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    Become a part of our caring community and help us put health first The Venture Investing Lead identifies, investigates, analyzes, negotiates and forms third-party strategic alliances to create mutually beneficial business partnerships/arrangements. The Venture Investing Lead negotiates terms that maintain the organization's brand integrity and value while leveraging alliance partners' resources. Key responsibilities include: Works collaboratively with Market leadership to drive Strategies to optimize Humana's competitive position inclusive of activities spanning decisions required for day-to-day operations to strategic planning and addressing specific business performance issues across matrixed organization and fostering key relationships with business stakeholders.Develops and grows positive, long-term relationships with physicians, providers and healthcare systems in order to support and improve financial and quality performance within the contracted working relationship with the health planCreates and executes partnership terms and collaborates with partners to present a unified solution.Coordinates communications with alliance partners and ensures all deliverables are met according to the partnership agreements. Begins to influence department’s strategyCompletes in depth Market analysis to analyze demographic, socioeconomic, competitor landscape and other key data to identify areas of focus for Primary care clinic development. Use your skills to make an impact Required Qualifications Bachelor's degree3+ years health care industry / Value Base Healthcare experience requiredPrior experience in delivering virtual or in-person presentationsMeet Work at home connectivity requirements listed in additional information Preferred qualifications Power BIBuxton Mapping softwareMergers and Acquisitions experience Additional Information Work at Home policy 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 HireVue Statement As part of our hiring process for this opportunity, we will be using an interviewing technology called HireVue to enhance our hiring and decision-making ability. HireVue allows us to quickly connect and gain valuable information from you pertaining to your relevant skills and experience at a time that is best for your schedule. Scheduled Weekly Hours 40 Pay Range The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc. $123,800 - $170,400 per year This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance. Description of Benefits Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. About us Humana Inc. (NYSE: HUM) is committed to putting health first – for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large. Equal Opportunity Employer It is the policy of  Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or because he or she is a protected veteran. It is also the policy of  Humana to take affirmative action to employ and to advance in employment, all persons regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.
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    Become a part of our caring community and help us put health first The Medical Director actively uses their medical background, experience, and judgement to make determinations whether requested services, requested level of care, and/or requested site of service should be authorized. All work occurs within a context of regulatory compliance, and work is assisted by diverse resources, which may include national clinical guidelines, CMS policies and determinations, clinical reference materials, internal teaching conferences, and other reference sources. Medical Directors will learn Medicare and Medicare Advantage requirements, and will understand how to operationalize this knowledge in their daily work. The Medical Director’s work includes computer-based review of moderately complex to complex clinical scenarios, review of all submitted clinical records, prioritization of daily work, communication of decisions to internal associates, and possible participation in care management. The clinical scenarios predominantly arise from inpatient or post-acute care environments. Has discussions with external physicians by phone to gather additional clinical information or discuss determinations regularly, and in some instances these may require conflict resolution skills. Some roles include an overview of coding practices and clinical documentation, grievance and appeals processes, and outpatient services and equipment, within their scope. The Medical Director may speak with contracted external physicians, physician groups, facilities, or community groups to support regional market priorities, which may include an understanding of Humana processes, as well as a focus on collaborative business relationships, value based care, population health, or disease or care management. Medical Directors support Humana values, and Humana’s Bold Goal mission, throughout all activities. Responsibilities The Medical Director provides medical interpretation and determinations whether services provided by other healthcare professionals are in agreement with national guidelines, CMS requirements, Humana policies, clinical standards, and (in some cases) contracts. The ideal candidate supports and collaborates with other team members, other departments, Humana colleagues and the Regional VP Health Services. After completion of structured and mentored training, daily work is performed with minimal direction, but with ready support from other team members. Enjoys working in a structured environment with expectations for consistency in thinking and authorship. Exercises independence in meeting departmental expectations, and meets compliance timelines. Use your skills to make an impact Responsibilities The Medical Director provides medical interpretation and determinations whether services provided by other healthcare professionals are in agreement with national guidelines, CMS requirements, Humana policies, clinical standards, and (in some cases) contracts. The ideal candidate supports and collaborates with other team members, other departments, Humana colleagues and the Regional VP Health Services. After completion of mentored training, daily work is performed with minimal direction. Enjoys working in a structured environment with expectations for consistency in thinking and authorship. Exercises independence in meeting departmental expectations, and meets compliance timelines. Supports the assigned work with respect to market-wide objectives (e.g. Bold Goal) and community relations as directed. Required Qualifications MD or DO degree5+ years of direct clinical patient care experience post residency or fellowship, which preferably includes some experience in an inpatient environment and/or related to care of a Medicare type population (disabled or >65 years of age).Current and ongoing Board Certification an approved ABMS Medical SpecialtyA current and unrestricted license in at least one jurisdiction and willing to obtain additional license, if required.No current sanction from Federal or State Governmental organizations, and able to pass credentialing requirements.Excellent verbal and written communication skills .Evidence of analytic and interpretation skills, with prior experience participating in teams focusing on quality management, utilization management, case management, discharge planning and/or home health or post acute services such as inpatient rehabilitation.Preferred Qualifications Knowledge of the managed care industry including Medicare Advantage, Managed Medicaid and/or Commercial products, or other Medical management organizations, hospitals/ Integrated Delivery Systems, health insurance, other healthcare providers, clinical group practice management.Utilization management experience in a medical management review organization, such as Medicare Advantage, managed Medicaid, or Commercial health insurance.Experience with national guidelines such as MCG® or InterQualInternal Medicine, Family Practice, Geriatrics, Hospitalist, Emergency Medicine clinical specialistsAdvanced degree such as an MBA, MHA, MPHExposure to Public Health, Population Health, analytics, and use of business metrics.Experience working with Case managers or Care managers on complex case management, including familiarity with social determinants of health.The curiosity to learn, the flexibility to adapt and the courage to innovate Additional Information Typically reports to a Regional Vice President of Health Services, Lead, or Corporate Medical Director, depending on size of region or line of business. The Medical Director conducts Utilization Management of the care received by members in an assigned market, member population, or condition type. May also engage in grievance and appeals reviews. May participate on project teams or organizational committees. #physiciancareers Scheduled Weekly Hours 40 Pay Range The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc. $199,400 - $274,400 per year This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance. Description of Benefits Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. About us Humana Inc. (NYSE: HUM) is committed to putting health first – for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large. Equal Opportunity Employer It is the policy of  Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or because he or she is a protected veteran. It is also the policy of  Humana to take affirmative action to employ and to advance in employment, all persons regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.
