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    Become a part of our caring community and help us put health first The Medicaid Data and Reporting Analyst generates ad hoc reports and regular datasets or report information for end-users using system tools and database or data warehouse queries and scripts. The Data and Reporting Professional 2 work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action. The Medicaid Data and Reporting Analyst integrates data from multiple sources to produce requested or required data elements. This role will support our Medicaid Clinical operations in multiple markets. This role manages recurring reporting, state reporting, and ad-hoc reporting needs. Programs and maintains report forms and formats, information dashboards, data generators, canned reports and other end-user information portals or resources. May create specifications for reports based on business requests. 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 or equivalent experienceBetween 3 and 5 years of technical experience in data reportingComprehensive knowledge of Microsoft Office Applications including Word, Excel, Access and PowerPoint1 or more years of experience in SQL, Power BI, QlikView, and TableauExperience creating automated reports and self-service toolsExcellent organizational skills Preferred Qualifications Advanced Degree in a quantitative discipline, such as Mathematics, Economics, Finance, Statistics, Computer Science, Engineering or related fieldIn-depth experience in Microsoft Excel including formulas, pivots, charts, and graphsExperience in managed care or health care sectorPrior experience working in a system analytics and/or data warehousing environment Additional Information 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 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 The Care Management Support Assistant (CMSA) is an important support position in the administration of care management. This is a REMOTE work opportunity, but you MUST live in the state of INDIANA. This virtual team mainly performs moderately complex administrative support tasks for the state of Indiana Medicaid program. The schedule for this position is an 8-hour shift Monday-Friday between 8am-5pm Eastern Time. This is a terrific entry-level position in which flexible, organized, service-oriented individuals can launch a career in healthcare with a company that value's health and well-being. Position Responsibilities: Contribute to the administration of care management.Provides CM support by managing shared mailboxes and entering data into work queues, mailing letters/educational material, researching unable to contact members and will complete other administrative functions, as assignedProvide non-clinical support to the assessment and evaluation of members' needs and requirements to achieve and/or maintain optimal wellness state.Interact with Service Coordinators and Field Care Managers who guide members and their families toward and facilitate interaction with resources appropriate for care and wellbeing.Perform varied activities clerical activities including reporting data, tracking data, pulling reports and monitoring/managing email.Performs computations.Typically works on semi-routine assignments that are subject to change. Humana Healthy Horizons is a start-up program in the state of Indiana. Success in this role requires the following: - Ability to flex and adapt to regular change - Strong organizational skills with ability to manage multiple priorities - Excellent time management skills - Ability to follow through on tasks and complete assignments - Demonstrated collaboration and teamwork in a virtual environment - Must be passionate about contributing to an organization focused on continuously improving consumer experiences. Use your skills to make an impact Required Qualifications: MUST BE A CURRENT RESIDENT OF INDIANAHigh School Diploma or equivalentExperience with Microsoft Office Word, Excel and Outlook.Minimum one (1) year administrative support experience, preferably in the healthcare industry.Familiarity with community care and well-being resourcesMust have a separate room with a locked door that can be used as a home office to ensure you have absolute and continuous privacy while you work.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. Preferred Qualifications: Associate's degreeBilingual preferred (English/SpanishMicrosoft Access proficiencyPrevious experience working with Medicare, Medicaid and Dual eligible populationsExperience providing administrative support in a healthcare setting with older adults or persons with disabilities. Additional 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. If you are selected to move forward, you will receive email from HireVue. 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 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 IT Business Performance/Process Improvement Professional monitors and measures relevant performance metrics to assess the performance of IT resources and optimizes performance through process improvement activities. The Senior IT Business Performance/Process Improvement 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 IT Business Performance/Process Improvement Professional devises measures and targets to assess and optimize the performance of IT functions, services, projects and any related improvement initiative. Identifies and analyzes performance measures and metrics, develops and maintains balanced scorecards and dashboards, and evaluates and monitors performance in IT-related areas. 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. This position will be focused on using industry-standard methodologies to drive the outcomes of reducing waste and to define cost savings associated with infrastructure processes, while also improving measures and controls. The position establishes policy and optimizes processes by leveraging industry practices (such as value stream management) to lean processes and reduce waste. The position will recommend improvements and enhancements to the existing process framework and supporting capabilities. Use your skills to make an impact Required Qualifications Bachelor's degree; or any combination of education and experience, which would provide an equivalent background2 or more years of technical/process experienceStrong written and verbal communication skillsExperience in problem analysis and process documentationExperience in IT-related areas, evaluating and monitoring performanceExperience analyzing and presenting complex dataMust be passionate about contributing to an organization focused on continuously improving consumer experiences Preferred Qualifications Demonstrated ability to communicateExperience with Agile (Kanban, Scrum, or including SAFe)Experience with Value Stream Management (VSM) Additional Information 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. $86,600 - $119,200 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.
