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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: Superior, WI and surrounding areas.Travel: up to 40% throughout Superior, 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 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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    Become a part of our caring community and help us put health first The Senior Risk Management Professional identifies and analyzes potential sources of loss to minimize risk. The Senior Risk Management Professional work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors. The Senior Claims Risk Management Professional will ensure claims payment quality in relation to our TRICARE policy requirements. The Senior Claims Risk Management Professional will investigate claims to identify errors and potential claim payment risks. They are expected to provide accurate, actionable and thorough feedback by completing quality audit reviews on a daily basis. Quality audit results are provided to operational areas to mitigate risk to the organization and further support quality related goals. The Senior Claims Risk Management Professional will regularly exercise discretion and judgment in prioritizing requests and interpreting and adapting procedures, processes and techniques, and are expected to work under limited guidance due to previous experience and depth of knowledge of administrative processes and organizational knowledge. KEY ACCOUNTABILITIES 70% -- This individual utilizes strong analytics, technical, and communication skills as well as deep, broad understanding of TRICARE policies to complete high dollar claim quality audit reviews, which consist of approval and processing determinations for release of payment. This individual is responsible for conducting focus claim studies and duplicating claim detection through the DHA Duplicate Claims System (DCS). 15% -- This individual researches alleged claim payment errors for quarterly and annual government audits. Where appropriate, this individual prepares written rebuttal responses to alleged payment errors using exhibits and TRICARE Policy references as support.5% -- This individual develops and recommends controls and cost-effective approaches to minimize claims processing risks5% -- This individual will perform advanced administrative/operational/customer support duties that require independent initiative and judgment5% -- This individual assists in special projects as directed by Department Management Use your skills to make an impact Required Qualifications Our Department of Defense contract requires U.S. citizenshipSuccessfully receive approval for government security clearance (eQIP - Electronic Questionnaire for Investigation Processing)Minimum 2 years of experience in TRICARE claims experience to include professional and institutional claims reimbursementSelf-starter and able to succeed with minimal supervision or direct managerial oversightStrong analytical and decision making skillsFamiliarity with mainframe and personal computer applicationsAbility to work within deadlines, demonstrate independence and be able to self-manage in a production environmentComprehensive knowledge of Microsoft Office Applications including Word, Excel, and AccessExcellent verbal communication skills 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 degree in accounting, business, or information systems, with significant accounting concentrationExperience with statistical analytic software packages such as SAS, Tableau and/or other data presentation and analytical tools 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. $76,800 - $105,800 per year This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance. Description of Benefits Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. About us Humana Inc. (NYSE: HUM) is committed to putting health first – for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large. Equal Opportunity Employer It is the policy of  Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or because he or she is a protected veteran. It is also the policy of  Humana to take affirmative action to employ and to advance in employment, all persons regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.
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    Become a part of our caring community and help us put health first The Associate VP, Technology Solutions devises an effective strategy for executing and delivering on IT business initiatives. The Associate VP, Technology Solutions requires a in-depth understanding of how organization capabilities interrelate across segments and/or enterprise-wide. Humana is a Fortune 50 market leader in integrated healthcare whose dream is to help people achieve lifelong well-being. As a company focused on the health and well-being of the people we serve, Humana starts from within, and is committed to providing progressive benefits that advance the employment experience and vitality of the associate community. Through offerings anchored in a whole-person view of human well-being, Humana embraces a focus on stimulating positive individual and population changes while nurturing a sense of security, enabling people to live life fully and be their most productive. The AVP, Technology Solutions is responsible for leading the overall technology advancement for CenterWell Pharmacy. This will encompass end-to-end management of the platforms which support the Traditional Mail, Specialty, Retail and OTC platforms as well as supporting systems. You will work strategically with CenterWell Pharmacy executives and other cross-functional leaders to drive technology solutions to meet the current and future needs of our business. Job Responsibilities: Directly accountable for $25-35M of IT spend per year in Direct Labor, Professional Services, Hardware/Software, SaaS, etc Drive a delivery roadmap with both short-term capabilities and long-term solutions in support of the Pharmacy strategy Define and execute large scale transformation initiatives to uplift pharmacy technology posture to support long term technology and business objectives Provide technical leadership and guidance in delivering best-in-class solutions aligned to business goals Manage large delivery teams and create a culture of high performance and engagement through goal setting, talent development, coaching, and feedback Evaluate new technology, software, and processes continuously, and recommend changes as appropriate to advance capabilities of the organization Influence and oversee implementation of an enterprise level data strategy and platform to deliver business value Work cross functionally across the enterprise to ensure Pharmacy technology is highly resilient, secure and robust Attract, hire, grow, and mentor individuals on the team and foster an environment of engagement Actively advocate for new ways of working and delivering on outcomes; lead and support technology and business team’s adoption and adherence to Agile principles Effectively communicate with diverse stakeholders, including senior leaders across IT and the enterprise. Own and effectively manage key business and IT vendor relationships Behavioral Competencies: Exceptional leadership skills, marked by poise, positive influence, and the ability to drive change. A management style that is collaborative, energetic, results-oriented, and innovative. Ability to credibly contribute to business discussions and influence strategic and commercial outcomes across the business. Strong analytical and strategic thinking skills, with the ability to influence senior leaders across both the business and technology. Proven track record of successful collaboration in a highly matrixed organization. A “talent magnet” who is inspiring to all levels within the organization. The ability to attract and retain top talent, build a world class technology team, and develop next-level leaders. Demonstrated advanced ability to use integrated and conceptual thinking to solve problems. Demonstrated ability to employ judgment and experience to make rapid, complex decisions. Significant expertise establishing and develop strong working relationships with all levels of associates and external parties, while maintaining appropriate levels of objectivity to their work. Use your skills to make an impact Key Candidate Qualifications: Bachelor's degree in Computer Science or related IT field 15+ years of progressive technical leadership experience 8+ years of experience leading large people teams comprised of a mix of associates and contractors Healthcare and/or Pharmacy background in technology preferred A demonstrated willingness to challenge the status quo and offer opinions and perspectives that run counter to prevailing viewpoints Deep understanding of modern information technology strategy and practices Solid understanding of business strategy and a record of demonstrating how technology enables business outcomes Experience in managing change by leading and energizing others, modeling adaptability, and inspiring strong organizational performance through periods of transformation, ambiguity, and complexity. Understanding of and experience with implementing AI capabilities to drive business and operational benefits Excellent oral and written communication skills, including the polish, poise, and executive presence that will ensure effective interaction with senior and executive level audiences Must be passionate about contributing to an organization focused on continuously improving consumer experiences 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. $185,700 - $255,500 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 We are looking for a talented and experienced leader to join our growing Home Health Data Engineering team. In this role, you will be responsible for providing strategic direction, technical leadership, and day-to-day management for our data engineering team. You will play a key role in designing, developing, and implementing our data infrastructure, ensuring that it is scalable, secure, and reliable. We are looking for someone with a passion for improvement; both in our processes and in yourself. This is a hands-on, leadership position responsible for the scaling and maturation of our data environment. Do you have a passion for building high-performing data pipelines and inspiring teams to deliver innovative solutions? Are you a person who dives in and works with other engineers to solve real world problems? Are you a strategic thinker with a deep understanding of data architecture and best practices? If so, we want to hear from you! What you will be doing: Oversee the data architecture and strategy for our Home Health businessDevelop and implement a long-term vision and roadmap for the data engineering functionLead the migration effort from an on-prem data warehouse to SnowflakeLead and mentor a team of data engineers, fostering a collaborative and high-performing work environment.Partner across multiple departments to drive optimal use of data, build data processes, and product offerings that support our strategic direction.Architect and implement scalable and secure data infrastructure solutions, leveraging cloud technologies (e.g. Snowflake and Azure) as needed.Stay up to date on the latest trends and technologies in data engineering and recommend improvements to our data ecosystem.Collaborate with IT and security teams to ensure data governance and compliance. Technology you will manage: Snowflake, Azure, SQL Server, SSRS, SSIS, Intersystems Gateway Use your skills to make an impact Required Qualifications: 5+ years leading and inspiring data engineering teamsA deep understanding of data architecture, pipelines (ETL/ELT), and warehousing.5+ years experience building, deploying, validating, and scaling data analyticsA knack for building secure and reliable data infrastructure, leveraging cloud solutions (Snowflake, AWS, GCP, Azure).The ability to translate complex business needs into technical solutionsThe leadership chops to mentor, motivate, and empower a high-performing team of data engineersAn attitude of success defined by team accomplishments Preferred Qualifications: Prior experience migrating to Snowflake 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. $153,500 - $211,300 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 MRA finance team within Healthcare Quality Reporting and Improvement (HQRI) is responsible for projecting and tracking risk adjustable revenue. Specifically, this role projects and tracks risk adjustable revenue from prospective programs and other strategic initiatives to inform the overall revenue forecast. Claims data as well as data from CMS are utilized to project revenue generated from specific programs. Role Responsibilities Use data to project and track specific sources of risk adjustable revenue Evaluate strategic initiatives and programs to inform decisions and planning Compile data used by operational leaders to optimize effectiveness of strategic initiatives and inform risk adjustable revenue forecasts Enhance modeling techniques to improve accuracy of forecasts Independently monitor reporting for emerging trends and insights to inform operational decisions Continuously driving for improvement through analysis of program data and program performance, while providing timely communication of results Required Qualifications Bachelor's Degree Working knowledge SQL, SAS, or other software for forecasting and reporting Must be able to explain variances and trends and enhance modeling techniques Experience managing complex datasets for forecasting and reporting Must be able to exercise independent judgment and decision making on complex issues regarding job duties Preferred Qualifications Experience working with Medical Claims or other healthcare data Medicare Risk Adjustment Experience Masters Degree Use your skills to make an impact Work-At-Home Requirements To ensure Home or Hybrid Home/Office associates’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office associates must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is suggested Satellite, cellular and microwave connection can be used only if approved by leadership Associates who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense. Humana will provide Home or Hybrid Home/Office associates with telephone equipment appropriate to meet the business requirements for their position/job. Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information 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. Interview Format As part of our hiring process for this opportunity, we will be using an exciting interviewing technology called Modern Hire to enhance our hiring and decision-making ability. Modern Hire allows us to quickly connect and gain valuable information for you pertaining to your relevant skills and experience at a time that is best for your schedule. If you are selected for a first-round interview, you will receive an email correspondence inviting you to participate in a Modern Hire interview. In this interview, you will receive a set of interview questions over your phone, and you will provide recorded or text message responses to each question. You should anticipate this interview to take about 15 minutes. Your recorded interview will be reviewed, and you will subsequently be informed if you will be moving forward to next round of interviews. Why Humana? At Humana, we know your well-being is important to you, and it’s important to us too. That’s why we’re committed to making resources available to you that will enable you to become happier, healthier, and more productive in all areas of your life. Just to name a few: Work-Life Balance Generous PTO package Health benefits effective day 1 Annual Incentive Plan 401K – Immediate company match Well-being program Paid Volunteer Time Off Student Loan Refinancing If you share our passion for helping people, we likely have the right place for you at Humana! Scheduled Weekly Hours 40 Pay Range The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc. $78,800 - $108,500 per year This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance. Description of Benefits Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. About us Humana Inc. (NYSE: HUM) is committed to putting health first – for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large. Equal Opportunity Employer It is the policy of  Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or because he or she is a protected veteran. It is also the policy of  Humana to take affirmative action to employ and to advance in employment, all persons regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.
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    Become a part of our caring community and help us put health first Humana is seeking a Human Resources Quality Data Entry Representative 3 to provide assistance to leaders and HR partners with the entry of transactions into HR Systems. The Data Entry Representative 3 keys a variety of standard and/or complex business data into a computer, prepares source data for entry by opening and sorting mail, obtains missing data, and protects the organization's value by keeping information confidential. The Data Entry Representative 3 performs advanced administrative/operational/customer support duties that require independent initiative and judgment, may apply intermediate mathematical skills, and decisions are typically focused on methods, tactics and processes for completing administrative tasks/projects. The Data Representative 3 regularly exercises discretion and judgment in prioritizing requests and interpreting and adapting procedures, processes and techniques, and works under limited guidance due to previous experience/breadth and depth of knowledge of administrative processes and organizational knowledge. The candidate’s responsibilities will include but are not limited to the following: · Access and navigate through multiple complex computer systems to review and input HR, benefit and payroll data form various transactions/error reports · Complete peer work review for accuracy of data entry; correcting and reporting entries as needed · Manually enter confidential associate data into appropriate systems, records and files · Perform routine data audits to verify accuracy and make corrections according to defined business processes · Ensure timeliness and accuracy of all data processing to maintain expectations of associates and service level agreements · Communicate effectively with leaders and HR partners to resolve complex HR and payroll inquiries · Interact with HR partners on matters affecting data, and make recommendations for improvement or enhancement of job processes to ensure and maintain standards in data entry, collection and retrieval Use your skills to make an impact Required Qualifications Minimum 2-3 years of experience in data entryExperience supporting an HR functionProven problem solving abilitiesDemonstrated ability to handle confidential information, and maintain a high level of emotional intelligenceEffective communication skills with the ability to work with all levels of associates & leadershipWorking knowledge of all Microsoft Office applications including Word & ExcelIf selected for an offer within range of a Humana location, this role is will be considered hybrid. If not within proximity of a Humana location, this role is considered fully remote.Preferred Qualifications Associate’s or Bachelor’s Degree is highly desiredWorkday experience Additional Information Work-At-Home Requirements: To ensure Home or Hybrid Home/Office associates’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office associates must meet the following criteria: • At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is suggested • Satellite, cellular and microwave connection can be used only if approved by leadership • Associates who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense. • Humana will provide Home or Hybrid Home/Office associates with telephone equipment appropriate to meet the business requirements for their position/job. • Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information 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. 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 for you pertaining to your relevant skills and experience at a time that is best for your schedule. If you are selected for a first round interview, you will receive an email correspondence inviting you to participate in a HireVue interview. In this interview, you will receive a set of interview questions over your phone and you will provide recorded or text message responses to each question. You should anticipate this interview to take about 15 minutes. Your recorded interview 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. $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 Manager, Grievance and Appeals ensures that products meet certain standards of quality. The Manager, Grievance and Appeals works within specific guidelines and procedures; applies advanced technical knowledge to solve moderately complex problems; receives assignments in the form of objectives and determines approach, resources, schedules and goals. The Manager, Grievance and Appeals is responsible for leading and guiding a team of auditors in delivering service and operational excellence through the consistent application of Humana Capital strategies which focus on continuous improvement in the areas of contributions, competencies and performance for the Grievance & Appeals Department. Find ways to improve the organization’s efficiency and accuracy related to Medicare Part C/D Grievance and Appeals and to minimize compliance risk exposure to the company. Gather data from various sources and look for patterns and trends. Perform deep-dive analyses to identify root cause failures and develop remediation action plans. Collaborate with stakeholders including business partners, SMEs and BAs to find process efficiencies for upstream and downstream processes and improve business performance/drive results. Support short- and long-term operation/strategic business activities through analytics. Interact one-on-one and consult with all levels of leadership. Effective at working at both a data detail level and a strategic thinking level. Analyze and interpret reports on metrics associated with goals and objectives Use your skills to make an impact Required Qualifications Associate’s Degree in Business, Finance, Healthcare, or related field 7 years or more years of equivalent work experience in Grievance and Appeals, Claims, Authorizations, CMS, Provider Disputes and/or healthcare industry 1 or more years of experience conducting Root cause Analysis (Within a healthcare industry environment) and providing insights/findings to Senior Leadership 2 or more years of leadership (Supervisor, Manager or above) experience Strong knowledge of Medicare and Medicaid standards and regulations Strong attention to detail, organizational and analytical skills with the ability to manage multiple priorities and/or projects Excellent communication and presentation skills to include the ability to communicate and present technical details to senior and/or executive level leadership. Expertise in Microsoft Excel with the ability to perform advanced functions Proficiency with Microsoft Office software (Word, Teams, Outlook) Must be passionate about contributing to an organization focused on continuously improving consumer experiences Preferred Qualifications Bachelor’s or Master’s degree in Business, Finance, Healthcare or related field 3 years of Grievances and Appeals experience. Working experience with Power BI and/or Tableau Previous auditing experience Knowledge of or experience with health and business data and informatics Bilingual (English and Spanish), must be able to read, write and speak Additional Information Work Style: Remote Work Days/Hours: Monday – Friday; must be able to work an 8 hour shift sometime between the hours of 8 a.m. – 5 p.m. Eastern Standard Time (EST). Additional hours may be required for business need. HireVue Statement: As part of our hiring process for this opportunity, we will be using an exciting interviewing technology called HireVue to enhance our hiring and decision-making ability. HireVue allows us to quickly connect and gain valuable information from you pertaining to your relevant skills and experience at a time that is best for your schedule. Work at Home/Remote Requirements To ensure Hybrid Office/Home associates’ ability to work effectively, the self-provided internet service of Hybrid Office/Home associates must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is suggested Satellite, cellular and microwave connection can be used only if approved by leadership Associates who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense. Humana will provide Home or Hybrid Home/Office associates with telephone and computer equipment appropriate to meet the business requirements for their position/job. Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information This is a remote position #LI-Remote Scheduled Weekly Hours 40 Pay Range The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc. $76,800 - $105,800 per year This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance. Description of Benefits Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. About us About CarePlus Health Plans: CarePlus Health Plans is a recognized leader in healthcare delivery that has been offering Medicare Advantage health plans in Florida over 23 years. CarePlus strives to help people with Medicare, or both Medicare and Medicaid, achieve their best possible health and wellness through plans with benefits and services they care about. As a wholly owned subsidiary of Humana, CarePlus currently serves Medicare beneficiaries throughout 21 Florida counties. About Humana: Humana Inc. (NYSE: HUM) is committed to putting health first – for our teammates, our customers, and our company. Through our Humana insurance services, and our CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large. Equal Opportunity Employer It is the policy of  Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or because he or she is a protected veteran. It is also the policy of  Humana to take affirmative action to employ and to advance in employment, all persons regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.