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    Become a part of our caring community and help us put health first Humana, a Fortune 50 Healthcare Company Humana is a publicly traded, Fortune 50 healthcare company with a long history of successful innovation and reinvention. It has transformed itself from the largest US nursing home company in the 60’s, to the largest US hospital corporation in the 80’s, to a leading health benefits company beginning in the 90’s. Today, Humana is a leader in consumer-focused health solutions and is one of the largest health benefits organizations in the country. Location: remote The Healthcare Strategy team supports Humana’s Medicare and Medicaid business unit. This business unit, Humana’s largest, comprises the majority of the company’s total revenue and earnings. Team members partner with the senior leaders of the business unit, and more broadly with leaders throughout the enterprise, as they deliver strategy projects addressing some of the businesses most important opportunities and challenges. These high-profile strategy projects place the team at the forefront of helping to define the future of Humana’s largest businesses. Humana is seeking an experienced team member with meaningful management consulting experience to support delivering some of Medicare and Medicaid’s highest priority projects and initiatives, with an emphasis on Medicare Advantage strategy development. As a Medicare Strategy Lead, you will deconstruct issues and challenges, perform targeted research and analysis, and craft sound, logical solutions and recommendations. You will also shape implementation considerations, and work with business owners as appropriate to transition analysis into execution. While doing so, you will have the opportunity to collaborate with fellow team members, subject matter experts, members of Humana’s executive Management Team, and corporate, functional, and business unit leaders. While deep diving into key areas, you will also have a bird’s-eye view of the business unit’s overall strategy. Your role be instrumental in synthesizing the strategic choices being made across the business unit into coherent plans to drive growth and profitability, while simultaneously improving the lives and health of Humana’s members. As such, the ability to facilitate meetings, drive diverse groups to consensus, and influence key stakeholders will be essential to success in this role. Recent example projects include assessing the performance of strategic initiatives and business areas, evolving key facets of the Medicare Advantage growth strategy, leading the development of the annual Medicare Advantage strategic plan, and refreshing the strategy for Humana’s sales organization. Key responsibilities include: Delivering high quality analysis and deliverables that clearly frame objectives, issues/challenges, and articulate compelling, insightful findings, conclusions, and recommendations Managing and delivering workstreams within high-profile, high-impact strategy projects end-to-end, from developing an approach to delivering recommendations and final deliverables; independently managing end-to-end smaller scale strategy projects and/or initiatives Developing high quality, insightful, and clear analysis and deliverables for Humana’s executive management team and Board of Directors Developing hypothesis to be validated or refined through targeted research and analysis Conducting interviews, working sessions, and report-outs with leaders across the company Conducting industry, market, competitor, and financial analysis Working collaboratively with fellow team members and leaders across the company Effectively leading and developing junior members of the team Leading critical processes to prepare leadership for interactions with Humana’s executive Management Team and Board of Directors Being a steward of the strategy team’s operating model, norms and ways of working Defining and developing opportunities for strategic alignment and consistent reporting across the business segment Designing and monitoring key metrics and reporting cadence across the organization Working across operational units to execute strategic planning process and quarterly refinement Use your skills to make an impact Required Qualifications Bachelor’s degree 2+ years of full-time work experience with a leading management consulting firm, coupled with 2-3+ years of additional full-time work experience in a role requiring core strategy consulting skills/capabilities Demonstrated ability to manage meaningful work streams within strategy consulting engagements Excellent verbal and written communication abilities Highly collaborative, flexible, team oriented working style Strong problem-solving skills and the ability to perform complex qualitative and quantitative analysis Demonstrated ability to mentor and develop junior staff Ability to quickly build and maintain trust with business leaders Demonstrated ability working within a matrixed environment and managing senior stakeholders Preferred Qualifications MBA, MPH, PhD, or graduate degree in a management field Prior healthcare industry experience, preferably in the managed care or provider sector Reporting Relationships The role reports to a Principal within the Strategy team, works collaboratively with leaders and members of rest of the team, and with senior leadership throughout the enterprise. 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. $112,400 - $154,900 per year This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance. Description of Benefits Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. About us Humana Inc. (NYSE: HUM) is committed to putting health first – for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large. Equal Opportunity Employer It is the policy of  Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or because he or she is a protected veteran. It is also the policy of  Humana to take affirmative action to employ and to advance in employment, all persons regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.
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    Become a part of our caring community and help us put health first Humana, a Fortune 50 Healthcare Company Humana is a publicly traded, Fortune 50 healthcare company with a long history of successful innovation and reinvention. It has transformed itself from the largest US nursing home company in the 60’s, to the largest US hospital corporation in the 80’s, to a leading health benefits company beginning in the 90’s. Today, Humana is a leader in consumer-focused health solutions and is one of the largest health benefits organizations in the country. Location: remote The Healthcare Strategy team supports Humana’s Medicare and Medicaid business unit. This business unit, Humana’s largest, comprises the majority of the company’s total revenue and earnings. Team members partner with the senior leaders of the business unit, and more broadly with leaders throughout the enterprise, as they deliver strategy projects addressing some of the businesses most important opportunities and challenges. These high-profile strategy projects place the team at the forefront of helping to define the future of Humana’s largest businesses. Humana is seeking a team member with prior management consulting experience to support delivering some of Medicare and Medicaid’s highest priority projects and initiatives, with an emphasis on Medicare Advantage strategy development. As a Senior Medicare Strategy Professional, you will deconstruct issues and challenges, perform targeted research and analysis, and craft sound, logical solutions and recommendations. You will also shape implementation considerations, and work with business owners as appropriate to transition analysis into execution. While deep diving into key areas, you will also have a bird’s-eye view of the business unit’s overall strategy. Your role be instrumental in synthesizing the strategic choices being made across the business unit into coherent plans to drive growth and profitability, while simultaneously improving the lives and health of Humana’s members. While doing so, you will have the opportunity to collaborate with fellow team members, subject matter experts, members of Humana’s executive Management Team, and corporate, functional, and business unit leaders. Recent example projects include assessing the performance of strategic initiatives and business areas, evolving key facets of the Medicare Advantage growth strategy, leading the development of the annual Medicare Advantage strategic plan, and refreshing the strategy for Humana’s sales organization. Key responsibilities include: Delivering high quality analysis and deliverables that clearly frame objectives, issues/challenges, and articulate compelling, insightful findings, conclusions, and recommendations Managing and delivering analysis and workstreams within high-profile, high-impact strategy projects Developing high quality, insightful, and clear analysis and deliverables for Humana’s executive management team and Board of Directors Developing hypothesis to be validated or refined through targeted research and analysis Conducting interviews and working sessions with stakeholders across the company Conducting industry, market, competitor, and financial analysis Working collaboratively with fellow team members and leaders across the company Leading critical processes to prepare leadership for interactions with Humana’s executive Management Team and Board of Directors Being a steward of the strategy team’s operating model, norms and ways of working Coordinating and overseeing key meetings to ensure key topics and decisions are communicated to leadership timely Defining and developing opportunities for strategic alignment and consistent reporting across the business segment Designing and monitoring key metrics and the reporting cadence across the organization Working across operational units to execute strategic planning process and quarterly refinement Use your skills to make an impact Required Qualifications Bachelor’s degree 2+ years of full-time work experience with a leading management consulting firm Demonstrated ability to manage analysis and work streams within strategy consulting engagements Excellent verbal and written communication abilities Highly collaborative, flexible, team oriented working style Strong problem-solving skills and the ability to perform complex qualitative and quantitative analysis Demonstrated ability working within a matrixed environment Preferred Qualifications MBA, MPH, PhD, or graduate degree in a management field Prior healthcare industry experience, preferably in the managed care or provider sector Reporting Relationships The role reports to a Principal within the Strategy team, works collaboratively with leaders and members of rest of the team, and with senior leadership throughout the enterprise. 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. $84,600 - $116,300 per year This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance. Description of Benefits Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. About us Humana Inc. (NYSE: HUM) is committed to putting health first – for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large. Equal Opportunity Employer It is the policy of  Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or because he or she is a protected veteran. It is also the policy of  Humana to take affirmative action to employ and to advance in employment, all persons regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.
