leadership experience + Ability to manage multiple tasks and deadlines with attention to detail + Ability to communicate effectively and deliver presentations to senior leaders + Advanced experience leading… more
    Humana (02/27/21)
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