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    Become a part of our caring community and help us put health first The Senior CyberSecurity Engineer develops and tests information security tools, applications, and system solutions deployed in Humana. Oversees the design engineering and testing processes for Humana EIP products and works with relevant EIP stakeholders to drive products from design to volume production release. The Senior CyberSecurity Engineer 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 CyberSecurity Engineer designs, oversees, and performs engineering tests that validate platform and product designs. May design and implement protocols and solutions designed to safeguard sensitive data from external/internal breach or attacks and implement relevant engineering updates to Humana information technology and information security infrastructures. Begins to influence department’s strategy. Makes decisions on moderately complex to complex issues regarding technical approach for project components, and work is performed without direction. Exercises considerable latitude in determining objectives and approaches to assignments. Use your skills to make an impact Required Qualifications Bachelor's degree and 2 years of technical experience or 6 years of technical experience5+ years of technical cybersecurity experienceExperience integrating Cyber Security technologies with existing technologiesAbility to communicate at all levels with clarity and precision both written and verbalMust be passionate about contributing to an organization focused on continuously improving consumer experiences Preferred Qualifications Zscaler ZIA and ZTNA certified Proven ability to quickly earn the trust of project sponsors and key stakeholdersAble to prioritize and execute tasks in a high-pressure environmentSound business and technical acumenFocused and versatile team player that is comfortable under pressureStrong presentation & visualization skillsAbility to remove barriers to ensure success for initiativesExperience with ITIL & NIST PrinciplesCyber Security CertificationExperience with PowerPoint, ExcelExperience developing and executing strategic initiatives Additional Information Why Humana 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 Work-At-Home Requirements To ensure Home or Hybrid Home/Office employees’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is suggested Satellite, cellular and microwave connection can be used only if approved by leadership. Employees who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense. Humana will provide Home or Hybrid Home/Office employees with telephone equipment appropriate to meet the business requirements for their position/job. Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information. Interview Format As part of our hiring process for this opportunity, we will be using an interviewing technology called Modern Hire to enhance our hiring and decision-making ability. Modern Hire allows us to quickly connect and gain valuable information from you pertaining to your relevant skills and experience at a time that is best for your schedule. 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. *This is a remote position. **Must be able to work EST hours. Scheduled Weekly Hours 40 Pay Range The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc. $104,800 - $144,300 per year This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance. Description of Benefits Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. About us Humana Inc. (NYSE: HUM) is committed to putting health first – for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large. Equal Opportunity Employer It is the policy of  Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or because he or she is a protected veteran. It is also the policy of  Humana to take affirmative action to employ and to advance in employment, all persons regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.
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    Become a part of our caring community and help us put health first The Director, Network Adequacy tests the overall network in each county of operations to ensure the network is strong enough to support serving customers. The Director, Network Adequacy requires an in-depth understanding of how organization capabilities interrelate across the function or segment. This position is also responsible for the management of Operational IT Projects related to enhancing the provider and member experience. Present and provide strategic guidance regularly to Senior Executive leadership on matters of significance pertaining to Network Adequacy Comprehensive Access to Care Monitoring and Oversight Network Analysis and Oversight Oversight of network strategy discussions related to best adjustments in provider network Hold others department/areas accountable to strategy decisions made Review access to care gaps, design and implement strategy Review provider quality/financial performance and optimize network Network Deficiency Opportunity Review Responsible for ensuring network teams understand and capitalize on opportunities and align on deficiency strategies to mitigate liquate damages Manage all AHCA requests related to Network Deficiencies (Findings, Waives, Quarterly LD reviews) Responsible for implementation of directory data integrity initiatives that improve network adequacy and mitigate liquidate damages Track and communicate, as necessary, PNV errors as related to network deficiencies and overall Humana compliance Non Par Spend Monitoring and Oversight Communicate current issues to clinical, network, and all other impacted departments to develop strategic approach to correct Track and communicate improvements seen via KPIs/metrics/discussions Waiver Process Enhancement Improvement Develop and implement a process to mitigate liquated damages where possible Once process in place, develop reporting and analysis to track process success/manage overtime Project management of Operational IT Projects related to enhancing provider and member experience Use your skills to make an impact Required Qualifications Bachelor’s Degree in a technical, scientific or related field or equivalent of 5+ years of network adequacy experience in healthcare5+ years of business and healthcare operational experience5+ years of management experienceDemonstrated strength in troubleshooting complex infrastructure incidents and problemsExperience implementing, integrating, and managing public and private cloud platformsMicrosoft Office knowledgeMust be available to travel 10% Preferred Qualifications Experience with Medicaid and or Florida MedicaidAdvanced certifications or comparable work experience in softwareMaster’s Degree or comparable work experience Work-At-Home Requirements To ensure Home or Hybrid Home/Office associates’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office associates must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is suggestedSatellite, cellular and microwave connection can be used only if approved by leadershipAssociates who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense.Humana will provide Home or Hybrid Home/Office associates with telephone equipment appropriate to meet the business requirements for their position/job.Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information Interview Format 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 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. 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. $112,400 - $154,900 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, Central, or Mountain 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 Telephonic Call Center Care Coach Specialist/ Care Coach 1 assesses and evaluates member's needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families toward and facilitate interaction with resources appropriate for the care and wellbeing of members. Orlando, FL area. The Telephonic Call Center Specialist/Care Coach 1: Employs a variety of case management strategies, approaches and techniques to manage a member's case. Identifies through a screening process for potential eligibility for state and federal benefits. Ensures member is progressing towards desired outcomes by continuously monitoring Member’s case through use of assessment, data, and conversations with members, active planning and educating the member on potential resources. Use your skills to make an impact Required Qualifications ​ 1 or more years of Telephonic environment experience and/or customer service in an office setting. Microsoft Office Programs Word and Excel. Current valid Driver’s license Travel up to 25% or more at times to include home visits and events Live in the Orlando, FL area Monday-Friday 8:00 AM-5:00 p.m. EST, Overtime based on business needs and hours could include weekends/holidays. During the Medicare Annual Election Period, September to December, must be able to work Monday through Friday between the hours of 8am-7pm EST but also subject to Overtime based on business needs and hours could include weekends/holidays. Preferred Qualifications Associate Degree Microsoft Office PowerPoint Healthcare experience Strong preference for experience in member services and a call center environment specifically but not limited to Medicare & Medicaid recipients Previous experience with electronic case note documentation and experienced with documenting in multiple computer applications/systems Knowledge of community health and social service agencies and additional community resources reviews Bilingual English/Spanish. Must be able to speak, read and write in both languages without limitations or assistance. See Additional Information on testing Healthcare Telephonic environment experience and/or Healthcare customer service in an office setting Additional Information Work Schedule: Monday-Friday 8:00 AM-5:00 p.m. EST, Overtime based on business needs and hours could include weekends/holidays During the Medicare Annual Election Period, September to December, must be able to work Monday through Friday between the hours of 8am-7pm EST but also subject to Overtime based on business needs and hours could include weekends/holidays Language Proficiency Testing: 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. 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. #LI-BB1 Scheduled Weekly Hours 40 Pay Range The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc. $47,700 - $65,600 per year Description of Benefits Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. About us 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.
