Join Humana Healthy Horizons and impact healthcare as a Pre-Authorization Nurse 2. Review and approve prior authorization requests, conduct medical necessity reviews, educate providers, and input clinical data. Utilize clinical expertise and decision...
Join our compassionate team as a Referrals Coordinator in Florida. Process medical referrals, handle inbound calls, manage medical data, and ensure compliance with TRICARE policies. Ideal candidates have 2+ years of healthcare/admin experience, profi...
Remote Referrals Coordinator role in Florida. Process referrals from Military Treatment Facilities & civilian providers. Handle inbound calls, data entry, and code assignments. Must have 2+ years healthcare experience, be detail-oriented, and profici...
Join our compassionate team enhancing health services for Humana members! Be a key contributor as a Provider Installation Representative 2. Help maintain accurate provider data for our online Physician Finder Plus tool. Utilize your admin skills and ...
Join our compassionate team as a Remote Call Center Representative in Florida. Assist patients in a high-volume healthcare Contact Center. Essential tasks include scheduling appointments, resolving issues, and providing exceptional customer service. ...
Join an innovative team at Humana as a Senior Business Intelligence Engineer. Analyze various data sets like Medicare Stars and CMS to provide valuable insights for decision-makers. Enhance consumer experiences through advanced data analysis techniqu...
Join our team as a Remote Call Center Representative in Florida, supporting a high-volume healthcare Contact Center. Assist patients with appointments and inquiries, showcasing strong communication skills and empathy. Bilingual English/Spanish prefer...
Join Humana's dedicated team as a Community Resource Coordinator in Wisconsin. Provide top-quality care to members in need by conducting social assessments, coordinating care plans, and promoting wellness. Bachelor's degree and experience with Family...
Join Humana's compassionate team as a Community Resource Coordinator in Wisconsin. Provide top-quality care to frail elders and adults with disabilities, ensuring their well-being and social integration. Collaborate with a Health and Wellness Coordin...
Join Humana as a Community Resource Coordinator in Wisconsin to provide high-quality care to Family Care program members. Partner with colleagues, conduct assessments, develop care plans, and advocate for social and wellness needs. Remote field posit...