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    Become a part of our caring community and help us put health first The Provider Contracting Executive initiates, negotiates, and executes physician, hospital, and/or other provider contracts and agreements for an organization that provides health insurance. The Provider Contracting Executive communicates and strategizes internally and externally contract terms, payment structures, and reimbursement rates to providers. Typical Role Responsibilities, but not limited to: Analyze financial impact of contracts and terms Maintain contracts and documentation within a tracking system Assist in identifying and recruiting providers based on network composition and needs Advise executives to develop functional strategies (often segment specific) on matters of significance Use your skills to make an impact Required Qualifications 8+ years of progressive network management experience including hospital contracting and network administration in a healthcare company 2+ years of project management experience Provider contracting experience, including contract preparation, negotiation and implementation, financial analysis and rate proposal development Ability to travel within a designated area up to 20% of the time (more information listed within additional information section). Preferred Qualifications Bachelor's Degree Experience contracting with large hospital systems Experience with ACO/Risk Contracting Experience with Value Based Contracting Oklahoma market experience (live within region, preferred Oklahoma or surrounding area) Additional Information Location: Reside in Oklahoma, Texas or Arkansas; travel up to 20% or based upon business need Additional Information Humana offers a variety of benefits to promote the best health and well-being of our employees and their families. We design competitive and flexible packages to give our employees a sense of financial security—both today and in the future, including: Health benefits effective day 1 Paid time off, holidays, volunteer time and jury duty pay Recognition pay 401(k) retirement savings plan with employer match Tuition assistance Scholarships for eligible dependents Parental and caregiver leave Employee charity matching program Network Resource Groups (NRGs) Career development opportunities As part of our hiring process for this opportunity, we will be using an interviewing technology called Modern Hire to enhance our hiring and decision-making ability. Modern Hire allows us to quickly connect and gain valuable information from you pertaining to your relevant skills and experience at a time that is best for your schedule. Work at Home / Internet Guidance:To ensure Home or Hybrid Home/Office associates’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office associates must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is suggested Satellite, cellular and microwave connection can be used only if approved by leadership Associates 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. Humana will provide Home or Hybrid Home/Office associates 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 Alert: Humana values personal identity protection. Please be aware that applicants may be asked to provide their Social Security Number, if it is not already on file. When required, an email will be sent from Humana@myworkday.com with instructions on how to add the information into your official application on Humana’s secure website. 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. $93,000 - $128,000 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 Humana Inc. (NYSE: HUM) is committed to putting health first – for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large. 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 because he or she is a protected veteran. 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.
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    Become a part of our caring community and help us put health first Humana Healthy Horizons is seeking a Senior Medicaid Provider Education Professional who is responsible for provider education materials for Humana’s Medicaid segment to drive best in class provider experience. This Professional will maintain the provider material repository for new state contracts, create templates to simplify the implementation process for provider education, and maintain up to date templates. The Senior Provider Education Professional is an independent contributor who must have strong Microsoft Office (Word, Excel, PowerPoint, SharePoint, Teams, etc.) skills to create provider materials and templates, as well as interpersonal skills to work across business segments, and must be highly organized to track and oversee all materials from initial drafts to final approved versions. Key Responsibilities: Track all provider documentations for implementations to ensure timelines are met.Draft small to mid-size provider content initiatives for provider material templates including trainings, resource guides, project plans, etc. Maintain up to date templates that are market agnostic and can be customized where necessary based off state, market, or operational business changes.Collaborate across departments to execute provider templates for implementations to meet state contracted requirements to drive best in class provider experience. Meet regularly with business partners across teams to understand their provider template needs to ensure aligned segment strategy and approach. Maintain standardized templates and processes for Medicaid provider educational materials, such as, manuals, orientation, and resource guides. Use your skills to make an impact Required Qualifications Must work hours within the Eastern Standard Time Zone.3+ years of experience drafting provider content creation for resources, educational material, or trainings.2+ years of project management experience with mid-size projects.1+ years of payer contracting experience.1+ year of Medicaid and health plan operations experience. Template design experience with advanced proficiency in Microsoft Office to quickly track, comment, and make corrections on template design changes (Word, PowerPoint, SharePoint, Teams). Excellent written and oral communication, as well as interpersonal skills. Exceptional time management and ability to manage multiple priorities in a fast-paced environment.Experience operating in a matrixed environment and coordinating across various departments. Work at Home Requirements At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is suggested.Satellite, cellular and microwave connection can be used only if approved by leadership.Humana will provide Home or Hybrid Home/Office associates 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. Preferred Qualifications Bachelor’s Degree.Aprimo experience. Experience with Medicaid policies and/or Medicaid health plan operations, such as provider relations, claims submission and payment, utilization management processes, behavioral health processes, and dispute resolution. Additional Information Travel: Up to 5%, possibly out of your home state.Workstyle: Remote, must work hours within the eastern time zone.Core Workdays & Hours: Typically, 8-5 pm Monday – Friday; Eastern Standard Time (EST).Benefits: Benefits are effective on day 1. Full time Associates enjoy competitive pay and a comprehensive benefits package that includes; 401k, Medical, Dental, Vision and a variety of supplemental insurances, tuition assistance and much more..... Interview Format As part of our hiring process, we will be using an exciting interviewing technology provided by Hire Vue, a third-party vendor. This technology provides our team of recruiters and hiring managers an enhanced method for decision-making. If you are selected to move forward from your application prescreen, you will receive correspondence inviting you to participate in a pre-recorded Voice Interview and/or an SMS Text Messaging interview. If participating in a pre-recorded interview, you will respond to a set of interview questions via your phone. You should anticipate this interview to take approximately 10-15 minutes. If participating in a SMS Text interview, you will be asked a series of questions to which you will be using your cell phone or computer to answer the questions provided. Expect this type of interview to last anywhere from 5-10 minutes. Your recorded interview(s) via text and/or pre-recorded voice will be reviewed, and you will subsequently be informed if you will be moving forward to next round of interviews. 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. $76,800 - $105,800 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 Humana Inc. (NYSE: HUM) is committed to putting health first – for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large. 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 because he or she is a protected veteran. 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.
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    Become a part of our caring community and help us put health first We are seeking a motivated and detail-oriented Junior Software Engineer for Clinical Systems, specialized in data analytics to join our team. You will play a crucial role in analyzing healthcare data, developing data reporting, supporting clinical systems, and ensuring effective communication between end users and system services. If you have a passion for healthcare, a strong analytical mindset, and a desire to contribute to patient care, we encourage you to apply. Role is remote/hybrid based out of Louisville, KY. About 80% of the time will be work from home. The other 20% will be in our Louisville office. Apply Healthcare Knowledge: Utilize your understanding of healthcare operations and information systems to promote efficient use of clinical systems. You’ll be at the forefront of translating data into actionable insights.Liaison and Communication: Serve as a bridge between end users and system services. Your ability to communicate effectively will be essential in understanding user needs and translating them into technical requirements.Impact Analysis: Evaluate the impact of both minor changes and large system initiatives. Collaborate with stakeholders to ensure seamless integration of technology (e.g., HEDIS, FHIR, CQL, Medical coding) during patient care delivery.Comprehensive Knowledge: Maintain an up-to-date understanding of assigned applications, operational workflows, and associated policies. Your expertise will contribute to efficient data management and process improvement.Research and Innovation: Investigate solutions to enhance processes, standards, and technology. Based on approved guiding principles, propose improvements that optimize data utilization and reporting.Confidentiality and Sensitivity: Handle sensitive information with utmost confidentiality. Adhere to strict requirements when preparing and distributing data.Technical Skills: Leverage your advanced knowledge of the Microsoft Office Suite, experience with Oracle or other relational databases (RDBMS) in an enterprise environment, working knowledge of Linux environment is essential.Analytical Abilities: Demonstrate strong analytical and problem-solving skills. You’ll be responsible for extracting meaningful insights from complex datasets.Time Management and Prioritization: Manage priorities and deadlines effectively. Execute tasks efficiently to meet project goals.Process Improvement: Identify opportunities for process enhancement. Recommend changes to operational leadership based on data analysis.Effective Communication: Communicate clearly and concisely, both in writing and verbally. Your ability to convey insights to diverse audiences is crucial. Use your skills to make an impact Required Qualifications Bachelor’s degree in Computer Science, Information Systems, Mathematics, Health Informatics, Healthcare, or equivalent work experience.Minimum of 3 years of hands-on experience with Oracle or other RDBMS in an enterprise environment. Experience with Snowflake helpful.Familiarity with scripting languages such as bash, SAS, or Python is helpful.Ability to understand C++, Java, JavaScript helpful.Excellent communication and presentation skills, with the ability to effectively convey complex information to technical and non-technical audiences.Experience in Agile development environment.Knowledge of healthcare operations is advantageous. Preferred Qualifications Master's Degree Additional Information Team Player: Collaborate effectively with colleagues to achieve shared goals.Ownership and Pride: Take ownership of your work and recognize its impact on the company’s success.Great Interpersonal Skills: Build and maintain positive relationships within the team and across departments. If you’re passionate about healthcare data and eager to contribute, we encourage you to apply for this exciting opportunity! 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. $78,800 - $108,500 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 Humana Inc. (NYSE: HUM) is committed to putting health first – for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large. 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 because he or she is a protected veteran. 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.