    • Full Time
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    Become a part of our caring community and help us put health first The Small Group Sales Representative works with agents and consultants to sell Ancillary Group insurance products to new and existing accounts with 2 - 50 eligible employees. The Small Group Sales Representative is responsible for discovering, developing and maintaining benefits brokerage relationships that result in the ongoing sales and retention of Humana’s Group benefit products for distribution in a specific region. The Small Group Sales Representative will be held accountable for the achievement of production through tenacious broker development. Brokers should view them as the benefits experts for all products that the executive is expected to sell in the given territory. They will deliver organized, polished presentations of solutions, with benefits tied to the employer’s business needs. The Ancillary Small Group Sales Representative will develop and execute a comprehensive strategic plan that results in increased sales and maximized profitability by maintaining and expanding penetration of existing products and cross selling other Humana products. Job Responsibilities Achieve or exceed personal sales production expectations established by management.Develop and maintain multiple benefits brokerage relationships within assigned territory.Tracks all activities in company’s CRM system and keep current by updating account information regularly.Develop a clear understanding of our business and our diverse Group products. Must gain a thorough understanding of our business relationships within the brokerage community and the clients we serve.Collaborate with Ancillary Sales Executive and Ancillary Client Executive to expand broker/client relationship in assigned markets.Implement and support new sales initiatives developed by Humana to increase sales of existing products and/or develop sales of new products.Work closely with the market team to support, mentor and motivate the team to create a strong culture and drive positive results.Coordinate with other team members and departments to optimize the sales effort.Builds Brand across the market in conjunction with outside organizations and key constituents.Identify other strategic relationships in the market and develop those circles of influence to drive business to Humana, Inc.Occasionally be required to set-up new cases and participate in enrollment Use your skills to make an impact Required QualificationsBachelor’s degree or equivalent work experience2+ years’ experience selling group InsuranceExperience selling Dental, Vision and other Ancillary products.Experience building relationships with brokers.Consultative selling background and experiencesStrong verbal and written communication skillsBusiness and Financial AcumenValid State Health and Life insurance licenses.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 insuranceAbility to occasionally travel to the market meet with brokers and team members. Additional Information WAH requirements: Must have the ability to provide a high speed DSL or cable modem for a home office (Satellite and Wireless Internet service is NOT allowed for this role). A minimum standard speed for optimal performance of 10x1 (10mbs download x 1mbs upload) is required. # LI-KR1 Scheduled Weekly Hours 40 Pay Range The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc. $56,400 - $77,600 per year This job is eligible for a commission incentive plan. This incentive opportunity is based upon company and/or individual performance. Description of Benefits Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. About us Humana Inc. (NYSE: HUM) is committed to putting health first – for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large. Equal Opportunity Employer It is the policy of  Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or because he or she is a protected veteran. It is also the policy of  Humana to take affirmative action to employ and to advance in employment, all persons regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.
    • Full Time
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    Become a part of our caring community and help us put health first The Compliance Nurse 2 reviews utilization management activities and documentation to ensure adherence to policies, procedures, and regulations and to prevent and detect fraud, waste, and abuse. The Compliance Nurse 2 work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action. The role analyzes report data daily, weekly, monthly, and as needed to assess and identify trends that pose a compliance risk to UM authorization determinations. The Compliance Nurse 2 ensures mandatory reporting completed. Conducts and summarizes compliance audits. Collects and analyzes data daily, weekly, monthly or as needed to assess outcome and operational metrics for the team and individuals. 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. Reviews denial letters issued to members and providers to ensure compliance with accreditation entities and State contractual requirements. Follows established guidelines/procedures. Use your skills to make an impact Required Qualifications Active Licensed Registered Nurse, (RN), in your state of residence without disciplinary action and ability to obtain multiple licenses. A minimum of three years varied clinical nursing experience. 2 years of experience in utilization management with MCG Guidelines Ability to work independently under general instructions and with a team. Intermediate or better proficiency using Microsoft Office Word, Excel, PowerPoint, navigating multiple systems and platforms and ability to troubleshoot and resolve basic technical difficulties in a remote environment. Preferred Qualifications BSN Behavioral Health Utilization Management Health Plan experience working with large carriers Previous Medicare/Medicaid experience a plus Certification in Case Management a plus (CCM) Experience with National Committee for Quality Assurance (NCQA) requirements Workstyle: Remote work at Home Location: Compact State Preferred Schedule: Must be able to work an 8-hour shift Monday through Friday until 6:30 PM Eastern Time Ability to work weekends and holidays on a rotating schedule. (about 2 weekends per month, and 2 holidays per year) Travel: 1 to 2 time annually to the local market office as needed for meetings Work at Home Guidance To ensure Home or Hybrid Home/Office associates’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office associates must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is suggested Satellite, cellular and microwave connection can be used only if approved by leadership Associates who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense. Humana will provide Home or Hybrid Home/Office associates with telephone equipment appropriate to meet the business requirements for their position/job. Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information Interview Format As part of our hiring process for this opportunity, we will be using an exciting interviewing technology called Montage Voice to enhance our hiring and decision-making ability. Modern Hire Voice 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 for a first-round interview, you will receive an email correspondence (please be sure to check your spam or junk folders often to ensure communication isn’t missed) inviting you to participate in a Modern Hire Voice interview. In this interview, you will listen to a set of interview questions over your phone, and you will provide recorded responses to each question. You should anticipate this interview to take about 15 to 30 minutes. 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, 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. 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. 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 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 #L1-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. $69,800 - $96,200 per year This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance. Description of Benefits Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. About us Humana Inc. (NYSE: HUM) is committed to putting health first – for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large. Equal Opportunity Employer It is the policy of  Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or because he or she is a protected veteran. It is also the policy of  Humana to take affirmative action to employ and to advance in employment, all persons regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.
