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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
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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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