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    Become a part of our caring community and help us put health first This is a non-exempt position with responsibility for utilization management and clinical decision-making as outlined in the Autism Care Demonstration (ACD) defined in the TRICARE Operations Manual Chapter 18, section 4. This associate will conduct clinical necessity reviews for requested ABA services when approving all treatment plans (TPs), initial authorization requests, and every six-month reauthorization thereafter. Associate will utilize specified UM tools to assist in guiding clinical decisions, reviewing for appropriate care and setting, following guidelines and policies, and approve services or forward requests to necessary stakeholders as required and appropriate. Enters and maintains pertinent clinical information in various medical management systems. The associate 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, utilizes behavioral health knowledge and skills to support the coordination, documentation, and communication of medical services and / or benefit administration determinations. The BCBA’s work assignments are varied and involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors, frequently requiring interpretation and independent determination of the appropriate courses of action. Humana Government Business government contract requires U.S. citizenship for this position. Role Responsibilities Tasks include, but are not limited to: 70%: Performing utilization management activities for assigned areas. Ensures full compliance with contract requirements, policies and procedures, and performance standards. Coordinates and implements contingency operations when needed. Perform accurate and timely initial and ongoing treatment reviews with documentation in MSR reflecting determination of appropriateness of level of care according to established Humana Government Business contractual requirements and guidelines.Uses clinical knowledge, communication skills, and independent critical thinking skills towards interpreting criteria, understanding moderately complex to complex issues and policies and procedures to determine the best and most appropriate treatment, care, or services for ACD participants.Review ABA TPs for policy complianceReview pend queues for pended authorizationsApprove clinically necessary and appropriate ABA servicesReview outcome measures to ensure compliance with ACD policyCoordinates, conducts outreach, and communicates with providers, beneficiaries, or other parties to facilitate optimal care and treatment, when necessary, to educate and address clinical necessity concerns and ACD policy compliance requirements.Facilitating communication as needed between all departments within Humana Government Business and Humana corporate to resolve escalated issues and ensure the enterprise understand the function of the ACD team. Understanding and engaging in risk management procedures and analysis.Understands department, segment, and organizational strategy and operating objectives, including their linkages to related areas, as well as need for overtime, weekend, and holiday coverage when necessary to maintain contractual performance standards for referral and authorization processing. 15%: Collaborate with all Humana operations departments to operate and improve processes related to specialty team(s) effectiveness with the highest degree of attention to beneficiary and provider experience. Optimize staff productivity surrounding process management.Strategical look for interventions and methods to improve performance. 10%: Strategize with all leaders within the ACD team and Specialty team to make recommendations to the DHA or Humana Government Business to improve policy which may relate to better case management outcomes, improved utilization management, prevention or identification of fraud waste and abuse, and trend data. 5%: Other tasks as assigned Use your skills to make an impact Required Qualifications BCBA (Board Certified Behavior Analyst) Certification3 or more years of experience as a Board-Certified Behavior Analyst3 or more years of applied behavioral analysis (ABA) with ASD (Autism Spectrum Disorder) experienceMust reside in the continental United States in the Eastern time zone.Above average written and verbal skills, including organizational abilitiesProficiency in Microsoft Office programs specifically Word, Excel, and OutlookAbility to handle multiple projects simultaneously and to prioritize appropriatelyOur Department of Defense Contract requires U.S. citizenship for this positionSuccessfully receive interim approval for government security clearance (NBIS - National Background Investigation Services, previously known as eQIP - Electronic Questionnaire for Investigation Processing) Required Work Schedule Training is mandatory for the first 4 – 6 weeks from 8:00 AM – 5:00 PM Eastern time, Monday – Friday.Following training, must be able to work an 8-hour shift between the hours of 8:00 AM – 6:00 PM Eastern time, Monday - Friday.Overtime, weekends, and holidays may be required, based on business needs. Preferred Qualifications Prior experience with the TRICARE Autism Care DemonstrationKnowledge of and experience with applied behavior analysis and integrated care needs for those with autismPrior experience with Utilization Review, Utilization Management, Peer Reviews and/or Quality ManagementKnowledge of CPT codes that apply to ABA and/or experience with DMS-5 criteriaPrior experience with outcome measure assessments to include PDDBI, Vineland, SRS and/or PSI-SIPAExperience with interpreting medical policyDirect or indirect military experience a plus 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 and Wireless Internet service is NOT allowed for this roleAssociates 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. Additional Information ​ **PLEASE MAKE SURE YOU ATTACH YOUR RESUME TO YOUR APPLICATION (PDF OR WORD FORMAT) **  Interview Process As part of our hiring process for this opportunity, we will be using technology called HireVue / Modern Hire to enhance our hiring and decision-making ability. HireVue / 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.  Text Prescreen: Shortly after submitting your application, you may receive both a text message and email requesting you to complete 10 to 15 prescreen questions with either yes or no answers. The text message may arrive prior to the email. If you prefer to answer via computer or tablet, wait for the email.Interviews: Some candidates will be invited to interview. If so, the recruiter will reach out to schedule.Offers: Finalists from the interview will be contacted by a recruiter to discuss an offer for the jobNote: Depending on the number of openings, the number of candidates who apply, and the schedules of interviewers and recruiters, this process may take several weeks or less; however, know that we are working hard to proceed as quickly as possible and to keep you informed. 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 The Referrals Coordinator 2 process referrals from Military Treatment Facilities (MTFs) and civilian providers. The Referrals Coordinator 2 performs varied activities and moderately complex administrative/operational/customer support assignments. Performs computations. Typically works on semi-routine assignments. The Referrals Coordinator 2 handles some inbound calls, performs data entry into the medical management system, assigning an appropriate provider, reviewing for benefits, and/or medical necessity as required or pending to a nurse or supervisor who can complete or request additional information. Role Responsibilities Recognizes a sensitive diagnosis and/or referral requiring Case Management and pend to appropriate point of contact for review. Understands TRICARE benefits/limitations and Humana Military referral processes, MOUs with MTFs, and referral and UM policies. Answers questions or contacts MTFs and/or civilian providers to obtain additional information that may be required to complete referral etc. Requires assigning appropriate ICD10 code to referral as well as appropriate CPT Code. Decisions are typically focus on interpretation of area/department policy and methods for completing assignments. Works within defined parameters to identify work expectations and quality standards, but has some latitude over prioritization/timing, and works under minimal direction. Follows standard policies/practices that allow for some opportunity for interpretation/deviation and/or independent discretion. Use your skills to make an impact