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    Become a part of our caring community and help us put health first Job Description Summary Humana is seeking an RN Care Manager (Health & Wellness Coordinator) to join the Inclusa team to serve members in the Wisconsin Family Care (FC) program. As a Health & Wellness Coordinator (HWC) you will be responsible for partnering with your fellow colleagues to provide top quality coordination of care to our members. They are looking to you in providing assistance when it comes to living their daily lives. The HWC is responsible for facilitating the coordination, communication, negotiation, and collaboration of streamlined healthcare delivery processes on behalf of the member. Partner with a social services care manager (also referred to as a Community Resource Coordinator) and collaborate on an ongoing basis regarding the member and their plan.Perform face-to-face health-related assessments for members upon enrollment and at least every six (6) months thereafter in the member’s setting.Coordinate, perform, and track quarterly face-to-face visits and monthly phone contacts.Participate in the development and ongoing review and coordination of the member’s plan of care.Take the lead on all health issues for the member.Contact and coordinate with acute and primary care providers.Identify and coordinate clinical and functional supports needed for the member’s health and safety.Educate on and promote prevention and wellness and mitigate risk when assessed.Document activity and complete paperwork as required.Traveling will be required and eligible for mileage reimbursement. Use your skills to make an impact Required Qualifications Associate degree in nursing.Must be a Registered Nurse, licensed in the state of Wisconsin. Preferred Qualifications Bachelor’s degree in nursing.One (1)+ years of experience with Family Care target group: frail elders and adults with intellectual, developmental, or physical disabilities. Registered Nurse, licensed in the state of Minnesota.Care Management experience. Additional Information Workstyle: This is a field position where employees perform their core duties at non-company locations, such as providing services at business partner facilities or prospects' and members' homes.Work Location: Monroe, Wisconsin and surrounding area.Travel: up to 40% throughout Green and Lafayette Counties in WI and surrounding area.Typical Work Days/Hours: Monday through Friday, 8:00 am – 4:30 pm CST. WAH Internet Statement To ensure Home or Hybrid Home/Office employees’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is suggested.Satellite, cellular and microwave connection can be used only if approved by leadership.Employees who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense.Humana will provide Home or Hybrid Home/Office employees with telephone equipment appropriate to meet the business requirements for their position/job.Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information. Driving This role is part of Humana's driver safety program and therefore requires an individual to have a valid state driver's license and proof of personal vehicle liability insurance with at least 100/300/100 limits. TB This role is considered patient facing and is part of Humana’s Tuberculosis (TB) screening program. If selected for this role, you will be required to be screened for TB. Benefits Humana offers a variety of benefits to promote the best health and well-being of our employees and their families. We design competitive and flexible packages to give our employees a sense of financial security—both today and in the future, including: Health benefits effective day 1Paid time off, holidays, volunteer time and jury duty payRecognition pay401(k) retirement savings plan with employer matchTuition assistanceScholarships for eligible dependentsParental and caregiver leaveEmployee charity matching programNetwork Resource Groups (NRGs)Career development opportunities HireVue As part of our hiring process for this opportunity, we will be using an interviewing technology called Modern Hire to enhance our hiring and decision-making ability. Modern Hire allows us to quickly connect and gain valuable information from you pertaining to your relevant skills and experience at a time that is best for your schedule. SSN Alert Humana values personal identity protection. Please be aware that applicants may be asked to provide their Social Security Number, if it is not already on file. When required, an email will be sent from Humana@myworkday.com with instructions on how to add the information into your official application on Humana’s secure website. Scheduled Weekly Hours 40 Pay Range The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc. $69,800 - $96,200 per year This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance. Description of Benefits Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. About us About Inclusa: Inclusa manages the provision of a person-centered and community-focused approach to long-term care services and support to Family Care members across the state of Wisconsin. As a values-based organization devoted to building vibrant and inclusive communities, Inclusa deploys a unique approach to managed care with a trademarked model of support named Commonunity® which focuses on the belief in everyone, and from that belief, the common good for all is achieved. In 2022, Inclusa was acquired by Humana. This partnership will allow us to create a model of care that provides industry-leading support for members across the health care continuum. About Humana: Humana Inc. (NYSE: HUM) is committed to putting health first – for our teammates, our customers, and our company. Through our Humana insurance services, and our CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large. Equal Opportunity Employer It is the policy of  Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or because he or she is a protected veteran. It is also the policy of  Humana to take affirmative action to employ and to advance in employment, all persons regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.
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    Become a part of our caring community and help us put health first The Inbound Contacts Representative 2 represents the company by addressing incoming telephone, digital, or written inquiries. The Inbound Contacts Representative 2 performs varied activities and moderately complex administrative/operational/customer support assignments. Performs computations. Typically works on semi-routine assignments. The Inbound Contacts Representative 2 addresses customer needs which may include complex benefit questions, resolving issues, and educating members. Records details of inquiries, comments or complaints, transactions or interactions and takes action accordingly. Escalates unresolved and pending customer grievances. 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 Minimum one (2) years’ customer service experience is required.Demonstrated experience with providing strong customer service and attention to detail while actively listening.Prior experience managing multiple or competing priorities, including use of multiple computer applications/software systems simultaneously (computer navigation, email, chats, efficient typing skills, and toggling across multiple databases) while engaging with customers.Prior experience in a metrics-driven environment. Basic knowledge of Microsoft Office applications, including Outlook, Word, and TeamsMust meet monthly call, attendance, and performance metrics. Training This position is scheduled to start on August 19, 2024. Virtual training starts on day one of employment and will run for the first approximately 11 weeks with a schedule of 9:00 AM to 5:30 PM Eastern, Monday - Friday.You must be on time, dressed appropriately / camera ready, with your camera on during training and for other meetings required by leadership.Attendance is vital for your success; no time off will be allowed during training and nesting. Exception: All Humana associates have Humana-observed holidays off (paid). After classroom training and the nesting period has ended, you may request time off following the established process. Work Hours Following 11 Week Training Period Following training, associates must be available to work any 8-hour shift between the hours of 7:45 AM – 11:00 PM Eastern, Monday – Friday. Early shifts are not guaranteed.Weekends and overtime may be required, especially during our peak season of October through March and as needed by the business. We strive to provide a minimum of a week’s advance notice for weekends and overtime. The initial 120 days of employment as an Inbound Contacts Representative 2 constitute an appraisal period.  This Appraisal Period is essential to your learning and development, which is why we ask for perfect attendance during both the classroom training and nesting periods. This position requires learning many systems, policies, and tools, and it takes time to become proficient in the role. You must be willing to remain in this position for a period of eighteen (18) months before applying to other Humana opportunities outside of the Medicare Customer Contact Center. Preferred Qualifications Three years’ call center or comparable experiencePrior healthcare experienceBilingual in Spanish and English 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 required; wired cable or DSL connection is suggested.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. Language Proficiency Testing 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. 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.Assessment: If you are selected to move forward, you will receive an email to complete the Virtual Job Experience (VJE). This is an online activity where you will learn more about Customer Care jobs at Humana, try out some of the most common job tasks, and tell us more about yourself. Most people complete the VJE in approximately 30 minutes. To complete it, you will need a smart phone, computer or tablet with internet access, and speakers/headphones. We do not make job offers to candidates that do not complete the VJE.Video Prescreen: If you are successful with the VJE, you will receive another communication to record a Video Prescreen. This is an online video activity using your phone, tablet, or computer; however, most candidates prefer using a computer or tablet. 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. $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.
    • Full Time
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    Become a part of our caring community and help us put health first The Physical Therapist 2 provides services that help restore function, improve mobility, relieve pain, and prevent or limit permanent physical disabilities of patients suffering from injuries or disease. The Physical Therapist 2 work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action. The Physical Therapist 2 examines patient's medical history, evaluates their physical abilities, determines their potential to respond to therapy, and develops treatment plans. 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 Master's Degree in physical therapy (will accept the physical therapists grandfathered into licensure prior to masters requirement)Current license to practice physical therapy; maintains licensure requirements including 24 hours of continuing educationComplies and maintains current CPR certificationThis 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.This role is part of Humana's Driver safety program and therefore requires an individual to have a valid state driver's license and proof of personal vehicle liability insurance with at least 100,000/300,000/100,000 limitsACHA Level II ClearanceOne year of appropriate experience as a physical therapistExcellent verbal and written communication skillsSensitivity to cultural diversity and to making accommodation available to provide services to a diverse populationStrong customer services skillsMust be passionate about contributing to an organization focused on continuously improving consumer experiences Preferred Qualifications Doctorate degree in Physical TherapyHome health experienceKnowledge with Wellsky/KinnserBilingual Additional Information Required Qualifications Physical Therapist Assistant license from TX Scheduled Weekly Hours 1 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 Description of Benefits Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers benefits for limited term, variable schedule and per diem associates which are designed to support whole-person well-being. Among these benefits, Humana provides paid time off, 401(k) retirement savings plan, employee assistance program, business travel and accident. About Us 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.