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    Become a part of our caring community and help us put health first The UM Administration Coordinator 2 contributes to administration of utilization management. The UM Administration Coordinator 2 performs varied activities and moderately complex administrative/operational/customer support assignments. Performs computations. Typically works on semi-routine assignments. The newly formed Home Solutions UM Team is hiring for a UM Administration Coordinator 2 that will provide non-clinical support for the policies and procedures ensuring best and most appropriate treatment, care or services for members utilizing home health services. This team sits in the Home Solutions organization and contributes to the Value-Based segment (former Transformation Management Office), partnering with Kindred At Home/CenterWell and onehome. The UM Administration Coordinator 2 provides non-clinical support for the policies and procedures ensuring best and most appropriate treatment, care or services for members. Decisions are typically focus on interpretation of area/department policy and methods for completing assignments. Works within defined parameters to identify work expectations and quality standards, but has some latitude over prioritization/timing, and works under minimal direction. Follows standard policies/practices that allow for some opportunity for interpretation/deviation and/or independent discretion. Use your skills to make an impact Required Qualifications 1 or more years administrative or technical support experienceExcellent verbal and written communication skillsWorking knowledge of MS Office including Word, Excel, and Outlook in a Windows based environment and an ability to quickly learn new systemsMust be passionate about contributing to an organization focused on continuously improving consumer experiences Preferred Qualifications CGX experience with building cases and generating lettersProficient utilizing electronic medical record and documentation programsProficient and/or experience with medical terminology and/or ICD-10 codesPrior member service or customer service telephone experience desiredExperience with Utilization Review and/or Prior Authorization, preferably within a managed care organization Additional Information Remote position with possibility of flexible working hours Monday to Friday between 8am and 8pm EST (8 paid hours per business day)Overtime available based upon business needsWeekend and/or holiday on call possible for this role 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 or computer to answer the questions provided. Expect this type of interview to last anywhere from 5-10 minutes. Your recorded interview(s) via text and/or pre-recorded voice will be reviewed and you will subsequently be informed if you will be moving forward to next round of interviews. Humana and its subsidiaries require vaccinated associates who work outside of their home to submit proof of vaccination, including COVID-19 boosters. Associates who remain unvaccinated must either undergo weekly negative COVID testing OR wear a mask at all times while in a Humana facility or while working in the field. Every associate and contractor who work inside a Humana facility or in the field, regardless of vaccination status, must complete a daily health screening questionnaire. WAH requirements: Must have the ability to provide a high-speed DSL or cable modem for a home office. Associates or contractors who live and work from home in the state of California will be provided payment for their internet expense. A minimum standard speed for optimal performance of 25x10 (25mpbs download x 10mpbs upload) is required. Satellite and Wireless Internet service is NOT allowed for this role. 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. $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 Our Department of Defense contract requires U.S. citizenship for this position. We are seeking an enthusiastic Junior Full Stack Engineer with a passion for rebuilding and revitalizing our legacy Communications Hub (C-HUB) product. This role demands energy, excitement, and a dedicated focus on backend-heavy development within a Microsoft-centric environment. Join our vibrant team of developers and make a significant impact by enhancing our support capabilities and streamlining existing services. You will work closely with cross-functional teams to understand the business objectives behind software solutions, contribute to our Agile development processes, and design scalable, maintainable systems. Job Details The Full Stack Engineer 2 Is involved in all stages of software development, including front-end development, back-end development, database integrations, network and hosting management, user interface, user experience, and back-end server management. 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. Key Responsibilities Collaborate with the development team to enhance support capabilities and reduce the entropy of our existing services.Understand and analyze the business purposes behind software solution requests.Contribute to Agile feature, Epic, and user story creation and prioritizationEngage in the process of estimating costs for proposed solutionsContribute to analysis of how to best meet purpose and features resulting in logical requirements documentation, considering build, buy, or hybrid solutions.Conduct thorough analysis of existing systems and processes, providing actionable recommendations for improvement.Help design scalable, configurable, maintainable and secure solutions from establishing database to back-end programming to front-end appearance in order to meet objectives with a platform first focus.Contribute to enhancing and rebuilding our C-HUB, focusing primarily on backend development. Use your skills to make an impact Required Qualifications Our Department of Defense contract requires U.S. citizenship for this position.Bachelor’s degree in Computer Science, Engineering, or relevant field.Successfully receive approval for government security clearance (eQIP – electronic questionnaire for investigation processing). Employment with Humana Government Business is contingent upon your having access to government information and systems.Remote position in the continental USA.Ability to work in the East coast time zone Technical requirements: Experience in backend development, with a strong proficiency in C# programming.Experience working in a Microsoft environmentKnowledge and experience with the Microsoft stackExperience in systems analysis or application programming developmentFamiliarity with database technology such as SQL Server. Skill requirements: Excellent communication and teamwork skills.Strong analytical and problem-solving skills coupled with a dynamic and passionate approach to technology. Preferred Qualifications Master's DegreeProficiency in front-end languages and frameworks (e.g., HTML/CSS, JavaScript, XML, jQuery) as applicable to occasional frontend tasks.Expertise in backend programming languages (e.g., Python, Ruby, Java, .NET).Experience with database technology such as MySQL, Oracle, and MongoDB.Familiarity with Agile environments and version control tools like Git. Scheduled Weekly Hours 40 Pay Range The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc. $86,600 - $119,200 per year This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance. Description of Benefits Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. About us Humana Inc. (NYSE: HUM) is committed to putting health first – for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large. Equal Opportunity Employer It is the policy of  Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or because he or she is a protected veteran. It is also the policy of  Humana to take affirmative action to employ and to advance in employment, all persons regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.