    • Full Time
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    Become a part of our caring community and help us put health first Humana is focused on the well-being of our members and empowering them to live a life that’s healthy, active, and rewarding. The Marketing Technology & Data Platforms team is a part of Humana’s Enterprise Growth organization, supporting marketing initiatives across the enterprise and for multiple lines of business. We are looking for a Senior Experience Strategy & Transformation Professional who can play a role in defining and transforming MarTech channel strategy to enhance effectiveness. Key Role Functions Develop and socialize MarTech channel strategy with an enterprise-level mindset across various channels including email, SMS and others (i.e. direct mail, VAT, live agent, fax, etc.) as prioritized in the future Work with internal stakeholders and external vendors to align planned strategies for execution Work with internal stakeholders and external vendors to strategically transform workflow as needed to create additional channel effectiveness and efficiency Develop, maintain, and socialize channel best practices leveraging Humana-specific information and industry trends Report out monthly on channel health via scorecard noting key takeaways, highlights, insights, and actionable opportunities Develop and socialize email content calendar processes to manage large send volumes across multiple IP’s and domains Collaborate with various cross-functional IT and business teams Consult on consumer experience design related to channel effectiveness and compliance. Adopt agile mindset and assist in ART epic planning/prioritization of capability enhancements Use your skills to make an impact Required Qualifications Bachelor’s degree or higher in business, marketing or related field 3+ years of experience in marketing technology, email marketing and/or communications Deep understanding of MarTech channel strategy (email, SMS, direct mail, VAT, live agent, fax, etc.) Ability to develop and track KPI’s and analyze results Excellent time management skills with a proven ability to meet deadlines Comfortable dealing with ambiguity and effortlessly moves between strategic and tactical activities Preferred Qualifications Experience in Salesforce Marketing Cloud Experience in Healthcare, financial services, or other regulated industries Additional Information To ensure Home or Hybrid Home/Office employees’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is suggested Satellite, cellular and microwave connection can be used only if approved by leadership Employees who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense. Humana will provide Home or Hybrid Home/Office employees with telephone equipment appropriate to meet the business requirements for their position/job. Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information Humana offers a variety of benefits to promote the best health and well-being of our employees and their families. We design competitive and flexible packages to give our employees a sense of financial security—both today and in the future, including: Health benefits effective day 1 Paid time off, holidays, volunteer time and jury duty pay Recognition pay 401(k) retirement savings plan with employer match Tuition assistance Scholarships for eligible dependents Parental and caregiver leave Employee charity matching program Network Resource Groups (NRGs) Career development opportunities Humana values personal identity protection. Please be aware that applicants may be asked to provide their Social Security Number, if it is not already on file. When required, an email will be sent from Humana@myworkday.com with instructions on how to add the information into your official application on Humana’s secure website. Scheduled Weekly Hours 40 Pay Range The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc. $76,800 - $105,800 per year This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance. Description of Benefits Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. About us Humana Inc. (NYSE: HUM) is committed to putting health first – for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large. Equal Opportunity Employer It is the policy of  Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or because he or she is a protected veteran. It is also the policy of  Humana to take affirmative action to employ and to advance in employment, all persons regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.
    • Full Time
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    Become a part of our caring community and help us put health first Humana's Marketing Organization is seeking an Associate Director, Sales Enablement Technology to join the Retail Marketing team working remote anywhere in the U.S. You will lead and develop a team of 5 marketing professionals that lead the implementation of technology solutions that support the end-to- end agent and market leader experience. As the Associate Director, Sales Enablement Technology, you will plan, recommend, implement, and optimize market leader and agent experiences and journeys with our sales enablement and communication technology platforms. You will work closely with our sales organization, technology vendors, marketing technology team, IT and other cross functional areas to deliver digital experiences that help drive agent and market leader engagement and differentiate Humana from other carriers. Responsibilities Drive the creation and execution of a best-in-class market leader and agent experience for education, sales enablement and communication.Drive the vision for how we empower agents, maximizing the capabilities of enablement platforms to drive agent and marketing engagement and impact agent productivity.Understand the agent and market leader journeys and “jobs to be done” and drive technology strategy and communication strategies that differentiate Humana across the experienceSales Enablement and Communication Technology managementSite Architecture and DesignUse case developmentRoadmap developmentRequirements development and documentationUser group definition, development and maintenanceTaxonomy and tagging managementSaaS vendor managementTechnology Governance – tagging, business rules, adherenceTechnology change management Use your skills to make an impact Required Qualifications Bachelor's degree in Marketing, Communications, Management Information Systems or related field 15+ years of marketing with some experience supporting a sales organization 10+ years of marketing/sales enablement technology management experience/SaaS platform - Salesforce Marketing Cloud, Highspot, SproutLoud or other sales enablement technology platforms Site Architecture and Design Use case development Roadmap development Requirements development and documentation User group definition, development and maintenance Taxonomy and tagging management SaaS vendor management Technology Governance – tagging, business rules, adherence Technology change management Experience influencing cross functional teams to deliver best-in-class audience experiences Budget and project management experience Strategically oriented, resourceful, influential, innovative and critical thinker Ability to create and maintain relationships with internal and external partners Must be passionate about contributing to an organization focused on continuously improving audience experiences Experience working as a people leader Preferred Qualifications MBA or advanced degree Prior health insurance industry experience Additional Information To ensure Home or Hybrid Home/Office employees’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is suggested Satellite, cellular and microwave connection can be used only if approved by leadership Employees who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense. Humana will provide Home or Hybrid Home/Office employees with telephone equipment appropriate to meet the business requirements for their position/job. Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information 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 for a first-round interview, you will receive an email correspondence (please be sure to check your spam or junk folders often to ensure communication isn’t missed) inviting you to participate in a HireVue interview. In this interview, you will listen to a set of interview questions over your phone, and you will provide recorded responses to each question. You should anticipate this interview to take about 15 to 30 minutes. Your recorded interview will be reviewed, and you will subsequently be informed if you will be moving forward to next round of interviews. Alert: Humana values personal identity protection. Please be aware that applicants selected for leader review may be asked to provide a social security number, if it is not already on file. When required, an email will be sent from Humana@myworkday.com with instructions to add the information into the application at Humana’s secure website. 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.
    • Full Time
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    Become a part of our caring community and help us put health first If you are a problem solver, resourceful, and looking to make a difference for your family as well as others, we want you on the Humana Government Business team! Help us deliver exceptional experiences to our TRICARE members as a Work from Home Inbound Contact Beneficiary Service Representative (BSR). · Deliver a consistent customer service experience by providing efficient and timely resolutions to our TRICARE beneficiaries and providers  · Act as customer advocate by resolving complex concerns in an accurate and timely fashion  · Demonstrate ability to make good business decisions aligned with our Humana values  · Prioritize workload to continuously answer incoming calls and maintain established schedules  Use your skills to make an impact Required Qualifications:  · Our Department of Defense contract requires U.S. Citizenship for this role  · Must successfully receive interim approval for government security clearance (eQIP - Electronic Questionnaire for Investigation Processing)  · Must have 2 or more years customer service experience in a professional environment · Prior experience managing multiple or competing priorities, including use of multiple computer applications simultaneously.  · Demonstrated ownership to problem-solve independently  · Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information    Required Work Schedule:  Training:  · This role starts on August 26th, 2024. Virtual Training will start on day one of employment and runs the first 6 to 8 weeks with a schedule of 8:30 am - 5:00 pm EST, Monday – Friday. · Attendance is vital for success, so no time off is allowed during training, with the exception of observed (and paid) company holidays. Work Schedule Following Training:  · Following training, you will work an 8-hour shift between the hours of 8:00 am – 7:00 pm (regardless of time zone), Monday - Friday. Shifts will be assigned at time of offer. · The initial 180 days of employment constitute an Appraisal Period, during which unapproved or unscheduled time off is restricted.  This Appraisal Period is essential to your learning and development, which is why we ask for perfect attendance.   · 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 12 months before applying to other Humana opportunities outside of Humana Government Business. Preferred Qualifications:   Experience in healthcare, military, or managed care environment  Call Center experience  College degree (Associate’s or Bachelor’s) highly preferred  Knowledge of customer service principles and practices – formal training or experience 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. As part of our hiring process for this opportunity, we will be using an interviewing technology called HireVue to enhance our hiring and decision-making ability. HireVue allows us to quickly connect and gain valuable information from you pertaining to your relevant skills and experience at a time that is best for your schedule.  If you are selected for a first-round interview, you will receive an email correspondence (please be sure to check your spam or junk folders often to ensure communication isn’t missed) inviting you to participate in a HireVue interview. In this interview, you will listen to a set of interview questions over your phone, and you will provide recorded responses to each question. You should anticipate this interview to take about 15 to 30 minutes. Your recorded interview will be reviewed, and you will subsequently be informed if you will be moving forward to next round of interviews.   ALERT:  Humana values personal identity protection.  Please be aware that applicants selected for leader review may be asked to provide a Social Security Number, if it is not already on file.  When required, an email will be sent from Humana@myworkday.com with instructions to add the information into the application at Humana’s secure website. This is a remote position #LI-Remote Scheduled Weekly Hours 40 Pay Range The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc. $31,900 - $43,900 per year Description of Benefits Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. About us Humana Inc. (NYSE: HUM) is committed to putting health first – for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large. Equal Opportunity Employer It is the policy of  Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or because he or she is a protected veteran. It is also the policy of  Humana to take affirmative action to employ and to advance in employment, all persons regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.
