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ADAPTED_NOW

Claims Manager

To ensure Home or Hybrid Home/Office employees’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: + At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. As the nation’s largest provider of senior-focused primary care, one of the largest providers of home health services, and fourth largest pharmacy benefit manager, CenterWell is focused on whole-person health by addressing the physical, emotional and social wellness of our patients.

Salary

ACTIVE

YEAR

Become a part of our caring community and help us put health first This is a hybrid position; 1 day in office/4 days remote. Must live in either the Atlanta, GA market or Kansas City, MO or Kansas City, KS markets. As the RCM Healthcare Claims Denials (Accounts Receivable) Supervisor , you will: + Supervise daily billing and collections activities to ensure maximum efficiency. Provide guidance and direction to staff, covering all aspects of billing and collection standards/procedures, ensure adherence to policies and procedures, and initiate correspondence to insurance companies for reconsideration of claims. + Supervise accounts receivable management functions and maintain assigned portfolios at acceptable levels. Ensure that service/supplies are billed appropriately, and reimbursements are pursued until full payment is received. + Provide guidance and assistance to management at branches assigned on reimbursement issues. + Develop and implement plans to ensure assigned accounts receivable balances are within stated objectives. + Supervise the maintenance of the provider manuals, patient information updates, and various logs essential to patient clearance/billing processes. + Ensure that accounts are billed within the established time frames and that customer service guidelines/guarantees are adhered to. Keep abreast of billing regulations/requirements and changes to national uniform billing forms and communicate changes to all pertinent personnel. Use your skills to make an impact Required Experience/Skills: + High School Diploma or the equivalent + A minimum of three years healthcare related collection/billing experience + Some experience in a lead or supervisory role generally required + Strong knowledge of collection and accounts receivables procedures + Effective communication skills Additional Information: To ensure Home or Hybrid Home/Office employees’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: + At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. + Satellite, cellular and microwave connection can be used only if approved by leadership. + Employees who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense. + Home or Hybrid Home/Office employees will be provided with telephone equipment appropriate to meet the business requirements for their position/job. + Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information. CenterWell Home Health offers a variety of benefits to promote the best health and well-being of our employees and their families. Our competitive and flexible benefits surround you with support the same way you do for our patients and members, including: + Health benefits effective day 1 + Paid time off, holidays, and jury duty pay + Recognition pay + 401(k) retirement savings plan with employer match + Tuition assistance + Scholarships for eligible dependents + Caregiver leave + Employee charity matching program + Network Resource Groups (NRGs) + Career development opportunities Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required. Scheduled Weekly Hours 40 Pay Range The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc. $65,000 - $88,600 per year This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance. Description of Benefits Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. About us About CenterWell Home Health: CenterWell Home Health specializes in personalized, comprehensive home care for patients managing a chronic condition or recovering from injury, illness, surgery or hospitalization. Our care teams include nurses, physical therapists, occupational therapists, speech-language pathologists, home health aides, and medical social workers – all working together to help patients rehabilitate, recover and regain their independence so they can live healthier and happier lives. About CenterWell, a Humana company: CenterWell creates experiences that put patients at the center. As the nation’s largest provider of senior-focused primary care, one of the largest providers of home health services, and fourth largest pharmacy benefit manager, CenterWell is focused on whole-person health by addressing the physical, emotional and social wellness of our patients. As part of Humana Inc. (NYSE: HUM), CenterWell offers stability, industry-leading benefits, and opportunities to grow yourself and your career. We proudly employ more than 30,000 clinicians who are committed to putting health first – for our teammates, patients, communities and company. By providing flexible scheduling options, clinical certifications, leadership development programs and career coaching, we allow employees to invest in their personal and professional well-being, all from day one. ​ 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. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment. Centerwell, a wholly owned subsidiary of Humana, complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our full accessibility rights information and language options https://www.partnersinprimarycare.com/accessibility-resources

CenterWell

RCM Healthcare Claims Denials Supervisor

salaryMin

salaryMax

payPeriod

currency

Humana

Insurance Underwriter

Accountable for achieving key performance indicators of the portfolio including: Developing and furthering successful relationships with distribution partners within the portfolio by: Having regularly scheduled portfolio review calls. Delivers profitable outcomes on less complex niche business through effective risk selection by: Analyzing, selecting and profitably pricing business with prescriptive terms and conditions of coverage.