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    Become a part of our caring community and help us put health first The Associate Vice President – Insurance and Services Procurement will report to the Chief Procurement Officer and be an integral member of the Procurement Leadership team. This role will be responsible for the enterprise development and execution of category strategies for Professional Services, Corporate Services, Health & Medical Services and other categories of spend unique to our Insurance Organization. The role will also be responsible for business engagement of stakeholders in the following organizations – Insurance, Corporate Affairs including Military, Corporate Strategy, Corporate Finance, Corporate HR & HR Services, and Legal. This leader will be a strategic business partner to stakeholder leadership teams outlined above and their respective Finance Leaders. The leader must have the executive presence and communication skills required to build trust with Executive Leadership stakeholders. Key leadership traits required include the ability to influence and form strong partnerships with business and Finance Leaders, and operational excellence in managing multiple complex priorities simultaneously. Key responsibilities Leadership of the Insurance and Services Procurement team of 18 employees, management of $2.4B spend, developing, managing, and executing the category and strategic sourcing strategies for all the categories and subcategories under management (Business Process Outsourcing, Consulting, Contingent Labor, Human Resources, Treasury, Finance, Associate Well-Being Services, Health and Medical Services, etc.).Excellent Stakeholder Engagement: This position will be a strategic business partner to the Leadership Teams of the Stakeholder organizations listed above and be tasked with gaining a deep understanding of their business strategies to ensure resulting category and sourcing strategies are in place to drive the greatest value from the external marketplace. Partner with the stakeholder organizations and supplier management functions in identifying, prioritizing, and pursuing short-, mid- and long-term sourcing opportunities. Establish the role as a strategic business partner to the stakeholder Leadership teams with the ability to establish meaningful relationships and adapt to the challenger model. Drive strong demand planning and management, and budget alignment.Leading Category Management and Sourcing: Lead the Procurement team and stakeholders in the joint development, execution and monitoring of leading category strategies across all categories under management that drive valuable business outcomes. Lead team to:Segment their supply base and develop preferred supplier lists. Evaluate supplier core competencies and competitive positioning using industry cost models and bench-marking analysis.Support supplier diversity and sustainability initiatives by selecting diverse and environmentally conscious suppliers for RFX’s.Conduct market analyses, competitive bids, cost modelling and benchmarking to demonstrate fair and reasonable pricing on new awards.Maintain a robust project pipeline to drive target savings or spend reduction year over year.Source strategic suppliers, negotiate and manage supplier contracts, pricing, and performance against business requirements for complex, high risk and/or enterprise critical engagements that may have significant impact to Humana’s operations or profitability.Partner with the Sourcing Organization to ensure sourced spend is executed and managed in accordance with category plans and strategies.Support process optimization, and elimination of spend through unapproved buying channels within assigned categories.Provide coaching, development, and growth opportunities to team members to strengthen the bench across the organization.Work with finance and business leaders to identify total cost of ownership opportunities and validate project savings.Build and maintain strategic relationships with key suppliers. Demonstrate strong supplier management expertise, collaborating with the Supplier Management teams to manage strategic suppliers that achieve sustainable value for the enterprise. As applicable, implement the organization’s enterprise supplier management program to hold suppliers accountable to key business metrics and standards. Impact Develop and lead appropriate business engagement, category and sourcing strategies that support business requirements, develop savings targets, and driving savings across all categories under management.Drive thought leadership for sourcing of categories by leveraging market and industry intelligence, trends, innovation, and best practices.Recruit, develop and lead a team of high performing category procurement professionals who are responsible for identifying, prioritizing, and pursuing short and long- term opportunities for specific spend categories.Develop supplier negotiation strategies that reflect and maximize Humana’s enterprise buying power, focus on service quality/performance and minimize risk exposure. Lead negotiation process for complex, high value transactions.Collaborate with all levels of management, manage strategic suppliers to achieve optimal value/service/pricing and ensure our strategic direction, operational and quality goals are achieved.Actively participate in achieving the organization's ESG goals including but not limited to Supplier Diversity and Sustainability.Collaborate with CPO and leadership team to drive stakeholder engagement, category management, sourcing rigor / excellence, talent management and optimization of the procurement target operating model within Enterprise Procurement and Supplier Management Use your skills to make an impact Qualifications Bachelor’s Degree - MBA or advanced degree and / or relevant supply management certifications desirable.15+ years in a procurement function with experience across multiple indirect spend categories, preferably outsourcing, consulting, contingent labor, HR, Finance, Insurance operations.5-10 years of management experience, leading through both authority and influence; including a proven ability to recruit, develop and retain key talent.Proven ability to develop / implement sourcing and procurement strategies, concepts, and governance.Strong and up to date expertise in category management, supplier management including service offerings/differentiation, cost and savings drivers and leading practices/market trends.Strong, approachable executive presence, ability to influence senior executives and to foster productive working relationships with a diverse group of partners, peers, and leaders.Strong stakeholder engagement and relationship management experience, serving as a challenger where necessary.Excellent contract/supplier negotiation preparation and execution skills to achieve desired outcomes from supplier negotiations.Superior negotiation and collaboration skills to influence senior leadership on strategic direction, business case value proposition and sourcing recommendations.Experience managing change across multiple stakeholder groups.Superior analytical ability to quickly gather facts, perform root cause analysis and draw conclusions.Strong conceptual thinking skills with adeptness to lead others through ambiguous and/or complex issues.Ability to build consensus and act as an independent arbiter to achieve sourcing outcomes that meet business requirements without sacrificing service or increasing risk/cost.Effectively relates to others by collaborating and cooperating even with those holding divergent and/or opposing views and goals.Superior oral and written communication and interpersonal skills for interaction with senior leadership.Expertise in operational, technical, organizational, and cultural change managementResults Orientation - Sponsors continuous improvement programs, recognizing opportunities to simplify organizational processes and create efficiencies. Anticipates and ensures appropriate resources and structures are in place to support short- and long-term business goals. Scheduled Weekly Hours 40 Pay Range The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc. $181,200 - $249,300 per year This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance. Description of Benefits Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. About us Humana Inc. (NYSE: HUM) is committed to putting health first – for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large. Equal Opportunity Employer It is the policy of  Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or because he or she is a protected veteran. It is also the policy of  Humana to take affirmative action to employ and to advance in employment, all persons regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.
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    Become a part of our caring community and help us put health first The Desktop/End User Support Technician 2 maintains, repairs, and troubleshoots desktop hardware and software packages. Also responsible for customer service and end-user training. The Desktop/End User Support Technician 2 performs varied activities and moderately complex administrative/operational/customer support assignments. Performs computations. Typically works on semi-routine assignments. The Desktop/End User Support Technician 2 researches and resolves technical problems of moderate complexity, typically escalated from first line support teams. Responds to escalated telephone, email and on line requests for technical support. Documents, tracks, and monitors the problem using applicable systems and tools. Decisions are typically focus on interpretation of area/department policy and methods for completing assignments. Works within defined parameters to identify work expectations and quality standards, but has some latitude over prioritization/timing, and works under minimal direction. Follows standard policies/practices that allow for some opportunity for interpretation/deviation and/or independent discretion. Use your skills to make an impact Required Qualifications Less than 3 years of technical experience as a Desktop/End User Support EngineerExperienced in researching and resolves technical problems of moderate complexity, typically escalated from first line support teams.Experienced responding to escalated telephone, email and on line requests for technical supportExperienced documenting, tracking, and monitoring the problem using applicable systems and tools. Understands department, segment, and organizational strategy and operating objectives, including their linkages to related areas.Must be passionate about contributing to an organization focused on continuously improving consumer experiences Preferred Qualifications Bachelor's Degree in Computer Science Additional Information Work-At-Home Requirements WAH requirements: Must have the ability to provide a high speed DSL or cable modem for a home office. Associates or contractors who live and work from home in the state of California will be provided payment for their internet expense.A minimum standard speed for optimal performance of 25x10 (25mpbs download x 10mpbs upload) is required. Satellite and Wireless Internet service is NOT allowed for this role.A dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information Scheduled Weekly Hours 40 Pay Range The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc. $43,400 - $59,600 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 Conviva: Conviva Care Centers provides proactive, preventive care to seniors, including wellness visits, physical exams, chronic condition management, screenings, minor injury treatment and more. As part of Humana’s Primary Care Organization, which includes CenterWell Senior Primary Care, Conviva’s innovative, value-based approach means each patient gets the best care, when needed most, and for the lowest cost. We go beyond physical health – addressing the social, emotional, behavioral and financial needs that can impact our patients' well-being. 