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The MarketPoint Career Channel Team is looking for accomplished Medicare Sales Field Agents. As part of a collaborative team of 812 Medicare Sales Field Agents, you'll work under the guidance of a Senior Manager and Regional Director who are committed to your success. Build trust and educate individ

Humana is seeking a Medicare Call Center Representative to address inquiries from members and ensure high-quality customer service.

A leading health services company in the US is seeking a Senior Product Owner to enhance marketing communication strategies.This role involves collaborating with various teams to prioritize and manage campaign requests, ensuring alignment across channels.Candidates should have a Bachelor's degree, s

Humana is currently seeking a Medicare Call Center Representative to handle inbound inquiries about Medicare benefits.

Humana will provide Home or Hybrid Home/Office associates with telephone equipment appropriate to meet the business requirements for their position/job. Description of Benefits Humana, Inc. Humana”) offers competitive benefits that support whole‑person well‑being.

Somos especialistas em transformação tecnológica , unindo expertise humana à IA para criar soluções tech escaláveis.CI&Ters ao redor do mundo, já formamos parcerias com mais de 1.Inteligência Artificial é nossa realidade.Importante : se você reside na Região Metropolitana de Campinas, su

Humana Inc is looking for a Product Owner to drive the product vision and manage the ecommerce site’s roadmap.

Somos especialistas em transformação tecnológica , unindo expertise humana à IA para criar soluções tech escaláveis.Com mais de 8,000 CI&Ters ao redor do mundo, já formamos parcerias com mais de 1,000 clientes durante nossos 30 anos de história.Inteligência Artificial é nossa realidade.Im

Somos especialistas em transformação tecnológica , unindo expertise humana à IA para criar soluções tech escaláveis.Com mais de 8,000 CI&Ters ao redor do mundo, já formamos parcerias com mais de 1,000 clientes durante nossos 30 anos de história.Inteligência Artificial é nossa realidade.Im

Job Description We are seeking a detail-oriented and motivated Prior Authorization Specialist to join our team in a fully remote capacity, on a temporary basis. This role is critical to the revenue cycle, ensuring that insurance authorizations, benefits, and price estimates are accurately secured before patients receive care. You will be part of a dynamic team supporting five facilities across multiple specialties, including Radiology, Infusion/Injections, and Surgery. While you will be assigned specific facilities, you will also support our "sister facilities" to ensure seamless operations across the network. Position Overview Work Hours: 9:00 AM - 5:00 PM EST Location: 100% Remote Volume: Approximately 1,700 - 2,000 cases per month (Average annual volume of 20,230) Software: All work is managed through EPIC work queues. Key Responsibilities Authorization & Verification: Initiate and follow up on authorizations for inpatient and outpatient services (Radiology, Infusion, Surgical, Diagnostic/Procedural Cardiology, etc.). Payer Relations: Interact directly with payers to verify benefits and secure notice of admissions. You will work with NY State Medicare, Wellcare, Fidelis, Humana, Aetna, and United Healthcare. Financial Clearance: Aim to achieve a 95% financial clearance rate at least one day prior to service, with a long-term goal of clearing cases 14 days out. Data Accuracy: Utilize EPIC eligibility reports to verify insurance and document all "touches" accurately. Efficiency: Maintain a production pace of 6-12 minutes per touch to meet a goal of 80% of total KPI targets. Qualifications Must-Haves: Proficiency with EPIC (Experience with EPIC work queues is essential). Prior experience or strong understanding of Insurance Authorizations. Solid command of Medical Terminology. Nice-to-Have Skills: Experience specifically within Radiology, Infusion, or Surgical specialties. Note on Experience: While specific years of experience in this exact role aren't required, you must be comfortable navigating healthcare portals. *We will consider for employment all qualified Applicants, including those with criminal histories, in a manner consistent with the requirements of applicable federal, state, and local laws, including the City of Los Angeles' Fair Chance Initiative for Hiring Ordinance (FCIHO), Los Angeles Fair Chance Ordinance for Employers (ULAC), The San Francisco Fair Chance Ordinance (FCO), and the California Fair Chance Act (CFCA). *As a job position within our Revenue Cycle division, a successful completion of a background check may be required as a condition of employment. This requirement is directly related to essential job functions including but not limited to: accessing financial and confidential information, handling financial and other payment data, and working within departments that care for vulnerable populations, such as, minors, elderly and those with physical or mental disabilities. Due to these job duties, this position has a significant impact on the business operations and reputation, as well as the safety and well-being of individuals who may be cared for as part of the job position or who may interact with staff or clients. For California Applicants: We will consider for employment all qualified Applicants, including those with criminal histories, in a manner consistent with the requirements of applicable federal, state and local laws, including the City of Los Angeles' Fair Chance Initiative for Hiring Ordinance (FCIHO), Los Angeles Fair Chance Ordinance for Employers (ULAC), The San Francisco Fair Chance Ordinance (FCO) , and the California Fair Chance Act (CFCA). This position is subject to a background check based on its job duties, which may include patient care, working with vulnerable populations, access to financial and confidential information, driving, working with heavy machinery, or working in a warehouse or laboratory environment. Due to these job duties, this position has a significant impact on the business operations and reputation, as well as the safety and well-being of individuals who may be cared for as part of the job position or who may interact with staff or clients. Company DescriptionHere at Medix, we are dedicated to providing workforce solutions to clients throughout multiple industries. We have been named among the Best and Brightest Companies to Work For in the Nation for two consecutive years. Medix has also been ranked as one of the fastest growing companies by Inc. Magazine. Our commitment to our core purpose of positively impacting 20,000 lives affects not only the way we interact with our clients and talent, but also with our co-workers! The goal is lofty, but it is made attainable through the hard work and dedication of our teams and their willingness to lock arms together. Are you ready to lock arms with us?Here at Medix, we are dedicated to providing workforce solutions to clients throughout multiple industries. We have been named among the Best and Brightest Companies to Work For in the Nation for two consecutive years. Medix has also been ranked as one of the fastest growing companies by Inc. Magazine.\r\n\r\nOur commitment to our core purpose of positively impacting 20,000 lives affects not only the way we interact with our clients and talent, but also with our co-workers! The goal is lofty, but it is made attainable through the hard work and dedication of our teams and their willingness to lock arms together. Are you ready to lock arms with us?