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    Become a part of our caring community and help us put health first Say goodbye to nights, weekends, and on-call!!! Humana is seeking an RN Care Manager (Health & Wellness Coordinator) to join the Inclusa team to serve members in the Wisconsin Family Care (FC) program. This is a Monday through Friday role with the hours of 8-4:30. As a Health & Wellness Coordinator (HWC) you will be responsible for partnering with your fellow colleagues to provide top quality coordination of care to our members. They are looking to you in providing assistance when it comes to living their daily lives. The HWC is responsible for facilitating the coordination, communication, negotiation, and collaboration of streamlined healthcare delivery processes on behalf of the member. Partner with a social services care manager (also referred to as a Community Resource Coordinator) and collaborate on an ongoing basis regarding the member and their plan.Perform face-to-face health-related assessments for members upon enrollment and at least every six (6) months thereafter in the member’s setting.Coordinate, perform, and track quarterly face-to-face visits and monthly phone contacts.Participate in the development and ongoing review and coordination of the member’s plan of care.Take the lead on all health issues for the member.Contact and coordinate with acute and primary care providers.Identify and coordinate clinical and functional supports needed for the member’s health and safety.Educate on and promote prevention and wellness and mitigate risk when assessed.Document activity and complete paperwork as required.Traveling will be required and eligible for mileage reimbursement (primarily Kenosha/Racine area). Use your skills to make an impact Required Qualifications Associate degree in nursing.Must be a Registered Nurse, licensed in the state of Wisconsin.Must be able to travel about 40% of the time throughout primarily Kenosha/Racine area and work remotely from your home the remaining time. Preferred Qualifications Bachelor degree in nursing.One (1)+ years of experience with Family Care target group: frail elders and adults with intellectual, developmental, or physical disabilities. Care Management experience. Additional Information Workstyle: This is a field position where employees perform their core duties at non-company locations, such as providing services at business partner facilities or prospects' and members' homes.Work Location: Rock County, Wisconsin and surrounding area.Travel: up to 40% throughout Rock County, WI and surrounding area.Typical Work Days/Hours: Monday through Friday, 8:00 am – 4:30 pm CST. WAH Internet Statement 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 recommended; 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.Humana will provide Home or Hybrid Home/Office employees 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. Driving This role is part of Humana's driver safety program and therefore requires an individual to have a valid state driver's license and proof of personal vehicle liability insurance with at least 100/300/100 limits. TB This role is considered patient facing and is part of Humana’s Tuberculosis (TB) screening program. If selected for this role, you will be required to be screened for TB. Benefits Humana offers a variety of benefits to promote the best health and well-being of our employees and their families. We design competitive and flexible packages to give our employees a sense of financial security—both today and in the future, including: Health benefits effective day 1Paid time off, holidays, volunteer time and jury duty payRecognition pay401(k) retirement savings plan with employer matchTuition assistanceScholarships for eligible dependentsParental and caregiver leaveEmployee charity matching programNetwork Resource Groups (NRGs)Career development opportunities Modern Hire As part of our hiring process for this opportunity, we will be using an interviewing technology called Modern Hire to enhance our hiring and decision-making ability. Modern Hire allows us to quickly connect and gain valuable information from you pertaining to your relevant skills and experience at a time that is best for your schedule. SSN Alert Humana values personal identity protection. Please be aware that applicants may be asked to provide their Social Security Number, if it is not already on file. When required, an email will be sent from Humana@myworkday.com with instructions on how to add the information into your official application on Humana’s secure website. 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. $69,800 - $96,200 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 Inclusa: Inclusa manages the provision of a person-centered and community-focused approach to long-term care services and support to Family Care members across the state of Wisconsin. As a values-based organization devoted to building vibrant and inclusive communities, Inclusa deploys a unique approach to managed care with a trademarked model of support named Commonunity® which focuses on the belief in everyone, and from that belief, the common good for all is achieved. In 2022, Inclusa was acquired by Humana. This partnership will allow us to create a model of care that provides industry-leading support for members across the health care continuum. About Humana: Humana Inc. (NYSE: HUM) is committed to putting health first – for our teammates, our customers, and our company. Through our Humana insurance services, and our CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large. 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 because he or she is a protected veteran. 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.
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    Become a part of our caring community and help us put health first The Utilization Management Clinical Pharmacist 2 (VSP/PT) is a clinical pharmacist who completes medical necessity and comprehensive medication reviews for prescriptions requiring pre-authorization. The Utilization Management Clinical Pharmacist 2 (VSP/PT) work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action. The Utilization Management Clinical Pharmacist 2 (VSP/PT) completes a review that includes a full analysis of the medication care plan, investigation of overall utilization, and identification of unusual usage patterns. Intervenes and advises patients and providers to promote cost effective utilization and quality patient outcomes, as needed. Understands department, segment, and organizational strategy and operating objectives, including their linkages to related areas. Makes decisions regarding own work methods, occasionally in ambiguous situations, and requires minimal direction and receives guidance where needed. Follows established guidelines/procedures. Use your skills to make an impact Required Qualifications Bachelor's degree/Pharm.D Must have an active license with the Board of Pharmacy in the state of residence Pharmacy degree from an accredited college of pharmacy Ability to participate in Federal prescription programs (Medicare/Medicaid reviews) Self-directed, but also able to work well in a group Ability to solve problems and encourage others in collaborative problem solving Work ethic that is focused, accurate, and highly productive Strong communication skills Proficient with computers -- various systems: add examples Must be passionate about contributing to an organization focused on continuously improving consumer experiences Preferred Qualifications Managed care experience - specifically Utilization management review Additional Information This role is Variable Staffing Pool (VSP), Variable Staffing Pool Humana associates work flexible hours to meet business needs, with no guaranteed minimum or maximum number of hours in any week. This role is also eligible for limited benefits. ​Schedule: Able to work 8 hour shifts Monday thru Friday from 9:30am to 11:00pm EST or 10 hour shifts Tuesday thru Friday from 9:30am to 11:00pm EST. Some weekend coverage may be required Mandatory overtime during peak season Additional Information: Interview Format: As part of our hiring process for this opportunity, we will be using an interviewing technology called HireVue to enhance our hiring and decision-making ability. HireVue allows us to quickly connect and gain valuable information from you pertaining to your relevant skills and experience at a time that is best for your schedule. WAH Requirements: 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 recommended; 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. Humana will provide Home or Hybrid Home/Office employees 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. SSN Statement: Humana values personal identity protection. Please be aware that applicants may be asked to provide their Social Security Number, if it is not already on file. When required, an email will be sent from Humana@myworkday.com with instructions on how to add the information into your official application on Humana’s secure website. 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. $93,000 - $128,000 per year Description of Benefits Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers benefits for limited term, variable schedule and per diem associates which are designed to support whole-person well-being. Among these benefits, Humana provides paid time off, 401(k) retirement savings plan, employee assistance program, business travel and accident. About us Humana Inc. (NYSE: HUM) is committed to putting health first – for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large. 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 because he or she is a protected veteran. 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.
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    Become a part of our caring community and help us put health first The Care Coach 1 assesses and evaluates member's needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families toward and facilitate interaction with resources appropriate for the care and wellbeing of members. The Care Coach 1 work assignments are often straightforward and of moderate complexity. We are looking for motivated and dynamic case managers that reside in the Clearwater, Dunedin, and Palm Harbor, FL areas. This rewarding role allows you to spend time connecting with our members to ensure they receive the services they need. The Care Coach 1 role involves meeting members in their location, spending quality time assessing their needs and barriers and then connecting our members with quality services to promote their ultimate well-being and drive health outcomes. If you enjoy applying your creativity and skills to help those in need, find long term solutions, this role is for is for you! Here at Humana, we thrive on teamwork and highlighting the success of each of our team members. At Humana one of our main areas of focus is to inspire health in others. We are looking for individuals who enjoy talking to others about their health while providing education, motivation and encouragement. We also desire to cultivate the uniqueness in each of our associates as well as our members and are looking for individuals from various backgrounds who can bring their expertise to the role of the Care Coach 1. If you are looking for a new work family and team of dynamic professionals, we hope you will apply! The Care Coach 1 Visits Medicaid members in their homes, Assisted Living Facilities, and/or Long-Term Care Facilities and other care settings – 75-90% local travel.Assesses and evaluates member's needs and requirements in order to establish a member specific care plan.Ensures members are receiving services in the least restrictive setting in order to achieve and/or maintain optimal well-being.Planning and implementing interventions to meet those needs. Coordinating services, and monitoring and evaluating the case management plan against the member's personal goalsGuides members/families towards resources appropriate for their care.Services are driven by facilitating interactions with other payer sources, providers, interdisciplinary teams and others involved in the member’s care as appropriate and required by our comprehensive contract. Use your skills to make an impact Required Qualifications Care Coaches must meet one of the following qualifications: Bachelor's Degree with at least 2 years of relevant experience (Health Services, Social Work, Psychology).Registered Nurse (RN), licensed in the state of Florida with at least 2 years of relevant experience.Licensed Practical Nurse (LPN), licensed in the state of Florida, with at least 4 years of relevant experience.A minimum of 6 years of Health Services/Case Management Experience. Care Coaches must meet all of the following qualifications: Prior experience with Medicare & Medicaid recipients.Intermediate to advanced computer skills and experience with Microsoft Word, Excel and Outlook.AHCA Fingerprint Required. Preferred Qualifications Bilingual (English/Spanish).Prior nursing home diversion or long term care case management experienceExperience with electronic case note documentation and documenting in multiple computer applications/systems.Experience working with geriatric population.Experience with health promotion, coaching and wellness.Knowledge of community health and social service agencies and additional community resources701B CertificationMedication application (RFA) experience Additional Information Workstyle: Field. Associates perform their core duties at one or more non-Humana locations. Work Location: must live in Pinellas County, Florida.Travel: 75-90% local travel throughout above listed counties.Work Days/Hours: Monday - Friday, 8:30am - 5:00 pm Eastern Standard Time (EST). Limited Geography Remote - This is a remote position but located within a specific geography. WAH Internet Statement 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 recommended; 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.Humana will provide Home or Hybrid Home/Office employees 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. Driving This role is part of Humana's driver safety program and therefore requires an individual to have a valid state driver's license and proof of personal vehicle liability insurance with at least 100/300/100 limits. TB This role is considered patient facing and is part of Humana’s Tuberculosis (TB) screening program. If selected for this role, you will be required to be screened for TB. Benefits Humana offers a variety of benefits to promote the best health and well-being of our employees and their families. We design competitive and flexible packages to give our employees a sense of financial security—both today and in the future, including: Health benefits effective day 1Paid time off, holidays, volunteer time and jury duty payRecognition pay401(k) retirement savings plan with employer matchTuition assistanceScholarships for eligible dependentsParental and caregiver leaveEmployee charity matching programNetwork Resource Groups (NRGs)Career development opportunities Modern Hire As part of our hiring process for this opportunity, we will be using an interviewing technology called Modern Hire to enhance our hiring and decision-making ability. Modern Hire allows us to quickly connect and gain valuable information from you pertaining to your relevant skills and experience at a time that is best for your schedule. SSN Alert Humana values personal identity protection. Please be aware that applicants may be asked to provide their Social Security Number, if it is not already on file. When required, an email will be sent from Humana@myworkday.com with instructions on how to add the information into your official application on Humana’s secure website. #LI-Remote 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. $47,700 - $65,600 per year 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 Humana Inc. (NYSE: HUM) is committed to putting health first – for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large. 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 because he or she is a protected veteran. 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.