Required Qualifications Our Department of Defense Contract requires U.S. citizenship for this position Successfully receive interim approval for government security clearance (NBIS - National Background Investigation Service) HGB is not authorized to do work in Puerto Rico per our government contract. We are not able to hire candidates that are currently living in Puerto Rico. 2 plus years of customer service experience AND/OR administrative/data entry experience 2 plus years of healthcare experience with Intermediate working knowledge using medical terminology, CPT and ICD codes Strong telephonic customer service skills to include active listening, interpersonal and rapport building, patient and empathetic attitude and trouble shooting skills Must be able to work autonomously and be self-driven Must meet be able to meet productivity metrics Expertise with MS Office products (Outlook, Word, PowerPoint, Excel) and ability to easily navigate multiple computer applications Above average written and verbal skills including organizational abilities Strong attention to detail The ability and willingness to work an 8-hour shift sometime between the hours of 8 a.m. to 5 p.m. Eastern Standard Time (EST) or 8 a.m. to 5 p.m. (Within your current time zone location) Monday through Friday and some potential overtime (Based on business need) Preferred Qualifications Veteran or Military Spouse Individuals with an understanding of TRICARE benefits/limitations, Humana Military referral processes, MOUs with MTFs, and referral and UM policies. College degree Experience in a Managed Care setting Advanced experience with medical terminology and ICD10 codes Flexibility with schedule Work at Home/Remote 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 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 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 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 obtainPrior 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 area 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:   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 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. #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 ***Total compensation package (base pay +commission with guarantee) could exceed $115K 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? Do you have a track record of building trusting relationships in the community and exceeding expectations? If so, we are looking for licensed, highly motivated and self-driven individuals to join our team. Do you have 2+ years of Medicare Sales experience in the field? If so, you can earn a $5,000 hiring bonus! The bonus is paid after 60 days of employment; you must be employed on that date to be eligible to receive the payment. 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, virtual and telephonic interactions. Face to face will encompass grass roots marketing and field sales events in the community as well as visiting prospects in their homes. Our Medicare Sales Field Agent sells 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 Florida Health Insurance license 2+ years of Field Medicare Sales Experience Bilingual with the ability to speak, read and write in both English and Spanish or Creole without limitations or assistance Experience with technology to include high level use of laptop and mobile phone applications with an understanding of CRM tools or other sales/marketing resources Experience with Microsoft Office products such as Excel and Outlook This role is part of Humana's Driver safety program and 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 the local territory (Miami/Dade County) Preferred Qualifications Active Florida Life and Variable Annuity Insurance licenseAssociate's or Bachelors’ degree Prior experience in TEAMS and PowerPointExperience engaging with the community through service, organizations, activities and volunteerismExperience selling Medicare products  Prior experience in public speaking and presentations   Additional Information This position is in scope of Humana’s Driving Safety and Vehicle Management Program and therefore subject to driver license validation and MVR review. ​Schedule: Meeting with members requires appointments and/or event times that may vary on nights and weekends. Flexibility is essential to your success. Training: The first five weeks of employment and attendance is mandatory. 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. 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. Humana Perks:      Full time associates enjoy    Total compensation package (base pay +commission with guarantee) could exceed $115K depending on experience and locationMedical, Dental, Vision and a variety of other supplemental insurances   Paid time off (PTO) & Paid Holidays   401(k) retirement savings plan with a competitive match   Tuition reimbursement and/or scholarships for qualifying dependent children And much more!  #medicaresalesrep 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. $31,500 - $43,400 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
    • 0
    • 0
    Become a part of our caring community and help us put health first ***Total compensation package (base pay +commission with guarantee) could exceed $115K 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? Do you have a track record of building trusting relationships in the community and exceeding expectations? If so, we are looking for licensed, highly motivated and self-driven individuals to join our team. Do you have 2+ years of Medicare Sales experience in the field? If so, you can earn a $5,000 hiring bonus! The bonus is paid after 60 days of employment; you must be employed on that date to be eligible to receive the payment. 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, virtual and telephonic interactions. Face to face will encompass grass roots marketing and field sales events in the community as well as visiting prospects in their homes. Our Medicare Sales Field Agent sells 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 Florida Health Insurance license2+ years of Field Medicare Sales ExperienceBilingual with the ability to speak, read and write in both English and Spanish or an additional language without limitations or assistance Experience with technology to include high level use of laptop and mobile phone applications with an understanding of CRM tools or other sales/marketing resources Experience with Microsoft Office products such as Excel and Outlook This role is part of Humana's Driver safety program and 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 the local territory: Miami/Dade County Preferred Qualifications Active Florida Life and Variable Annuity Insurance licenseAssociate's or Bachelors’ degree Prior experience in TEAMS and PowerPointExperience engaging with the community through service, organizations, activities and volunteerismExperience selling Medicare products  Prior experience in public speaking and presentations   Additional Information This position is in scope of Humana’s Driving Safety and Vehicle Management Program and therefore subject to driver license validation and MVR review. Schedule: Meeting with members requires appointments and/or event times that may vary on nights and weekends. Flexibility is essential to your success. Training: The first five weeks of employment and attendance is mandatory. 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. 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. Benefits:      Full time associates enjoy    Total compensation package (base pay +commission with guarantee) could exceed $115K depending on experience and location   Medical, Dental, Vision and a variety of other supplemental insurances   Paid time off (PTO) & Paid Holidays   401(k) retirement savings plan with a competitive match   Tuition reimbursement and/or scholarships for qualifying dependent children And much more!  #medicaresalesrep 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. $31,500 - $43,400 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 CarePlus Health Plans: CarePlus Health Plans is a recognized leader in healthcare delivery that has been offering Medicare Advantage health plans in Florida over 23 years. CarePlus strives to help people with Medicare, or both Medicare and Medicaid, achieve their best possible health and wellness through plans with benefits and services they care about. As a wholly owned subsidiary of Humana, CarePlus currently serves Medicare beneficiaries throughout 21 Florida counties. 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.
