• Value Based Programs Specialty Care

    Humana (Atlanta, GA)
    …caring community and help us put health first** The Value-Based Programs Specialty Care Lead supports the creation of complex value-based programs. The ... Value-Based Programs Lead provides strategic advice and guidance to functional team(s)...personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and… more
    Humana (03/15/25)
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  • MSO Growth Lead

    CenterWell (Atlanta, GA)
    …and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. ... and help us put health first** The MSO Growth Lead will develop and execute growth strategies for CenterWell's...network. This role is responsible for engaging independent primary care practices on Centerwell's MSO/IPA offering to CenterWell's IPA… more
    CenterWell (01/14/25)
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  • Lead Research Scientist

    Humana (Atlanta, GA)
    …and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. ... help us put health first** Humana's Clinical Analytics Team is seeking a Lead Research Scientist (Remote). Healthcare is rapidly changing, and our members are living… more
    Humana (03/08/25)
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  • Lead Data Architect

    Humana (Atlanta, GA)
    …and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. ... a broader audience? If so, we're looking for a Lead Data Architect to join our team and design...support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and… more
    Humana (03/12/25)
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  • Lead Data Scientist

    Humana (Atlanta, GA)
    …and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. ... the forefront of delivering cutting-edge AI technologies for improving care quality and experience of millions of consumers. We...of healthcare through AI excellence. We are seeking a Lead Data Scientist to guide the strategic decisions and… more
    Humana (01/28/25)
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  • Primary Care Physician

    CenterWell (Marietta, GA)
    **Become a part of our caring community and help us put health first** The Primary Care Physician (PCP) works as a lead in our team-based care environment. ... based care provider focused on quality of care for the patients we serve. Our care...personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and… more
    CenterWell (02/08/25)
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  • Medical Director - Care Plus - Florida

    Humana (Atlanta, GA)
    …and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. ... to make determinations whether requested services, requested level of care , and/or requested site of service should be authorized....reports to a Regional Vice President of Health Services, Lead , or Corporate Medical Director, depending on size of… more
    Humana (03/18/25)
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  • LCSW Behavioral Health Educator

    CenterWell (Atlanta, GA)
    …and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. ... anymore. It's about caring for family, friends, finances, and personal life goals. It's about living life fully. At...goals. It's about living life fully. At the Primary Care Organization, a division of Humana, we want to… more
    CenterWell (03/04/25)
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  • National leader, Provider Education

    CenterWell (Atlanta, GA)
    …and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. ... falls under the Clinical Excellence Department of the Primary Care Organization. This individual will serve as the face...directly to the Chief Clinical Learning Officer, the National lead for provider education will collaborate to develop and… more
    CenterWell (03/06/25)
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  • RCM Healthcare Claims Denials Supervisor

    CenterWell (Marietta, GA)
    …and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. ... three years healthcare related collection/billing experience + Some experience in a lead or supervisory role generally required + Strong knowledge of collection and… more
    CenterWell (02/13/25)
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  • Center Administrator

    CenterWell (Dallas, GA)
    …and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. ... work of professional and support personnel who provide outpatient care to patients in a clinical setting. The Manager,...TB. + Direct leadership experience and demonstrated ability to lead , coach and mentor teams + Proven interpersonal skills… more
    CenterWell (03/06/25)
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  • IPA Coding Associate Director

    CenterWell (Atlanta, GA)
    …and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. ... procedures are followed, and fosters collaboration across entities within the Primary Care Organization. **Strategy:** + In partnership with AVP, Risk Adjustment and… more
    CenterWell (03/06/25)
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  • Manager, Utilization Management Registered Nurse

    Humana (Atlanta, GA)
    …and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. ... procedures to provide the best and most appropriate treatment, care or services for members. + Coordinates and communicates...no disciplinary action + Minimum 2 years of team lead and/or project lead experience + Minimum… more
    Humana (03/12/25)
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  • Medical Director - Medicaid N. Central

    Humana (Atlanta, GA)
    …and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. ... and judgement to make determinations whether requested services, requested level of care , and/or requested site of service should be authorized. All work occurs… more
    Humana (03/11/25)
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  • Physician Medical Director - LTSS

    Humana (Atlanta, GA)
    …and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. ... the medical necessity of a given service, level of care , or medical item/supply. The Medical Director's work assignments...and be board certified and typically reports to a Lead or Regional or Corporate Medical Director, depending on… more
    Humana (01/25/25)
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  • Senior Clinical Pharmacy Technician

    CenterWell (Atlanta, GA)
    …and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. ... when applicable. + Assist in day-to-day tasks as needed and requested by lead pharmacist or National Director of Pharmacy. + Responsible for interacting with other… more
    CenterWell (02/20/25)
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  • Medical Director - National Medicare Team

    Humana (Atlanta, GA)
    …and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. ... on project teams or organizational committees. Reports to a Lead Medical Director. **Required Qualifications** + MD or DO...DO degree + 5+ years of direct clinical patient care experience post residency or fellowship, which preferably includes… more
    Humana (03/11/25)
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  • Director, Data Science

    Humana (Atlanta, GA)
    …and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. ... we are at the forefront of delivering cutting-edge AI technologies for improving care quality and experience of millions of consumers. We are actively seeking top… more
    Humana (03/18/25)
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  • Senior Clinical Programs Pharmacist

    CenterWell (Atlanta, GA)
    …and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. ... + 3 or more years clinical experience in managed care + Ability to manage end-to-end-processes + Understand Humana's...Humana members + Previous management experience and ability to lead teams + Previous program or project management experience… more
    CenterWell (02/12/25)
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  • Behavioral Health Medical Director - Medicaid

    Humana (Atlanta, GA)
    …and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. ... first** The Behavioral Health Medical Director responsible for behavioral health care strategy and/or operations. The Behavioral Health Medical Director work… more
    Humana (02/15/25)
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