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**Become a part of our caring community and help us put health first**The ...
Details
Summary
About the job:
Consumer Engagement Representative 1 oversees the enrollment, education, engagement, and activation duties for client groups regardless of segment, and for product where warranted. The Consumer Engagement Representative 1 performs basic administrative/clerical/operational/cust omer support/computational tasks. Typically works on routine and patterned assignments.The Consumer Engagement Representative 1 contributes to business strategy by understanding benefit offerings to ensure enrollment success, identifying member...
Location:
Columbus, OH
Job Type:
Full-Time
Permanent
Occupation:
Customer Service Representatives
Career Level / Education:
High school diploma or equivalent
Salary:
Middle Income Jobs ($30K-$49K)
Certifications / Licenses:
N/A
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
**Become a part of our caring community and help us put health first**The ...
Details
Summary
About the job:
Provider Contracting Executive will be building and servicing hospital networks from the ground up with little direction. In this role, you will initiate, negotiate, and execute physician, ancillary, and/or other provider contracts and agreements for Virginia Medicare and Medicaid providers. The Provider Contracting Executive's work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors.+ The Provider Contracting Executive...
Location:
Columbus, OH
Job Type:
Full-Time
Permanent
Occupation:
Medical and Health Services Managers
Career Level / Education:
High school diploma or equivalent
Salary:
Six Figure Jobs (more than $100K)
Certifications / Licenses:
N/A
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
**Become a part of our caring community and help us put health first**This ...
Details
Summary
About the job:
Senior Compliance Professional role supports Humana's suite of Medicare and Commercial Dental and Vision products in Puerto Rico and ensures compliance with regulatory requirements. The Senior Compliance Professional works assignments involving moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors.For our Dental and Vision insurance products in Puerto Rico, the Senior Compliance Professional shall:+ Research regulatory compliance issues and...
Location:
Columbus, OH
Job Type:
Full-Time
Permanent
Occupation:
Compliance Managers
Career Level / Education:
High school diploma or equivalent
Salary:
Six Figure Jobs (more than $100K)
Certifications / Licenses:
N/A
Workkeys
Applied Math
4
Graphic Literacy
5
Workplace Documents
6
**Become a part of our caring community and help us put health first**The ...
Details
Summary
About the job:
Advisor, Medicaid Provider & Network Strategy will be accountable for leading the development of Humana Healthy Horizon's (Medicaid) provider & network market entry strategy for its Medicaid growth markets. This strategist will lead data-driven research oriented strategic advisement in the development of strategies that produce robust, adequate, and accessible networks. The Advisor will also drive the development of competitive & innovative provider & network strategies to support request for proposals (RFPs) and market...
Location:
Columbus, OH
Job Type:
Full-Time
Permanent
Occupation:
Management Analysts
Career Level / Education:
High school diploma or equivalent
Salary:
Six Figure Jobs (more than $100K)
Certifications / Licenses:
N/A
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
**Become a part of our caring community and help us put health first**The ...
Details
Summary
About the job:
Associate Director, Privacy & Ethics monitors compliance in accordance with government regulations relating to the Health Insurance Portability and Accountability Act (HIPAA). The Associate Director, Privacy & Ethics requires a solid understanding of how organization capabilities interrelate across department(s).The Associate Director, Privacy & Ethics researches available resources and coordinates implementation of this highly specialized and technical information. Coordinates the implementation of HIPAA's transaction,...
Location:
Columbus, OH
Job Type:
Full-Time
Permanent
Occupation:
Compliance Managers
Career Level / Education:
High school diploma or equivalent
Salary:
Six Figure Jobs (more than $100K)
Certifications / Licenses:
Project Management Professional
Workkeys
Applied Math
4
Graphic Literacy
4
Workplace Documents
5
**Become a part of our caring community and help us put health first**Do you ...
Details
Summary
About the job:
have a desire to work from home? Do you love assisting others when they are in need? Are you looking for valuable experience working for a Fortunate 100 company that focuses 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 working in a best-in-class contact center.As a Call Center Representative 2,...