    • Full Time
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    Become a part of our caring community and help us put health first The Speech Therapist 2 identifies functional speech defects and establishes a plan of care to improve patient's function. The Speech Therapist 2 work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action. The Speech Therapist 2 assesses, diagnoses, and treats speech, language, cognitive, communication, voice, swallowing, fluency, and other related disorders. May recommend communication devices/aids as needed. Keeps records, monitors progress, and counsels patients and their family members. 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 Possesses a Master's or Doctoral Degree in speech-language pathology (SLP), and meets either of the following requirements:Is licensed as a speech-language pathologist by the State in which the individual furnishes such service; orIf the State does not license speech-language pathologists: Must successfully complete 350 clock hours of supervised clinical practicum (or is in the process of accumulating such supervised clinical experience);Performed not less than 9 months of supervised full-time SLP services after obtaining a Master's or Doctoral degree in SLP or a related field; andSuccessfully completed an approved national examination in SLP.Complies and maintains current CPR certificationA minimum of one year clinical experience in Speech-Language PathologyExcellent verbal and written communication skillsSensitivity to cultural diversityStrong customer services skillsThis role is a part of Humana's Drivers 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 limitsThis 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.Associates working in the State of Florida will need ACHA Level II Background clearanceMust be passionate about contributing to an organization focused on continuously improving consumer experiences Preferred Qualifications BilingualHome health experienceKnowledge with Wellsky/Kinnser Additional Information Scheduled Weekly Hours 1 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 Description of Benefits Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers benefits for limited term, variable schedule and per diem associates which are designed to support whole-person well-being. Among these benefits, Humana provides paid time off, 401(k) retirement savings plan, employee assistance program, business travel and accident. About Us 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 Occupational Therapist 2 evaluates patients and helps them improve basic motor functions and reasoning abilities. The Occupational Therapist 2 work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action. The Occupational Therapist 2 teaches patients to perform tasks in their daily living and working environments to compensate for permanent loss of function. May also assist patients in selecting appropriate adaptive equipment and assistive devices. 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 Graduate of an occupational therapy curriculum accredited jointly by the Committee on Allies Health Education and Accreditation of the American Medical Association and the American Occupational Therapy AssociationCurrently licensed as an Occupational Therapist in the state which you seek employmentRecent clinical experience in Occupational TherapyCurrent CPR certificationValid Driver's License, car insurance and access to an automobileThis 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.Associates working in the State of Florida will need ACHA Level II Background clearanceMust be detailed orientedMust have excellent written and verbal communication skillsSensitivity to cultural diversityStrong customer service skillsMust be passionate about contributing to an organization focused on continuously improving consumer experiences Preferred Qualifications BilingualRegistered with the National Registration Examination of the American Occupational Therapy AssociationHome health experienceKnowledge with Wellsky/Kinnser Additional Information Scheduled Weekly Hours 1 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 Description of Benefits Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers benefits for limited term, variable schedule and per diem associates which are designed to support whole-person well-being. Among these benefits, Humana provides paid time off, 401(k) retirement savings plan, employee assistance program, business travel and accident. About Us 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.
    • Full Time
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    Become a part of our caring community and help us put health first A Registered Physical Therapist (PT) administers physical therapy to patients on an intermittent basis in their place of residence. This is performed in accordance with physician orders and plan of care under the direction and supervision of the Director of Clinical Services/Clinical Manager. Such care must be provided in accordance with current Federal, State, and local standards, guidelines, and regulations that govern the agency to ensure that the highest quality care is always maintained. A Registered Physical Therapist understands and adheres to established policies and procedures. Provides physician-prescribed physical therapy. Improves or minimizes residual physical disabilities of the patient. Returns the individual to optimum and productive level within the patient’s capabilities. Participates with all other home care personnel in patient care planning. Directs and supervises personnel as required. Responsible for initial assessment, plan of care, maintenance program development and modifications and reassessments every 30 days. Performs all skilled procedures as ordered by physician. Consults with physicians regarding the change in treatment. Writes reports to physicians regarding patients’ progress. Instructs patients and family/significant others in-home programs and activities of daily living. Apply concepts of the agency’s infection control plan and universal precaution in coordination/performing client cares activities to protect both patient and staff (OSHA. Participates in in-service programs and presents in-service programs as assigned. Participates in Quality Assurance and Performance Improvement activities as assigned. Prepares clinical and progress notes. Assists physician with evaluating the level of function. Helps develop the plan of care and revise it as necessary. Consults with family and Agency personnel. Completes and submits OASIS assessments, reassessments, transfers, resumptions of care, discharges, and significant change in condition in accordance with Agency defined time frames. Appropriately utilizes ICD-10 codes. Participating in patient care conferences to discuss the need for the involvement of other members of the health team. Complete appropriate documentation in a timely manner to assure compliance with agency policy. Demonstrate commitment and professional growth by participating in in-service programs and maintaining/improving competency. Maintain the highest standards of professional conduct in relation to information that is confidential in nature. Share information only when the recipient's right to access is clearly established and the sharing of such information is in the best interest of the patient. Maintain your required licenses, certifications, and mandatory skill updates. Comply with all policies, local, state, and federal laws and regulations. Provide other duties of healthcare team members as assigned. Use your skills to make an impact Regulatory Requirements Graduate from a physical therapist curriculum approved by the Commission on Accreditation in Physical Therapy Education, American Physical Therapy Association, or the Committee on Allied Health Education and Accreditation of the American Medical Association, or the Council of Medical Education of the American Medical Association and American Physical Therapy Association. Currently licensed as a Registered Physical Therapist in the state(s) in which practicing. Minimum of (1) one-year current experience in health care community. Home health experience preferred. Ability to exercise initiative and independent judgment. Have a sympathetic attitude toward the care of the sick and elderly. Ability to carry out directions, read and write. Maturity and ability to deal effectively with the demands of the job. Physical Requirements: Ability to participate in physical activity. Ability to work for an extended period while standing and being involved in physical activity. Heavy lifting. Ability to do extensive bending, lifting, and standing on a regular basis. Language Skills: Able to communicate effectively in English, both verbally and in writing. Additional languages preferred. Scheduled Weekly Hours 1 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 Description of Benefits Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers benefits for limited term, variable schedule and per diem associates which are designed to support whole-person well-being. Among these benefits, Humana provides paid time off, 401(k) retirement savings plan, employee assistance program, business travel and accident. About Us 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.