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 Humana’s Customer Experience (CX) team, within the Experience Transformation organization of the Retail Insurance business, was formed to deliver one thing: a personalized, seamless, and easy healthcare experience for all our health plan members. This team operates with a mandate to break down traditional silos and design solutions based on how our members seek and receive care, not how operating groups structure themselves. By teaming differently, pioneering agile methodologies, and relentlessly focusing on the human experience, the Customer Experience Team seeks to deliver on this promise for all our members. As a CX Insights Senior Professional you will work in a multi-disciplinary team, creating new experience strategies and service experiences for customers that help them to achieve their best health. You will be responsible for scoping and crafting research strategy, conducting primary and secondary research, and delivering actionable insights. You will apply a variety of research methods for contextual (e.g. trend scanning, market analysis), generative (e.g., user interviews, mental models), and evaluative research (e.g., moderated & unmoderated concept testing) to inform experience strategy and service design decisions. You will follow new experiences through delivery to measure the customer experience and support ongoing improvement and evolution of the customer's relationship with Humana. This is a remote role reporting to the Director of CX Insights. Works within cross-functional teams to drive delivery of customer/user insights and CX measurement contributions within design and development programs​ Leads planning, development, and execution of insights and CX workstreams and deliverables within design and development programs​ Exercises decision making on complex issues, requiring analysis and synthesis of disparate factors, determining best course of action for insights and CX workstreams​ Supports approaches to codify and socialize customer insights contribution to customer-centered approach within and beyond the business unit Represents and advocates for the customer point of view in all contributions and interactions​ Productively collaborates with stakeholders and peers to identify and execute on contributions of strategic impact to customers’ experiences​ Builds valuable strategic partnerships with stakeholders across the business unit, Humana, and vendors—at peer, lead, and director levels​ Demonstrates Humana and business unit values, behaviors, and cultural attributes, modeling positive practices in all interactions​ Proactively collaborates with and cross-trains insights peers Collaborates with leader and team to contribute to strategic opportunities to evolve and socialize customer insights and CX points of view, strategies, ways of working, methods + tools​ Identifies new approaches, methods, and tools; activates and pilots them through insights/CX programs; socializes and rolls them out with the practice​ Supports ongoing practice activities to enable insights and CX capability development, integrating into a more agile and efficient process through practical application​ Demonstrates process rigor and craft standards, influencing a culture of mastery and excellence Use your skills to make an impact Required Qualifications 5-8 years of experience leading customer insights contributions in the context of innovation, human-centered design, CX​ Exceptional communication, problem-solving, and project management skills​ Demonstrated advanced education or expertise in customer insights and CX tradecraft: BS, MS, or PHD in a research-related discipline (e.g., Design Strategy, Human Computer Interaction, Interaction Design, Human Factors, Psychology, Anthropology, Cognitive Science) Understanding and experience with a variety of research methodologies Preferred Qualifications Experience with design thinking and agile environments a plus 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. $93,000 - $128,000 per year This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance. Description of Benefits Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. About us Humana Inc. (NYSE: HUM) is committed to putting health first – for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large. Equal Opportunity Employer It is the policy of  Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or because he or she is a protected veteran. It is also the policy of  Humana to take affirmative action to employ and to advance in employment, all persons regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.
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    Become a part of our caring community and help us put health first 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.
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    Become a part of our caring community and help us put health first The Physical Therapist 2 provides services that help restore function, improve mobility, relieve pain, and prevent or limit permanent physical disabilities of patients suffering from injuries or disease. The Physical Therapist 2 work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action. The Physical Therapist 2 examines patient's medical history, evaluates their physical abilities, determines their potential to respond to therapy, and develops treatment plans. Understands department, segment, and organizational strategy and operating objectives, including their linkages to related areas. Makes decisions regarding own work methods, occasionally in ambiguous situations, and requires minimal direction and receives guidance where needed. Follows established guidelines/procedures. Use your skills to make an impact Required Qualifications Master's Degree in physical therapy (will accept the physical therapists grandfathered into licensure prior to masters requirement)Current license to practice physical therapy; maintains licensure requirements including 24 hours of continuing educationComplies and maintains current CPR certificationThis role is considered patient facing and is part of Humana's Tuberculosis (TB) screening program. If selected for this role, you will be required to be screened for TB.This role is part of Humana's Driver safety program and therefore requires an individual to have a valid state driver's license and proof of personal vehicle liability insurance with at least 100,000/300,000/100,000 limitsACHA Level II ClearanceOne year of appropriate experience as a physical therapistExcellent verbal and written communication skillsSensitivity to cultural diversity and to making accommodation available to provide services to a diverse populationStrong customer services skillsMust be passionate about contributing to an organization focused on continuously improving consumer experiences Preferred Qualifications Doctorate degree in Physical TherapyBilingual Additional Information Scheduled Weekly Hours 1 Pay Range The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc. $84,600 - $116,300 per year Description of Benefits Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers benefits for limited term, variable schedule and per diem associates which are designed to support whole-person well-being. Among these benefits, Humana provides paid time off, 401(k) retirement savings plan, employee assistance program, business travel and accident. About Us About onehome: onehome coordinates a full range of post-acute care ranging from home health, infusion therapy and durable medical equipment services at patients’ homes. onehome’s patient focused model creates one integrated point of accountability that coordinates with physicians, hospitals and health plans serving more than one million health plan members nationwide. onehome was acquired by Humana in 2021 to advance value-based care. Our culture is inclusive, diverse, and above all, caring. It is important to us that our employees are engaged, supported and fairly treated. We offer a comprehensive benefits package to ensure the health and financial well-being of you and your family. About Humana: Humana Inc. (NYSE: HUM) is committed to putting health first – for our teammates, our customers, and our company. Through our Humana insurance services, and our CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large. Equal Opportunity Employer It is the policy of  Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or because he or she is a protected veteran. It is also the policy of  Humana to take affirmative action to employ and to advance in employment, all persons regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.
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    Become a part of our caring community and help us put health first The Senior Accountant performs general accounting activities, including the preparation, maintenance and reconciliation of ledger accounts and financial statements such as balance sheets, profit-and-loss statements and capital expenditure schedules. Conducts or assists in the documentation of accounting projects. The Senior Accountant 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 Accountant prepares, records, analyzes and reports accounting transactions and ensures the integrity of accounting records for completeness, accuracy and compliance with accepted accounting policies and principles. Provides financial support, including forecasting, budgeting and analyzing variations from budget. Analyzes and prepares statutory accounts, financial statements and reports. Begins to influence department’s strategy. Makes decisions on moderately complex to complex issues regarding technical approach for project components, and work is performed without direction. Exercises considerable latitude in determining objectives and approaches to assignments. Use your skills to make an impact Required Qualifications Bachelor's degree in Accounting, Finance5 or more years of technical experienceProgressive leadership and management experiencePrior experience within the financial industryMust be passionate about contributing to an organization focused on continuously improving consumer experiences Preferred Qualifications Master's Degree in Business AdministrationCertified Public Accountant license Additional Information Scheduled Weekly Hours 40 Pay Range The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc. $69,800 - $96,200 per year This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance. Description of Benefits Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. About Us Humana Inc. (NYSE: HUM) is committed to putting health first – for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large. Equal Opportunity Employer It is the policy of  Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or because he or she is a protected veteran. It is also the policy of  Humana to take affirmative action to employ and to advance in employment, all persons regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.