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    Become a part of our caring community and help us put health first ***Total compensation package (base pay +commission with guarantee) could exceed $123K depending on experience and location.*** Are you passionate about the Medicare population, looking for an opportunity to work in sales, and wanting the ability to directly impact your own income potential? If so, we are looking for licensed, highly motivated, and self-driven individuals to join our team. In this field position, you will build community relationships, drive self-generated sales, and meet sales goals and metrics while working independently. You will be interacting with Humana’s customers, external business partners and the community we serve through face-to-face, telephonic, virtual interactions. Our Medicare Sales Representatives sell individual health plan products and educate beneficiaries on our services in a field setting. Some of our additional products include: Life, Annuity, Indemnity, Dental, Vision, Prescription, and more. Humana has an inclusive and diverse culture welcoming candidates with multilingual skill sets to service our consumers. Use your skills to make an impact Required Qualifications Active Health Insurance license or ability to obtainBilingual with the ability to speak, read, and write in both English and Spanish without limitations or assistancePrior experience using multiple applications/software and multiple screens simultaneouslyThis role is part of Humana's Driver safety program and therefore requires an individual to have a valid state driver's license and proof of personal vehicle liability insurance with at least 100/300/100 limits Must reside in Philadelphia, PA Preferred Qualifications Active Life Insurance licenseAssociate's or Bachelor's degree Engaged with the community through service, organizations, activities and volunteerism  Bilingual with the ability to speak, read and write in both English and an additional language without limitations or assistance, preferably SpanishStrong organizational, interpersonal, communication and presentation skillsProficient use of Microsoft Office and an understanding of or comparable knowledge of CRM tools and other sales/marketing resources Additional Information Any Humana associate who speaks with a member in a language other than English must take a language proficiency assessment, provided by an outside vendor, to ensure competency. Applicants will be required to take the Interagency Language Rating (ILR) test as provided by the Federal Government. Humana Perks:      Humana offers a variety of benefits to promote the best health and well-being of our employees and their families. We design competitive and flexible packages to give out employees a sense of financial security – both today and in the future, including:   ***Total compensation package (base pay +commission with guarantee) could exceed $123K depending on experience and location.***Health benefits effective day 1   Paid time off, holidays, volunteer time, and jury duty pay401(k) retirement savings plan with employer matchTuition assistanceScholarships for eligible dependentsParental and caregiver leaveEmployee charity matching programNetwork Resource Groups (NRGs)Career Development Opportunities Social Security Task: Humana values personal identity protection. Please be aware that applicants may be asked to provide their Social Security Number, if it is not already on file. When required, an email will be sent from Humana@myworkday.com with instructions on how to add the information into your official application on Humana’s secure website. Virtual Pre-Screen: As part of our hiring process for this opportunity, we will be using an interviewing technology called HireVue to enhance our hiring and decision-making ability. HireVue allows us to quickly connect and gain valuable information from you pertaining to your relevant skills and experience at a time that is best for your schedule. #MedicareSalesReps Scheduled Weekly Hours 40 Pay Range The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc. $34,700 - $47,700 per year This job is eligible for a commission incentive plan. This incentive opportunity is based upon company and/or individual performance. Description of Benefits Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. About Us Humana Inc. (NYSE: HUM) is committed to putting health first – for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large. Equal Opportunity Employer It is the policy of  Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or because he or she is a protected veteran. It is also the policy of  Humana to take affirmative action to employ and to advance in employment, all persons regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.
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    Become a part of our caring community and help us put health first ***Total compensation package (base pay +commission with guarantee) could exceed $115K depending on experience and location.*** Are you passionate about the Medicare population, looking for an opportunity to work in sales, and wanting the ability to directly impact your own income potential? Do you have a track record of building trusting relationships in the community and exceeding expectations? If so, we are looking for licensed, highly motivated and self-driven individuals to join our team. In this field  position, you will: build community relationships, drive self-generated sales and meet sales goals and metrics while working independently. You will be interacting with Humana’s customers, external business partners and the community we serve through face-to-face, virtual and telephonic interactions. Face to face will encompass grass roots marketing and field sales events in the community as well as visiting prospects in their homes. Our Medicare Sales Field Agent sells individual health plan products and educate beneficiaries on our services in a field setting. Some of our additional products include: Life, Annuity, Indemnity, Dental, Vision, Prescription, and more. Humana has an inclusive and diverse culture welcoming candidates with multilingual skill sets to service our consumers. Face to face interactions in prospective members’ home are a requirement for this position. Use your skills to make an impact Required Qualifications Active Florida Health Insurance license Experience with technology to include high level use of laptop and mobile phone applications with an understanding of CRM tools or other sales/marketing resources Experience with Microsoft Office products such as Excel and Outlook This role is part of Humana's Driver safety program and requires an individual to have a valid state driver's license and proof of personal vehicle liability insurance with at least 100/300/100 limits  Must reside in the local territory (Miami/Dade County) Preferred Qualifications Active Florida Life and Variable Annuity Insurance licenseAssociate's or Bachelors’ degree Prior experience in TEAMS and PowerPointExperience engaging with the community through service, organizations, activities and volunteerismExperience selling Medicare products  Prior experience in public speaking and presentations   Additional Information This position is in scope of Humana’s Driving Safety and Vehicle Management Program and therefore subject to driver license validation and MVR review. ​Schedule: Meeting with members requires appointments and/or event times that may vary on nights and weekends. Flexibility is essential to your success. Training: The first five weeks of employment and attendance is mandatory. Alert: Humana values personal identity protection. Please be aware that applicants selected for leader review may be asked to provide their social security number, if it is not already on file. When required, an email will be sent from Humana@myworkday.com with instructions on how to add the information into your official application on Humana’s secure website. Humana Perks:      Full time associates enjoy    Total compensation package (base pay +commission with guarantee) could exceed $115K depending on experience and location   Medical, Dental, Vision and a variety of other supplemental insurances   Paid time off (PTO) & Paid Holidays   401(k) retirement savings plan with a competitive match   Tuition reimbursement and/or scholarships for qualifying dependent children And much more!  #medicaresalesrep Scheduled Weekly Hours 40 Pay Range The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc. $31,500 - $43,400 per year This job is eligible for a commission incentive plan. This incentive opportunity is based upon company and/or individual performance. Description of Benefits Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. About Us 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 Consumer Service Operations Representative 2 represents the Dual Eligible Outreach Department by taking inbound calls to members and/or providers regarding a variety of issues. The Consumer Service Operations Representative 2 performs advanced administrative/operational/customer support duties that require independent initiative and judgment. The Consumer Service Operations Representative 2 performs advanced administrative/operational/customer support duties that require independent initiative and judgment. May apply intermediate mathematical skills. The Consumer Service Operations Representative 2 performs varied activities and moderately complex administrative/operational/customer support assignments. We are looking for motivated and highly driven career minded professionals that enjoy making a difference in others’ lives. This rewarding role allows you the opportunity to engage our members over the phone by assisting in determining their eligibility for state and federal programs that can improve their wellbeing. The Consumer Service Operations Representative role spends time with our members, gathering personal and financial information required to complete state applications on behalf of the member. This role requires individuals to be great multitaskers, as you are inputting information captured by the member during the call and updating in the various systems we use daily. Although assisting members with completing the Medicare Saving Program application is our first objective, we also assist our members with locating additional resources to promote healthy living, like determining if they suffer from food insecurity, or/and need assistance with lowering the cost of their medications at their local pharmacy. If you enjoy utilizing your skills and experience to help those in need, this role is for you! At Humana, one of our core values is to inspire the health of others. We are looking for individuals who enjoy talking to others about their health while providing education, support, and encouragement to improve their wellbeing. We also desire, to cultivate the uniqueness of each of our associates as well as our members and are looking for individuals from various backgrounds to bring their expertise to the role. If you are looking to join a team of dynamic professionals, we welcome you to apply! Hours are Monday-Friday 10:40am – 7:10pm, with scheduled lunch and breaks. Position will be in-office for the first 6 months (101 E Main Street, Louisville, Ky 40202), with opportunity to go remote, based on performance, good attendance and demonstrated ability to thrive independently. *$1,500 SIGN-ON BONUS* for new associates! The payout for this bonus will be 5 months from start date Use your skills to make an impact Required Qualifications 3 years of customer service experience, including typing/data entryAbility to be flexible to an ever-changing environment.Excellent verbal, listening and written communication skillsAptitude for quickly learning and navigating new technology, systems and applications.Proficient in Microsoft Office Outlook and Word Preferred Qualifications Associate's or Bachelor's DegreePrevious healthcare experience.Previous inbound and/or outbound call center 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. $37,200 - $51,200 per year Description of Benefits Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. About Us Humana Inc. (NYSE: HUM) is committed to putting health first – for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large. Equal Opportunity Employer It is the policy of  Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or because he or she is a protected veteran. It is also the policy of  Humana to take affirmative action to employ and to advance in employment, all persons regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.