    • Full Time
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    Become a part of our caring community and help us put health first The Lead Data Product Manager will work within the Data and Analytics Business Intelligence team. The team is a Shared Services area focused on data, reporting and data science supporting Humana’s Service Operations. The team is focused on converting data to actionable insights for our business partners who can utilize the same, to reduce administrative cost and improve the customer’s experience. The Lead Data Product Manager is responsible for collaborating with stakeholders to identify data needs by leveraging the data flow throughout an entire product lifecycle and documenting the data requirements for each new capability, functionality, or product. This individual works as a liaison and manages data features between the solution and product teams. In this role, you will have an opportunity to influence the design and development of a solution in order to provide data sets that improve the quality and insights to business partners. The ideal candidate: Defines problem statements, features, value, benefit hypothesis, and identify teams needed to deliver work Prioritizes features spanning across all technical delivery teams supporting data Ensures product owners have clear understanding of objectives, strategy, and success criteria Translates the business needs to data requirements Consults in capability development Models and encourages Agile behaviors within the team Identifies opportunities for process improvements Performs in-depth data analysis to derive insights that drives business outcomes and decisions Manages multiple priorities and meet deadlines ​ In addition to being a great place to work, Humana also offers industry leading benefits for all employees, starting your FIRST day of employment. Benefits include: Medical BenefitsDental BenefitsVision BenefitsHealth Savings AccountsFlex Spending AccountsLife Insurance401(k)PTO including 8 paid holidays, one personal holiday, one day of volunteer time off, 23 days of annual PTO, parental leave, caregiving leave, and weekly well-being timeAnd more Use your skills to make an impact Required Qualifications 3+ years' experience as a product manager 2+ years' of project leadership experience Working knowledge of Azure Dev Ops (ADO) Knowledge of Systems Development Life Cycle, Waterfall, or Agile Development Methodologies Ability to communicate effectively and deliver presentations to leaders Strong written and verbal communication skills Preferred Qualifications Advanced Degree in a quantitative discipline, such as Mathematics, Economics, Finance, Statistics, Computer Science, Engineering, or related field Knowledge of Cloud Computing SAFe Agile POPM certification Familiarity with the healthcare insurance industry Six sigma certifications Experience with Genesys or other consumer experience equivalent platforms Experience producing metrics, measurements, trend reports, problem analysis and process improvement Additional Information Work at Home/Remote Requirements Work-At-Home Requirements To ensure Home or Hybrid Home/Office associates’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office associates must meet the following criteria:At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended to support Humana applications, per associate.Wireless, Wired Cable or DSL connection is suggested.Satellite, cellular and microwave connection can be used only if they provide an optimal connection for associates. The use of these methods must be approved by leadership. (See Wireless, Wired Cable or DSL Connection in Exceptions, Section 7.0 in this policy.)Humana will not pay for or reimburse Home or Hybrid Home/Office associates for any portion of the cost of their self-provided internet service, with the exception of associates who live or work from Home in the state of California, Illinois, Montana, or South Dakota. Associates who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense.Humana will provide Home or Hybrid Home/Office associates with telephone equipment appropriate to meet the business requirements for their position/job.Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information Our Hiring Process As part of our hiring process for this opportunity, we may contact you via text message and email to gather more information using a software platform called HireVue. HireVue Text, Scheduling and Video technologies allow you to interact with us at the time and location most convenient for you. If you are selected to move forward from your application prescreen, you may receive correspondence inviting you to participate in a pre-recorded Voice, Text Messaging and/or Video interview. Your recorded interview will be reviewed and you will subsequently be informed if you will be moving forward to next round of interviews. If you have additional questions regarding this role posting and are an Internal Candidate, please send them to the Ask A Recruiter persona by visiting go/Buzz and searching Ask A Recruiter! Please be sure to provide the requisition number so we may be able to research your request quicker. #LI-LM1 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. $123,800 - $170,400 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 Care Coach evaluates member's needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families toward and facilitate interaction with resources appropriate for the care and wellbeing of members. The Care Coach 1 work assignments are often straightforward and of moderate complexity. The Care Coach 1 employs a variety of strategies, approaches and techniques to support a member's optimal wellness state by coordinating services & resources. Identifies and resolves barriers that hinder effective care. Ensures patient is progressing towards desired outcomes by continuously monitoring patient care through use of assessment, data, conversations with member, and active care planning. Understands own work area professional concepts/standards, regulations, strategies and operating standards. Makes decisions regarding own work approach/priorities, and follows direction. Work is managed and often guided by precedent and/or documented procedures/regulations/professional standards with some interpretation. Use your skills to make an impact Required Qualifications Bachelor's degree in health and human services field2 or more years of related experienceKnowledge of Microsoft Office Word and ExcelExceptional verbal/written communication and interpersonal skillsAbility to use a variety of electronic information applications/software programsMust be passionate about contributing to an organization focused on continuously improving consumer experiences Preferred Qualifications Prior experience with Medicare & Medicaid recipients Previous experience with electronic case note documentation and experienced with documenting in multiple computer applications/systemsExperience with health promotion, coaching and wellnessKnowledge of community health and social service agencies and additional community resources Additional Information Workstyle: This is a field position where employees perform their core duties at non-company locations, such as providing services at business partner facilities or prospects' and members' homes.Work Location: Ashland, Wisconsin and surrounding area.Travel: up to 40% throughout Eau Claire, WI and surrounding area.Typical Work Days/Hours: Monday – Friday, 8:00 am – 4:30 pm CST Limited Geography Remote - This is a remote position but located within a specific geography. WAH Internet Statement To ensure Home or Hybrid Home/Office employees’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is suggested.Satellite, cellular and microwave connection can be used only if approved by leadership.Employees who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense.Humana will provide Home or Hybrid Home/Office employees with telephone equipment appropriate to meet the business requirements for their position/job.Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information. Driving This role is part of Humana's driver safety program and therefore requires an individual to have a valid state driver's license and proof of personal vehicle liability insurance with at least 100/300/100 limits. TB This role is considered patient facing and is part of Humana’s Tuberculosis (TB) screening program. If selected for this role, you will be required to be screened for TB. Benefits Humana offers a variety of benefits to promote the best health and well-being of our employees and their families. We design competitive and flexible packages to give our employees a sense of financial security—both today and in the future, including: Health benefits effective day 1Paid time off, holidays, volunteer time and jury duty payRecognition pay401(k) retirement savings plan with employer matchTuition assistanceScholarships for eligible dependentsParental and caregiver leaveEmployee charity matching programNetwork Resource Groups (NRGs)Career development opportunities HireVue 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. $47,700 - $65,600 per year Description of Benefits Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. About us About Inclusa: Inclusa manages the provision of a person-centered and community-focused approach to long-term care services and support to Family Care members across the state of Wisconsin. As a values-based organization devoted to building vibrant and inclusive communities, Inclusa deploys a unique approach to managed care with a trademarked model of support named Commonunity® which focuses on the belief in everyone, and from that belief, the common good for all is achieved. In 2022, Inclusa was acquired by Humana. This partnership will allow us to create a model of care that provides industry-leading support for members across the health care continuum. About Humana: Humana Inc. (NYSE: HUM) is committed to putting health first – for our teammates, our customers, and our company. Through our Humana insurance services, and our CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large. Equal Opportunity Employer It is the policy of  Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or because he or she is a protected veteran. It is also the policy of  Humana to take affirmative action to employ and to advance in employment, all persons regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.
    • Full Time