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    Become a part of our caring community and help us put health first The Risk Management Lead identifies and analyzes potential sources of loss to minimize risk. The Risk Management Lead works on problems of diverse scope and complexity ranging from moderate to substantial. The Model Risk Management team works with analysts and leaders in Finance, Actuarial, Data Science, and other modeling disciplines to ensure enterprise standards are met for the creation, management, operation, and deprecation of models. The successful candidate will be familiar with multiple modeling disciplines and is responsible for overseeing various aspects of model risk including maintaining model standards, peer reviews, partnering with Augmented Intelligence governance, training, and maintaining critical risk management frameworks. We are seeking a detail-oriented and analytical Financial and Model Risk Management Lead to join our Risk Management team. The Model Risk Management team works with analysts and leaders in Finance, Actuarial, Data Science, and other modeling disciplines to ensure enterprise standards are met for the creation, management, operation, and deprecation of models. The successful candidate will be familiar with multiple modeling disciplines and is responsible for overseeing various aspects of model risk including maintaining model standards, peer reviews, partnering with Augmented Intelligence governance, training, and maintaining critical risk management frameworks. The Financial Risk Management team maintains Humana’s Own Risk Solvency Assessment (ORSA), which is an annual review of Humana’s enterprise risk function and its capital adequacy to meet policyholder commitments. In support of the ORSA, the team partners with Finance, Actuary, and business teams to conduct a stress testing exercise to test capital adequacy. The successful candidate will understand the Medicare financial drivers and effects on the long-term plan, in addition to understanding capital structure and financial metrics. Responsibilities: · Annual Review of Model Risk Standard: Conduct comprehensive annual reviews to ensure the processes laid out in the standard are responsive to Humana’s modeling goals and environment, including financial modernization efforts and the evolving AI landscape · Key Risk Indicator management: Define and collect key performance indicators to ensure that the Model Risk program is functioning, as expected · AI Review: Partner with the AI Governance team (and other cross functional teams) to support AI activities, including enhancing documentation and inventory capture, data scientist onboarding, and model usage guidelines · Training and Oversight: Design and lead training sessions, ensuring modelling teams are up to date with the latest requirements and standards, and oversee semi-annual updates to the model inventory, in which Model Owners certify active models and Modeling Leaders attest to the completeness of their model inventories · Model Peer Reviews: Conduct peer reviews of models to ensure accuracy and compliance with internal standards · ESP Updates: Maintain the Model Risk module in Enterprise Solution Point (Archer based Governance, Risk, and Compliance platform) to enable capture of model inventory, risk rankings, and documentation · Partner with AI Governance and Third Party Risk Management (Enterprise Risk Management) to perform due diligence on vendor AI solutions · Help conduct the Actuarial, Model, and Capital Markets Top Risk Assessments: Regularly update the technical risk assessments in partnership with relevant teams as part of identifying the company’s top risks and quality of the control environment Financial Risk/ORSA Activities: · ORSA Reporting: Prepare Humana’s Own Risk Solvency Assessment (ORSA) reports as required by regulatory bodies, in partnership with enterprise teams · Annual Stress Testing: Conduct stress testing annually to evaluate the potential impact of adverse conditions on our capital reserves Risk Limit Monitoring: Partner with Treasury and Investments to monitor and report on risk limits to ensure compliance with set thresholds Use your skills to make an impact Required Qualifications Bachelor’s degree in finance, Economics, Statistics, or related field Experience in risk management, particularly in Model and Financial risk Strong analytical skills and familiarity with different modeling techniques, including Actuarial, Financial and Machine Learning Excellent communication and relationship management skills Knowledge of frameworks related to risk management Additional Information Ideally candidates will reside within a 50-mile commutable distance to Louisville, KY to be in the office a few days per week. This position has a hybrid office/home schedule. If candidates do not reside within a commutable distance, the position will be remote and candidates from other geographic areas will be considered. Typical work schedule is 8-5pm EST/CT. Candidates will need to be available to work during EST/CT time zones. Scheduled Weekly Hours 40 Pay Range The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc. $102,200 - $140,700 per year This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance. Description of Benefits Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. About Us Humana Inc. (NYSE: HUM) is committed to putting health first – for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large. Equal Opportunity Employer It is the policy of  Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or because he or she is a protected veteran. It is also the policy of  Humana to take affirmative action to employ and to advance in employment, all persons regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.
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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 $113K 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 (Polk, Highlands or Hardee 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  Bilingual with the ability to speak, read and write in both English and Spanish without limitations or assistance Prior experience in public speaking and presentations   Additional Information This position is in scope of Humana’s Driving Safety and Vehicle Management Program and therefore subject to driver license validation and MVR review. ​Schedule: Meeting with members requires appointments and/or event times that may vary on nights and weekends. Flexibility is essential to your success. Training: The first five weeks of employment and attendance is mandatory. Any Humana associate who speaks with a member in a language other than English must take a language proficiency assessment, provided by an outside vendor, to ensure competency. Applicants will be required to take the Interagency Language Rating (ILR) test as provided by the Federal Government. Alert: Humana values personal identity protection. Please be aware that applicants selected for leader review may be asked to provide their social security number, if it is not already on file. When required, an email will be sent from Humana@myworkday.com with instructions on how to add the information into your official application on Humana’s secure website. Humana Perks:      Full time associates enjoy    Total compensation package (base pay +commission with guarantee) could exceed $113K depending on experience and locationMedical, Dental, Vision and a variety of other supplemental insurances   Paid time off (PTO) & Paid Holidays   401(k) retirement savings plan with a competitive match   Tuition reimbursement and/or scholarships for qualifying dependent children And much more!  #medicaresalesrep Scheduled Weekly Hours 40 Pay Range The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc. $31,500 - $43,400 per year This job is eligible for a commission incentive plan. This incentive opportunity is based upon company and/or individual performance. Description of Benefits Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. About us Humana Inc. (NYSE: HUM) is committed to putting health first – for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large. Equal Opportunity Employer It is the policy of  Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or because he or she is a protected veteran. It is also the policy of  Humana to take affirmative action to employ and to advance in employment, all persons regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.
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    Become a part of our caring community and help us put health first Home Health Aide 2 provides patients with assistance in activities in daily living. The Home Health Aide 2 performs varied activities and moderately complex administrative/operational/customer support assignments. Assists patients within the home with daily living activities. Typically works on semi-routine assignments. The Home Health Aide 2, addresses needs related to disabilities, disease and mental impairment. Helps to manage medications, baths and dresses, takes care of household chores, prepares meals and pays bills. Decisions are typically focus on interpretation of area/department policy and methods for completing assignments. Works within defined parameters to identify work expectations and quality standards, but has some latitude over prioritization/timing, and works under minimal direction. Follows standard policies/practices that allow for some opportunity for interpretation/deviation and/or independent discretion. Use your skills to make an impact Required Qualifications CPR certification OSHA Certificate HIV/AIDS Certificate HIPAA Certificate Alzheimer's Certificate Medical Errors Certificate Domestic Violence Certificate Current State License or Registration as a Certified Nursing Assistant (as required by state) 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. This role is part of Humana's Driver safety program and therefore requires an individual to have a valid state driver's license and proof of personal vehicle liability insurance with at least 100,000/300,000/100,000 limits. Excellent customer service Strong clinical background Strong sense of engagement to be a team player Strong written and verbal communication skills Must be passionate about contributing to an organization focused on continuously improving consumer experiences Preferred Qualifications High School Diploma or GED Knowledge of primary care medicine requirements (state specific). Working knowledge of clinical operations 3 - 5 years' experience in telephone triage Electronic Medical Record (EMR) experience Previous RN or Medical Assistant experience Ability to type 25-30 words per minutes accurately. Additional Information Scheduled Weekly Hours 1 Pay Range The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc. $31,200 - $40,600 per year Description of Benefits Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers benefits for limited term, variable schedule and per diem associates which are designed to support whole-person well-being. Among these benefits, Humana provides paid time off, 401(k) retirement savings plan, employee assistance program, business travel and accident. About Us About onehome: onehome coordinates a full range of post-acute care ranging from home health, infusion therapy and durable medical equipment services at patients’ homes. onehome’s patient focused model creates one integrated point of accountability that coordinates with physicians, hospitals and health plans serving more than one million health plan members nationwide. onehome was acquired by Humana in 2021 to advance value-based care. Our culture is inclusive, diverse, and above all, caring. It is important to us that our employees are engaged, supported and fairly treated. We offer a comprehensive benefits package to ensure the health and financial well-being of you and your family. About Humana: Humana Inc. (NYSE: HUM) is committed to putting health first – for our teammates, our customers, and our company. Through our Humana insurance services, and our CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large. Equal Opportunity Employer It is the policy of  Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or because he or she is a protected veteran. It is also the policy of  Humana to take affirmative action to employ and to advance in employment, all persons regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.