    • Full Time
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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 $116,500 depending on experience and location.*** Are you passionate about the Medicare population, looking for an opportunity to work in sales with the ability to directly impact your own income potential? Do you have a track record of building trusting relationships in the community and exceeding expectations? 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, virtual, and telephonic interactions. Face to face will encompass grass roots marketing and field sales community events, as well as, visiting prospects in their homes. Our Medicare Sales Field Agents 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. Humana Perks:      Full time associates enjoy    ***Total compensation package (base pay +commission with guarantee) could exceed $116,500 depending on experience and location.***Base salary with a competitive commission structure plus a monthly guarantee   Medical, Dental, Vision and a variety of other supplemental insurances   Paid time off (PTO) & Paid Holidays   401(k) retirement savings plan   Tuition reimbursement and/or scholarships for qualifying dependent children And much more!  Use your skills to make an impact Required Qualifications Bilingual with the ability to speak, read and write in both English and Spanish without limitations or assistance Ability to have daily face to face interactions with prospective members in the field is required for this position Active Health Insurance license or ability to obtain prior to the start dateExperience with technology to include high level use of laptops and mobile phone applications with an understanding of CRM tools or other sales/marketing resources Experience with Microsoft Office products such as Excel and Outlook This role is part of Humana's Driver safety program and requires an individual to have a clear and valid state driver's license and proof of personal vehicle liability insurance with at least 100/300/100 limits. We will also run a Motor Vehicle Report for this position  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 expenseWork from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA informationMust reside within the assigned territory/County Preferred Qualifications Active Life and Variable Annuity Insurance licenseAssociate's or Bachelors’ degree Prior experience in TEAMS and PowerPointExperience engaging with the community through service, organizations, activities, and volunteerismExperience selling Medicare products  Prior experience in public speaking and presentations   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. 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, you will receive an email from Humana@myworkday.com with instructions on how to add the information into your official application on Humana’s secure website. Schedule: Meeting with members requires appointments and/or event times that may vary on nights and weekends. Flexibility is essential to your success. Training: will be the first three to four weeks of employment and attendance is mandatory. Interview Format As part of our hiring process for this opportunity, we are 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. If you are selected to move forward in the process, you will receive an email correspondence inviting you to participate in a HireVue prescreen. In this prescreen, you will receive a set of questions over the phone and given the opportunity to record your audio responses to each question. You should anticipate this prescreen taking about 15 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. #MedicareSalesReps #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. $31,500 - $43,400 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 Service Offering Management Engineer 2 enables and assures the management and abilities of the service offering system are controlled, balanced and aligned to the mission and needs of the whole enterprise. The Service Offering Management Engineer 2 work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action. The Service Offering Management Engineer 2 assesses the impact of change on service quality and SLAs. The service-level management process is in close relation with the operational processes to monitor and control their activities by establishing metrics that can be monitored against a benchmark. 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 degreeLess than 5 years of technical experienceExperience with assessing the impact of change on service quality and SLAsExperience with establishing and monitoring metricsMust be passionate about contributing to an organization focused on continuously improving consumer experiences Preferred Qualifications Master's Degree Additional 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. $71,500 - $98,500 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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    • 0
    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 within 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 reference sources. 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 structured and mentored training, daily work is performed with minimal direction, but with ready support from other team members. Enjoys working in a structured environment with expectations for consistency in thinking and authorship. Exercises independence in meeting departmental expectations, and meets compliance timelines. Supports the assigned work with respect to market-wide objectives (e.g. Bold Goal) and community relations as directed. 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).Board Certified in an approved ABMS Medical Specialty with continued certification throughout employment.A current and unrestricted license in at least one jurisdiction and willing to obtain additional license(s), 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 Knowledge 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 specializationAdvanced degree such as an MBA, MHA, or MPHExposure to Public Health principles, 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 innovate Additional 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. Some medical directors may join a centralized team for several months after training, until positions become available for specific markets. May participate on project teams or organizational committees. 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 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 This is a remote position #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. $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 We are looking for a Senior Business Intelligence (BI) Engineer to join our Humana Enterprise Operations Enablement (EOE) - CPSS Data & Analytics - BI Team. The Senior Business Intelligence (BI) Engineer solves complex business problems and issues using data from internal and external sources to provide insight to decision-makers and support business process solutions. The ideal candidate will possess a proven track record of delivering business intelligence solutions, an expertise in SQL, Microsoft Power Platform applications, and a working knowledge of Azure Synapse Analytics (ASA). A Senior BI Engineer will play a critical role in driving data-driven decision-making across the organization by translating complex data into actionable insights. Use your skills to make an impact Required Qualifications Bachelor's Degree Minimum 5 years of data analytics and reporting experience to include working with large complex data sets within large organizations Minimum of 2 years of technical experience in SQL, with advanced experience in T-SQL and PL/SQL Experience analyzing data to solve a wide variety of business problems and create data visualizations that drive strategic direction Technical experience with Power Platform - Power Apps, Power BI, and/or Power Automate Expertise in Microsoft Office applications Word, Excel, Access, and/or PowerPoint Proficiency in verbal and written communication to senior and executive leadership Proven experience with consulting with and building relationships with business partners Critical thinker who can anticipate team needs and take initiative to present ideas, ask the right questions and deliver the highest quality work Self-starter that can work independently with minimal direction and takes ownership and anticipates future consequences and trends accurately Demonstrated ability to communicate technical information to non-technical professionals Preferred Qualifications Master's Degree Data Architecture experience Knowledge of Azure Synapse Analytics (ASA) and/or exposure to Azure Cloud Environment Experience in data mining, forecasting, simulation, and/or predictive modeling Expertise in creating analytics solutions for various healthcare sectors Additional Information Work Style: Remote HireVue Statement: As part of our hiring process for this opportunity, we will be using an exciting 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. Work at Home/Remote Requirements To ensure Hybrid Office/Home associates’ ability to work effectively, the self-provided internet service of Hybrid Office/Home 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 and computer 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 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.