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    Become a part of our caring community and help us put health first The Senior IT Project Manager oversees various system projects and/or programs of a highly complex nature. The Senior IT Project Manager 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 Project Manager assembles and leads project team, identifies appropriate resources needed, and develops schedules to ensure timely completion of project. Often actively manages stakeholder partnerships and mitigates risks. Familiar with the system scope and project objectives, as well as the role and function of each team member, in order to effectively coordinate the activities of the team. When managing programs, oversees the interdependencies and integration of interrelated projects, and sets strategies and leads program execution to deliver longer term business value. Can possess specialized knowledge of Software Development Life Cycle (SDLC) and Information Technology Infrastructure Library (ITIL) frameworks used to manage risks and issues unique to technology projects. Begins to influence department’s strategy. Makes decisions on moderately complex to complex issues regarding technical approach for project components, and work is performed without direction. Exercises considerable latitude in determining objectives and approaches to assignments. Use your skills to make an impact Required Qualifications Bachelor's degree in Business, Information Technology or a related field5 or more years of technical experienceDemonstrated experience in technical product selection, technical design and practical implementation of IT solutionsMust be passionate about contributing to an organization focused on continuously improving consumer experiences Preferred Qualifications Master's Degree in Business AdministrationLongevity working in data warehouse, decision support and reporting system environmentsWorking knowledge of Oracle and IBM Relational Database Management Systems, executive information systems and statistical software packagesComprehensive knowledge of development languages, tools, and utilities, including Cobol, CICS, DB2, ASP, COM, .Net and SQLSix Sigma and/or Project Management Institute certificationExperience in the health solutions industry 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. $102,200 - $140,700 per year This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance. Description of Benefits Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. About us 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 Associate VP, Field/Sales Marketing plans and executes marketing campaigns to generate new prospects and improve client retention based on localized specifications. The Associate VP, Field/Sales Marketing requires a in-depth understanding of how organization capabilities interrelate across segments and/or enterprise-wide. As a company whose primary focus is on the well-being of its members, Humana is dedicated to shifting perceptions of the health insurance industry. We believe our role goes beyond that of a provider of insurance to that of a well-being partner who will empower customers to live a life that’s healthy, active, and rewarding. Against that backdrop our marketing team is at a critical inflection point for the industry and for Humana. The Associate Vice President (AVP) of Sales, Group Medicare and Specialty Marketing and Enablement will advance our approach to marketing for Group Medicare Advantage, Individual and Group Specialty health care plans. In addition, they will be responsible for delivering industry leading sales marketing and enablement capabilities for the vast network of agents/brokers that sell Humana’s broad range of insurance plans, including the robust Medicare Advantage portfolio. This incumbent will combine proven business acumen, expertise, and leadership in shaping a strategic approach to marketing for the business that is both visionary and adept at the details. The AVP will deeply understand the agent and consumer decision journey for healthcare plan selection and member engagement, and key differentiators to develop breakthrough marketing that enables Humana to win in the marketplace. They will be responsible for B2B and B2C lead generation and sales targets, as well as a portfolio of agent satisfaction and usage performance measures. This incumbent will oversee a team of more than 30 full time employees and manage a sizable budget. This position will report directly to the Vice President of Insurance Services Marketing and work extensively with cross-functional Marketing teams, the Sales organization, Market leaders and multiple line of business leaders to drive member growth, engagement, and retention, as well as agent/broker satisfaction. They will be a highly collaborative, strategic and results-oriented marketing professional with exceptional leadership, team building, collaboration, and partnership management skills. Use your skills to make an impact Key Responsibilities This incumbent will specifically lead the Sales Enablement and Engagement, Group Medicare and Group Specialty and Individual Specialty marketing teams. Their responsibilities are as follows: Manage relationships with executive leaders and deeply understand their business segment dynamics, performance goals and objectives, and business priorities in order to help achieve them Deliver effective, measurable, omni-channel B2B/B2C acquisition and engagement marketing campaigns in support of the Group Medicare, Group and Individual Specialty business strategy Drive continuous thought leadership for advancing B2B marketing, including more sophisticated audience identification and innovation in key areas of focus such as content, email, online and social marketing, as well as events and conferences Develop and execute robust test and learn strategies​ for B2C marketing, including the efficient scaling of digital tactics (SEM, Social, etc) while optimizing DRTV, direct mail and other channels; Partner with telesales and digital teams to ensure sales targets are met Develop and deliver industry leading sales education and materials to enable the vast network of internal and external agents/brokers that sell Humana’s insurance plans to develop deep knowledge of Humana’s brand promise, products, services, and customer segments across multiple Insurance Services lines of business Drive capability advancement and a multi-year roadmap to provide best-in-class, digital-first delivery for marketing and sales enablement (e.g., content, training, playbooks, journey-based campaigns) with an elevated focus on leveraging AI to drive better agent and customer recommendations Create meaningful experiences and new agent acquisition and re-certification campaigns that engender preference and advocacy for Humana amongst agents Lead strategy and content assets for Humana’s proprietary sales portal containing compliant marketing materials and promotional items Track marketing performance and report on efficiency and ROI; Continuously partner with Marketing Data and Analytics to maximize results Help define and promote a better understanding of how brand and product communications work together to drive net growth and loyal customers Identify actionable insights on key segments, customers, trends in business environments, competitive position, and product portfolio offerings Work with marketing partners and agencies to guarantee consistency, on-brand creative, and standard methodologies, where appropriate Demonstrate strong people management skills to create high performing teams that will deliver on business and brand objectives Ideal Candidate Profile Leadership – ability to set overarching marketing vision and approach for the business/customer segments, leading teams as well as influencing others Strategic capacity – think big, think different; approach to marketing from an outside in mentality with a critical eye that furthers our impact as a brand and company Strong track record of driving results through a data driven approach – highly adept at delivering innovative, multi-tactic and omni-channel B2B and B2C marketing campaigns, with a digital-first mindset Proven expertise in segmentation and customer needs and behaviors insights gathering and application of insights to marketing and experience design Experience with a regulated industry, ownership of large budgets and/or P&L, and prior experience navigating an organization cross-functionally Ability to build networks and strong business relationships; ability to engage many diverse stakeholders and SMEs and win their co-ownership in the outcome Strong presence, collaborative style but willing to share POV Authentic communication style as characterized by open, direct and inclusive approaches Outstanding presentation skills – ability to exceptionally articulate concepts visually and verbally Passion for deeply understanding and leveraging data driven insights to inform strategy and decision-making Aptitude for integrated creative strategy and delivering campaigns that breakthrough in a highly competitive marketplace Qualifications A bachelor's degree required, master’s degree in business is highly desirable B2B sales and marketing experience required (8+ yrs), B2C marketing strongly preferred (both ideal) Proven track record of success in developing marketing strategies, driving flawless execution and collaborating closely with internal/external stakeholders 15+ years or more of increasing responsibility at a large size brand that understands the size and scope of Humana and how to be a strong voice for marketing throughout the enterprise Extensive knowledge of B2B marketing and sales techniques as well as broad based business acumen. Experience with CRM platforms, especially sales enablement capabilities a strong plus Proven track record of leading large, diverse teams and budgets Healthcare marketing experience not required, but a plus Additional Information Up to 15-20% travel expected in this role. At Humana, we’re also committed to making the resources available to you that will enable you to become happier, healthier, and more productive in all areas of your life. We know your well-being is important to you, and it’s important to us too. If you share our passion for helping people, we likely have the right place for you at Humana. 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. $181,200 - $249,300 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.
    • Full Time
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    Become a part of our caring community and help us put health first The Finance Professional 2 analyzes and forecasts financial, economic, and other data to provide accurate and timely information for strategic and operational decisions. The Finance Professional 2 work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action. Humana is seeking a Finance/Accounting Consultant who will perform forecasting and analysis of data in the areas of financial reporting and planning, profit improvement initiatives, and on various departmental projects, using the results you generate to provide leadership with actionable insights. You will also act as a Finance liaison, partnering with associates from other business areas on special projects. Key Job Responsibilities: Manage the processes for data extraction, reconciliation, and analysis of financial and operational data.Assist the finance team in the development of financial matrix and reports to drive operational efficienciesWorking thru complex issues where analysis of the situation or data requires an evaluation of multiple factors to achieve best resultsWork with project stakeholders at all levels in the organization in a fast-paced, collaborative, team environmentPerform scenario modeling to analyze existing/future business relationships Use your skills to make an impact Required Qualifications: Bachelor’s Degree preferred in Finance, Mathematics, or a related field3+ years of experience in finance or accountingProven ability to provide innovative solutions to complex business processes and reportingPrior financial and/or budgeting and planning experienceComprehensive knowledge of Microsoft Office applicationsStrong analytical mindset and communication skillsAbility to handle multiple projects effectively Preferred Qualifications: Master’s degree in business administration or a related fieldExperience in development of QlikView reportsKnowledge of HyperionExperience with SASDemonstrated project management experienceDemonstrated knowledge of Oracle PL/SQL and/or MS SQL with a solid understanding of relational database structures Additional Information Work-At-Home 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. $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.