    • Full Time
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    Become a part of our caring community and help us put health first The Manager, Care Coaching is responsible for the oversight of evaluation of member's needs and requirements to achieve and/or maintain optimal wellness state. The Manager, Care Coaching works within specific guidelines and procedures; applies advanced technical knowledge to solve moderately complex problems; receives assignments in the form of objectives and determines approach, resources, schedules and goals. The Manager, Care Coaching oversees the evaluation of members' needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families toward and facilitate interaction with resources appropriate for the care and well-being of members. Decisions are typically related to resources, approach, and tactical operations for projects and initiatives involving own departmental area. Requires cross departmental collaboration and conducts briefings and area meetings; maintains frequent contact with other managers across the department.We are hiring in the following Districts:District 1 – Lake, Porter, Newton, Jasper, Pulaski, StarkeDistrict 13 – Daviess, Dubois, Greene, Knox, Martin, PikeDistrict 14 – Clark, Floyd, Harrison, ScottDistrict 15 – Crawford, Lawrence, Orange, WashingtonDistrict 16 – Gibson, Perry, Posey, Spencer, Vanderburgh, Warrick Use your skills to make an impact Required Qualifications Bachelor's Degree with healthcare related experience 2 or more years of direct managed care experience in Medicare and/or Medicaid 1 or more years of management/leadership experience. Proficiency in analyzing and interpreting trends Comprehensive knowledge of Microsoft Word, Excel and Access Progressive experience in the health solutions industry, with emphasis with leading and managing teams Must reside in Indiana Preferred Qualifications Master's degree in human services, social sciences, or health related field. Applicable State licensure in field of study RN or Social Worker with current State Licensure Previous experience in utilization management, discharge planning and/or home health or rehabilitation Experience with health promotion, coaching and wellness Health Plan experience Previous Medicare/Medicaid Experience Work-At-Home Requirements To ensure Home or Hybrid Home/Office associates’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office associates must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is suggestedSatellite, cellular and microwave connection can be used only if approved by leadershipAssociates 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.Humana will provide Home or Hybrid Home/Office associates 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 Travel This position will require a minimum of 25-50%, In the state of Indiana Must have a Valid driver’s license with reliable transportation and the ability to travel within the state, as requiredThis role is part of Humana's Driver safety program and therefore requires an individual to have a valid state driver's license and proof of personal vehicle liability insurance with at least 100,000/300,000/100,000 limits. Screening Requirements This role is considered patient-facing and is part of Humana’s Tuberculosis (TB) screening program. If selected for this role, you will be required to be tested for TB. Additional Information As part of our hiring process, we will be using an exciting interviewing technology provided by Modern Hire, a third-party vendor. This technology provides our team of recruiters and hiring managers an enhanced method for decision-making. If you are selected to move forward from your application prescreen, you will receive an email correspondence inviting you to participate in a pre-recorded Voice Interview and/or an SMS Text Messaging interview. (please be sure to check your spam or junk folders often to ensure communication isn’t missed) If participating in a pre-recorded interview, you will respond to a set of interview questions via your phone. You should anticipate this interview to take approximately 10-15 minutes. If participating in a SMS Text interview, you will be asked a series of questions to which you will be using your cell phone to answer the questions provided. Expect this type of interview to last anywhere from 5-10 minutes. Your recorded interview(s) via text and/or pre-recorded voice will be reviewed and you will subsequently be informed if you will be moving forward to next round of interviews. Notice According to the Indiana Office of Inspector General Rule, 42 IAC 1-5-14 Post-Employment Restrictions, if you are a current or former state officer, employee or special state appointee with Indiana Family and Social Services Administration (FSSA) within the past year, engaged in the negotiation or the administration of a Medicaid contract on behalf of the state and/or Family and Social Services Administration (FSSA); in a position to make discretionary decision affecting the: (1) outcome of the negotiation; or (2) nature of the administration; or either engaged in making a regulatory or licensing decision that directly applied to Humana Inc. or to a parent or subsidiary you cannot be considered for this opportunity. For more information please visit:  IG: Indiana Office of Inspector General 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. $69,800 - $96,200 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 Humana Inc. (NYSE: HUM) is committed to putting health first – for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large. 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 because he or she is a protected veteran. 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.
    • Full Time
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    Become a part of our caring community and help us put health first The Medical Director actively uses their medical background, experience, and judgement to make determinations whether requested services, requested level of care, and/or requested site of service should be authorized. All work occurs with a context of regulatory compliance, and work is assisted by diverse resources, which may include national clinical guidelines, CMS policies and determinations, clinical reference materials, internal teaching conferences, and other sources of expertise. Medical Directors will learn Medicare and Medicare Advantage requirements, and will understand how to operationalize this knowledge in their daily work. The Medical Director’s work includes computer-based review of moderately complex to complex clinical scenarios, review of all submitted clinical records, prioritization of daily work, communication of decisions to internal associates, and possible participation in care management. The clinical scenarios predominantly arise from inpatient or post-acute care environments. Has discussions with external physicians by phone to gather additional clinical information or discuss determinations regularly, and in some instances these may require conflict resolution skills. Some roles include an overview of coding practices and clinical documentation, grievance and appeals processes, and outpatient services and equipment, within their scope. The Medical Director may speak with contracted external physicians, physician groups, facilities, or community groups to support regional market priorities, which may include an understanding of Humana processes, as well as a focus on collaborative business relationships, value based care, population health, or disease or care management. Medical Directors support Humana values, and Humana’s Bold Goal mission, throughout all activities. Responsibilities The Medical Director provides medical interpretation and determinations whether services provided by other healthcare professionals are in agreement with national guidelines, CMS requirements, Humana policies, clinical standards, and (in some cases) contracts. The ideal candidate supports and collaborates with other team members, other departments, Humana colleagues and the Regional VP Health Services. After completion of mentored training, daily work is performed with minimal direction. Enjoys working in a structured environment with expectations for consistency in thinking and authorship. Exercises independence in meeting departmental expectations, and meets compliance timelines. Use your skills to make an impact Required Qualifications MD or DO degree5+ years of direct clinical patient care experience post residency or fellowship, which preferably includes some experience in an inpatient environment and/or related to care of a Medicare type population (disabled or >65 years of age).Current and ongoing Board Certification an approved ABMS Medical SpecialtyA current and unrestricted license in at least one jurisdiction and willing to obtain additional license, if required.No current sanction from Federal or State Governmental organizations, and able to pass credentialing requirements.Excellent verbal and written communication skills.Evidence of analytic and interpretation skills, with prior experience participating in teams focusing on quality management, utilization management, case management, discharge planning and/or home health or post-acute services such as inpatient rehabilitation.Preferred Qualifications Knowledgeable in genetics ortho or general surgery preferableKnowledge of the managed care industry including Medicare Advantage, Managed Medicaid and/or Commercial products, or other Medical management organizations, hospitals/ Integrated Delivery Systems, health insurance, other healthcare providers, clinical group practice management.Utilization management experience in a medical management review organization, such as Medicare Advantage, managed Medicaid, or Commercial health insurance.Experience with national guidelines such as MCG® or InterQualInternal Medicine, Family Practice, Geriatrics, Hospitalist, Emergency Medicine clinical specialistsAdvanced degree such as an MBA, MHA, MPHExposure to Public Health, Population Health, analytics, and use of business metrics.Experience working with Case managers or Care managers on complex case management, including familiarity with social determinants of health.The curiosity to learn, the flexibility to adapt and the courage to innovateAdditional Information Typically reports to a Regional Vice President of Health Services, Lead, or Corporate Medical Director, depending on size of region or line of business. The Medical Director conducts Utilization Management of the care received by members in an assigned market, member population, or condition type. May also engage in grievance and appeals reviews. May participate on project teams or organizational committees. #physiciancareers 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. $199,400 - $274,400 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 Humana Inc. (NYSE: HUM) is committed to putting health first – for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large. 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 because he or she is a protected veteran. 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.