As a Religious Organizations Commercial Underwriter, youare responsible for managing a book of business for profitability and growth. You will review both new and/or renewal business, assess risk of coverage, prepare quotes and respond to coverage questions, within the assigned authority level. In this role you will also build successful relationships with agents to drive increased, positive business flow. To be successful in this role you will work under limited supervision and exercise significant independent judgement in performing work. Based on location and requirements of the role, this position will either be a hybrid or a remote position.Accountabilities:<ul><li>Delivers profitable outcomes on less complex niche business through effective risk selection by: <ul><li>Analyzing, selecting and profitably pricing business with prescriptive terms and conditions of coverage</li><li>Examining inspection reports, location, risk, financial and other available tools and reports to identify new or unresolved concerns</li><li>Communicating with Risk Control for inspections, follow ups and service needs for insureds</li><li>Driving corrective action or remediation strategies on renewal accounts</li><li>Escalating referrals, in a timely manner, on accounts that need additional review or approval by higher level underwriters</li><li>Adhering to service expectations and regulatory compliance by the timely release of renewals, non-renewals and conditional notices</li></ul></li><li>Accountable for achieving key performance indicators of the portfolio including: <ul><li>Developing and furthering successful relationships with distribution partners within the portfolio by: <ul><li>Having regularly scheduled portfolio review calls</li><li>Meeting voice of the customer guidelines</li><li>Limited travel to distribution partner offices</li></ul></li></ul></li><li>Consistently meeting our voice of the customer standards</li><li>Coordinating with distribution team to building pipeline, resolve issues, concerns or conflict and oversee change management</li><li>Communicating regularly with portfolio team members on health of assigned agencies and market conditions that could impact the portfolio</li></ul>Cultivate a High Performing Culture<ul><li>Superior customer service and business acumen</li><li>Mentoring support staff throughout their career development.</li><li>Conduct peer audits and approve underwriting decisions (LOAs) for lower authority levels.</li><li>Assist in the training of new hires and internal promotions by providing continuous mentoring and feedback to foster successful employee development.</li><li>Reviewing, mentoring, and approving referrals for lower authority level associates</li><li>Perform other related work as assigned.</li></ul>Qualifications:<ul><li>High School diploma, or equivalent.</li><li>Bachelor’s degree in business administration, finance or related field of study preferred.</li><li>Holding or working towards an insurance designation preferred (CPCU, AAI, or other insurance designations).</li><li>Two or more years of progressively responsible experience in commercial underwriting, including one to two years ina property and casualty insurance company. </li><li>Broad knowledge of common terms, practices, processes and regulations in the P&C insurance industry.</li><li>An ability to consistently apply advanced underwriting concepts and practices within the P&C underwriting field.</li><li>Adept at applying negotiating skills, reasonableness and exercising sound judgment in analysis and decision making processes.</li><li>Ability to convey clear & concise information to others utilizing excellent verbal and written communication skills.</li><li>Advanced analytical, problem-solving and decision-making skills.</li><li>Strong customer service orientation.</li><li>Advanced knowledge of Microsoft products including a strong foundation in Excel (pivot tables, vlookups, etc.) for the purpose of strategic analysis.</li><li>Strong attention to numeric and other details.</li><li>Strong customer service orientation.</li><li>Organizational skills and ability to manage large work volume and meet tight deadlines.</li></ul>Compensation:<ul><li>$49,200 - $82,000 commensurate with experience, plus bonus eligibility</li><li>$54,300 - $90,500 commensurate with experience in CA, CT, MA, NJ, NY, and PA, plus bonus eligibility</li></ul>Benefits:We are proud to offer a robust benefits suite that includes:<ul><li>Competitive base salary plus incentive plans for eligible team members</li><li>401(K) retirement plan that includes a company match of up to 6% of your eligible salary</li><li>Free basic life and AD&D, long-term disability and short-term disability insurance</li><li>Medical, dental and vision plans to meet your unique healthcare needs</li><li>Wellness incentives</li><li>Generous time off program that includes personal, holiday and volunteer paid time off</li><li>Flexible work schedules and hybrid/remote options for eligible positions</li><li>Educational assistance</li></ul>#TMG

The Mutual Group

Religious Organizations Commercial Lines Underwriter - Hybrid or Remote Opportunity

GuideOne Insurance Jobs

Clinical Operations Manager

Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment. If you are transitioning from military to civilian life, have prior service, are a retired veteran or a member of the National Guard or Reserves, or a spouse of an active military service member, we have challenging and rewarding career opportunities available for you.