    • Full Time
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    Become a part of our caring community and help us put health first The Market Leadership Advisor manages the development, operations, and results of a health plan. The Market Leadership Advisor works on problems of diverse scope and complexity ranging from moderate to substantial. The Market Leadership Advisor establishes long-range goals, objectives, and plans; monitors financial and operational performance; and coordinates activities of senior managers and their respective functions. Represents the health plan externally and to governmental/external agencies. Advises executives to develop functional strategies (often segment specific) on matters of significance. Exercises independent judgment and decision making on complex issues regarding job duties and related tasks, and works under minimal supervision, Uses independent judgment requiring analysis of variable factors and determining the best course of action. Use your skills to make an impact Required Qualifications Bachelor's Degree in Business, Accounting, Finance, Healthcare Administration and/or related field5 or more years of professional experience working within managed care2 or more years of project lead experienceExperience taking complex data and making it more accessible, understandable and usable for leaders to derive insightsProject Management experienceClear oral and written communication skillsFlexible, dynamic personality who works well in a team environment and can lead a teamMust be passionate about contributing to an organization focused on continuously improving consumer experiences Preferred Qualifications Master's degree in Business Administration or Healthcare AdministrationPMP Certification Additional Information This position may require up to 20% travel.Alert: Humana values personal identity protection. Please be aware that applicants selected for leader review may be asked to provide their social security number, if it is not already on file. When required, an email will be sent from Humana@myworkday.com with instructions on how to add the information into your official application on Humana’s secure website.Work-At-Home Requirements To ensure Home or Hybrid Home/Office associates’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office associates must meet the following criteria:At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended to support Humana applications, per associate.Wireless, Wired Cable or DSL connection is suggested.Satellite, cellular and microwave connection can be used only if they provide an optimal connection for associates. The use of these methods must be approved by leadership. (See Wireless, Wired Cable or DSL Connection in Exceptions, Section 7.0 in this policy.)Humana will not pay for or reimburse Home or Hybrid Home/Office associates for any portion of the cost of their self-provided internet service, with the exception of associates who live or work from Home in the state of California, Illinois, Montana, or South Dakota. Associates who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense.Humana will provide Home or Hybrid Home/Office associates with telephone equipment appropriate to meet the business requirements for their position/job.Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information Interview Format As part of our hiring process for this opportunity, we will be using an exciting interviewing technology called 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 be given the opportunity to record your audio responses to each question. You should anticipate this prescreen taking about 15 - 20 minutes. Your responses will be reviewed and if selected to move forward, you will be contacted with additional details involving the next step in the process. Scheduled Weekly Hours 40 Pay Range The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc. $123,800 - $170,400 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 Associate Director, Acquisition Integration performs project-oriented duties related to the integration of an acquired entity into the company. The Associate Director, Acquisition Integration requires a solid understanding of how organization capabilities interrelate across department(s). The Associate Director, Acquisition Integration implements activities and projects associated with Medicaid Implementation and the assimilation of practices and systems where the primary competence is in project management and integration related disciplines. May partner with stakeholders across the organization for Medicaid implementations and merger/acquisitions with a focus on integration. Decisions are typically related to identifying and resolving complex technical and operational problems, contract needs and state requirements. Exercises independent judgment and decision making on complex issues and risks regarding job duties and related tasks to determine the best course of action. Advises executives on development of functional strategies (often segment specific) on matters of significance Could lead multiple managers or highly specialized professional associates. Use your skills to make an impact Required Qualifications Minimum 6 years of technical experienceMinimum 6 years of health care operations, project/program management, implementation and/or consulting, corporate strategy, acquisition experience - and ability to "flex" between what is necessary for each project.Minimum 5 years of management experienceMinimum 5 years of experience leading large-scale, high-profile enterprise programs with responsibility for cross functional work streams/project teamsStrategic thinker - proven ability to apply foundational strategy principles to a variety of business problems.Exceptional communication skills, both written and verbal (including public speaking)Exceptional interpersonal skills with ability to quickly build rapport including strong collaboration and facilitation skillsAbility to influence at all levels of the organization.Proven experience interacting directly with and presenting to Senior Leadership internally and externally.Accountable for expansion outcomes; hitting project delivery timing for states in flight to ensure readiness and compliance. Accountable for strategy of the team which needs to align to the overall of Medicaid growth planning for new business.Accountable for influencing drafts of RFA and RFP responses to help identify contract needs and partner to bring needs to realization and adhere to state requirementsAdvanced proficiency in MS Office applicationsStrong business acumen with ability to interpret analytics.Must be passionate about contributing to an organization focused on continuously improving consumer experiences.Ability to travel up to 15% Work-At-Home Requirements At minimum, a download speed of 25 mbps and an upload speed of 10 mbps is recommended; wireless, wired cable or DSL connection is 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 Preferred Qualifications Bachelor’s degreePMP certificationPossess solid understanding of how organization capabilities interrelate across operational work streams.Prior Medicaid Implementation and Managed Care Acquisition experience Additional Information As part of our hiring process for this opportunity, we may contact you via text message and email to gather more information using a software platform called Modern Hire. Modern Hire Text, Scheduling and Video technologies allow you to interact with us at the time and location most convenient for you.If you are selected to move forward from your application prescreen, you may receive correspondence inviting you to participate in a pre-recorded Voice, Text Messaging and/or Video interview. Your recorded interview will be reviewed and you will subsequently be informed if you will be moving forward to next round of interviews. This is a remote role - #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. $136,200 - $187,400 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 Humana is on an enterprise journey to transition to the cloud. The UDAP Enablement team plays a critical role in enabling the business teams along the journey. The Strategy Execution/Advancement Principal provides strategic direction to identify and address business opportunities leveraging the cloud-based technology, provides business intelligence and strategic planning support for executing the solution. The Strategy Execution/Advancement Principal is highly skilled with broad consulting experience, technical experience, and passionate about increasing the adoption of the cloud. The Strategy Execution/Advancement Principal leads initiatives to analyze and solve complex business problems leveraging cloud technologies such as Databricks and the Power Platform. The Principal brings consulting and technical experience to come alongside the business teams to scope a business problem, evaluate skills in the business area, recommend training opportunities for the business, develop a solution architecture, and assist the business teams to walk the solutions through to completion. The Strategy Execution/Advancement Principal can effectively communicate with senior leaders as well as business team developers. They are an advanced subject matter expert competent to solve problems with multiple cloud technologies. Role Expectations: Scope a business problem with the business teams and define business valueStaff resource gaps where neededDesign the solution leveraging the Unified Data and Analytics PlatformExecute the business use case and measure business valueOutline skill development plans for the business team to maintain the use caseCommunicate status and business value to executive sponsors (VP and above) Use your skills to make an impact Required Qualifications Bachelor's degree in a data or business field8+ years of technical or consulting experienceExperience creating solutions with tools like Databricks and/or Power Platform2 – 5 years of project leadership experienceExperience developing and executing transition strategic plans, and communication plansMust be passionate about contributing to an organization focused on continuously improving consumer experiences and business team success Preferred Qualifications Master’s Degree2 – 5 years of people leadership5+ of data engineering skills; and fluent in a coding language such as Python or SQLAgile development experience or certificationSix Sigma/Process improvement experienceChange management experienceCloud technology Certifications 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. $136,200 - $187,400 per year This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance. Description of Benefits Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. About us Humana Inc. (NYSE: HUM) is committed to putting health first – for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large. Equal Opportunity Employer It is the policy of  Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or because he or she is a protected veteran. It is also the policy of  Humana to take affirmative action to employ and to advance in employment, all persons regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.
    • Full Time
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    Become a part of our caring community and help us put health first The Medicaid Actuary role is responsible for providing actuarial support for multiple states in collaboration with the market operations and finance teams. Below are the specific day to day responsibilities of the Medicaid Actuary role:Frequent analysis of actual experience compared to rate development funding and budget to generate insights into claims trends and funding issuesDevelopment of revenue and claim budget projections in close collaboration with Financial Operations and market CFOsAnalysis of changes in capitation rates and risk adjustment methodology in order to communicate the financial impact and concerns to the market CFO and the market presidentCollaborate closely with market CFOs in order to support a wide variety of actuarial analysis, including: provider contracts, IBNR, vendor ROI, program and legislative change impactsProgramming and modeling in SAS and Excel to incorporate state specific claims taxonomies and various other ad hoc requests Use your skills to make an impact Required Qualifications Bachelor's DegreeFSA or ASA plus relevant advanced degree, recent and relevant work experience, and/or other relevant professional designationsMAAAStrong communication skillsExperience in more than two functions (e.g., modeling, pricing, rate filing, reporting & analysis, reserving or trending)8 or more years of technical experience2 or more years of project leadership experience Scheduled Weekly Hours 40 Pay Range The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc. $126,800 - $174,500 per year This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance. Description of Benefits Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. About us Humana Inc. (NYSE: HUM) is committed to putting health first – for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large. Equal Opportunity Employer It is the policy of  Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or because he or she is a protected veteran. It is also the policy of  Humana to take affirmative action to employ and to advance in employment, all persons regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.