    • Full Time
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    Become a part of our caring community and help us put health first The Lead, SIEM & Detection Engineer position is responsible for SIEM engineering, alerting and detection strategy team for Humana systems. This role works closely with EIP’s Threat Management and Response teams as well as other enterprise information security teams. The Lead, SIEM & Detection Engineer role is responsible for technical execution of the SIEM and detection engineering functions. This team provides oversight of the SIEM and owns a custom alerting and detection framework to stay on top of emergent threats in support of security response and other operations. Use your skills to make an impact Required Qualifications Minimum of 5 years’ experience in SIEM engineering, incident response operations or security engineering.Advanced technical knowledge of SIEM platforms at a large national or international scaleStrong understanding of the threat landscape in terms of the tools, tactics and techniques of threats and a strong understanding of how complex, multi-stage malware functionsExperience creating and maintaining custom security detections in support of monitoring and response activities that leverage threat intel and attack surface information. Strong knowledge of MITRE ATT&CK or similar frameworks is desired. Preferred Qualifications Professional Certification in a relevant cybersecurity field (i.e., CISSP, CISA, CISM)Creation and maintenance of policy, standards, procedures, and documentationAble to participate in an on-call rotation to support critical incidentsLeverage automation and orchestration capabilities to drive efficiency improvements for security operations.Strong knowledge of system and network administration whether on premise or in varied cloud environments consisting of physical or virtual workloads. Experience working under and providing support for regulatory frameworks such as HIPAA, PCI, SOC2, etc.Bachelor’s degree or higher in Cybersecurity, Information Technology or a related field is preferred Remote/WAH requirements: WAH requirements: Must have the ability to provide a high speed DSL or cable modem for a home office. Associates or contractors who live and work from home in the state of California will be provided payment for their internet expense.A minimum standard speed for optimal performance of 25x10 (25mpbs download x 10mpbs upload) is required. Satellite and Wireless Internet service is NOT allowed for this role.A dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information 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. $126,800 - $174,500 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 Humana Inc. (NYSE: HUM) is committed to putting health first – for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large. 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 because he or she is a protected veteran. 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.
    • Full Time
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    Become a part of our caring community and help us put health first Are you passionate about the Medicare population and looking for a role in healthcare leadership with a focus on working with the brokerage channel? If so, we are looking for highly motivated and self-driven individuals to join our team. As an Associate Director, Partner Channel Inside Sales, you will support Humana’s production goals by leading and guiding the Broker Relationship Executives and overseeing agent and external customer relationships. You will also provide strategic and tactical guidance and performance direction to ensure all sales goals are met or exceeded. Humana has an inclusive and diverse culture welcoming candidates with multilingual skill sets to service our consumers. The Associate Director, Partner Channel is tasked with achieving regional sales targets by leading a team of 13-17 Broker Relationship Executives (BREs). This role involves both the cultivation of new agent relationships and the enhancement of existing ones to meet sales goals. Working in close collaboration with Regional Sales Directors and Broker Relationship Managers assigned to their region, the Associate Director plays a pivotal role in driving external sales and growth, both regionally and nationally. This is achieved through effective management and assessment of BRE activities, providing coaching where necessary, and developing a national strategy in collaboration with other BRE Associate Directors. Additionally, the Associate Director manages resources to achieve not only sales and growth results but also operational goals, which include clinical engagement, bid planning, retention, provider engagement, and Humana Pharmacy utilization. Budgetary resources are also under the purview of this role. Furthermore, the development of external market and national engagement and sales strategies are coordinated with BRMs, the BRE team, managers, and the operations team. The role also involves identifying opportunities for strategic and/or process improvements, leading and/or participating in cross-functional teams to enhance processes and strategies. Use your skills to make an impact Required Qualifications: Active Health and Life insurance licenses 6 or more years of sales and/or account management experience 2 or more years of management experienceStrong verbal and written communication skillsExcellent interpersonal or relationship building skillsMust be passionate about contributing to an organization focused on continuously improving consumer experiencesPreferred Qualifications: Ideal applicant would be located in FLBachelor’s degree or Master's degree in Business Administration or a related fieldGeneral understanding of economic, financial, and operational conceptsPrior management experience in a sales environmentExperience within the health insurance industry Additional Information: This position may require up to 15% travel.Alert: Humana values personal identity protection. Please be aware that applicants selected for leader review may be asked to provide their social security number, if it is not already on file. When required, an email will be sent from Humana@myworkday.com with instructions on how to add the information into your official application on Humana’s secure website. Work-At-Home Requirements To ensure Home or Hybrid Home/Office associates’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office associates must meet the following criteria:At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended to support Humana applications, per associate.Wireless, Wired Cable or DSL connection is suggested.Satellite, cellular and microwave connection can be used only if they provide an optimal connection for associates. The use of these methods must be approved by leadership. (See Wireless, Wired Cable or DSL Connection in Exceptions, Section 7.0 in this policy.)Humana will not pay for or reimburse Home or Hybrid Home/Office associates for any portion of the cost of their self-provided internet service, with the exception of associates who live or work from Home in the state of California, Illinois, Montana, or South Dakota. Associates 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.Humana will provide Home or Hybrid Home/Office associates 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 Interview Format As part of our hiring process for this opportunity, we will be using an exciting interviewing technology called Modern Hire to enhance our hiring and decision-making ability. Modern Hire allows us to quickly connect and gain valuable information from you pertaining to your relevant skills and experience at a time that is best for your schedule. If you are selected to move forward in the process, you will receive an email correspondence inviting you to participate in a Modern Hire prescreen. In this prescreen, you will receive a set of questions over the phone and be given the opportunity to record your audio responses to each question. You should anticipate this prescreen taking about 15 - 20 minutes. Your responses will be reviewed and if selected to move forward, you will be contacted with additional details involving the next step in the process. 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. $75,000 - $103,200 per year This job is eligible for a commission 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 Humana Inc. (NYSE: HUM) is committed to putting health first – for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large. 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 because he or she is a protected veteran. 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.
    • Full Time
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    Become a part of our caring community and help us put health first The Process Improvement Professional 2 analyzes, and measures the effectiveness of existing business processes and develops sustainable, repeatable and quantifiable business process improvements. The Process Improvement Professional 2 work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action. The Process Improvement Professional 2 researches best business practices within and outside the organization to establish benchmark data. Collects and analyzes process data to initiate, develop and recommend business practices and procedures that focus on enhanced safety, increased productivity and reduced cost. Determines how new information technologies can support re-engineering business processes. May specialize in one or more of the following areas: benchmarking, business process analysis and re-engineering, change management and measurement, and/or process-driven systems requirements. Understands department, segment, and organizational strategy and operating objectives, including their linkages to related areas. Makes decisions regarding own work methods, occasionally in ambiguous situations, and requires minimal direction and receives guidance where needed. Follows established guidelines/procedures. Use your skills to make an impact Required Qualifications An associate degree in business or equivalent business experience.2-5 years’ experience in a similar capacity of supporting insurance or managed care business. Medicaid, Medicare, Long-Term Care experience is a plus.Advanced Microsoft Excel skills including ability to link pivots to external data sources, creating pivot tables and summarizing data into reports, dashboards, charts and graphsExperience with Insurance processesAbility to define problems, collect data, establish facts, and draw valid conclusionsAttention to detail, with ability to prepare business documents reporting analysis findings and offering suggestions for performance improvement.Ability to be flexible and work independently to meet business demands.Ability to utilize research tools and information to obtain business measures.Knowledge of computers and the use of various software programsMust be passionate about contributing to an organization focused on continuously improving consumer experiences Preferred Qualifications Minimally 2 years of documentation, audit, and analysis experience in a managed care or insurance environmentFamiliarity with CMS Compliance guidelinesKnowledge of Medicare/Medicaid Compliance Reporting StandardsExperience with Financial reporting and/or pharmacy dataFamiliarity with TruCare Additional Information Schedule: Monday to Friday from 8 am to 5 pm CST.Work Location: RemoteNotice about requesting SSN: Humana values personal identity protection. Please be aware that applicants selected for leader review may be asked to provide a social security number, if it is not already on file. When required, an email will be sent from Humana@myworkday.com with instructions to add the information into the application at Humana’s secure website.​ WAH Internet Statement 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 recommended; 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.Humana will provide Home or Hybrid Home/Office employees 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.Modern Hire As part of our hiring process for this opportunity, we will be using an interviewing technology called Modern Hire to enhance our hiring and decision-making ability. Modern Hire allows us to quickly connect and gain valuable information from you pertaining to your relevant skills and experience at a time that is best for your schedule. 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. $63,400 - $87,400 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 Humana Inc. (NYSE: HUM) is committed to putting health first – for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large. 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 because he or she is a protected veteran. 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.
  1. Humana

    Coding Educator - Remote US

    • Full Time
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    Become a part of our caring community and help us put health first The Coding Educator 2 identifies opportunities to improve provider documentation and creates an education plan tailored to each assigned provider. The Coding Educator 2 work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action. The Coding Educator 2 reviews medical records and arranges educational sessions with providers aimed at quality of care and documentation improvements. Understands department, segment, and organizational strategy and operating objectives, including their linkages to related areas. Makes decisions regarding own work methods, occasionally in ambiguous situations, and requires minimal direction and receives guidance where needed. Follows established guidelines/procedures. Use your skills to make an impact Required Qualifications AAPC or AHIMA Coding Certification 2 + yrs recent medical record review knowledge Comprehensive knowledge of MS Word, Excel and PowerPoint Adobe Acrobat working experience required Presentation skills to include public speaking and interacting with Providers Problem solve complex issues Guide business and leadership in process improvement Must be passionate about contributing to an organization focused on continuously improving consumer experiences Must have a separate room with a locked door that can be used as a home office, to ensure you and your patients have absolute and continuous privacy while you work. Preferred Qualifications Bachelor's Degree (equivalent work and education experience) Bilingual Additional Information To ensure Home or Hybrid Home/Office associates’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office associates must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is suggestedSatellite, cellular and microwave connection can be used only if approved by leadershipAssociates 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.Humana will provide Home or Hybrid Home/Office associates 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 #LI-KR1 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. $57,700 - $79,500 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 Humana Inc. (NYSE: HUM) is committed to putting health first – for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large. 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 because he or she is a protected veteran. 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.