Description & Requirements Maximus is looking for a Clinical Supervisor to join our North Carolina Enrollment Broker Request to Move (NC EB RTM) team. In this role, you will provide leadership and oversight for clinical operations, ensuring compliance with state and federal guidelines while supporting a team of healthcare professionals. The ideal candidate will have a strong background in clinical supervision, case management, and Medicaid-related services. If you are passionate about improving healthcare access and making a difference in the lives of North Carolina residents, we invite you to apply and be part of our mission-driven team.About the program: The North Carolina Enrollment Broker Request to Move (NC EB RTM) program helps Medicaid beneficiaries navigate their healthcare options by facilitating enrollment and transitions between managed care plans. This program ensures individuals receive appropriate services by assisting with plan selections, provider transitions, and other enrollment-related processes. Designed to improve access to quality care, the NC EB RTM program prioritizes customer support, education, and compliance with state and federal healthcare regulations. Through personalized guidance and advocacy, the program empowers beneficiaries to make informed decisions about their healthcare coverage.Why Maximus? - Work/Life Balance Support - Flexibility tailored to your needs! - • Competitive Compensation -Bonuses based on performance included! - • Comprehensive Insurance Coverage - Choose from various plans, including Medical, Dental, Vision, Prescription, and partially funded HSA. Additionally, enjoy Life insurance benefits and discounts on Auto, Home, Renter's, and Pet insurance. - • Future Planning - Prepare for retirement with our 401K Retirement Savings plan and Company Matching. - • Unlimited Time Off Package - Enjoy UTO, Holidays, and extended sick leave, along with Short and Long Term Disability coverage. - • Holistic Wellness Support - Access resources for physical, emotional, and financial wellness through our Employee Assistance Program (EAP). - • Recognition Platform - Acknowledge and appreciate outstanding employee contributions.- • Tuition Reimbursement - Invest in your ongoing education and development. - • Employee Perks and Discounts - Additional benefits and discounts exclusively for employees. - • Maximus Wellness Program and Resources - Access a range of wellness programs and resources tailored to your needs. - • Professional Development Opportunities-Participate in training programs, workshops, and conferences. - •Licensures and Certifications-Maximus assumes the expenses associated with renewing licenses and certifications for its employees.Essential Duties and Responsibilities: - Supervise a team of employees through cultivation of a high performance team - Ensure adequate staff coverage for assigned program area - Serve as subject matter expert for identified area of program knowledge - Ensure assigned team is meeting contract and individual SLA's, and related requirements - Work with contract management and shared services to identify opportunities for improvement and efficiencies - May attend client and stakeholder meetings - Performs other related duties as assigned.- Assist with escalated issues or cases and correcting errors or problems as needed. - Participate in project meetings and recommend changes to policies and procedures; attend client and stakeholder meetings as requested. - Assume leadership responsibility for departmental tasks and call center activities as required - Support and enforce call center expectations - Perform operational tasks to assure project and program service level requirements and goals are met, including analyzing direct reports' quality performance and trending call types, and providing coaching on a regular basis - Provide staff mentoring and coaching on an ongoing basis. Develop and evaluate employee key performance indicators on a weekly, monthly, quarterly, and annual basis to identify training needs and development opportunities. - Conduct annual evaluations for direct report personnel. - Discuss job performance concerns with employees to identify causes, issues, and work closely with the Human Resources department on resolving problems. - Maintain a high level of confidentiality while performing all work tasksMinimum Requirements - Bachelor's degree or equivalent combination of education, technical training, or relevant experience in lieu of degree - Minimum of two years of related experience. - A Registered Nurse (RN), Compact RN, or a Licensed Clinical Social Worker (LCSW) in the state of North Carolina.- Minimum of 2 year experience in managed care operations or a related healthcare setting.- Comprehensive knowledge of mental health and intellectual and developmental disabilities (IDD), including best practices, treatment approaches, and regulatory guidelines. - Proficient in MS Office Suite Preferred Skills - 1 year of relevant supervisory and professional experienceHome Office Requirements: - Maximus provides company-issued computer equipment- Reliable high-speed internet service- Minimum 20 Mpbs download speeds/50 Mpbs for shared internet connectivity - Minimum 5 Mpbs upload speeds- Private and secure workspace#LI-Remote #ClinicalServicesEEO Statement Active military service members, their spouses, and veteran candidates often embody the core competencies Maximus deems essential, and bring a resiliency and dependability that greatly enhances our workforce. We recognize your unique skills and experiences, and want to provide you with a career path that allows you to continue making a difference for our country. We're proud of our connections to organizations dedicated to serving veterans and their families. If you are transitioning from military to civilian life, have prior service, are a retired veteran or a member of the National Guard or Reserves, or a spouse of an active military service member, we have challenging and rewarding career opportunities available for you. A committed and diverse workforce is our most important resource. Maximus is an Affirmative Action/Equal Opportunity Employer. Maximus provides equal employment opportunities to all qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status or disabled status. Pay Transparency Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment. Annual salary is just one component of Maximus's total compensation package. Other rewards may include short- and long-term incentives as well as program-specific awards. Additionally, Maximus provides a variety of benefits to employees, including health insurance coverage, life and disability insurance, a retirement savings plan, paid holidays and paid time off. Compensation ranges may differ based on contract value but will be commensurate with job duties and relevant work experience. An applicant's salary history will not be used in determining compensation. Maximus will comply with regulatory minimum wage rates and exempt salary thresholds in all instances. Minimum Salary $ 68,000.00 Maximum Salary $ 75,000.00 <ul><li/></ul><a href="https://ars2.equest.com/?response_id=90137c5aed4db4d7a1ef1c0854b0d2a6" rel="nofollow"></a>