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    Become a part of our caring community and help us put health first The Security Professional 2 reports to the Security Lead and is responsible for maintaining the day-to-day operational cadence of security related tasks in the Rosslyn office to support the executive support mission and threat management function of protecting our asset, reducing overall risk, and promoting a safe and secure environment for our associate population Responsibilities: - Maintain subject matter expertise on the intelligence cycle, collection methodologies, and Humana Safety and Security policies and procedures, as well as Humana enterprise business functions - Support the development and maintenance of risk and intelligence products aimed at identifying and mitigating enterprise risk - Collaborate with the Fusion Center and other supporting entities in the execution of executive protection and threat management functions - Serve as HSS representative in the DC area offices and other meeting venues - Think critically to further support the development of a threat management program - Liaison with executive teams to ensure appropriate support for day-to-day operations while in the Rosslyn office; provide detailed risk assessments and mitigations ahead of executive meetings and events - Support post intake triage of physical security incidents; aid in the investigation of incidents report to HSS for action Use your skills to make an impact Required Qualifications Bachelor's degree5 years of technical experienceMinimum of 2+ years of risk management and executive protection experienceMust be passionate about contributing to an organization focused on continuously improving consumer experiences Preferred Qualifications Additional 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. $69,800 - $96,200 per year This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance. Description of Benefits Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. About Us Humana Inc. (NYSE: HUM) is committed to putting health first – for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large. Equal Opportunity Employer It is the policy of  Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or because he or she is a protected veteran. It is also the policy of  Humana to take affirmative action to employ and to advance in employment, all persons regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.
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    Become a part of our caring community and help us put health first The Field Care Manager Nurse 2 assesses and evaluates member's needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families toward and facilitate interaction with resources appropriate for the care and wellbeing of members. The Field Care Manager Nurse 2 work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action. *** This position will require to travel to member's residence within 30 to 40 miles in West Palm Beach area The Field Care Manager Nurse 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. May also require telephonic outreaches for follow ups and ER visits. 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. This position will require to travel from Nurse's Home to member's residence and/or providers offices/Facilities within 30 to 40 miles in West Palm Beach Florida area (See additional Information) Use your skills to make an impact Required Qualifications Active Licensed Registered Nurse (RN) in the state of Florida or a compact license with no disciplinary action Minimum 3 years Women's Health/Obstetric/Labor and Delivery experience Experience working with the adult population Knowledge of community health and social service agencies and additional community resources Ability to work with minimal supervision within the role and scope Ability to use a variety of electronic information applications/software programs including electronic medical records Proficiency with MS Office, utilizing multiple shared systems, platforms, and being able to troubleshoot and resolve general technical issues in a remote environment Preferred Qualifications BSN 2-3 years of in-home assessment and care coordination experience. Experience with health promotion, coaching and wellness Previous managed care experience Bilingual — English, Spanish or English, Creole Certification in Case Management Motivational Interviewing Certification and/or knowledge Additional Information Workstyle: Field Location: This position will require to travel to member's residence within 30 to 40 miles in West Palm Beach area Schedule: Must be able to work Monday – Friday 8:30-5:00 OR 9:00-5:30 with the ability to work a full-time (40 hours minimum) flexible work schedule Travel: 50-75% 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 Travel (see additional information) Must have a Valid driver’s license with reliable transportation and the ability to travel within the state of Florida, as required This role is part of Humana's Driver safety program and therefore requires an individual to have a valid state driver's license and proof of personal vehicle liability insurance with at least 100,000/300,000/100,000 limits. Screening Requirements This role is considered patient-facing and is part of Humana’s Tuberculosis (TB) screening program. If selected for this role, you will be required to be tested for TB. Associate working in the State of Florida will need Completion of a Level II; AHCA background clearance Fingerprinting. Interview Format As part of our hiring process, we will be using an exciting interviewing technology provided by Modern Hire, a third-party vendor. This technology provides our team of recruiters and hiring managers an enhanced method for decision-making. If you are selected to move forward from your application prescreen, you will receive an email correspondence inviting you to participate in a pre-recorded Voice Interview and/or an SMS Text Messaging interview. (please be sure to check your spam or junk folders often to ensure communication isn’t missed) If participating in a pre-recorded interview, you will respond to a set of interview questions via your phone. You should anticipate this interview to take approximately 10-15 minutes. If participating in a SMS Text interview, you will be asked a series of questions to which you will be using your cell phone to answer the questions provided. Expect this type of interview to last anywhere from 5-10 minutes. Your recorded interview(s) via text and/or pre-recorded voice will be reviewed and you will subsequently be informed if you will be moving forward to next round of interviews. Scheduled Weekly Hours 40 Pay Range The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc. $69,800 - $96,200 per year This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance. Description of Benefits Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. About us Humana Inc. (NYSE: HUM) is committed to putting health first – for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large. Equal Opportunity Employer It is the policy of  Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or because he or she is a protected veteran. It is also the policy of  Humana to take affirmative action to employ and to advance in employment, all persons regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.