    • Full Time
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    Become a part of our caring community and help us put health first Humana Wellness is seeking a Senior Software Engineer who is smart, curious and loves the challenge of solving problems that improve people's lives. In this role, you will have the unique opportunity to serve as the subject matter expert, leading the design, development, and testing of application components. We would love to talk to you if you are passionate about providing healthcare solutions. You'll collaborate with a fun and close-knit agile team to architect, implement, test, and continuously deliver new features and products to our customers. This position offers the chance to make a meaningful impact while working with a dedicated and innovative group of professionals. The Senior Software Engineer will serve as the subject matter expert and lead the application component design, development and oversee testing, debugging and develops fixes. He/She will also guide the development team with technology direction and best development practices. The ideal candidate should be skilled in performing analysis to determine the root cause of any given issue and deriving multiple options for suitable technical solutions to flexibly meet requirements. The candidate should also have very strong communication skills. They must be able to clearly understand both high-level vision and low-level details of business and technical requirements and can effectively communicate with stakeholders of varying technical understanding. Use your skills to make an impact Required Qualifications Bachelor's Degree in Computer Science or related field 5 or more years of experience designing, developing, and testing of software applications and/or infrastructure Strong analytical and problem-solving abilities Must be passionate about contributing to an organization focused on continuously improving consumer experiences Experience in Java EE, Spring Boot, scalable REST API microservices, with a RDBMS backend of Oracle, SQL Experience with CI/CD pipelines, DevOps processes, and use of Git Analyze, design, code, test, debug, maintain, and document technical solutions Lead communication and collaboration with various teams and stakeholders daily to work through Software Development Lifecycle (SDLC) Understanding of performance testing, analysis, tuning, and optimization of REST API microservices Able to draw information from multiple sources, determine key points, make relevant decisions, and communicate such information clearly and confidently Perform code reviews collaboratively with other developers Ability to translate high level vision into design, coding, and testing requirements to write and prioritize technical stories Proactively seeks out ways to improve as an individual and as a team, able to lead and implement process or workflow changes as needed Preferred Qualifications Master's Degree Cloud: Azure, Pioneer Platform for Private Cloud TOAD, SQL Developer SAFe Certification Azure Microservices Agile Additional 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. 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 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 Humana MarketPOINT’s Innovative Financial Group (IFG) Marketing agency is looking for an experienced Senior Project Manager to join the growing and dynamic Operations team. This is a nationwide remote role. IFG is a wholly owned sales brokerage of Humana. IFG is one of the fastest growing Medicare sales organizations in the country, contracting with all major Medicare carriers and hundreds of agencies to provide a seamless experience for agents and quality sales for carriers. In this role, you will represent business needs to drive complex projects that across multiple departments with the Operations organization, including commissions, contracting, and data and reporting. Additionally, you will manage all aspects of a project, from start to finish, so that it is completed on time. As the Project Manager, you will play an important role within the IFG team, helping drive towards business goals, develop data-driven strategies to meet those objectives, lead projects through flawless execution, and measure success, so we can continuously improve our efforts. Key Role Functions Collaborate in a cross-functional team environment to achieve business goals Understand the project scope and objectives+ Identify appropriate roles, functions, and skillsets needed for the project Assist in drafting, tracking, and storing IFG Policies and Procedures Identify, analyze, and evaluate business opportunities using historical campaign performance, consumer research and competitive intelligence Use problem-solving skills, be organized, show attention to detail and manage multiple high-profile projects Initiate and facilitate cross-functional meetings and provide notes, feedback, and action items to attendees Monitor progress and performance of the project against the project plan Operationalize how we currently track, create and build processes to be more efficient in driving work forward Partner with core team and stakeholders to ensure they are aligned to work streams and disseminating information in a timely manner Help create a culture that is built around IFG's values, taking actions to enable a high level of team engagement Use your skills to make an impact Required Qualifications Bachelor’s Degree or equivalent experience 4+ years of experience as a Project Manager Excellent planning and organizational skills; demonstrated ability to implement projects and meet deadlines Ability to work in a matrixed organization with a virtual team, experience in large corporate setting, and/or professional services a plus Strong business acumen skills, including comfort with financial metrics and Key Performance Indicators (KPIs) Clear and concise presentation and written communication skills Preferred Qualifications 4+ years of experience in direct response marketing and digital marketing PMP certification Demonstrated project management skills Experience working in a sales organization Experience with project management tools such as MS Planner/Project or Monday.com Knowledge of healthcare, pharmacy and/or clinical concepts and conditions Agile marketing project management knowledge and skills Leadership skills Professional skills Written and verbal communication skills Executive presence, professional client service manner, demonstrated ability to take initiative and interact with all levels of management and adapt to business needs 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. 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. $84,600 - $116,300 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 Join us at Humana as a Data Scientist 2, where you'll be a crucial part of our core engineering and data science team, which will include developing groundbreaking generative AI applications. You'll collaborate with developers, ML engineers, and business stakeholders, using your creativity and statistical expertise to solve unique problems and improve healthcare experiences. Be a part of a team at the cutting edge of Generative AI applications and make a tangible impact in the healthcare industry. The Data Scientist 2 uses mathematics, statistics, modeling, business analysis, and technology to transform high volumes of complex data into advanced analytic solutions. The Data Scientist 2 work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action. The Data Scientist 2 will contribute to Generative AI initiatives at Humana, leveraging state-of-the-art LLMs to build applications. The role balances software development, statistical thinking, and business understanding to deliver effective solutions to business problems. The Data Scientist 2: 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. Must be passionate about contributing to an organization focused on continuously improving consumer experiences through Generative AI Use your skills to make an impact Required Qualifications Bachelor's Degree and 4 years technical experience OR Master's Degree and 2 years technical experience Experience with NLP and LLMs (Hugging Face, OpenAI, Langchain, etc.) Experienced in Python and PySpark Experience building applications and putting products into production Experience in developing, maintaining, and collecting structured and unstructured data sets for analysis and reporting Experience in creating reports, projections, models, and presentations to support business Experience in using mathematics, statistics, modeling, business analysis, and technology to transform high volumes of complex data into advanced analytic solutions Possesses an understanding of department, segment, and organizational strategy and operating objectives, including their linkages to related areas Capable of making decisions regarding own work methods, occasionally in ambiguous situations Preferred Qualifications PhD Additional Information Location/Work Style: Remote US Why Humana? At Humana, we know your well-being is important to you, and it’s important to us too. That’s why we’re committed to making resources available to you that will enable you to become happier, healthier, and more productive in all areas of your life. Just to name a few: Work-Life Balance Generous PTO package Health benefits effective day 1 Annual Incentive Plan 401K - Excellent company match Well-being program Paid Volunteer Time Off Student Loan Refinancing If you share our passion for helping people, we likely have the right place for you at Humana. 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 Scheduled Weekly Hours 40 Pay Range The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc. $86,600 - $119,200 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.