    • Full Time
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    Become a part of our caring community and help us put health first The Delaware Valley ACO (DVACO) is an accountable care organization that participates in the Centers for Medicare and Medicaid Services’ Medicare Shared Savings Program (MSSP), plus other commercial and Medicare Advantage value based programs. DVACO is a joint venture among three stakeholders: Humana (majority owner), Main Line Health System, and Jefferson Health System. Humana takes the lead in providing administrative support in various areas including HR. DVACO’s MSSP participation accounts for the region’s largest Medicare ACO grouping, with more than 2,000 physicians and approximately 70,000 Medicare fee-for-service beneficiaries. Additionally, DVACO currently holds performance-based contracts with private payers, enhancing DVACO’s total number of beneficiaries to approximately 150,000. 2025-2026 Administrative Fellowship The DVACO Administrative Fellowship is a 1-year program designed for recent graduates of MHA, MBA, MPH, MS-POPH, or similar healthcare programs to build a foundation for a career in population health. The position emphasizes skills related to population health management, healthcare business planning, and leadership. Based on interests, the program may include rotations through various DVACO departments including Care Coordination, Practice Transformation, Data Analytics, Post-Acute Care and Clinical Quality, and the opportunity to become acquainted with each of our member hospitals. In addition to these rotations, the Fellow can tailor their experience through various projects in quality oversight, data reporting, performance improvement, physician engagement, informatics, network development, and contract/payer relations. This design gives the Fellow the opportunity to build fundamental communication, analytic, and problem-solving skills as well as an understanding of the ACO environment and population health strategies. To complement on-the-job training, fellows are involved in Board and other administrative meetings. Fellows report directly to Joel Port, SVP, Business and Network Development. Sample projects: Analyzes quality metrics linked to ACO financial performance and present findings to the BoardLeads strategic planning efforts to develop a specialist network within the ACODevelops a health equity strategy to update existing value-based contracting principlesDesigns a social determinant of health (SDOH) flag in the EMRAssesses behavioral health integration readiness of ACO physician practicesLeads the design of a new employee ACO ProductCreates financial models for new payor contractsManages the implementation of care coordination IT software among post-acute facilitiesDevelops contracts for the enhanced track Medicare Shared Savings Program (MSSP)Designs a strategy for the care coordination team to identify high risk patientsCommunicate with physician practices about their performance in DVACO initiativesAnalyzes administrative costs on a per member per month (PMPM) basis and develop a proformaLeads the development and implementation of a quality benchmarking system Application Materials: To be considered for the 2025 Administrative Fellowship, the following items must be attached to your application: 1. Cover Letter 2. Current Resume 3.Three letters of Recommendation​ a. At least one letter must be from a graduate professor b. At least one letter must be from a current or former employer 4. Personal Statement (1-2 pages addressing personal career goals and your view on the importance of population health management) 5. Official Graduate Transcript IMPORTANT DATES All application materials due Sunday, September 22, 2024 at 11:59pm EST Phone interviews late September - Early October Finalists interview date (virtual, full-day interview), October 11, 2024 Selection date No later than October 31, 2024 Want to learn more about our Fellowship program? Sign up for our Informational Webinars Register for our webinars by contacting KOsterhout@dvaco.org . Upcoming Webinar Dates: Monday, July 29th, 2024 at 9 AM ESTWednesday, August 14th, 2024 at 1 PM ESTTuesday, August 27th, 2024 at 5 PM EST Application Due Date Sunday, September 22nd, 2024 at 11:59pm EST Phone Interviews - Late September - Early October Finalists Interviews (Virtual, full-day interview format) - October 11th. The application will be open for submissions by July 2024. Please contact Krista Osterhout, current fellow, at KOsterhout@dvaco.org with any questions. In addition to being a great place to work, Humana/DVACO also offers industry leading benefits for all employees, starting your FIRST day of employment. Benefits include: Medical BenefitsDental BenefitsVision BenefitsHealth Savings AccountsFlex Spending AccountsLife Insurance401(k)PTO including 8 paid holidays, one personal holiday, one day of volunteer time off, 23 days of annual PTO, parental leave, caregiving leave, and weekly well-being timeAnd more Use your skills to make an impact Required Qualifications Graduate as of Spring 2025 of MHA/MPH/MBA/MS-POPH Accredited, or similar, degree program (for programs requiring a third year "residency" before granting a degree, completion of all academic course work is required)Strong written and verbal communication skills in a remote work environmentHighly motivated, and a self-starter Preferred Qualifications Graduate as of Spring 2025 of a Commission on the Accreditation of Healthcare Management Education (CAHME) programStrong interest in Population Health and/or Value-Based CareHistory of strong academic achievement Additional Information Want to learn more about our Fellowship program? Sign up for our Informational Webinars Register for our webinars by contacting KOsterhout@dvaco.org . Upcoming Webinar Dates: Monday, July 29th, 2024 at 9 AM ESTWednesday, August 14th, 2024 at 1 PM ESTTuesday, August 27th, 2024 at 5 PM EST Application Materials To be considered for the 2025 Administrative Fellowship, the following items must be attached to your application: -Cover Letter -Current Resume -Three letters of Recommendation At least one letter must be from a graduate professor At least one letter must be from a current or former employer -Personal Statement 1-2 pages addressing personal career goals and your view on the importance of population health management -Official Graduate Transcript IMPORTANT DATES All application materials due Sunday, September 22nd, 2024 at 11:59pm EST Phone interviews - Late September - Early October Finalists interview date (virtual, full-day interview) - October 11, 2024 Selection date - No later than October 31, 2024 Work at Home/Remote Requirements Work-At-Home Requirements To ensure Home or Hybrid Home/Office associates’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office associates must meet the following criteria:At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended to support Humana applications, per associate.Wireless, Wired Cable or DSL connection is suggested.Satellite, cellular and microwave connection can be used only if they provide an optimal connection for associates. The use of these methods must be approved by leadership. (See Wireless, Wired Cable or DSL Connection in Exceptions, Section 7.0 in this policy.)Humana will not pay for or reimburse Home or Hybrid Home/Office associates for any portion of the cost of their self-provided internet service, with the exception of associates who live or work from Home in the state of California, Illinois, Montana, or South Dakota. Associates who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense.Humana will provide Home or Hybrid Home/Office associates with telephone equipment appropriate to meet the business requirements for their position/job.Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information Our Hiring Process As part of our hiring process for this opportunity, we may contact you via text message and email to gather more information using a software platform called HireVue. HireVue Text, Scheduling and Video technologies allow you to interact with us at the time and location most convenient for you. If you are selected to move forward from your application prescreen, you may receive correspondence inviting you to participate in a pre-recorded Voice, Text Messaging and/or Video interview. Your recorded interview will be reviewed and you will subsequently be informed if you will be moving forward to next round of interviews If you have additional questions regarding this role posting and are an Internal Candidate, please send them to the Ask A Recruiter persona by visiting go/Buzz and searching Ask A Recruiter! Please be sure to provide the requisition number so we may be able to research your request quicker. #LI-LM1 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. $52,500 - $72,300 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 This is a remote, Work-At-Home position. If you have strong attention to detail and enjoy focused work, examining detail and verifying accuracy as part of a dedicated team, this could be the job for you. The Insurance Product Management Representative assists in the management of insurance product offerings for each market and customer need. They perform varied activities depending on product timelines and perform moderately complex administrative/operational/customer support assignments. Schedule to be discussed during interview. The Insurance Product Management Representative 2 monitors insurance product performance and recommends changes, cost adjustments or resource additions. This team supports the markets by engaging in Medicare product bid filings, implementing product changes, and member communication. They provide timely and accurate information and status updates to functional leaders. They help in identifying product gaps, recommending product changes, and overseeing the implementation of changes to products. Decisions are typically focused on the interpretation of area/department policy and methods for completing assignments. This position works within defined parameters to identify work expectations and quality standards, but has some latitude over prioritization/timing, and works under minimal direction. Success in this position requires the following: Ability to self-direct, take initiative and meet deadlinesStrong time-management and prioritization skillsEasily able to connect and work with others virtuallyAbility to focus on detailed information for 1-2 hours at a timeAn interest in insurance product offerings Use your skills to make an impact Required QualificationsComprehensive knowledge of these Microsoft Office applications: Word, Excel, Outlook and MS Teams.Strong verbal and written communication skills.Detailed focus on the task at hand with the ability to manage multiple or competing priorities.Solid sense of urgency as it relates to deliverables and priorities. Preferred Qualifications Associate degree in business or related fieldExperience with Medicare or Managed Care productsAuditing experience in any setting Additional Information To ensure remote employees’ ability to work effectively, the self-provided internet service 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 remote 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. 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. 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.
    • Full Time
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    Become a part of our caring community and help us put health first The Care Management Support Assistant 2 contributes to the administration of care management. Provides non-clinical support to the assessment and evaluation of members' needs and requirements to achieve and/or maintain an optimal wellness state by guiding members/families toward and facilitating interaction with resources appropriate for the care and well-being of members. The Care Management Support Assistant 2 performs varied activities and moderately complex administrative/operational/customer support assignments. Performs computations. Typically works on semi-routine assignments. Works directly with state agencies to monitor members eligibility Decisions are typically focused 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 Schedule will be Monday-Friday 10:30am-7:00pm EST Use your skills to make an impact Required Qualifications: This position is remote, but candidate must reside in Florida Proficient in Word, Outlook, and Excel 2 or more years of administrative support experience Excellent customer service and communication skills Ability to manage multiple or competing priorities, including use of multiple computer applications simultaneously A dedicated home office space, with a locked door, lacking ongoing interruptions to protect member PHI/HIPAA information Preferred Qualifications:Associate's Degree Obstetrics experience Bilingual Previous call center or related customer service experience Case Management experience Work-At-Home 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. $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.