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    Become a part of our caring community and help us put health first Are you a transitioning military service member or a Military Spouse looking for an internship that supports the goal to put health first? The DoD SkillBridge or Military Spouse Financial Planning & Analysis Lead Intern will utilize Humana's Medicaid training and mentorships and engage formerly acquired skillsets from military experience and education to perform within the finance Medicaid segment. Financial Planning & Analysis Lead Intern analyzes and forecasts financial, economic, and other data to provide accurate and timely information for strategic and operational decisions. The Financial Planning & Analysis Lead works on problems of diverse scope and complexity ranging from moderate to substantial. The Financial Planning & Analysis Lead Intern will shadow within the department and among collaborative within the following: collects, compiles, verifies, and analyzes financial information and economic indicators so that senior management has accurate and timely information for making strategic and operational decisions on, for example, acquisitions, investments, capital expenditure, divestitures, mergers, or the sale of assets. Analyzes the financial implications of proposed investments or other transactions so that senior managers can evaluate alternatives against the organization's business objectives. Evaluates industry, economic, financial, and market trends to forecast the organization's short, medium, and long-term financial and competitive position. Analyzes revenues, expenses, costs, prices, investments, cash flow, profits, labor market trends, inflation, interest rates, and exchange rates. May involve financial modeling, reporting, and budgeting as well. Advises executives to develop functional strategies (often segment specific) on matters of significance. Exercises independent judgment and decision making on complex issues regarding job duties and related tasks and works under minimal supervision. Uses independent judgment requiring analysis of variable factors and determining the best course of action. Use your skills to make an impact Required Qualifications Transitioning Service Member eligible to participate in the DoD SkillBridge, or Military Spouse eligible to participate in the Military Spouse Fellowship Program Bachelor's degree in finance, accounting, or related field 5 or more years of finance and/or accounting experience, or equivalent Experience advising senior leadership on financial strategies Knowledge of complex accounting and financial transactions for internal and external reporting Prior experience developing methods and criteria for measuring and summarizing data for complex analyses Ability to lead and manage special projects that may necessitate cross-functional partnerships Preferred Qualifications Healthcare industry experience 2 or more years of leadership experience preferred Master's degree in Business Administration or a CPA strongly preferred Prior health insurance industry experience working in Finance/Accounting Additional Information The DOD SkillBridge Internship Program provides an opportunity for transitioning military service members to gain civilian work experience with an employer for a period between 90 and 180 days upon approval. The Military Spouse Fellowship Program connects military spouses with employers offering a variety of professional onsite, field, or remote based opportunities. Networking opportunities will be provided while participating in the Internship or Fellowship. Due to factors such as location, and/or requirements that cannot be modified, full-time employment is not guaranteed upon completion of the Internship or Fellowship. Workstyle: Remote Work at Home Location: United States Schedule: Monday through Friday 8:30 AM - 5:00 PM Eastern Travel: None Work At Home Guidance At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is suggested Satellite, cellular and microwave connection can be used only if approved by leadership Associates 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. Humana will provide Home or Hybrid Home/Office associates 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 Interview Format As part of our hiring process, we will be using an exciting interviewing technology provided by Modern Hire, a third-party vendor. This technology provides our team of recruiters and hiring managers an enhanced method for decision-making. If you are selected to move forward from your application prescreen, you will receive correspondence inviting you to participate in an SMS Text Messaging interview. If participating in a SMS Text interview, you will be asked a series of questions to which you will be using your cell phone or computer to answer the questions provided. Expect this type of interview to last anywhere from 5-10 minutes. Your recorded interview will be reviewed, and you will subsequently be informed if you will be moving forward to next round of interviews. SSN Alert Humana values personal identity protection. Please be aware that applicants may be asked to provide their Social Security Number, if it is not already on file. When required, an email will be sent from Humana@myworkday.com with instructions on how to add the information into your official application on Humana’s secure website. 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. $31,200 - $85,100 per year Description of Benefits Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers benefits for limited term, variable schedule and per diem associates which are designed to support whole-person well-being. Among these benefits, Humana provides paid time off, 401(k) retirement savings plan, employee assistance program, business travel and accident. About us Humana Inc. (NYSE: HUM) is committed to putting health first – for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large. 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 because he or she is a protected veteran. 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.
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    Become a part of our caring community and help us put health first The Provider Contracting Professional initiates, negotiates, and executes behavioral health provider contracts for Virginia Medicaid. The Provider Contracting Professional communicates contract terms, payment structures, and reimbursement rates to Behavioral Health providers. Analyzes the financial impacts of contracts and terms. Maintains contracts and documentation within a tracking system. Identifies and recruits providers based on network composition and needs. Makes decisions on moderately complex issues regarding technical approaches for project components. Engages in contracting negotiations with Behavioral Health physicians and Community Mental Health providers. Exercises considerable latitude in determining objectives and approaches to assignments. Humana offers a variety of benefits to promote the best health and well-being of our employees and their families. We design competitive and flexible packages to give our employees a sense of financial security—both today and in the future, including: Health benefits effective day 1Paid time off, holidays, volunteer time and jury duty payRecognition pay401(k) retirement savings plan with employer matchTuition assistanceScholarships for eligible dependentsParental and caregiver leaveEmployee charity matching programNetwork Resource Groups (NRGs)Career development opportunities Use your skills to make an impact Required Qualifications 2+ years of experience in negotiating or servicing managed care contracts with physician, hospital and/or other provider contracts Proficiency in analyzing, understanding, and communicating the financial impact(s) of contract terms, payment structures and reimbursement rates to providers Excellent written and verbal communication skills Proficiency in MS Office applications Ability to manage multiple priorities in a fast-paced environment Must live within reasonable driving distance to the Virginia market Preferred Qualifications Bachelor's Degree Experience with behavioral health contracts Experience working with Medicaid contracts Additional Information This role is "remote/work at home", however, you must live within reasonable driving distance to the State of Virginia to be considered for this opportunity. Work-at-Home Requirements 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 recommended; wireless, wired cable or DSL connection is suggestedSatellite, cellular and microwave connection can be used only if approved by leadershipHumana will provide Home or Hybrid Home/Office employees 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 ​A minimum standard speed for optimal performance of 25x10 (25mpbs download x 10mpbs upload) is required. Satellite and Wireless Internet service is NOT allowed for this role.A dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information #LI-Remote #LI-JR1 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. $63,400 - $87,400 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 Humana Inc. (NYSE: HUM) is committed to putting health first – for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large. 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 because he or she is a protected veteran. 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.
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    Become a part of our caring community and help us put health first Humana’s Customer Experience (CX) team within the Retail Insurance business was formed to deliver one thing: a personalized, seamless, and easy healthcare experience for all our health plan members. This team operates with a mandate to break down traditional silos and design solutions based on how our members seek and receive care. By teaming differently, pioneering agile methodologies, and relentlessly focusing on the human experience, the Customer Experience Design Strategy team seeks to deliver on this promise for all our members. We are looking for a Senior Copywriter who is human-centered, detail-oriented, and collaborative. You will work surrounded by peers with diverse backgrounds but a common strategic skillset, delivering product and service experiences for consumers that help members achieve their best health. You will partner with product managers, experience strategists, researchers and business stakeholders to bring clear, concise and consistent information and messaging to the end-to-end customer experience. Key Role Functions Lead project work with limited oversight, facilitate conversations with stakeholders, and make recommendations to management Create copy aligned to the content strategy, Humana’s brand voice and tone and business requirements Write across a wide range of touchpoints including digital, print, automated chat and contact center Present complex topics in consumer-friendly language Manage content through the review process, including legal/compliance approval Become fluent in Humana’s editorial standards and legal/compliance requirements Assist with creation and maintenance of content guidelines, standards, tools and processes Help design copy testing for comprehension and recall Use your skills to make an impact Required Qualifications Bachelor’s or Master’s degree 2+ years of human-centered design experience or experience leveraging research to inform approach 5+ years copywriting experience Demonstrated experience working quickly and efficiently to support various stages of the design process (e.g., research, synthesis, prototyping, testing) Preferred Qualifications Experience applying user research to inform writing approaches Ability to educate collaborators on copy best practices and guidelines Past experience writing for insurance or other highly regulated industries 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 recommended; 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. Humana will provide Home or Hybrid Home/Office employees 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 Humana offers a variety of benefits to promote the best health and well-being of our employees and their families. We design competitive and flexible packages to give our employees a sense of financial security—both today and in the future, including: Health benefits effective day 1 Paid time off, holidays, volunteer time and jury duty pay Recognition pay 401(k) retirement savings plan with employer match Tuition assistance Scholarships for eligible dependents Parental and caregiver leave Employee charity matching program Network Resource Groups (NRGs) Career development opportunities Humana values personal identity protection. Please be aware that applicants may be asked to provide their Social Security Number, if it is not already on file. When required, an email will be sent from Humana@myworkday.com with instructions on how to add the information into your official application on Humana’s secure website. Bachelor’s or Master’s degree 2+ years of human-centered design experience or experience leveraging research to inform approach 5+ years copywriting experience Demonstrated experience working quickly and efficiently to support various stages of the design process (e.g., research, synthesis, prototyping, testing) Preferred Qualifications Experience applying user research to inform writing approaches Ability to educate collaborators on copy best practices and guidelines Past experience writing for insurance or other highly regulated industries Humana, a Fortune 50 Healthcare Company Humana is a Fortune 50 healthcare company with a history of successful innovation and reinvention, with over 50 years as a proven leader and innovator in the health and wellness industry. A passionate emphasis on people, choice, well-being, and innovation guide our business and culture. We’ve ranked #1 among health insurers on Forrester’s CX Index, benchmarking the best in Customer Experience, multiple years in a row. We’re not just a health insurance company: our diverse lines of business position us to serve millions of people with a wide range of needs, including seniors, military members, and self-employed individuals. 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. $76,800 - $105,800 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 Humana Inc. (NYSE: HUM) is committed to putting health first – for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large. 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 because he or she is a protected veteran. 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.