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    Become a part of our caring community and help us put health first The Senior Market Finance Professional collects, analyzes and reports on various market data to connect financial outcomes with operational effectiveness. The Senior Market Finance Professional work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors. This role supports the Bid Cycle subteam of the Intermountain Region Finance department. This position will support the annual Medicare Advantage bid process, membership reporting and analytics, as well as internal data management and Network Operations. The Senior Market Finance Professional works with Actuary, MRA, Corporate Finance, Clinical and Market Point internally and Providers/Hospitals/Ancillary externally to drive optimization inclusive of activities spanning decisions required for day-to-day operations to strategic planning and addressing specific business performance issues across matrixed organization and fostering key relationships with business stakeholders. 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. This role supports the Bid Cycle subteam of the Intermountain Region Finance department. This position will support the annual Medicare Advantage bid process, membership reporting and analytics, as well as internal data management and Network Operations. Use your skills to make an impact Required Qualifications Bachelor's degree 3+ years of experience in finance, accounting or data analytics Proficient in SQL Advanced Excel skills (VLOOKUPs, pivot tables, etc.) Comprehensive working knowledge of all Microsoft Office applications, including Word, Excel, and PowerPoint Strong attention to detail Ability to work independently and collaborate with teammates Preferred Qualifications Masters of Business Administration (MBA) Value-Based Healthcare Medicare Advantage Bid knowledge Knowledge of Service Fund Power BI Additional Information Occasional flexibility to accommodate a work schedule following Pacific Time Zone hours 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. Work At Home / Internet Guidance: 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 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. $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 Healthcare Quality Reporting & Improvement (HQRI) is an organization responsible for improving health outcomes and advancing the care experience of our members and provider partners through integrated risk adjustment (RA) and quality (Stars) solutions that leverage data and technology to empower members, providers, and Humana. The Risk Adjustment Prospective Provider Programs organization within HQRI delivers a portfolio of products to support physicians in providing optimal patient care and improving the accuracy of their clinical documentation. The products are a mix of in-house and vended solutions, with an eye toward growth of analytics-driven and interoperable solutions. The Senior Program Delivery Professional owns the execution and operational performance outcomes for the Provider Programs. The Senior Program Delivery Professional work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors and allows for making informed decisions on program direction. The Senior Program Delivery Professional manages day-to-day operations of the program through proactive controls, monitoring, leading data analytics, and timely escalation/resolution of issues. Work assignments involve analyzing data, monitoring program controls and metrics, and identifying and resolving program issues for the Provider Programs operational area. Monitors provider utilization of provider program tools.Collaborates with EMR vendors to ensure accuracy and integrity of program data.Partners with interoperability team resources on status of provider or EMR implementation of program tools and identifies and implements operational process changes when needed.Validates program controls are effective and enhances controls if issues are observed.Identifies gaps in program monitors and/or reporting and works with data partners to develop enhancements.Track and performs root cause analysis of program issues and partners with internal and external business teams to resolve.Ensures timely resolution of all operational issues along with escalation to appropriate audiences for awareness or action.Communicates program provider utilization opportunities with market partners.Monitors program correspondence and responds timely to inquiries.Maintains program educational materials and training tools. Use your skills to make an impact Required Qualifications 2+ years prior demonstrated experience driving operational program improvements.Experience with business process outsourcing/vendor solutions.Strong analytic skills and ability to use data to drive improvement activities.Experience presenting to mid-level leadership.Comprehensive knowledge of all Microsoft applications, including Word, Excel, and PowerPoint.Strong organizational and prioritization skills with the ability to collaborate with multiple departments. Preferred Qualifications Medicare Risk Adjustment and/or Stars Quality experience.Experience with Electronic Health Record (EHR) systems.Six Sigma or Lean certification. 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. $84,600 - $116,300 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 Service Coordinator Quality Auditor plays a vital role in auditing vendor agencies providing service coordination to member within the Pathways program. This position involves assessing vendor performance, ensuring compliance with contractual obligations and quality standards, and driving continuous improvement in service delivery. While the primary focus is on auditing vendor operations, the incumbent should also be prepared to provide support in service coordination activities as needed. This ensures the delivery of high-quality services and positive outcomes for our program participants. The Service Coordinator (Quality Auditor) role involves conducting quality audits and may require onsite visits to vendor agencies throughout the state of Indiana. When supporting service coordination activities, the role will entail meeting members in their location to spend quality time assessing their needs and barriers and then connecting our member with quality services. Position Responsibilities: Conduct audits and evaluations of vendor agencies to assess compliance with contractual requirements, and quality standards.Provide input to improve the quality and effectiveness of service coordination provided by vendor agencies, including developing action plans based on audit findings and implementing process improvements.Provide support, guidance, and training to vendor agencies to enhance their compacity to deliver high quality service coordination.Analyze audit findings, tends and performance metrics to identify areas for improvement.Administer initial and ongoing long-term services and support (LTSS) related assessments through person-centered thinking approaches.Contacts members both telephonically and/or in-person to establish goals and priorities, evaluate resources, develop plan of care and identify LTSS providers and community partnerships to provide a combination of services and supports that best meet the needs and goals of member and caregiver through person centered thinking approaches.Development and continuous modification of Service Plan and involve applicable members of the care team in care planning (Informal caregiver coach, PCP, etc.)Support members through navigation of their LTSS and related environmental and social needs Utilize available information pertaining to member to prevent the need for administration of duplicative assessments.Focuses on supporting members and/or caregivers in accessing long term services and support, social, housing, educational and other services, regardless of funding sources to meet their needs.Build trust and promote independence through a collaborative relationship with the Care Coordinator, member, and caregiver.Identify transition opportunities and work closely with transition coordinators to support member choice.Coordinating with Care Coordinator on referrals for non-capitated services and capturing all services the member is receiving (regardless of payer), including their natural supports.Coordinating and consulting with Humana-contracted providers regarding delivery of LTSS servicesParticipates in interdisciplinary Care team meetings (ICT)Connecting and referring members to community resources and third-party payersAssisting members in maintaining Medicaid eligibilityCollaborate with Medical Director/Geriatrician/Care Coordinator as deemed necessary to ensure cohesive, holistic service delivery and support positive member outcomes. Use your skills to make an impact Required Qualifications Quality Auditor Service Coordinator must meet one of the following qualifications: Individual continuously employed as a care manager by an AAA since June 30, 2018; ORRegistered nurse, a licensed practical nurse, or an associate degree in nursing with at least one (1) year of experience serving the program population; ORBachelor's degree in Social Work, Psychology, Counseling, Gerontology, Nursing or Health & Human Services; OR Bachelor’s degree in any field with a minimum of two (2) years full-time, direct service experience with older adults or persons with disabilities (this experience includes assessment, care plan development, and monitoring); ORMaster's degree in Social Work, Psychology, Counseling, Gerontology, Nursing or Health & Human Services; ORAssociate degree in any field with a minimum of four (4) years full-time, direct service experience with older adults or persons with disabilities (this experience includes assessment, care plan development, and monitoring). Must meet all following requirements Previous quality or process improvement experiencePrior experiences in health care and/or case management.