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Humana
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Baton Rouge, Louisiana
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is seeking a Provider Relations/Engagement Professional 2 to join the Louisiana Medicaid Market Team ... Health care or managed care with Provider Relations experience* 1 or more years prior experience working
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Humana
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Baton Rouge, Louisiana
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size of region or line of business. The Medical Director conducts Utilization Management of the care ... internal associates, and possible participation in care management. The clinical scenarios predominantly
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Humana
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Baton Rouge, Louisiana
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medical management operational improvements, including those within the medical director area ... Become a part of our caring community and help us put health first
The Medical Director
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Humana
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Baton Rouge, Louisiana
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Associate Director, Sales and Producer IT to join our Fortune #40, Best Places to Work company and help us ... through completion, vendor relationship management, creating a positive team culture, modernizing
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Humana
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Baton Rouge, Louisiana
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care management. The clinical scenarios predominantly arise from inpatient or post-acute care ... business relationships, value based care, population health, or disease or care management. Medical
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Humana
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Baton Rouge, Louisiana
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operating in a matrixed environment
Understanding of Medicaid and/or Medicaid managed care
Proven ... Medicaid markets from beginning to end. This position will translate market VBP requirements into tactical
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Humana
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Baton Rouge, Louisiana
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The Associate Director, Data Governance supports all aspects of configuration control, data management, and deficiency reporting. The Associate Director, Data Governance requires a solid understanding
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Humana
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Baton Rouge, Louisiana
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Associate Director, IT Portfolio Management to join our Fortune #40, Best Places to Work company and help us ... Associate Director, IT Portfolio Management requires a solid understanding of how organization capabilities
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Humana
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Baton Rouge, Louisiana
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clinical experience
Knowledge of the managed care industry including Medicare, Medicaid and or ... Director relies on medical background and reviews health claims and preservice appeals. The Corporate
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Humana
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Baton Rouge, Louisiana
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Director conducts Utilization Management of the care received by members in an assigned market, member ... Utilization Management, Care Management, and Quality departments' staff to understand the complex needs and
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Humana
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Baton Rouge, Louisiana
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committed to advancing the employment experience and vitality of the associate community. Through offerings ... quality outcomes and business value. This role will impact our overall Medicare and Medicaid strategy, as
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Humana
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Baton Rouge, Louisiana
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(PA) team is an operational department residing within the Medicare and Medicaid Organization. PA ... will help to support Medicaid growth through reporting, training, education, facilitation, and process
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Humana
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Baton Rouge, Louisiana
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products and services, as well as developing programs to focus employees on the quality of care given to ... and/or coaches staff and management in areas such as quality improvement, process management and
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Humana
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Baton Rouge, Louisiana
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, value-based care, population health, or disease or care management.
**Use your skills to make an ... environment and/or related to care of a Medicare or Medicaid type population
**_Current and ongoing
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Humana
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Baton Rouge, Louisiana
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Demonstrate time management and prioritization skills
Ability to manage multiple or competing priorities ... support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart
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Humana
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Baton Rouge, Louisiana
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IT Security Configuration Management? If so, you might be a good fit for a position on the Security Configuration Management Team at Humana. The Senior Security Configuration Management Engineer ensures that
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Humana
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Baton Rouge, Louisiana
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measurement in support of Medicaid's Equitable Population Health Management goals. The Data Manager Lead ... policies for requirements management, document management, change management, production and delivery, and
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Humana
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Baton Rouge, Louisiana
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Advantage, Managed Medicaid and/or Commercial products, or other Medical management organizations, hospitals ... managers or Care managers on complex case management, including familiarity with social determinants of
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Humana
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Metairie, Louisiana
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is seeking a Utilization Management Nurse 2 who utilizes clinical nursing skills to support the ... . The Utilization Management Nurse 2 work assignments are varied and frequently require interpretation
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Humana
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Baton Rouge, Louisiana
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Medical Director.
Other duties:
Identify medical management operational improvements ... Become a part of our caring community and help us put health first
The Medical Director
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Humana
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Baton Rouge, Louisiana
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Become a part of our caring community and help us put health first
The Associate Director ... Associate Director, Business Systems Analysis requires a solid understanding of how organization
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Humana
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Baton Rouge, Louisiana
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Experience creating automated reports and self-service tools
Advanced time management and prioritization ... field
1 or more years of experience in SQL, SAS, QlikView and Tableau
Experience with Medicaid
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Humana
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Baton Rouge, Louisiana
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Management Nurse 2 utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations. The Utilization Management Nurse
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Humana
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Baton Rouge, Louisiana
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technology to deliver health care and insurance for patients and members. Our team operates at the evolving ... experience with a top management consulting firm
2-5 years of corporate, business, and/or IT strategy
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Humana
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Baton Rouge, Louisiana
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Become a part of our caring community and help us put health first
The Associate Director ... enough to support serving customers. The Associate Director, Network Adequacy generates ad hoc reports
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Humana
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Baton Rouge, Louisiana
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defining user stories and prioritizing product backlog. The Senior Medicaid Product Owner work assignments ... **
Required Qualifications
**4+ Yrs related experience in Product Ownership or Management
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Humana
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Baton Rouge, Louisiana
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communication skills
Preferred Qualification
Associate or Bachelor's Degree
CRM ... Experience (VJE). This is an online activity where you will learn more about Customer Care jobs at Humana
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Humana
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Baton Rouge, Louisiana
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**
Appeals/Utilization Review/Quality Management experience
Previous claims experience
Experience ... TRICARE contracts and/or the military health care delivery system
Knowledge of TRICARE policies and
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Humana
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Baton Rouge, Louisiana
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transforming Primary Care through technology and innovation.
The Associate Director, Technology Solutions ... Become a part of our caring community and help us put health first
As the Associate Director
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Humana
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Baton Rouge, Louisiana
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Become a part of our caring community and help us put health first
The Associate Director ... Associate Director, Business Intelligence will utilize various tools, technologies, applications and best
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