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    Become a part of our caring community and help us put health first ***Total compensation package (base pay +commission with guarantee) could exceed $123K depending on experience and location.*** Are you passionate about the Medicare population, looking for an opportunity to work in sales, and wanting the ability to directly impact your own income potential? If so, we are looking for licensed, highly motivated, and self-driven individuals to join our team. In this field position, you will build community relationships, drive self-generated sales, and meet sales goals and metrics while working independently. You will be interacting with Humana’s customers, external business partners and the community we serve through face-to-face, telephonic, virtual interactions. Our Medicare Sales Representatives sell individual health plan products and educate beneficiaries on our services in a field setting. Some of our additional products include: Life, Annuity, Indemnity, Dental, Vision, Prescription, and more. Humana has an inclusive and diverse culture welcoming candidates with multilingual skill sets to service our consumers. Use your skills to make an impact Required Qualifications Active Health Insurance license or ability to obtainBilingual with the ability to speak, read, and write in both English and Spanish without limitations or assistancePrior experience using multiple applications/software and multiple screens simultaneouslyThis role is part of Humana's Driver safety program and therefore requires an individual to have a valid state driver's license and proof of personal vehicle liability insurance with at least 100/300/100 limits Must reside in Philadelphia, PA Preferred Qualifications Active Life Insurance licenseAssociate's or Bachelor's degree Engaged with the community through service, organizations, activities and volunteerism  Bilingual with the ability to speak, read and write in both English and an additional language without limitations or assistance, preferably SpanishStrong organizational, interpersonal, communication and presentation skillsProficient use of Microsoft Office and an understanding of or comparable knowledge of CRM tools and other sales/marketing resources Additional Information 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. Applicants will be required to take the Interagency Language Rating (ILR) test as provided by the Federal Government. Humana Perks:      Humana offers a variety of benefits to promote the best health and well-being of our employees and their families. We design competitive and flexible packages to give out employees a sense of financial security – both today and in the future, including:   ***Total compensation package (base pay +commission with guarantee) could exceed $123K depending on experience and location.***Health benefits effective day 1   Paid time off, holidays, volunteer time, and jury duty pay401(k) retirement savings plan with employer matchTuition assistanceScholarships for eligible dependentsParental and caregiver leaveEmployee charity matching programNetwork Resource Groups (NRGs)Career Development Opportunities Social Security Task: Humana values personal identity protection. Please be aware that applicants may be asked to provide their Social Security Number, if it is not already on file. When required, an email will be sent from Humana@myworkday.com with instructions on how to add the information into your official application on Humana’s secure website. Virtual Pre-Screen: As part of our hiring process for this opportunity, we will be using an interviewing technology called HireVue to enhance our hiring and decision-making ability. HireVue allows us to quickly connect and gain valuable information from you pertaining to your relevant skills and experience at a time that is best for your schedule. #MedicareSalesReps 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. $34,700 - $47,700 per year This job is eligible for a commission 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 Humana Inc. (NYSE: HUM) is committed to putting health first – for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large. 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 because he or she is a protected veteran. 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.
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    Become a part of our caring community and help us put health first Our Warehouse Technician will coordinate the activities and operations of the warehouse. Manages warehouse inventory and maintains database.Coordinates and schedules the movement of products throughout the warehouse including storage and shipment of finished products.Implements daily production and shipping plan, arranging for excess stock to be stored in warehouse.Manages daily flow of finished products by modifying storage space assignments.Confirms availability of items to be shipped by verifying inventory records or conducting inventories of required items.Identifies and reports slow-moving product and with approval, arranges for the removal of the product.Directs forklift drivers to store goods in identified areas.Manually handles, repacks, or restacks pallets of finished product as needed.Operates forklift truck as needed.Documents all related activities and completes forms and reports.Performs other related duties as directed. Use your skills to make an impact Regulatory Requirements At least two years of work experience in a warehouse required.Good analytical skills and ability to make sound judgments relative to inventory.Basic understanding of or ability to quickly learn company product codes and terminology.Excellent organizational skills and attention to detail. Physical Requirements The physical requirements of this position include lifting (15 pounds at times), ability to move around the warehouse, and prolonged sitting. The mental/sensory requirements include recall, reasoning, problem-solving, hearing, speaking clearly, writing legibly, keyboarding, reading and logical thinking. The environment's pace can vary from steady to a sometimes-fast pace requiring handling of multiple priorities, frequent, sometimes intense customer interactions. Language Skills: Able to communicate effectively in English, both verbally and in writing.Additional languages preferred. 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. $34,500 - $47,400 per year 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 onehome: onehome coordinates a full range of post-acute care ranging from home health, infusion therapy and durable medical equipment services at patients’ homes. onehome’s patient focused model creates one integrated point of accountability that coordinates with physicians, hospitals and health plans serving more than one million health plan members nationwide. onehome was acquired by Humana in 2021 to advance value-based care. Our culture is inclusive, diverse, and above all, caring. It is important to us that our employees are engaged, supported and fairly treated. We offer a comprehensive benefits package to ensure the health and financial well-being of you and your family. About Humana: Humana Inc. (NYSE: HUM) is committed to putting health first – for our teammates, our customers, and our company. Through our Humana insurance services, and our CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large. 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 because he or she is a protected veteran. 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.
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    Become a part of our caring community and help us put health first This role with present you with new challenges daily as you protect Humana in a constantly evolving cybersecurity landscape. As a member of the Digital Forensics and Incident Response team, you will be charged with investigating and responding to cybersecurity incidents that threaten the privacy of Humana members, the integrity of the Humana brand, or the availability of Humana systems. Collaborating across teams, you will put your analytical and technical skills to work empowering Humana to do business safely and securely. Join our team of engineers and see the world through a new lens. The Senior Digital Forensics and Incident Response Engineer actively assesses and correlates incident data to enable vulnerability identification and provide forensics analysis recommendations for remediation activities. Manages a real-time forensic capability that collects, assesses, and analyzes data correlations and facilitates the creation of reports for EIP leadership consumption that provide in-depth investigative analysis into possible root causes of high-profile incidents within Humana infrastructures and assets. Begins to influence department’s strategy. Makes decisions on moderately complex to complex issues regarding technical approach for project components, and work is performed without direction. Exercises considerable latitude in determining objectives and approaches to assignments. Use your skills to make an impact Role Requirements 5+ years Cyber Security Experience Role Desirables 5+ years Digital Forensics experience, including experience with FTK, Axiom, Encase, and other forensics tools1-2 years mobile device forensics experienceGIAC/SANS GCFE, GCFA, GIME, and/or GASF certifications1-2 years cloud forensics/incident response Remote/WAH requirements: WAH requirements: Must have the ability to provide a high speed DSL or cable modem for a home office. Associates or contractors who live and work from home in the state of California will be provided payment for their internet expense.A minimum standard speed for optimal performance of 25x10 (25mpbs download x 10mpbs upload) is required. Satellite and Wireless Internet service is NOT allowed for this role.A dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information 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. $104,800 - $144,300 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 Humana Inc. (NYSE: HUM) is committed to putting health first – for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large. 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 because he or she is a protected veteran. 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.
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    Become a part of our caring community and help us put health first The Senior Pharmacy Sales Executive (Specialty) leverages targeted geographic analysis, engages with Physician offices to influence physicians to route patients' specialty drug prescriptions to Humana Specialty Pharmacy for fulfillment. The Senior Pharmacy Sales Executive leverages targeted geographic analysis, engages with Physician offices to influence physicians to route patients' specialty drug prescriptions to CenterWell Specialty Pharmacy for fulfillment. The Senior Pharmacy Sales Executive focuses on increasing orders to CenterWell Pharmacy, resulting in increased prescriptions and revenues. You will spend time building relationships on front office to back office medical clinic sales calls within the territory and provide staff education and information on options for patient use of Specialty Pharmacy medications. There are several patient benefits for using CenterWell Mail Order pharmacy - lower cost, easier approvals, resource assistance and a more comprehensive cycle of care. You will become a knowledgeable resource regarding specialty pharmacy medications and Humana pharmacy benefits. In return, you will receive a competitive base salary and bonus, full benefits, an amazing work culture and an opportunity to have a positive impact on the health of Humana members. Location: The territory will be focused between western NC and eastern TN (Asheville to Knoxville) Must be comfortable with approximately 75% travel including some overnight travel. Use your skills to make an impact Required Qualifications Experience working in sales with documented success Experience working in a healthcare setting and/or managed care environment Strong verbal and written communication skills Flexible, dynamic personality who works well in a team environment Ability to build and maintain strong relationships with partnering business segments Comprehensive knowledge of Microsoft Excel and Power Point Must be comfortable with daily travel and approx. 75% of time This role is part of Humana's Driver safety program and therefore requires an individual to have a valid state driver's license and proof of personal vehicle liability insurance with at least 100/300/100 limits Your driving record will be evaluated as part of a third party background check and certain types or combinations of infractions may affect your eligibility for this position. Preferred Qualifications Experience with Pharmacy reporting or the Pharmaceutical industry Bachelor’s degree/Equivalent Experience Exposure to pharmaceutical contracting language Specialty Pharmacy or Managed Care experience preferred 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. $82,600 - $113,500 per year This job is eligible for a commission 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 Specialty Pharmacy: CenterWell Specialty Pharmacy is an online mail-delivery pharmacy, offering therapies for chronic and complex illnesses, along with personalized support. Our team of nurses, pharmacists and specialists help patients manage their treatment by caring for a variety of conditions and increasing access to hard-to-find, limited distribution drugs. 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 because he or she is a protected veteran. 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.