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    Become a part of our caring community and help us put health first The Consumer Service Operations Representative 2 is responsible for the daily activities across multiple service functions area. The Consumer Service Operations Representative 2 performs varied activities and moderately complex administrative/operational/customer support assignments. Performs computations. Typically works on semi-routine assignments. We are looking for motivated and highly driven career minded professionals that enjoy making a difference in others’ lives. This rewarding role allows you the opportunity to engage our members over the phone by assisting in determining their eligibility for state and federal programs that can improve their wellbeing. The Consumer Service Operations Representative role spends time with our members, gathering personal and financial information required to complete state applications on behalf of the member. This role requires individuals to be great multitaskers, as you are inputting information captured by the member during the call and updating in the various systems we use daily. Although assisting members with completing the Medicare Saving Program application is our first objective, we also assist our members with locating additional resources to promote healthy living, like determining if they suffer from food insecurity, or/and need assistance with lowering the cost of their medications at their local pharmacy. If you enjoy utilizing your skills and experience to help those in need, this role is for you! At Humana, one of our core values is to inspire the health of others. We are looking for individuals who enjoy talking to others about their health while providing education, support, and encouragement to improve their wellbeing. We also desire, to cultivate the uniqueness of each of our associates as well as our members and are looking for individuals from various backgrounds to bring their expertise to the role. If you are looking to join a team of dynamic professionals, we welcome you to apply! The Consumer Service Operations Representative 2 may perform installation, implementation, client support, client services, client administration, customer service, enrollment and eligibility, claims processing, and call center operations. Use your skills to make an impact Required Qualifications 3 years of customer service experience, including typing/data entryBilingual English/Spanish You must be fully bilingual in English/Spanish and will be required to pass a test for both languages - Speaking/Reading/Writing included. ***Please submit resume in English. ​ Excellent verbal, listening and written communication skillsAptitude for quickly learning and navigating new technology, systems and applicationsProficient in Microsoft Office Outlook and WordMust be passionate about contributing to an organization focused on continuously improving consumer experiencesHours are Monday-Friday 10:40am – 7:10pm, with scheduled lunch and breaks. Position will be in-office for the first 6 months (101 E Main Street, Louisville, Ky 40202), with opportunity to go remote, based on performance, good attendance and demonstrated ability to thrive independently Preferred Qualifications Associate's or Bachelor's DegreePrevious healthcare experiencePrevious inbound and/or outbound call center 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. $37,200 - $51,200 per year Description of Benefits Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. About Us Humana Inc. (NYSE: HUM) is committed to putting health first – for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large. Equal Opportunity Employer It is the policy of  Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or because he or she is a protected veteran. It is also the policy of  Humana to take affirmative action to employ and to advance in employment, all persons regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.
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    Become a part of our caring community and help us put health first The Social Determinants of Health, (SDoH), Coordinator, Professional 1, cultivates the organization's social community through community advocacy programs and active engagement with community members. The Social Determinants of Health, (SDoH), Coordinator, Professional 1, work assignments are often straightforward and of moderate complexity. Humana Healthy Horizons in Kentucky is seeking an SDoH Coordinator to join our growing team! This role connects enrollees to community supports to health address their health-related social needs and improve health outcomes. As an SDoH Coordinator, you would be joining a greater team whose primary focus is on health equity. Health equity is the attainment of the highest level of health for all people, where everyone has a fair and just opportunity to attain their optimal health regardless of race, ethnicity, disability, sexual orientation, gender identity, socioeconomic status, geography, preferred language, or other factors that affect access to care and health outcomes. Share your talents and develop your skills all while doing your part to make a difference in the lives of others. Social Determinants of Health (SDoH) coordinators assist in connecting enrollees with community-based support to meet transportation, food insecurity, education, and employment needs, among other SDoH needs. Our SDOH coordinators will be responsible for supporting Case Managers, Care Coaches, and Community Engagement and Outreach Representatives to find appropriate community resources to address SDOH. Essential Role Functions and Responsibilities Conduct telephonic non-clinical assessment(s) to understand enrollee care needs, preferences, and socioeconomic barriers. Work collaboratively with other Humana associates as a member of Humana’s Care Management Support teams, including Case Managers, Community Health Workers, Care Coaches, and Community Engagement and Outreach Representatives. Serve as a member of enrollee multi-disciplinary care teams (MDT), as requested. Assist enrollees with scheduling physical health and behavioral health (BH) office visits and addressing barriers to appointment attendance. Assess enrollee barriers to healthy living and accessing healthcare services and arrange needed social services and supports. Contact enrollees when they miss appointments to find out why the appointment was missed and problem-solve to address barriers to care. Monitor enrollee compliance with their care plan and provide motivational interviewing to support medication and treatment adherence. Provide social support to help boost enrollees’ morale and sense of self-worth, serving as a trustworthy, reliable, non-judgmental, consistent, and accepting member of the enrollee’s MDT. Support enrollee self-management through the provision of culturally appropriate health education and health coaching. Serve as a key knowledge source for community services and information for enrollees and other Humana associates. Build and maintain relationships with providers and community resources to support enrollee identification and referrals. Implement community assessments to identify community resource gaps. Use your skills to make an impact Required Qualifications Bachelor's degree in social services, psychology, or a related human services field 2 years of experience with case management and/or assessing and care planning Knowledge of Microsoft Office Word and Excel Exceptional verbal/written communication and interpersonal skills Ability to use a variety of electronic information applications/software programs Must be passionate about contributing to an organization focused on continuously improving health equity Preferred Qualifications Masters Degree Prior experience with Medicare & Medicaid recipients Experience with health promotion, coaching and wellness Knowledge of community health, social service agencies, and additional community resources Additional Information Workstyle: Remote work at home Location: Kentucky Schedule: Must be able to work an 8-hour shift Monday through Friday between 8:00 AM and 6:00 PM Eastern Time. No weekends or holidays Travel: Quarterly travel to Louisville Kentucky for onsite meetings Work at Home Guidance To ensure Home or Hybrid Home/Office employees’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is suggested Satellite, cellular and microwave connection can be used only if approved by leadership Employees who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense. Humana will provide Home or Hybrid Home/Office employees with telephone equipment appropriate to meet the business requirements for their position/job. Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information 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. 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. $44,200 - $60,900 per year Description of Benefits Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. About us Humana Inc. (NYSE: HUM) is committed to putting health first – for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large. Equal Opportunity Employer It is the policy of  Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or because he or she is a protected veteran. It is also the policy of  Humana to take affirmative action to employ and to advance in employment, all persons regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.
