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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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is seeking a Medicaid Compliance Business Intelligence Lead who describes the tools, technologies, applications, and practices used to collect, integrate, analyze, and present the Medicaid segment's compliance
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Humana
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Baton Rouge, Louisiana
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provider reimbursement methodologies. The associate will support existing Medicaid business and expansion ... Become a part of our caring community and help us put health first
The Medicaid (PPS
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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 ... enterprise information security teams.
Job Description
The **Associate Director, SIEM & Detection
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Humana
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Baton Rouge, Louisiana
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(MPS) Product Management space with a focus on Medicaid Enrollment & Premium Reconciliation- Humana is ... changes it is going through. As part of the MPS Product Management team, the senior product manager will
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Humana
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Baton Rouge, Louisiana
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state initiatives that affect the role of managed care in Medicaid programs.
Work closely with ... Become a part of our caring community and help us put health first
The Director of State
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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 ... care management. The clinical scenarios predominantly arise from inpatient or post-acute care
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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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, 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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Become a part of our caring community and help us put health first
The Associate Director ... associates, the Associate Director will implement operational processes to support payments and reporting for
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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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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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Baton Rouge, Louisiana
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Become a part of our caring community and help us put health first
The Associate Director ... Horizon's specialty value-based payment (VBP) model portfolio. The Associate Director will oversee a team
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Humana
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Baton Rouge, Louisiana
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skills:
Process Management
Provider Management
Relationship Management
Problem ... + years of experience with health care and/or health care payment policies
1+ year data analysis
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Humana
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Baton Rouge, Louisiana
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, Telephonic RN opportunity.
The Utilization Management Behavioral Health Nurse utilizes behavioral health ... ) years of clinical and Utilization Management experience.
The Utilization Management Behavioral Health
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Humana
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Baton Rouge, Louisiana
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competitive benefits that support whole-person well-being. Associate benefits are designed to encourage ... the care and service they need, when they need it. These efforts are leading to a better quality of
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Humana
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Baton Rouge, Louisiana
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scorecard/reconciliation reporting
Understanding of Medicaid and/or Medicaid managed care
Ability ... beginning-to-end operational support of specialty Medicaid value based payment (VBP) models in alignment
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Humana
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Baton Rouge, Louisiana
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and their applications in healthcare and clinical settings
Master's Degree
Management ... 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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Review Universes.
Registered Nurse or Behavioral Health professional.
Managed care, Medicaid ... experience in NCQA Health Plan Accreditation and/or Long-Term Services and Supports/Long Term Care/Case
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Humana
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Baton Rouge, Louisiana
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Development is a proposal writer who coordinates the development of Medicaid RFP content to effectively ... to successfully respond to Medicaid RFA/RFI/RFPs.
Role Overview:
Responsible to ensure
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Humana
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Baton Rouge, Louisiana
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care or health care sector
Prior experience working in a system analytics and/or data warehousing ... -being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for
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Humana
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Baton Rouge, Louisiana
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Qualifications**
Associate's Degree or higher in Health Information Management (HIM)
Experience in ... Company values associate engagement & your well-being. We also provide excellent professional development
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Humana
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Baton Rouge, Louisiana
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upload speed of 10 Mbps is recommended to support Humana applications, per associate.
Wireless ... 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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architecting information management technology solutions inclusive of modern data / cloud technologies and ... .
Experience with:
Enterprise data pipeline management and integration technologies and platforms
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Humana
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Baton Rouge, Louisiana
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**
Portfolio management - Assisting the leadership team to help ensure strategic alignment across the ... such as Centerwell Home Health or Centerwell Primary Care
**Use your skills to make an impact
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Humana
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Baton Rouge, Louisiana
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all NCQA Health Equity Accreditation work for Humana's Medicaid markets. The ideal candidate will have ... .
Project management experience with excellent organizational skills and the ability to manage multiple
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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 Care Manager ... facilitate interaction with resources appropriate for the care and wellbeing of members. The Care Manager
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Humana
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Baton Rouge, Louisiana
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is seeking a Utilization Management Behavioral Health Professional 2 who utilizes behavioral health ... /or benefit administration determinations. The Utilization Management Behavioral Health Professional 2
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Humana
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Baton Rouge, Louisiana
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Medicaid and Medicaid managed care
Ability to understand and analyze financial, utilization, and ... -end operational support of specialty Medicaid value based payment (VBP) models in alignment with
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Humana
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Baton Rouge, Louisiana
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, applications, and solutions. Drives the roll-out of cloud management platforms, evaluates its performance and ... Flows.
Demonstrated Cloud Platform Experience.
Agile deployment using Blackchair management
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