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.Must Reside in Indiana (member facing position)Occasionally report to the Indianapolis office for meetings Preferred Qualifications Bilingual (English/Spanish)Prior nursing home diversion or long-term care case management experiencePrior experience with Medicare & Medicaid recipientsExperience 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 resourcesKnowledge of HEDIS/Stars/CMS/Quality.Detail orientated and comfortable working with tight deadlines in a fast-paced environment.Ability to work independently under general instructions, self-directed and motivated.Strong analytical skills, able to manipulate and interpret data. 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 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 Workstyle: This is a combination of Work at Home and some member facing visits where needed Location: Indiana Training: May 20th 2024 or June 3rd 2024 Travel This position will require some travel in 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 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 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. 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. $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 The Claims Review Representative 4 (Team Lead), Financial Recovery Team, makes appropriate claim decision based on strong knowledge of claims procedures, contract provisions, and CMS guidelines The Claims Review Representative 4 partners with all department to validate claim payment accuracy that has resulted in an overpayment. This may include interpretation of provider information, claim data, contract details, CMS guidelines, etc. Serves as a subject matter expert (SME) for Financial Recovery Training Team Q&A Receive and assign daily work Performs Root Cause analysis and pursues opportunities to mitigate claim overpayments Works with other departments such as Claims, Finance, Provider Services, and Provider Configuration and Load Use your skills to make an impact Required Qualifications 5 or more years of Medical claims knowledge and/or claims processing experience within the healthcare industry. Previous experience with coordinating and/or leading projects and tasks Proficiency in Microsoft Office applications including Word, Excel and Outlook Demonstrated capability with leading and/or training and/or developing associates formally or informally (SME, etc) Work hours 8am-5pm Eastern Time Zone, Overtime as needed based on business needs Preferred Qualifications Financial Recovery Experience Provider contract interpretation knowledge Knowledge of Microsoft Access and/or other relational databases Proven ability to utilize analytical thinking in determining root cause. CPC- Certified Professional Coding Additional Information As part of our hiring process, we will be using an exciting interviewing technology provided by HireVue, 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. 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 Internal- If you have additional questions regarding this role posting, please send them to the Ask A Recruiter persona by visiting go/yammer and searching Ask A Recruiter! Please be sure to provide the requisition number so we may be able to research your request quicker. 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. $47,000 - $64,700 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 Provider Contracting Coordinator initiates physician and/or other provider contracts and agreements. The Provider Contracting Coordinator performs advanced administrative/operational/customer support duties that require independent initiative and judgment. The Provider Contracting Coordinator manages provider network reporting and documentation within a tracking system. May assist with identifying and recruiting providers based on network composition and needs. Decisions are typically focus on methods, tactics and processes for completing administrative tasks/projects. Regularly exercises discretion and judgment in prioritizing requests and interpreting and adapting procedures, processes and techniques, and works under limited guidance due to previous experience/breadth and depth of knowledge of administrative processes and organizational knowledge. Additional Responsibilities: Provider data auditing for compliance Data management for reporting Use your skills to make an impact Required Qualifications1 year of provider relations, provider contracting or account management experienceExcellent written and oral communication skillsAbility to manage multiple priorities in a fast-paced environmentProficiency in Microsoft Excel (manage large volumes of data through tools such as pivot table & V-lookup)Must live/work within driving distance of the State of Virginia Preferred Qualifications Managed Care experience Additional Information This role is considered "remote/work at home", however, you must live/work within driving distance of the State of Virginia. Work at Home 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 #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. $37,200 - $51,200 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 Lead Scrum Master facilitates and aligns across team(s) including Leadership, Product Owners, stakeholders, other Scrum Masters and the Program Team to iteratively and incrementally deliver value. Acts as the catalyst for change by making the evolving processes work for the entire team/portfolio of teams. Acts as the servant leader for aligned team(s) by creating an environment that empowers and energizes team members, with a focus on accountability, adaptability, collaboration, and high-performance. Shares expertise and learnings with a community of like-minded Scrum Masters to accelerate Humana’s agile transformation. Ensures the implementation of various frameworks in order to focus on value, flow, quality, predictability, modern engineering practices, and driving continuous improvement of the full team. The Lead Scrum Master performs complex work necessitating the ability to solve problems and issues of diverse scope by drawing from extensive prior experiences and knowledge of best practices. Guide and mentor functional leadership to use Scrum and SAFe practices and patterns to deliver high-quality products and services.Continuously grow the agile skills for all members of the team(s). Demonstrate how to easily navigate through different coaching stances deliberately (coaching, mentoring, teaching, facilitating).Define an empowering environment by creating techniques that energize all team members. Drive continuous focus on accountability, adaptability, and collaboration. Mentor and advise team(s) to a high-performing level by nurturing self-organization and team cohesion. Drive escalation processes to ensure team productivity; remove impediments obstructing the pursuit of the team's goals. Define strategies to ensure work is visible, impediments are removed, and progress is viewable and continuous. Co-define and publish team metrics to demonstrate team capacity, predictability, & maturity. Lead teams and partner with Coaches through organizational change leveraging change management frameworks such as Kotter’s Leading Change and PROSCI ADKAR. Collaborate with other Scrum Masters and Agile Coaches to help define continuous improvement of Agile practices across the organization, including through Communities of Practice.Work impacts the achievement of results for a function, influencing functional strategies. Exercises considerable independent judgement and decision making on complex issues. Establishes priorities and timelines for own work and provides direction regarding priories for a work group.Supports multiple agile teams (including Software Service Delivery and/or Implementation Services). Use your skills to make an impact Required Qualifications: Typically, 5+ years related experience including 3+ years as a Scrum Master 3+ years of experience working with agile methodologies on large scale, technically complex projectsExpertise in understanding of agile methodologies, values, practices and patterns.Expertise in coaching and mentoring othersExpertise in ability to facilitate the removal of impedimentsAdvanced facilitation, presentation, influencing, and relationship management skills.Thrives in an VUCA environment (volatile, uncertain, complex, ambiguous)Validated agile learning/credentials such as CSM, A-CSM, SA, PSM, IC Agile such as ACC (IC-Agile, IC-Agile ATF (Agile Team Facilitator)Expertise with Agile Tracking tools (agile lifecycle management tools) such as ADO, Jira, VersionOne (Digital.ai), Rally Preferred Qualifications: Bachelor's degree in business, Information Technology or a related field5+ years of experience as a Scrum Master working in a Scaled Agile (SAFe) agile environment Scaled Agile (SAFe) certification(s): RTE and/or Safe Program Consultant (SPC).Experience leveraging data and making recommendations regarding team metrics to demonstrate team capacity, predictability & maturity Agile coaching experience with Agile methodologies such as Scrum or Kanban Expertise with Portfolio Tools such as Service Now, Jira Align, PlanView/Leankit, Rally Experience with Lean and implementing a process improvement mindset Experience with testing practices (Gherkin) and DevOps.Experience with Azure Dev Ops as a product backlog tool. 