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Humana
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Raleigh, North Carolina
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-clinical care experience
1 or more years of experience in handling high volume customer contacts in a ... Nurse Assistant 3 performs advanced administrative/operational/customer support duties that require
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Humana
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Raleigh, North Carolina
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Qualifications**
1+ years of administrative, support, data entry, or related professional experience.
1+ years experience in a metric/production driven environment
Prior professional experience using
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Humana
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Raleigh, North Carolina
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Become a part of our caring community and help us put health first
The Professional 1, Production produces of a wide range of print projects for external and internal audiences. The Professional 1
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Humana
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Raleigh, North Carolina
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Humana's 26 million members?
Are you customer obsessed with a business-centric outlook? At the Humana Enterprise Architecture unit, our mission is to deliver a perfect member experience by bringing forth the
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Humana
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Raleigh, North Carolina
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documentation to ensure capture of all relevant coding. Applies clinical and coding experience to conduct a ... /territory in which they reside
Minimum of 2 years acute inpatient hospital care experience or inpatient
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Humana
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Raleigh, North Carolina
...
of assignment
5+ years of direct clinical patient care experience post residency or fellowship ...
Knowledge and experience with national guidelines such as NCD/LCD, MCG® or InterQual
Preferred
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Humana
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Raleigh, North Carolina
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targeted metrics. Leverages market level projections and experience data tools to research root cause and ... eligibility requirements for Humana's Actuarial Professional Development Program (APDP)
MAAA
Strong
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Humana
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Raleigh, North Carolina
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and Analysis Professional 2 analyzes and forecasts financial, economic, and other data to provide ... Analysis Professional 2 work assignments are varied and frequently require interpretation and independent
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Humana
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Raleigh, North Carolina
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Management Professional will work as liaison between vendors and Humana supporting internal business areas ... calendar year beginning 1/1/2025.
The Senior Vendor Management Professional builds and maintains
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Humana
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Raleigh, North Carolina
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's education, training, experience, licensure, accreditation, certifications, professional liability insurance ... Professional 2 obtains and reviews documentation to determine status in a health plan. The Credentialing
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Humana
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Raleigh, North Carolina
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performance, member experience, market growth, provider experience and operational excellence. Decisions are ... care with Provider Contracting, Network Management or Provider Relations experience
2+ years of
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Humana
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Raleigh, North Carolina
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committed to advancing the employment experience and vitality of the associate community. Through offerings ... **
Key Candidate Qualifications
In general terms, the ideal candidate will have extensive experience
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Humana
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Raleigh, North Carolina
...
towards minimizing app loading times to enhance user experience.
Implement and maintain user group ... as React or Angular.
Experience with databases, both SQL (e.g., PostgreSQL, MySQL) and NoSQL (e
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Humana
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Raleigh, North Carolina
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purpose and impact in Humana's OCSX (Omni-Channel Customer Experience Solutions) department. We believe ... for a data professional who loves to dive deep into complex problems and emerge with innovative
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Humana
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Raleigh, North Carolina
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_** equivalent related experience
3+ years of communications, marketing, product owner (indirectly or directly) or related experience
Experience with multi-channel campaigns
**Salesforce
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Humana
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Raleigh, North Carolina
...
-rounded individual that has experience with many different application engineering technologies. Someone ... Leadership Professional is responsible for all aspects of software or hardware product delivery and
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Humana
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Raleigh, North Carolina
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professional designations.
MAAA
Strong communication skills
Experience in more than two ... team committed to providing a strong customer experience
Strong desire to engage and learn new
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Humana
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Raleigh, North Carolina
...
professional designations.
MAAA
Strong communication skills
Experience in more than two ... team committed to providing a strong customer experience
Strong desire to engage and learn new
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Humana
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Raleigh, North Carolina
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Proposal Development/Contract Review Professional 2 reviews solicitations and prepares routine contract ... Professional 2 is primarily responsible for reviewing moderate to complex solicitations and preparing routine
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Humana
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Raleigh, North Carolina
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Improvement Professional develops, implements, and manages processes as part of the Southeast Region Medicare/Medicaid Stars Improvement Program.
The Senior Stars Improvement Professional works via virtual and in
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Humana
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Raleigh, North Carolina
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professional experience performing data analytics and building user interfaces, visualizations, and data ... Packages.
Minimum of 2 years' experience as a BI/DW professional or Qlik Sense Developer.
Minimum
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Humana
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Raleigh, North Carolina
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Claims Professional adjudicates pharmacy claims and process pharmacy claims for payment. The Senior Pharmacy Claims Professional work assignments involve moderately complex to complex issues where the
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Humana
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Raleigh, North Carolina
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's Actuarial Professional Development Program (APDP)
MAAA
Strong communication skills
Must be ...
Preferred Qualifications
Medicare Advantage experience
Forecasting/modeling experience
SAS
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Humana
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Raleigh, North Carolina
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enterprise, influencing a positive member experience through innovative technology solutions. This role ... Requirements**
Technical Skills:
Proficiency in NodeJS
Solid experience in development and DevOps
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Humana
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Raleigh, North Carolina
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of variable factors.
The Medical Director actively uses their medical background, experience, and ... degree
5+ years of direct clinical patient care experience post residency or fellowship, which
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Humana
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Raleigh, North Carolina
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of variable factors.
The Medical Director actively uses their medical background, experience, and ... direct clinical patient care experience post residency or fellowship, which preferably includes some
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Humana
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Raleigh, North Carolina
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Administration, or related field
5+ years experience in Change Management, Organization Effectiveness, Organization Design, or related field
Preferred skills:
Prosci certified Change Management Professional
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Humana
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Raleigh, North Carolina
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collaborative, strategic and results-oriented marketing professional with exceptional leadership, team building ... , services, and customer segments across multiple Insurance Services lines of business
Drive capability
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Humana
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Raleigh, North Carolina
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Cloud Professional Architect)
Experience with CI/CD pipelines and DevOps practices
Familiarity ... of health and care services to the customer across their journey through the ecosystem. Integrated
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Humana
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Raleigh, North Carolina
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Professional (LMHP) in the Commonwealth of Virginia.
Three (3) or more years of professional experience in ... Medicaid and/or Medicare.
Experience working with adult and/or pediatric populations with mild to
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