    • Full Time
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    Become a part of our caring community and help us put health first At iCare/Humana we take pride in giving the best care to all of our members and we would love to have you join our team! This is a remote position within WI, ideally with a candidate living near the Milwaukee area. This role is a key member of our interdisciplinary team, where you will be responsible for partnering with your fellow colleagues to provide top quality coordination of care to our members. They are looking to you in providing assistance when it comes to living their daily lives. The RN is responsible for facilitating the coordination, communication, negotiation, and collaboration of streamlined healthcare delivery processes on behalf of the member. This is a rewarding role where you will be changing the lives of the members you serve! Assist with medical transitions of care- completes engagement with the member while inpatient, discharge coordination, and follow-up after discharge Employs a variety of strategies, approaches and techniques to manage a member's physical, environmental and psycho-social health issues.Identifies and resolves barriers that hinder effective care. Ensures patient is progressing towards desired outcomes by continuously monitoring patient care through assessments and/or evaluations.Contact and coordinate with acute and primary care providers.Identify and coordinate clinical and functional supports needed for the member’s health and safety.Educate on and promote prevention and wellness and mitigate risk when assessed.Create member care plans, updating frequentlyand develop smart goals.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.Identifies and resolves barriers that hinder effective care.Completes health risk screenings for members Use your skills to make an impact Required Qualifications Bachelor's degree3 - 5 years of clinical acute care experienceLicensed Registered Nurse (RN) in WI with no disciplinary action. Preferred Qualifications Experience with case management, discharge planning and patient education for adult acute careManaged care experience Additional Information Workstyle: Hybrid HomeWork Location: Remote within WisconsinTravel: Minimal travel requiredTypical Work Days/Hours: Monday through Friday, 8:30 am – 5:00 pm CST. WAH Internet Statement To ensure Home or Hybrid Home/Office employees’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is suggested.Satellite, cellular and microwave connection can be used only if approved by leadership.Employees who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense.Humana will provide Home or Hybrid Home/Office employees with telephone equipment appropriate to meet the business requirements for their position/job.Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information. Benefits Humana offers a variety of benefits to promote the best health and well-being of our employees and their families. We design competitive and flexible packages to give our employees a sense of financial security—both today and in the future, including: Health benefits effective day 1Paid time off, holidays, volunteer time and jury duty payRecognition pay401(k) retirement savings plan with employer matchTuition assistanceScholarships for eligible dependentsParental and caregiver leaveEmployee charity matching programNetwork Resource Groups (NRGs)Career development opportunities Modern Hire As part of our hiring process for this opportunity, we will be using an interviewing technology called Modern Hire to enhance our hiring and decision-making ability. Modern Hire allows us to quickly connect and gain valuable information from you pertaining to your relevant skills and experience at a time that is best for your schedule. SSN Alert Humana values personal identity protection. Please be aware that applicants may be asked to provide their Social Security Number, if it is not already on file. When required, an email will be sent from Humana@myworkday.com with instructions on how to add the information into your official application on Humana’s secure website. Scheduled Weekly Hours 40 Pay Range The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc. $69,800 - $96,200 per year This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance. Description of Benefits Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. About us 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 Technology Solution Implementation Professional 2 delivers new technological solutions to meet business needs within a specified scope while aligned to enterprise objectives. Work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action. The Technology Solution Implementation Professional 2: Gathers and documents business system and functional requirements, Influences system design to optimize support and ensures solutions meet the business objectives and requirements. Completes and/or coordinates implementation of design and requirements, testing, operational readiness, and transition to the appropriate production support team. 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 (Computer Science, Engineering, Finance, Accounting, or a related field). One or more years' experience with Oracle Enterprise Performance Management (EPM), or Oracle Enterprise Data Management Cloud Services (EDMCS), data governance, meta data governance or related roles Knowledge of the Systems Development Lifecycle (SDLC) Must be passionate about contributing to an organization focused on continuously improving consumer experiences Preferred Qualifications Administration of financial data assets Experience in metadata management, or related roles Sponsorship is not available for this position Additional Information 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 Social Security Task: Alert: Humana values personal identity protection. Please be aware that applicants being considered for an interview will be asked to provide a social security number, if it is not already on file. When required, an email will be sent from Humana@myworkday.com with instructions to add the information into the application at Humana’s secure website. HireVue Statement 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. 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 Humana is seeking a Social Worker/Case Manager, aka: Community Resource Coordinator (CRC), to join the Inclusa team to serve members in the Wisconsin Family Care (FC) program. In this role, you will be responsible for partnering with your fellow colleagues to provide top quality care to our members. They are looking to you in providing assistance when it comes to living their daily lives. The CRC provides comprehensive social service care management for frail elders and adults with intellectual, developmental or physical disabilities who qualify for Wisconsin’s FC program. Learn what is important to the member and support them in achieving it.Partner with a Health and Wellness Coordinator (RN) and collaborate on an ongoing basis regarding the member and their plan.Perform face-to-face social-related assessments for members upon enrollment and at least every 6 months thereafter in the member's setting.Coordinate, perform, and track quarterly face-to-face visits and monthly phone contacts.Participate in the development and ongoing review and coordination of the member's plan of care.Take the lead in areas related to social, community integration, employment, housing, and non-health related issues.Educate on and promote prevention/wellness and mitigate risk when assessed.Document activity and complete paperwork as required.Traveling will be required and eligible for mileage reimbursement. Use your skills to make an impact Required Qualifications Four-year bachelor’s degree in the Human Services or related field with one (1) year of experience working with at least one of the Family Care target populations OR a four-year bachelor’s degree in any other field with three (3) years’ related experience working with at least one of the Family Care target populations. ***The Family Care target group population is defined as: frail elders and adults with intellectual, developmental, or physical disabilities*** Preferred Qualifications Certification in social work Additional Information Workstyle: This is a field position where employees perform their core duties at non-company locations, such as providing services at business partner facilities or prospects' and members' homes.Work Location: La Crosse, WI and surrounding areas.Travel: up to 40% throughout La Crosse, WI and surrounding areas.Typical Work Days/Hours: Monday – Friday, 8:00 am – 4:30 pm CST Limited Geography Remote - This is a remote position but located within a specific geography. WAH Internet Statement To ensure Home or Hybrid Home/Office employees’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is suggested.Satellite, cellular and microwave connection can be used only if approved by leadership.Employees who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense.Humana will provide Home or Hybrid Home/Office employees with telephone equipment appropriate to meet the business requirements for their position/job.Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information. Driving This role is part of Humana's driver safety program and therefore requires an individual to have a valid state driver's license and proof of personal vehicle liability insurance with at least 100/300/100 limits. TB This role is considered patient facing and is part of Humana’s Tuberculosis (TB) screening program. If selected for this role, you will be required to be screened for TB. Benefits Humana offers a variety of benefits to promote the best health and well-being of our employees and their families. We design competitive and flexible packages to give our employees a sense of financial security—both today and in the future, including: Health benefits effective day 1Paid time off, holidays, volunteer time and jury duty payRecognition pay401(k) retirement savings plan with employer matchTuition assistanceScholarships for eligible dependentsParental and caregiver leaveEmployee charity matching programNetwork Resource Groups (NRGs)Career development opportunities Modern Hire/HireVue 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. $47,700 - $65,600 per year Description of Benefits Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. About us About Inclusa: Inclusa manages the provision of a person-centered and community-focused approach to long-term care services and support to Family Care members across the state of Wisconsin. As a values-based organization devoted to building vibrant and inclusive communities, Inclusa deploys a unique approach to managed care with a trademarked model of support named Commonunity® which focuses on the belief in everyone, and from that belief, the common good for all is achieved. In 2022, Inclusa was acquired by Humana. This partnership will allow us to create a model of care that provides industry-leading support for members across the health care continuum. About Humana: Humana Inc. (NYSE: HUM) is committed to putting health first – for our teammates, our customers, and our company. Through our Humana insurance services, and our CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large. Equal Opportunity Employer It is the policy of  Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or because he or she is a protected veteran. It is also the policy of  Humana to take affirmative action to employ and to advance in employment, all persons regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.
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