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    Become a part of our caring community and help us put health first We are seeking a compassionate, organized, and experienced case manager to join our amazing team! The Community Resource Coordinator (CRC)/Case Manager will 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.Approximately 40% of this role is traveling to see members in their homes and travel is eligible for mileage reimbursement. Travel is primarily in the Sauk/Juneau counties. 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*** 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: Reedsburg, Wisconsin and surrounding areas.Travel: up to 40% throughout Sauk and Juneau CountiesTypical 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 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 Home Health Nursing, RN enables patients to stay in their homes by providing health and personal services; supporting patients and their families. The Home Health Nursing, RN work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action. The Home Health Nursing, RN assesses and records patient condition by monitoring vital signs. Administers treatments by dispensing medications; changing bandages; administering oxygen supply and equipment. Helps patients care for themselves and helps family members care for the patient by introducing and teaching assisted living techniques such as using a cane or walker, using special utensils to eat, using special techniques and equipment for personal hygiene needs, and appropriate ways to lift, turn, and re-position the patient. 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 Typically requires Bachelor’s degree or equivalent and less than 5 years of technical experience RN Licensure required 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. $69,800 - $96,200 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 Home Health Nursing, LPN/LVN enables patients to stay in their homes by providing health and personal services; supporting patients and their families. The Home Health Nursing, LPN/LVN work assignments are often straightforward and of moderate complexity. The Home Health Nursing, LPN/LVN assesses and records patient condition by monitoring vital signs. Administers treatments by dispensing medications; changing bandages; administering oxygen supply and equipment. Helps patients care for themselves and helps family members care for the patient by introducing and teaching assisted living techniques such as using a cane or walker, using special utensils to eat, using special techniques and equipment for personal hygiene needs, and appropriate ways to lift, turn, and re-position the patient. 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 Typically requires Bachelor’s degree or equivalent and less than 3 years of technical experience LPN/LVN Required 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. $44,200 - $60,900 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 Join our amazing team at Humana/Inclusa! To be successful in the role of the Accounting Specialist, you must maintain member, provider, and employee confidentiality. The Accounting Specialist provides claim/billing submission for a variety of services and/or case management expenses incurred by Inclusa, tracking of payments and rejections, and analysis. Provides backup for general accounting and business department tasks as needed. This job demands quality, accuracy, timeliness, thoroughness and attention to detail. This position must maintain the integrity of business and client information. In addition, the ability to communicate effectively and develop good working relationship with others and make sound business decisions is critical. Submits internal claims/billing to third party administrator for all member services and supports paid or provided directly by Inclusa and, in some instances, by contracted providers. Researches all claim/billing rejections, makes necessary changes, and resubmits to third party administrator.Researches coding and authorization issues as necessary.Audits work of previous claim submissions including correction and resubmission. Reconciles all billing submissions to maintain complete and accurate Family Care encounter reporting.Analyzes and provides detail of monthly AR to Finance Director. Assists with development and maintenance of policies and procedures related to the Accounting/Billing Specialist position. Provides backup to AP AR GL Clerk as needed. Use your skills to make an impact Required Qualifications Intermediate to Advanced Excel skillsTwo years of accounting experience in the last five yearsAssociates degreeReside in the State of WI Preferred Qualifications Bachelor's DegreeKnowledge of Microsoft AccessExperience with Oracle, Oracle AP, or Oracle General Ledger Additional Information Workstyle: Hybrid HomeWork Location: Remote within WisconsinTravel: Minimal travel requiredTypical 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. 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. $34,500 - $47,400 per year Description of Benefits Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. About us About 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 Process Improvement Professional 1 analyzes, and measures the effectiveness of existing business processes and develops sustainable, repeatable and quantifiable business process improvements. The Process Improvement Professional 1 work assignments are often straightforward and of moderate complexity. The Process Improvement Professional 1 researches best business practices within and outside the organization to establish benchmark data. Collects and analyzes process data to initiate, develop and recommend business practices and procedures that focus on enhanced safety, increased productivity and reduced cost. Determines how new information technologies can support re-engineering business processes. May specialize in one or more of the following areas: benchmarking, business process analysis and re-engineering, change management and measurement, and/or process-driven systems requirements. Understands 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 degreeExperience in working with Electronic Medical RecordsMore than 3 years of technical experienceHigh level of proficiency with all Microsoft applications (Planner, Excel, Sharepoint, OneNote)Strong customer service, organization and communication skillsData analytics experienceMust be passionate about contributing to an organization focused on continuously improving consumer experiences Preferred Qualifications 1-3 years of Long term care or healthcare plan experience Additional Information Location: Work from homeHours: Monday-Friday 8am-4:30pm 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/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. $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 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 Director, Virginia Medicaid Provider Services leads a team that is accountable for growing positive, long-term relationships with network providers to foster positive provider experiences, accurate and timely provider claims submissions, and high-quality care delivery among network providers, resulting in improved financial and quality performance. This senior market leader will oversee a team of direct and indirect reports responsible for provider relations and training, claims education, provider engagement, and practice transformation. They are responsible for setting strategic direction for these accountable business functions, representing the team at meetings with the state and/or key provider groups, and overseeing that all provider services functions meet contractual requirements and state reports are completed timely and accurately. The Director, Provider Services, requires an in-depth understanding of how organization capabilities interrelate across the team, Virginia Medicaid market, and the enterprise. This is a dynamic role requiring strong leadership experience, critical thinking/problem solving skills, and a strategic mindset. This position is dedicated to the Virginia Medicaid plan and must be based in or willing to relocate to Virginia. Set strategic direction for and oversee key business functions, including provider relations and training, claims analysis and education, provider quality and value-based payment performance, and practice transformation. Builds and supports the development and growth of positive, long-term relationships with network providers, including but not limited to primary care providers, hospitals, rural health clinics, human services districts, federally qualified health centers, behavioral health providers, and long-term care providers and healthcare systems in order to maintain service support excellence and improve financial and quality performance within the contracted working relationship with the health plan. Regularly review data, such as claims denial/rework data and trends, call center data, and provider performance data to monitor team performance and guide strategic improvements to provider relationships and performance. Provides Virginia market oversight and governance of provider audits, compliance, provider surveys, provider service and relations, credentialing, contract management systems, and practice transformation. Ensure team’s compliance [state]’s Managed Care Contractual requirements for provider relations, such as claims dispute resolution within specified timeframes Work closely with enterprise teams on claims processing, reporting, contracting/credentialing, network adequacy, provider dispute resolution issues, and provider performance tracking and tool enhancements. Guide the Provider Services Advisor to plan and deliver regular and ad hoc provider communications and provider training and education strategy Drives performance, develops operational policies and procedures to align with the provider services model and executes on strategic initiatives within the provider network. Represent Humana at meetings with the Virginia Department of Medical Assistance Services Participate in, and travel to if needed, key provider meetings and provider association meetings Conduct regular performance evaluation of employees and provide ongoing feedback and coaching as necessary to achieve service, quality, and production goals. Identify and support professional development for direct and indirect reports to drive exceptional associate engagement and performance Set and monitor team key performance indicators Use your skills to make an impact Required Qualifications Bachelor's degree 5+ years in provider relationship management, provider education, provider issue resolution, and provider value-based performance improvement 2+ years of project leadership experience. 5+ years of management experience. Experience with data analysis, understanding, communicating, and reporting on operational trends and gaps. Knowledge of Medicaid regulatory requirements. Intermediate knowledge of Microsoft Suite applications, specifically Word, Excel, and PowerPoint. Ability to travel throughout Virginia Must reside in Virginia Preferred Qualifications Masters degree. Experience with credentialing and contract management systems Working knowledge of managed care health plan and provider operations. Additional Information This position will be Hybrid/Home along with working in the field This role is a part of Humana’s Driver Safety program and therefore requires an individual to have a valid state driver’s license and proof of personal vehicle liability insurance with at least 100,000/300,000/100,000 limits. Work at Home Criteria To ensure Home or Hybrid Home/Office employees’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is suggested. Satellite, cellular and microwave connection can be used only if approved by leadership. Humana will provide Home or Hybrid Home/Office employees with telephone equipment appropriate to meet the business requirements for their position/job. Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information. Interview Format As part of our hiring process for this opportunity, we will be using an interviewing technology called HireVue to enhance our hiring and decision-making ability. 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. $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.