Location:
Columbus, OH
Job Type:
Full-Time
Permanent
Occupation:
Customer Service Representatives
Career Level / Education:
High school diploma or equivalent
Salary:
Middle Income Jobs ($30K-$49K)
Certifications / Licenses:
N/A
Workkeys
Applied Math
4
Graphic Literacy
4
Workplace Documents
4
**Become a part of our caring community and help us put health first**The ...
Details
Summary
About the job:
Senior IT Vendor Management Professional holds Humana's technology partners accountable via performance management, contract compliance, and relationship management, thereby allowing internal partners to focus on providing solutions to enable the perfect member experience.The Senior IT Vendor Management Professional is responsible for coordinating IT stakeholder activities and relationships across assigned IT departments and within Humana's IT organization.The Senior IT Vendor Management Professional work assignments...
Location:
Columbus, OH
Job Type:
Full-Time
Permanent
Occupation:
Computer and Information Systems Managers
Career Level / Education:
Bachelor's degree
Salary:
Six Figure Jobs (more than $100K)
Certifications / Licenses:
N/A
Workkeys
Applied Math
5
Graphic Literacy
5
Workplace Documents
5
**Become a part of our caring community and help us put health first**Humana ...
Details
Summary
About the job:
is seeking a Lead Application Architect to join our team that is building a Digital Health Platform for many of our omni-channel applications. The Lead Application Architect designs and develops IT applications architecture solutions to business problems in alignment with the enterprise architecture direction and standards. The Lead Application Architect works on problems of diverse scope and complexity ranging from moderate to substantial.This is your opportunity to join our Fortune #40, Best Places to Work company...
Location:
Columbus, OH
Job Type:
Full-Time
Permanent
Occupation:
Computer Systems Engineers/Architects
Career Level / Education:
Bachelor's degree
Salary:
Six Figure Jobs (more than $100K)
Certifications / Licenses:
N/A
Workkeys
Applied Math
4
Graphic Literacy
4
Workplace Documents
4
Become a part of our caring community and help us put health first The ...
Details
Summary
About the job:
Senior Quality Compliance Professional analyzes and utilizes data to develop and lead collaborative health plan quality improvement performance projects, activities and to monitor performance and metrics for Ohio Medicaid populations. The Senior Quality Compliance Nurse Professional works independently, sometimes in ambiguous situations, and work may be performed with minimal direction. This position makes decisions on moderately complex to complex issues regarding the technical approach for project components, and work...
Location:
Canton, OH
Job Type:
Full-Time
Permanent
Occupation:
Medical and Health Services Managers
Career Level / Education:
Bachelor's degree
Salary:
Six Figure Jobs (more than $100K)
Certifications / Licenses:
Certified Professional in Healthcare Quality
Licensed Practical Nurse
Workkeys
Applied Math
4
Graphic Literacy
4
Workplace Documents
5
Become a part of our caring community and help us put health first The ...
Details
Summary
About the job:
Senior Quality Compliance Professional analyzes and utilizes data to develop and lead collaborative health plan quality improvement performance projects, activities and to monitor performance and metrics for Ohio Medicaid populations. The Senior Quality Compliance Nurse Professional works independently, sometimes in ambiguous situations, and work may be performed with minimal direction. This position makes decisions on moderately complex to complex issues regarding the technical approach for project components, and work...
Location:
Columbus, OH
Job Type:
Full-Time
Permanent
Occupation:
Medical and Health Services Managers
Career Level / Education:
Bachelor's degree
Salary:
Six Figure Jobs (more than $100K)
Certifications / Licenses:
Certified Professional in Healthcare Quality
Licensed Practical Nurse
Workkeys
Applied Math
4
Graphic Literacy
4
Workplace Documents
5

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