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. $115,300 - $158,600 per year This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance. Description of Benefits Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. About us 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 Learning Design Professional who will use instructional design, cognitive psychology and adult learning theory to determine the appropriate solution to a knowledge or performance gap. The Senior Learning Design 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 Learning Design Professional will analyze and organize content, design best-in-class solutions, and write storyboards, scripts, performance support, mobile learning and manuals to ensure success for associates and meet learning needs. Designs and analyzes learning needs and partner with subject matter experts across the organization to provide input for course curriculum. Ensures course materials are current and relevant to training needs, along with tracking and analyzing training programs effectiveness. Provides consultation, feedback, instructions and partners with stakeholders across the enterprise. Utilizes collaborative tools to design and facilitate virtual learning. Partners and uses consultative skills to assess project scope and conduct needs analysis with stakeholders. Collaborates with leadership to influence and assist in the execution of department’s strategy. Exercises considerable latitude in determining objectives and approaches to assignments. Use your skills to make an impact Required Qualifications Bachelor's Degree or equivalent work experience. 3+ years of instructional design, training and learning development experience Expert level experience with the Articulate 360 suite Proficiency in Microsoft Office applications including Outlook, PowerPoint, and Adobe PDF Experience with learning strategies and adult learning theories Understanding of curriculum design including gathering content SME's and adult learning principles. Prior demonstrated capability leading, developing and maintaining a dynamic and high performing team culture. Prior experience working in a consumer centric company leading the learning function or related function. Ability to work with agility and flexibility, embracing an ever-changing, fast-paced work environment. Ability to facilitate and deliver an exceptional learning experience Preferred Qualifications Medicaid knowledge, including experience with interpreting Medicaid contracts. Operations content design and facilitation Experience using a wide variety of training tools to effectively facilitate to a wide audience. Experience managing projects or processes. Expert organizational skills with fast turnaround time. Additional Information This is remote position Typical Work Days/Hours: Monday – Friday; 8am-5pm, Eastern Time Zone with flexibility. We design competitive and flexible packages to give our employees a sense of fi 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. nancial 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 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 Quality Improvement Professional implements quality improvement programs for all lines of business including annual program description, work plan, and annual evaluation. The Quality Improvement Professional 2 work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action. This position will partner closely with the Sr. Quality Improvement Professional(s) on projects and deliverables. The Quality Improvement Professional understands department, segment, and organizational strategy and operating objectives, including their linkages to related areas. The position makes decisions regarding work methods and receives guidance where needed. Assist the senior professionals with data gathering required for strategy development and care gap closure. Follows established guidelines/procedures. Use your skills to make an impact Required Qualifications Bachelor's degree or equivalent experiencePrior quality improvement experience in health insurance or health care settingUnderstanding of healthcare quality standardsUnderstanding of healthcare quality measures (i.e., HEDIS, CAHPS, STARS, CMS etc.)Excellent communication skills, both oral and writtenStrong relationship building skillsComprehensive knowledge of Microsoft Office Word, Excel and PowerPointMust reside in Oklahoma Preferred Qualifications Knowledge of QI methodologies (i.e. IHI model of improvement) and familiarity with QI Tools (i.e. FMEA, KDD, workflows/diagrams, root cause analysis)Proven analytical skillsLean/Six Sigma certificationCPHQ certificationKnowledge of policies, procedures, and systems used in quality improvementPrior experience in Medicaid membership Experience in member/provider education and communication. Additional Information Additional Information This position is open to remote in Oklahoma. 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 HireVue 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.
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    Become a part of our caring community and help us put health first A Dispatcher is responsible for planning, scheduling, coordinating, and controlling drivers, loads and equipment. Duties include using telephone and computer to communicate assignments and compiling statistics and reports on work progress. Manage software dispatch systems and maintain customer relationships in the dispatch and supervision of drivers on loads.Ensure driver compliance with Department of Transportation regulations.Complete daily reporting of dispatch activity.Facilitate all over the road breakdowns, accidents, weather delays and any route exceptions.Build customer relationships- continuously work on customer/account relations.Provides customers with carrier updates.Replies to incoming email which includes chat inquiries, and new business inquiries.Provide general support to all customers.Carrier relations in order to obtain positive ratings from drivers.Confirm orders are delivered. Use your skills to make an impact Required Qualifications Less than 3 years of experienceProficient in Microsoft Outlook, Word, and PowerPointAbility to manage multiple or competing prioritiesStrong attention to detailCapacity to maintain confidentialityStrong organizational skillsAbility to balance multiple initiatives and prioritize workloadMust be passionate about contributing to an organization focused on continuously improving consumer experiences. Preferred Qualifications Possesses high school diploma or equivalent.1 to 2 years of Dispatch experience. Previous experience or successful completion of factory training seminar for home medical equipment preferred.Additional 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. $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 The Care Management Support Assistant 1 contributes to administration of care management. Provides non-clinical support to the assessment and 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 wellbeing of members. The Care Management Support Assistant 1 performs basic administrative/clerical/operational/customer support/computational tasks. Typically works on routine and patterned assignments. The Care Management Support Assistant 1 Decisions are limited to defined parameters around work expectations, quality standards, priorities and timing, and works under close supervision and/or within established policies/practices and guidelines with minimal opportunity for deviation. Use your skills to make an impact Required Qualifications Less than 2 years of Microsoft Office technical experience with Word, Outlook, and ExcelMinimum 1 year of customer service experienceExperience with DME (Durable Medical Equipment) or Respiratory equipmentBilingual (English and Spanish speaker)Must be passionate about contributing to an organization focused on continuously improving consumer experiences Preferred Qualifications Associate's degreeKnowledgeable with CPR+ software 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. $31,900 - $43,900 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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