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Description The Transition Coordinator (Care Coach 1) assesses and evaluates member's needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families toward and facilitate interaction with resources..

Description The Social Determinants of Health (SDOH) Coordinator understands own work area professional concepts/standards, regulations, strategies and operating standards. Makes decisions regarding own work approach/priorities, and follows direction. Work is..

Description The Field Care Manager, Behavioral Health 2 assesses and evaluates member's needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families toward and facilitate interaction with..

Louisiana, United States of America Job Family Group: Discipline Engineering Worker Type: Regular Posting Start Date: August 10, 2022 Business unit: Downstream Experience Level: Experienced Professionals Job Description: Position Purpose..

Louisiana, United States of America Job Family Group: Information Technology (IT) Worker Type: Regular Posting Start Date: September 21, 2022 Business unit: Projects and Technology Experience Level: Experienced Professionals Job..

Description This Senior Fraud and Waste Investigator will serve as Humana's Program Integrity Officer, who will oversee the monitoring and enforcement of the fraud, waste, and abuse (FWA) compliance program..

Louisiana, United States of America Job Family Group: Information Technology (IT) Worker Type: Regular Posting Start Date: December 2, 2022 Business unit: Projects and Technology Experience Level: Experienced Professionals Job..

Description The Utilization Management Behavioral Health Professional 2 utilizes behavioral health knowledge and skills to support the coordination, documentation, and communication of medical services and/or benefit administration determinations. The Utilization..

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Description The Provider Relations/Engagement Professional 2 develops and grows positive, long-term relationships with physicians, providers and healthcare systems in order to support and improve financial and quality performance within the..

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Louisiana, United States of America Job Family Group: External Relations (and IC) Worker Type: Regular Posting Start Date: March 1, 2023 Business unit: Strategy and Portfolio Experience Level: Experienced Professionals..

Texas, United States of America Job Family Group: Contracting and Procurement Worker Type: Regular Posting Start Date: November 30, 2022 Business unit: Projects and Technology Experience Level: Experienced Professionals Job..

Description The Claims Research & Resolution Professional 2 manages claims operations that involve customer contact, investigation, and settlement of claims for and against the organization. Approves all claim settlements both..

Description Humana Health Horizons in Louisiana is seeking Medicaid Quality Audit Professionals - Behavior Health (BH) to ensure contracted Specialized Behavioral Health Providers adheres to NCQA documentation standards, BH Clinical..

Louisiana, United States of America Job Family Group: Information Technology (IT) Worker Type: Regular Posting Start Date: December 19, 2022 Business unit: Projects and Technology Experience Level: Experienced Professionals Job..

Description The Field Care Manager, Behavioral Health 2 assesses and evaluates member's needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families toward and facilitate interaction with..

Description The Community Health Worker/Care Management Support Professional 1 contributes to administration of care management. Provides non-clinical support to the assessment and evaluation of members' needs and requirements to achieve..

Description The Care Management Support Assistant 2 contributes to administration of care management. Provides non-clinical support to the assessment and evaluation of members' needs and requirements to achieve and/or maintain..

Description A Peer Support Specialist (Care Management Support) is a person in recovery from a behavioral health condition (mental health, substance use, or co-occurring) who provides mentoring, guidance, and support..