Humana strongly supports your career growth! All Humana positions require learning many systems, policies, and tools, and it takes time to become proficient in the role. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, t

Description of Benefits Humana, Inc. Humana”) offers competitive benefits that support whole‑person well‑being. Application Deadline: 12-30-2025 About us Humana Inc.

Equal Opportunity Employer It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. Ab

Occasional travel to Humana offices for training or meetings may be required. Equal Opportunity Employer Humana is an equal opportunity employer and does not discriminate against any employee or applicant on the basis of race, color, religion, sex, sexual orientation, gender identity, national origi

Humana Inc is seeking an Inpatient Medical Coding Auditor to join their coding disputes team.

CenterWell is part of Humana Inc. It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran sta

The Humana Tech Chief of Staff office is seeking a Technology Advancement Professional to join their team. The Chief of Staff office partners with Tech leadership and cross‑functional teams to ensure strategic and operational synchronization with organizational goals. This policy shall apply to al

You must be authorized to work in the US without Humana sponsorship as Humana does not provide work visa sponsorship for this role. When required, an email will be sent from Humana@myworkday. Humana offers a variety of benefits to promote the best health and well-being of our employees and their fam

Humana Inc is seeking a Technology Advancement Professional to join its Chief of Staff office.

Humana is searching for a Lead Applied AI Engineer in New York to architect and deliver advanced AI systems within the healthcare domain.

The Principal Anaplan Solution Architect will serve as a key partner to both Finance and HR, ensuring that Anaplan is leveraged to its fullest potential while aligning with enterprise architecture, data governance, and strategic planning goals. Anaplan Solution Architect or Master Anaplanner certifi

At Humana, applied artificial intelligence is central to driving intelligent automation that reduces administrative burden, enabling personalization that delivers tailored member experiences, and optimizing operational efficiency across the complex healthcare ecosystem. Humana will provide Home or H

About us About Humana: Humana Inc. It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran st

Scheduled Weekly Hours 40 About us About Humana: Humana Inc. Language Proficiency Assessment: Any Humana associate who speaks with a member in a language other than English must take a language proficiency assessment, provided by an outside vendor, to ensure competency. It is also the policy of Huma

A leading health services company is seeking a Medicare Field Sales Agent to build relationships and educate clients on Medicare Advantage plans.This field-based role demands strong interpersonal skills, local community engagement, and the ability to conduct face-to-face interactions.Ideal candidate

Humana Inc is seeking an Inpatient Medical Coding Auditor to join their coding disputes team. This remote position involves reviewing DRG and ICD-10-CM coding for accuracy while collaborating with coding professionals to achieve compliant outcomes.

Inpatient Medical Coding Auditor – PPI Coding Disputes Reports to the manager and reviews DRG, ICD-10-CM, and PCS coding assignments for accuracy within the coding disputes team. The auditor consults and collaborates with coding professionals across departments to ensure timely, compliant, and hig

This role is considered patient facing and is part of Humana's Tuberculosis (TB) screening program. This role is part of Humana's driver safety program and therefore requires an individual to have a valid state driver's license and are expected to maintain personal vehicle liability insurance. Human

Retail Pharmacist at Cedra Pharmacy Inc Join our team at Cedra Pharmacy Inc in Bronx, NY and make a difference in the lives of our patients.As a Retail Pharmacist, you will play a crucial role in providing top-notch pharmaceutical care to our community.At Cedra Pharmacy, we are committed to deliveri

Product Testers are wanted to work from home nationwide in the US to fulfill upcoming contracts with national and international companies.We guarantee 15-25 hours per week with an hourly pay of between $25/hr.There is no payment required in order to apply or to work as an In-Home Usage Tester.You do

Monday-Friday, 8-hour scheduled, rotating shifts, between 7:00 AM - 7:00 PM EST.Under general supervision, the pharmacist will provide appropriate drug therapy to adult and pediatric patients by screening physician's orders thoroughly, accurately entering the orders into the computer system, monitor

Compass Healthcare Consulting & Placement is conducting a search for an experienced Pharmacist for a Palliative Care, Hospice position within an In Patient Hospice Hospital setting in the Bronx, NY.Qualified candidates will have prior Pharmacist experience within Hospital, Inpatient Hospice, Communi

Full-Time (Minimum 30 hrs/week per NYS requirement).Midtown East Pharmacy & Surgical.Our store also offers a range of surgical and medical supplies, making us a trusted resource in the community.We are seeking a reliable and compassionate.This role is ideal for someone who values a calm, friendly wo

Pharmacist - Full-Time Contract.A healthcare facility in Brooklyn, NY is seeking an experienced.This role supports pharmacy operations within a clinical setting and is ideal for a pharmacist with experience in medication dispensing systems, sterile processing, and IV room operations.The position off

Seeking participants for Focus Group and market research studies.Work part-time from home and earn up to $750 per week.Register to see if you are eligible.Data Entry experience not required.Remote Work From Home Data Entry Clerk - Part Time Market Research Panelists Our company is seeking individual

Seeking participants for Focus Group and market research studies.Work part-time from home and earn up to $750 per week.Register to see if you are eligible.Customer service representative agent experience not required.Remote Work From Home Customer Service Representative Agent - Part Time Market Rese