    • Full Time
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    Become a part of our caring community and help us put health first Why Humana? At Humana, caring is everything. You look after our members and patients. We look after you. If caring means something to you too, we’ve got a spot for you. We design competitive and flexible benefits packages to provide our employees a sense of financial security now and in the future. Fostering a culture of inclusion is part of the fabric of who we are. We must have a workplace that reflects the people we serve and thrives in part because every person can bring their whole self to work to do their best work. Our vibrant, diverse culture and environment of inclusion is one of our greatest strengths. About Humana Healthy Horizons Humana Healthy Horizons is more than a health plan. We’re human care. Humana Healthy Horizons focuses on helping people achieve their best health. Our dedicated strategies across various markets and states are enabled by partnerships with state and local governments, community-based organizations, and national partners committed to removing barriers to helping people achieve their best health. The Manager, Care Management Behavioral Health leads teams of nurses and behavioral health professionals responsible for care management. The Manager, Behavioral Health Care Management, works within specific guidelines and procedures; applies advanced technical knowledge to solve moderately complex problems; receives assignments in the form of objectives and determines approach, resources, schedules, and goals. Position Responsibilities: Oversees the assessment and evaluation of members' behavioral health needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families toward and facilitate interaction with resources appropriate for the care and wellbeing of members. Makes decisions related to resources, approach, and tactical operations for projects and initiatives involving own departmental area. Works cross departmentally and conducts briefings and area meetings; maintains frequent contact with other managers across the department. Identifies and resolves barriers that hinder effective care. Understands department, segment, and organizational strategy and operating objectives, including their linkages to related areas. Makes decisions regarding own work methods, occasionally in ambiguous situations, and requires minimal direction and receives guidance where needed. Must be passionate about contributing to an organization focused on continuously improving consumer experiences Use your skills to make an impact Required Qualifications: Unrestricted Current Licensed Registered Nurse (RN) in the state of South Carolina Bachelor’s degree Nursing (BSN), or a Licensed Master Level Clinician in the field of psychology or social work (LCSW, LMSW, LMSW-ACP, CSW, LPC, LMFT) 5+ years of Behavioral Health professional experience 2+ years of management experience 2+ years Care Coordination/Case Management experience Proficiency in analyzing and interpreting data trends Comprehensive knowledge of all Microsoft Office applications, including Word, Excel and PowerPoint Experience working with Medicaid and/or Medicare Enrollees to coordinate services, care needs, or benefits Experience with NCQA to include leading re-accreditation activities Experience with NCQA, state audit, and external quality review (EQR) Preferred Qualifications: Previous experience working in a managed care field 5 or more years of previous management/supervisor level experience 3+ years of clinical acute care experience in a behavioral health setting Certified Case Manager (CCM) Utilization management experience ​Additional Information Workstyle: This is a remote position Location: South Carolina Schedule: 8-5 Travel: Occasional travel as business needs Work at Home Criteria 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 recommended; 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 Humana will provide Home or Hybrid Home/Office employees 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 Interview Format As part of our hiring process for this opportunity, we will be using an interviewing technology called Modern Hire to enhance our hiring and decision-making ability. Modern Hire allows us to quickly connect and gain valuable information from you pertaining to your relevant skills and experience at a time that is best for your schedule. This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance. SSN Alert Statement Humana values personal identity protection. Please be aware that applicants may be asked to provide their Social Security Number, if it is not already on file. When required, an email will be sent from Humana@myworkday.com with instructions on how to add the information into your official application on Humana’s secure website. Humana offers industry leading benefits for all employees, starting your FIRST day of employment. Benefits include: Medical Benefits Dental Benefits Vision Benefits Health and Childcare Savings Accounts Flex Spending Accounts Life Insurance 401K / Roth Education Reimbursement 23 days Paid Time off accrual, 7 paid holidays, two personal holidays, one day of volunteer time off, parental leave, caregiving leave, and weekly well-being time , and more! 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. $76,800 - $105,800 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 Humana Inc. (NYSE: HUM) is committed to putting health first – for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large. 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 because he or she is a protected veteran. 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.
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    Become a part of our caring community and help us put health first The Behavioral Health Care Coach assesses and evaluates member's needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families toward and facilitate interaction with resources appropriate for the care and wellbeing of members. The Care Coach Coordinator work assignments are often straightforward and of moderate complexity. The Behavioral Health Care Coach employs a variety of strategies, approaches, and techniques to manage a member's health issues. Identifies and resolves barriers that hinder effective care. Ensures patient is progressing towards desired outcomes by continuously monitoring patient care through use of assessment, data, conversations with member, and active care planning. Understands own work area professional concepts/standards, regulations, strategies, and operating standards. Makes decisions regarding own work approach/priorities and follows direction. Work is managed and often guided by precedent and/or documented procedures/regulations/professional standards with some interpretation. The Behavioral Health Care Coach assesses and evaluates member's needs and requirements to establish a member specific care plan and coordinates services. Ensures members are receiving services in the least restrictive setting to achieve and/or maintain optimal well-being by assessing their care needs. Plan and implement interventions to meet care needs. Coordinates services, monitors, and evaluates the case management plan against the member's personal goals. Guides members/families towards resources appropriate for their care. Services are driven by facilitating interactions with other payer sources, providers, interdisciplinary teams and others involved in the member’s care as appropriate and required by our comprehensive contract. Ability to visit Medicaid members as needed in their homes, Assisted Living Facilities, and/or Long-Term Care Facilities and other care settings Use your skills to make an impact Required Qualifications The Behavioral Health Care Coach must meet one (1) of the following requirements: Master’s degree in social work, nursing, rehabilitation, psychology or related health and human services area with experience working with members with behavioral health conditions including serious mental illness and/or substance use disorder Bachelor’s degree from an accredited university or college in nursing, psychology, social work, early childhood education, child development or a related field with experience working with members with behavioral health and/or substance use disorder The Behavioral Health Care Coach must meet all the following requirements: 1 year experience in health care and/or case management. 1 year experience with Medicare & Medicaid recipients and/or long- term care and/or Home and Community based services and/or working with managed care organizations. Intermediate to advanced computer skills and experience with Microsoft Word, Excel, and Outlook. Exceptional communication and interpersonal skills with the ability to build rapport with internal and external customers and stakeholders. Proven ability of critical thinking, organization, written and verbal communication and problem-solving skills. Ability to manage multiple or competing priorities in a fast-paced environment. Ability to use a variety of electronic information applications/software programs including electronic medical records Additional Information: Workstyle: Hybrid - Remote work at Home and the position may also require member facing visits in the field Location: Requires residence in South Carolina. Work Schedule: Monday - Friday; 8am - 5pm Eastern Time. Travel: 25% Possible field travel and onsite training as needed Tuberculosis (TB) Screening: ​ This role is considered patient facing and is a part of Humana's Tuberculosis (TB) screening program. If selected for this role, you will be required to be screened for TB Driver’s License, Automobile Insurance Policy: Possession of a valid driver's license and access to a reliable automobile This role is part of Humana’s Driver safety program and therefore requires an individual to have a valid state driver’s license and proof of personal vehicle liability insurance with at least 100,000/300,000/100,000 limits. Work at Home Guidance To ensure Home or Hybrid Home/Office associates’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office associates must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is suggested Satellite, cellular and microwave connection can be used only if approved by leadership Associates 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. Humana will provide Home or Hybrid Home/Office associates 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 Interview Process: As part of our hiring process, we will be using an exciting interviewing technology provided by Hire Vue, a third-party vendor. This technology provides our team of recruiters and hiring managers an enhanced method for decision-making. If you are selected to move forward from your application prescreen, you will receive correspondence inviting you to participate in a pre-recorded Voice Interview and/or an SMS Text Messaging interview. If participating in a pre-recorded interview, you will respond to a set of interview questions via your phone. You should anticipate this interview to take approximately 10-15 minutes. If participating in a SMS Text interview, you will be asked a series of questions to which you will be using your cell phone to answer the questions provided. Expect this type of interview to last anywhere from 5-10 minutes. Your recorded interview(s) via text and/or pre-recorded voice will be reviewed, and you will subsequently be informed if you will be moving forward to next round of interviews. SSN Alert Humana values personal identity protection. Please be aware that applicants may be asked to provide their Social Security Number, if it is not already on file. When required, an email will be sent from Humana@myworkday.com with instructions on how to add the information into your official application on Humana’s secure website. Humana offers industry leading benefits for all employees, starting your FIRST day of employment. Benefits include: Medical Benefits Dental Benefits Vision Benefits Health and Childcare Savings Accounts Flex Spending Accounts Life Insurance 401K / Roth Education Reimbursement 23 days Paid Time off accrual, 7 paid holidays, two personal holidays, one day of volunteer time off, parental leave, caregiving leave, and weekly well-being time, and more! 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. $47,700 - $65,600 per year 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 Humana Inc. (NYSE: HUM) is committed to putting health first – for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large. 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 because he or she is a protected veteran. 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.
