• Specialist, Market Growth & Retention…

    Molina Healthcare (Albany, NY)
    …for promoting and increasing member enrollments into plan programs (ie; Member portal, Rewards Program, etc.) * Assists Medicaid Members in contacting ... and maintaining healthcare coverage, and accurate information for eligibility for Medicaid , CHP and Essential Plan. Provide non-clinical reminders (ie; product… more
    Molina Healthcare (11/26/25)
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  • Special Needs Plan- Support Social Services

    Humana (Albany, NY)
    Bilingual English/Creole + Experience working with Medicare and Medicaid **Additional Information** **Work-At-Home Requirements:** To ensure Home or Hybrid ... Social Worker** who functions as a Support Social Services associate (Support SS) in our Special Needs Plan (SNP)...and serves as part of an interdisciplinary care team member working with other disciplines, such as nurse care… more
    Humana (11/06/25)
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  • RN Care Manager - Remote, nationwide

    Humana (Albany, NY)
    …a variety of strategies, approaches and techniques to manage a member 's physical, environmental and psycho-social health issues. Identifies and resolves barriers ... Environment is fast paced and requires ability to engage quickly with member while concurrently navigating multiple computer applications. Due to the auto dialer… more
    Humana (11/19/25)
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  • Senior Clinical Programs Pharmacist

    Humana (Albany, NY)
    …Previous experience with pharmacy benefits management + Previous Commercial, Medicare and/or Medicaid experience + 3 or more years clinical experience in managed ... SQL and Excel + Lean, 6 sigma experience and/or certification + Bilingual (English/Spanish) **Additional Information** WAH requirements: + Must have the ability to… more
    Humana (10/18/25)
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  • Claims Review Representative

    Humana (Albany, NY)
    …offer a remote opportunity for this job. Our Fortune 100 Company values associate engagement & your well-being. We also provide excellent professional development & ... capacity to manage and prioritize multiple tasks based on business needs. + Bilingual fluency in English and Spanish **Preferred Qualifications** + Associate or… more
    Humana (12/02/25)
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