    • Full Time
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    Become a part of our caring community and help us put health first The Behavioral Health Care Manager, Telephonic 2, in a telephonic environment, assesses and evaluates members' needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families toward and facilitate interaction with resources appropriate for the care and wellbeing of members. The Behavioral Health Care Manager’s work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action. The Behavioral Health Care Manager, Telephonic 2 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. May create member care 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. Must be passionate about contributing to an organization focused on continuously improving consumer experiences Use your skills to make an impact Required Qualifications Must meet one (1) of the following: Unrestricted active licensed Registered Nurse (RN) in the state of South Carolina with no active disciplinary action Master's degree clinician in the field of social work, nursing, rehabilitation, psychology or related health and human services and licensed in South Carolina in one of the following, LCSW, LMSW, LMSW-ACP, CSW, LPC, LMFT without disciplinary action. Must meet all of the following: 3+ years of clinical acute care experience in a behavioral health setting Experience with serious mental illness specialty population 1 year Care Coordination/Case Management Comprehensive knowledge of Microsoft Office applications including Word, Excel, and Outlook Preferred Qualifications For RN, BSN Experience with case management, discharge planning and patient education for adult acute care Managed care experience Certified Case Manager (CCM) Additional Information Work Schedule: Monday - Friday; 8:00 AM - 5:00 PM Eastern Time Location: Must reside in South Carolina Travel: Ability to travel on site for trainings as needed Remote Work at Home Guidance To ensure Home or Hybrid Home/Office employees’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is suggested Satellite, cellular and microwave connection can be used only if approved by leadership Employees who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense. Humana will provide Home or Hybrid Home/Office employees with telephone equipment appropriate to meet the business requirements for their position/job. Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information Interview Process As part of our hiring process, we will be using an exciting interviewing technology provided by Modern Hire, a third-party vendor. This technology provides our team of recruiters and hiring managers an enhanced method for decision-making. If you are selected to move forward from your application prescreen, you will receive correspondence inviting you to participate in a pre-recorded Voice Interview and/or an SMS Text Messaging interview. If participating in a pre-recorded interview, you will respond to a set of interview questions via your phone. You should anticipate this interview to take approximately 10-15 minutes. If participating in a SMS Text interview, you will be asked a series of questions to which you will be using your cell phone to answer the questions provided. Expect this type of interview to last anywhere from 5-10 minutes. Your recorded interview(s) via text and/or pre-recorded voice will be reviewed, and you will subsequently be informed if you will be moving forward to next round of interviews. SSN Alert Statement Humana values personal identity protection. Please be aware that applicants may be asked to provide their Social Security Number, if it is not already on file. When required, an email will be sent from Humana@myworkday.com with instructions on how to add the information into your official application on Humana’s secure website. Scheduled Weekly Hours 40 Pay Range The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc. $57,700 - $79,500 per year This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance. Description of Benefits Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. About us Humana Inc. (NYSE: HUM) is committed to putting health first – for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large. Equal Opportunity Employer It is the policy of  Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or because he or she is a protected veteran. It is also the policy of  Humana to take affirmative action to employ and to advance in employment, all persons regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.
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    Become a part of our caring community and help us put health first Are you a skilled Accessibility Designer with expertise in the principles of Inclusive Design? Are you passionate about ensuring digital access to all users, regardless of age or ability? Are you interested in collaborating with a core team of designers, content strategists, front-end developers and testing specialists to enable highly usable experiences? Humana is committed to investing in innovative digital experiences that improve our consumers’ quality of life and their interaction with our business. We connect a wide array of users—including consumers, members, internal associates, providers, and agents/brokers—with Humana and with one another, to drive user engagement and satisfaction and bring increasing value to the business. Day to day responsibilities: The Enterprise Design Standards team is responsible for creating an exceptional user-centered, standards-based system that guides initiatives across our digital products, including web applications, mobile apps, and other user interfaces. We collaborate with a diverse range of teams throughout the Humana digital ecosystem, driving integration of inclusive best practices throughout the product life cycle in an Agile design and development environment. As a key member of the Enterprise Design Standards team, your empathy, expertise and leadership will be instrumental in crafting barrier-free digital experiences that exceed user expectations. As an Accessibility Design Lead, you will: Champion accessibility and inclusivity as a core standards principle, ensuring that Humana’s digital products stay current with accessibility standards and regulations including WCAG 2.1 and beyond Advocate for Universal Design principles, with a particular focus on designing for seniors and those with varying levels of digital literacy Provide accessibility criteria for Design Standards and Style Guides documentation Conduct accessibility audits and usability testing on any new styles, components, design patterns and other foundational elements of the design system, to ensure that these are validated before release to teams across the enterprise Consult with and upskill product, design and development teams on accessibility methodologies and considerations for assistive technologies Partner with user research to promote and conduct usability testing with users with diverse abilities Stay updated on industry trends, emerging guidelines and technologies, to ensure our standards remain innovative and meet evolving user needs Contribute to the organization’s Standards and Processes in support of digital accessibility Promote the use of accessibility best practices during product planning and design phases through: On request, conduct reviews against Accessibility Standards and Guidelines Collaborating with content, design and front-end team members to find accessible solutions for new development or remediation, and build consensus around the best solution for users with disabilities Helping teams to prioritize found issues, determine the best way to document, track and close them Use your skills to make an impact Required Qualifications 5+ years of experience as an Accessibility Consultant/Lead Strong understanding of current industry-standard, accessible interaction design principles and patterns Demonstrated ability to work with and influence team members while building consensus and maintaining collaborative working relationships Ability to make strategic decisions and mitigate risk in order to produce timely recommendations Significant experience designing with business, technical and design guideline constraints Ability to adapt existing processes and deliverables when necessary to meet project needs and improve accessibility Proven influence on best practices for bias-removal in user testing with persons with disabilities Deep knowledge of assistive technology and criteria for accessible code Proficiency in prototyping applications such as Figma, including partner plugins and tools that support accessibility validation during the design process Experience using assistive technologies, including screen readers, screen magnifiers and native mobile capabilities Preferred Qualifications Bachelor's Degree in Human-Computer Interaction Design or similar field; an advanced degree in human computer interaction, user interface design, human factors or design planning, is preferred (significant relevant work experience may substitute for an advanced degree). One or more certifications from International Association of Accessibility Professionals (IAAP) e.g., CPACC, WAS, CPWA Experience designing for a senior audience and/or user testing with participants over the age of 65 Excellent analytical and process-oriented skills Excellent verbal, written and presentation skills Involved with the accessibility community in the U.S. Work-At-Home Information To ensure Home or Hybrid Home/Office employees’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is 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. $126,800 - $174,500 per year This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance. Description of Benefits Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. About us Humana Inc. (NYSE: HUM) is committed to putting health first – for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large. Equal Opportunity Employer It is the policy of  Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or because he or she is a protected veteran. It is also the policy of  Humana to take affirmative action to employ and to advance in employment, all persons regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.
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