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    Become a part of our caring community and help us put health first The Data and Reporting Professional generates ad hoc reports and regular datasets or report information for end-users using system tools and database or data warehouse queries and scripts that help our team evaluate the effectiveness of Population Health interventions, identify opportunities for operational and clinical improvement, and offer holistic views of our Medicaid membership. R-289053 Data and Reporting Professional 2 – Remote within Eastern time zone The Data and Reporting Professional 2 integrates data from multiple sources to produce requested or required data elements. This role must understand department, segment, and organizational strategy and operating objectives, including their linkages to related areas. This role will participate in both internal and external collaborative opportunities so providing a high level of customer service is necessary. Primary responsibilities include: Programming and maintaining report forms and formats, information dashboards, data generators, canned reports and other end-user information portals or resources.Creating specifications for reports based on business requests.Making decisions regarding own work methods, occasionally in ambiguous situations, and requires minimal direction and receives guidance where needed.Prioritizing equity in analyses.Validating data quality and participating in quality assurance activities.Following established guidelines/procedures Use your skills to make an impact R-289053 Data and Reporting Professional 2 – Remote within Eastern time zone Required Qualifications Bachelor’s Degree or Associates degree with 3-5 years data reporting experienceA Minimum of 1 year experience in Healthcare data analyticsAdvanced Microsoft Excel skills including ability to link pivots to external data sources, creating pivot tables and summarizing data into reports, dashboards, charts and graphsExperience in SQLExperience creating automated reports and self-service toolsExcellent organizational skillsExperience with tools such as Power BI and Tableau for creating data visualizations Preferred Qualifications Degree in areas such as Mathematics, Economics, Finance, Statistics, Health Informatics, Epidemiology, or related fieldPassionate about equity and population healthInnovative in creating data visualizationsAbility to link external data sources, pass-through queries, data structure and relationship designExperience working with big and complex data setsPrior experience working in a system analytics and/or data-warehousing environmentPrior experience with Quickbase is a plus. Additional information Schedule: Monday to Friday from 8 am to 5 pm Eastern Time.Training: Process takes approximately 4-6 weeks – Remotely from homeWork Location (Address): Remote within Eastern time zoneNotice about requesting SSN: Humana values personal identity protection. Please be aware that applicants selected for leader review may be asked to provide a social security number, if it is not already on file. When required, an email will be sent from Humana@myworkday.com with instructions to add the information into the application at Humana’s secure website.​ WAH Internet Statement 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 recommended; 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.Humana will provide Home or Hybrid Home/Office employees 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.Modern Hire As part of our hiring process for this opportunity, we will be using an interviewing technology called Modern Hire to enhance our hiring and decision-making ability. Modern Hire allows us to quickly connect and gain valuable information from you pertaining to your relevant skills and experience at a time that is best for your schedule. 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. $59,100 - $81,500 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 Humana Inc. (NYSE: HUM) is committed to putting health first – for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large. 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 because he or she is a protected veteran. 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.
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    Become a part of our caring community and help us put health first Job Description Summary Humana Data and Digital (D&D) stands at the vanguard of innovation, relentlessly driving the development of data-driven platforms, products, and services that streamline and enhance operations across the entire organization. At the heart of this transformative effort lies the AI Engineering team, a group of skilled professionals dedicated to empowering data scientists and business analysts with cutting-edge software solutions and technologies, all hosted on the robust and scalable Azure platform. Leading the Way: The Lead Full Stack Software Engineer The Lead Full Stack Software Engineer, a pivotal role within the AI Engineering team, spearheads the design, development, and deployment of critical software architectural components and solutions. Collaborating closely with architects, product owners, and fellow engineers, this individual ensures the seamless integration and optimal performance of these solutions. Focus on Excellence: Web Applications and System-to-System Integrations The primary focus of this role lies in the development of high-performance web applications and the creation of robust system-to-system integrations. These solutions are meticulously designed with security as a paramount concern, prioritizing data protection and ensuring a secure user experience. Furthermore, the Lead Full Stack Software Engineer prioritizes performance optimization, ensuring that the applications and integrations deliver exceptional speed and efficiency. This commitment to high performance translates into a lower total cost of ownership, minimizing operational expenses and maximizing return on investment. A Catalyst for Innovation: The Lead Full Stack Software Engineer's work is not only technically demanding but also profoundly impactful. By creating innovative solutions that empower data scientists and business analysts, this individual plays a vital role in driving the success of Humana's data-driven transformation. Through their expertise and leadership, they contribute to the development of a more efficient, secure, and data-centric organization. Key Responsibilities Lead, design, and develop API based system-to-system integrations with Humana Data as Service Platform, Azure Synapse Analytics, and Humana Identity and Access Management Support cloud infrastructure lifecycle management automation leveraging Infrastructure as Code principles and framework on Azure Own software code repositories, lead product technical design sessions, code review and accept pull requests Collaborate with QA on functional, performance, and security testing Troubleshoot and resolve critical customer escalations on technical, stability, and performance issues   Collaborate and Influence peer architects with knowledge sharing sessions. Training and mentoring engineers   Use your skills to make an impact Required Experience Skills  3 years of Azure or AWS or GCP cloud services platforms 5 years of Webservices/Microservices API development using Java plus Spring Boot, and Scala 5 years of database development experience with any one of SQL Server, Oracle, MySQL, PostgreSQL, Cassandra, RedShift, or MongoDB Experience with building stream-processing systems with any one of Kafka, Rabbit MQ, Pulsar, or Flink Security -- Hands-on experience with user authentication and authorization with SSO, MSAL, and OAuth. In depth knowledge of data encryption and encryption key management protocols  Enterprise Security Compliance – In depth understanding of enterprise network and infrastructure security, data security, governance, and privacy requirements for HIPAA, and SOC compliance  DevOps -- hands-on experience with modern CICD automation eco-systems such as Azure DevOps and pipelines, Terraform, Azure Resource Manager, AWS Cloud Formation, Kubernetes, GitHub, and configuration management tools such as Puppet, Chef, or Ansible  Additional Job Description Required Qualifications Bachelor's degree in Computer Science or equivalent 8 or more years of progressive IT experience as a senior developer in large IT projects 2 or more years of project leadership experience Must be passionate about contributing to an organization focused on continuously improving consumer experiences Preferred Qualifications Master's Degree 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. $126,800 - $174,500 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 Humana Inc. (NYSE: HUM) is committed to putting health first – for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large. 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 because he or she is a protected veteran. 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.
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    Become a part of our caring community and help us put health first The Senior Technology Implementation Professional delivers new technological solutions to meet business needs within a specified scope while aligned to enterprise objectives. The Senior Technology Implementation Professional work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors. The Senior Technology Implementation Professional gathers and documents business system and functional requirements, influences system design to optimize support and ensures solutions meet the business objectives and requirements. Completes and/or coordinates implementation of design and requirements, testing, operational readiness, and transition to the appropriate production support team. Begins to influence department’s strategy. Makes decisions on moderately complex to complex issues regarding technical approach for project components, and work is performed without direction. Exercises considerable latitude in determining objectives and approaches to assignments. Use your skills to make an impact Required Qualifications Bachelor's Degree in Computer Science, Engineering or a related technical fieldKnowledge of Systems Development Life Cycle, Waterfall, and Agile Development MethodologiesMore than 5 years of experience in C# coding and Visual StudioAdvanced SharePoint Administration skillsProficiency in Microsoft Power Automate, Power Apps, and Power BIExperience in IT business analysis, including artifacts developmentMore than 5 years of experience problem solving and consulting within complex environmentsFacilitating cross-functional teams' effortsMust be passionate about contributing to an organization focused on continuously improving consumer experiences Preferred Qualifications Master's Degree of Business Administration, Computer Science or a related field 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 recommended; wireless, wired cable or DSL connection is suggestedSatellite, cellular and microwave connection can be used only if approved by leadershipEmployees 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.Humana will provide Home or Hybrid Home/Office employees 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 As part of our hiring process for this opportunity, we will be using an interviewing technology called HireVue to enhance our hiring and decision-making ability. HireVue allows us to quickly connect and gain valuable information from you pertaining to your relevant skills and experience at a time that is best for your schedule. Humana values personal identity protection. Please be aware that applicants may be asked to provide their Social Security Number, if it is not already on file. When required, an email will be sent from Humana@myworkday.com with instructions on how to add the information into your official application on Humana’s secure website. 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. $78,800 - $108,500 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 Humana Inc. (NYSE: HUM) is committed to putting health first – for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large. 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 because he or she is a protected veteran. 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.
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    Become a part of our caring community and help us put health first The Actuarial Analyst 2, Analytics/Forecasting analyzes and forecasts financial, economic, and other data to provide accurate and timely information for strategic and operational decisions. Establishes metrics, provides data analyses, and works directly to support business intelligence. Evaluates industry, economic, financial, and market trends to forecast the organization's short, medium and long-term financial and competitive position. The Actuarial Analyst 2, Analytics/Forecasting work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action. The Actuarial Analyst 2, Analytics/Forecasting ensures data integrity by developing and executing necessary processes and controls around the flow of data. Collaborates with stakeholders to understand business needs/issues, troubleshoots problems, conducts root cause analysis, and develops cost effective resolutions for data anomalies. Understands department, segment, and organizational strategy and operating objectives, including their linkages to related areas. Makes decisions regarding own work methods, occasionally in ambiguous situations, and requires minimal direction and receives guidance where needed. Follows established guidelines/procedures. Use your skills to make an impact Required Qualifications Bachelor's DegreeSuccessful completion of at least 3 actuarial examsMeets requirements for Humana's Actuarial Professional Development Program (APDP)Strong communication skillsMust be passionate about contributing to an organization focused on continuously improving consumer experiencesExperience in SQL, SAS, or other relevant rational database programming language Preferred Qualifications Experience with Medicare AdvantageExperience with member level claims 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. $78,800 - $108,500 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 Senior Primary Care: CenterWell Senior Primary Care provides proactive, preventive care to seniors, including wellness visits, physical exams, chronic condition management, screenings, minor injury treatment and more. Our unique care model focuses on personalized experiences, taking time to listen, learn and address the factors that impact patient well-being. Our integrated care teams, which include physicians, nurses, behavioral health specialists and more, spend up to 50 percent more time with patients, providing compassionate, personalized care that brings better health outcomes. We go beyond physical health by also addressing other factors that can impact a patient’s well-being. 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 because he or she is a protected veteran. 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.
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