MAXIMUS provides business services to help governments operate health and human services programs, mostly at the state and national levels. The company's health services segment offers outsourced program management and administrative services,

Maximus

Clinical Operations Supervisor (Hybrid Remote in North Carolina)

equestftpin

Nurse Manager

Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment. This person will manage an effective and cohesive team to ensure consistent delivery of services, lead the team members to deliver on the goals of the program, and support the Program Manager in developing and refining policies and procedures for the project's operational and clinical domains.

Description & Requirements The program provides a virtual triage service in support of patient care and treatment for a targeted audience. Using a patient-centric approach, the clinical and non-clinical team will assess and direct callers to the appropriate level of care, source providers, facilitate medical appointments and answer program questions.This person will manage an effective and cohesive team to ensure consistent delivery of services, lead the team members to deliver on the goals of the program, and support the Program Manager in developing and refining policies and procedures for the project's operational and clinical domains. Serve as Key Personnel for the program. *Position is contingent upon contract award*Essential Duties and Responsibilities: - Serve as the lead content knowledge expert concerning the review and research of provided clinical information.- Perform clinical case reviews and consultations- Provide direct supervision to assigned team of nursing and/or other clinical staff- Provide subject matter expertise related to medical necessity and level of care criteria and application thereof- Provides education and clinical training to staff in area of expertise- Performs other related duties as assigned.- Maintain clinical competency in accordance with licensure requirements- Supervision of the Clinical Team including but not limited to monitoring activities, schedules, productivity of nurses- Support development and implementation of training for nurse and non-nurse staff- Disseminate policy, protocol change, and ensure implementation across the teams- Lead regular team meetings and act as the point-person for the nurses- Collaborate with project management to monitor and ensure departmental performance and operational goals are met- Address identified opportunities to improve the project, i.e., quality implementation, and efficient processing of cases- Participate in the nurse team meetings on a rotational schedule to ensure contract compliance- Promote project image and goals through public speaking engagements and local professional presentations- Audit, review, and approve timesheets- Perform other duties as may be assigned by the Senior Program Manager - Comply and ensure program compliance with HIPAA privacy rules- Occasional travel, as neededMinimum Requirements - Current Registered Nurse (RN) license valid in the state of practice is required - Bachelor's degree and 5 years of experience or equivalent combination of education and experience required - Minimum of 5 years of clinical experience- Minimum 1 year supervisory experience preferred- Ability to obtain US Security Clearance - Bachelor's Degree in nursing from an accredited School of Nursing- Must have current licensure as a Registered Nurse with a minimum of 15 years' experience telehealth nurse management experience. - Must have 5 years of leadership or supervisory experience as an RN - Prior experience supporting a Call Center environmentPreferred Qualifications- Master's Degree- Current BLS certification- Experience in customer service, performance evaluation, and process improvement- Experience in large volume staff training and coaching - Excellent written and oral communication skills- Strong interpersonal skills with the ability to build relationships at all levels- Proactive, self-starter with the ability to work well in a team environment- Detail-oriented with good organizational skills and capable of effectively prioritizing and multi-tasking- Experience working remotely and leading a remote team including using Microsoft Office Suite, Teams, Zoom, SharePoint, and other digital toolsHome Office Requirements- Maximus provides company-issued computer equipment- Reliable high-speed internet service- Minimum 20 Mpbs download speeds/50 Mpbs for shared internet connectivity- Minimum 5 Mpbs upload speeds#LI-RemoteEEO Statement Active military service members, their spouses, and veteran candidates often embody the core competencies Maximus deems essential, and bring a resiliency and dependability that greatly enhances our workforce. We recognize your unique skills and experiences, and want to provide you with a career path that allows you to continue making a difference for our country. We're proud of our connections to organizations dedicated to serving veterans and their families. If you are transitioning from military to civilian life, have prior service, are a retired veteran or a member of the National Guard or Reserves, or a spouse of an active military service member, we have challenging and rewarding career opportunities available for you. A committed and diverse workforce is our most important resource. Maximus is an Affirmative Action/Equal Opportunity Employer. Maximus provides equal employment opportunities to all qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status or disabled status. Pay Transparency Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment. Annual salary is just one component of Maximus's total compensation package. Other rewards may include short- and long-term incentives as well as program-specific awards. Additionally, Maximus provides a variety of benefits to employees, including health insurance coverage, life and disability insurance, a retirement savings plan, paid holidays and paid time off. Compensation ranges may differ based on contract value but will be commensurate with job duties and relevant work experience. An applicant's salary history will not be used in determining compensation. Maximus will comply with regulatory minimum wage rates and exempt salary thresholds in all instances. Minimum Salary $ 120,000.00 Maximum Salary $ 160,000.00 <ul><li/></ul><a href="https://ars2.equest.com/?response_id=459c3c2a0fc61f98c966362da6340fc0" rel="nofollow"></a>

Program Manager - Telehealth Registered Nurse (Remote)

Become a part of our caring community and help us put health first This is a hybrid position; 1 day in office/4 days remote. Must live in either the Atlanta, GA market or Kansas City, MO or Kansas City, KS markets. As the RCM Manager , you will: + Manage the collection and billing operations and develop credit/collection strategies to maximize profits and minimize loss. + Ensure that maintenance strategies of accounts receivable past due balances are within stated objectives. + Interpret to customers and field personnel Company policies/practices/procedures related to billing processes, accounts receivables, and financial issues regarding non-clinical processes and clinical specifications impacting accounts receivable. + Manage the analyses/report preparation of trends of consolidated account receivables. Report information to appropriate line management. + Assume responsibilities of Director, as assigned, during Director’s absence. + Prepare departmental budget and monitor expenses to ensure compliance with approved budgetary constraints. + Develop department tools and training programs, along with the Training Specialist, to encourage growth and development. Analyze/monitors their implementation. Use your skills to make an impact Required Experience/Skills: + Bachelor’s Degree or the equivalent preferred + A minimum of five years healthcare related billing/collection experience preferred + At least three years in a management role generally required + Strong knowledge of accounts receivables procedures and general accounting principles required + Excellent organizational and verbal/written communication skills Additional Information: To ensure Home or Hybrid Home/Office employees’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: + At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. + Satellite, cellular and microwave connection can be used only if approved by leadership. + Employees who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense. + Home or Hybrid Home/Office employees will be provided with telephone equipment appropriate to meet the business requirements for their position/job. + Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information. CenterWell Home Health offers a variety of benefits to promote the best health and well-being of our employees and their families. Our competitive and flexible benefits surround you with support the same way you do for our patients and members, including: + Health benefits effective day 1 + Paid time off, holidays, and jury duty pay + Recognition pay + 401(k) retirement savings plan with employer match + Tuition assistance + Scholarships for eligible dependents + Caregiver leave + Employee charity matching program + Network Resource Groups (NRGs) + Career development opportunities Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required. Scheduled Weekly Hours 40 Pay Range The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc. $86,300 - $118,700 per year This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance. Description of Benefits Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. About us About CenterWell Home Health: CenterWell Home Health specializes in personalized, comprehensive home care for patients managing a chronic condition or recovering from injury, illness, surgery or hospitalization. Our care teams include nurses, physical therapists, occupational therapists, speech-language pathologists, home health aides, and medical social workers – all working together to help patients rehabilitate, recover and regain their independence so they can live healthier and happier lives. About CenterWell, a Humana company: CenterWell creates experiences that put patients at the center. As the nation’s largest provider of senior-focused primary care, one of the largest providers of home health services, and fourth largest pharmacy benefit manager, CenterWell is focused on whole-person health by addressing the physical, emotional and social wellness of our patients. As part of Humana Inc. (NYSE: HUM), CenterWell offers stability, industry-leading benefits, and opportunities to grow yourself and your career. We proudly employ more than 30,000 clinicians who are committed to putting health first – for our teammates, patients, communities and company. By providing flexible scheduling options, clinical certifications, leadership development programs and career coaching, we allow employees to invest in their personal and professional well-being, all from day one. 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 veteran status. It is also the policy of Humana to take affirmative action to employ and to advance in employment, all persons regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment. Centerwell, a wholly owned subsidiary of Humana, complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our full accessibility rights information and language options https://www.partnersinprimarycare.com/accessibility-resources

RCM Healthcare Claims Denials Manager

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Hybrid Healthcare Jobs in Kearney, MO

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The Mutual Group

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