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    Become a part of our caring community and help us put health first The Director, Behavioral Health Strategy builds behavioral health strategies within Humana Healthy Horizons in Ohio Medicaid as well as the Medicaid segment to develop best practices and processes to improve outcomes for members. The Director, Behavioral Health Strategy requires an in-depth understanding of how organization capabilities interrelate across the function or segment. This position provides oversight and guidance of daily activities of BH services, ensures access to BH services, develops and promotes BH prevention strategies. We are seeking a dynamic and strategic leader to join our team in Ohio! The Behavioral Health Strategy Lead will oversee the behavioral health (BH) clinical program for Ohio’s Medicaid plan enrollees. They will collaborate closely with Clinical and Operational Leaders to integrate the day-to-day administration and strategic management and integration of behavioral and physical health services, including utilization management and care management, while providing subject matter expertise to quality improvement initiatives, population health initiatives, and value-based payment programs. They will be a liaison and partner to provider and member services within Ohio Medicaid as it relates to behavioral health. This position is an individual contributor aligned to the Chief Medical Officer. The scope of works includes, but is not limited, to the following: Providing daily operational activities of behavioral health services across the full spectrum of care to members, inclusive of mental health and substance abuse services;Ensuring access to behavioral health services;Ensuring systematic screening for behavioral health related disorders by utilizing standardized and evidence-based approaches;Promoting preventive behavioral health strategies;Identifying and coordinating assistance for member needs specific to behavioral health;Participating in management and program improvement activities with other key staff (including the Behavioral Health Clinical Director) for enhanced integration with primary care and coordination of behavioral health services and achievement of outcomesWorking with the Behavioral Health Clinical Director as needed in the development and maintenance of programs and systemsCollaborates with Clinical Leaders to implement medical policy and population health strategies that advance outcomes for plan members. Use your skills to make an impact Required Qualifications Clinical Health Licensure- Current and unrestricted Ohio license to provide behavioral health services in the state of Ohio (Registered Nurse with Advance Practice Registered Nurse [APRN] licensure, Psychologist, Licensed Independent Social Worker [LISW], Professional Clinical counselor [PCC], Independent Marriage and Family Therapist)Minimum 5+ years of leadership experience in the management of behavioral health programs, behavioral health program and policy development or experience in the provision and supervision of treatment services for mental illness and substance use disorders.2+ years of management/leadership in behavioral health or substance use disordersKnowledge and understanding of Ohio's overall behavioral health system that includes mental health, alcohol and drug addiction, and developmental disabilities services.Must reside in the State of Ohio or in a neighboring state with a reasonable commuting distance to travel within the State of Ohio.Master's degree Preferred Qualifications Prior experience with Medicaid recipients including TANF, Dual eligible, foster care, and enrollees with special health care needs. Experience working knowledge of CMS guidelines Experience with medical necessity criteria such as MCG and ASAMHealth Plan experienceMedicaid experience Additional Information This is remote position with approximately 10% of your time spent in person at State meetings or within an office for required meetings. 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. nancial security—both today and in the future, including: Health benefits effective day 1Paid time off, holidays, volunteer time and jury duty payRecognition pay401(k) retirement savings plan with employer matchTuition assistanceScholarships for eligible dependentsParental and caregiver leaveEmployee charity matching programNetwork Resource Groups (NRGs)Career development opportunities Modern Hire As part of our hiring process for this opportunity, we will be using an interviewing technology called Modern Hire to enhance our hiring and decision-making ability. Modern Hire allows us to quickly connect and gain valuable information from you pertaining to your relevant skills and experience at a time that is best for your schedule. SSN Alert Humana values personal identity protection. Please be aware that applicants may be asked to provide their Social Security Number, if it is not already on file. When required, an email will be sent from Humana@myworkday.com with instructions on how to add the information into your official application on Humana’s secure website Scheduled Weekly Hours 40 Pay Range The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc. $149,800 - $206,100 per year This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance. Description of Benefits Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. About us Humana Inc. (NYSE: HUM) is committed to putting health first – for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large. Equal Opportunity Employer It is the policy of  Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or because he or she is a protected veteran. It is also the policy of  Humana to take affirmative action to employ and to advance in employment, all persons regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.
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    Become a part of our caring community and help us put health first Humana’s Clinical Analytics Team is seeking a Senior Research Scientist (Remote). Our team identifies opportunities and builds solutions to improve clinical outcomes and lower costs for millions of Medicare Advantage beneficiaries through an evidence-based approach using data analytics, clinical expertise, strategic mindset, and rigorous study designs. In this multi-disciplinary team, you will have the opportunity to work closely with strategy partners and clinicians to shape Humana’s enterprise clinical strategies and initiatives. As a Senior Research Scientist on the team, you will apply epidemiologic, economic, statistical principles to identify trends, assess variable associations, evaluate cause-effect relationships, and size potential opportunities using high volumes of complex data. Responsibilities As a Senior Research Scientist in Clinical Analytics, you will: Do exploratory analysis on populations, trends, and clinical conditions to inform potential opportunities for trend savings and clinical outcomes improvement for our members.Develop models and/or rules using clinical conditions in claims data, membership data, or other data sources in order to target at-risk members who will benefit most from clinical interventions.Design outcomes studies and perform program evaluation using randomized controlled trials, propensity matching, difference-in-difference models, or other experimental/quasi-experimental methods.Discover key drivers of intervention enrollment and engagement and evaluate ways to improve.Conduct literature reviews and intervention research to assess engagement rates and treatment effect sizes of interventions that are in the early stages of design and implementation.Collaborate effectively with data teams, analytic teams, finance teams, product owners, clinicians, informaticists, leaders, and other business partners to align on objectives, approaches, and work plans.Write code in SQL, SAS, and Python to assemble data, create analytic variables/features, design visuals and charts, and statistical models for research/science use-cases.Present your analytical plans, study protocols, intervention theories of change, and analytical work to business partners in slide decks in a way that is easy to understand.Create and maintain content for insights memos, lessons learned, training, and team assets.Manage and prioritize your work so that you deliver quality analysis in a timely manner and communicate clear expectations with business partners. Use your skills to make an impact Primary Qualifications Master's Degree in a quantitative discipline such as Epidemiology, Biostatistics, Economics, Statistics, Clinical Informatics, Engineering, and/or related fields2+ years of experience that includes:Skills to create datasets and analytical variables from large and complex data environments by writing code in SQL, SAS, and Python.Applying research methods to transform high volumes of complex data into actionable insights.Experience with experimental and quasi-experimental methods such as randomized controlled trials, propensity matching, or difference-in-difference models.Strong interest in healthcare and desire to make a positive impact on health outcomes.Ability to work collaboratively within a multi-disciplinary team, to deliver quality analytical work, and communicate results and insights clearly to business partners. Preferred Qualifications Healthcare or managed care working experienceExperience working with medical, pharmacy, and lab claimsDemonstrated familiarity with clinical concepts related to a broad range of clinical conditions and disease states – experience with oncology, behavioral health and chronic conditions would be particularly valuableDemonstrated familiarity with hypothesis testing, statistical methods, and/or comparative effectiveness study design and modeling techniquesExperience using Pyspark, DataBricks, Microsoft Azure, PowerBI, and SAS Scheduled Weekly Hours 40 Pay Range The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc. $93,000 - $128,000 per year This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance. Description of Benefits Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. About us Humana Inc. (NYSE: HUM) is committed to putting health first – for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large. Equal Opportunity Employer It is the policy of  Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or because he or she is a protected veteran. It is also the policy of  Humana to take affirmative action to employ and to advance in employment, all persons regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.
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    Become a part of our caring community and help us put health first The UM Administration Coordinator 2 contributes to administration of utilization management. The UM Administration Coordinator 2 performs varied activities and moderately complex administrative/operational/customer support assignments. Performs computations. Typically works on semi-routine assignments. The UM Administration Coordinator 2 provides non-clinical support for the policies and procedures ensuring best and most appropriate treatment, care or services for members. Decisions are typically focus on interpretation of area/department policy and methods for completing assignments. Works within defined parameters to identify work expectations and quality standards, but has some latitude over prioritization/timing, and works under minimal direction. Follows standard policies/practices that allow for some opportunity for interpretation/deviation and/or independent discretion. Use your skills to make an impact Required Qualifications 1 or more years administrative or technical support experience Working knowledge of MS Office including Word, Excel, and Outlook in a Windows based environment and an ability to quickly learn new systems Excellent verbal and written communication skills Preferred Qualifications Proficient utilizing electronic medical record and documentation programs Proficient and/or experience with medical terminology and/or ICD-10 codes Bachelor's Degree in Business, Finance or a related field Prior member service or customer service telephone experience desired Experience with Utilization Review and/or Prior Authorization, preferably within a managed care organization Additional Information Work Schedule: Monday – Friday 8:00 a.m. – 5:00 p.m. EST or CST with flexibility to work overtime, weekends, and holidays on a voluntary basis or subject to business discretion. As part of our hiring process for this opportunity, we will be using an interviewing technology called HireVue to enhance our hiring and decision-making ability. HireVue allows us to quickly connect and gain valuable information from you pertaining to your relevant skills and experience at a time that is best for your schedule. Work At Home / Internet Guidance: To ensure Home or Hybrid Home/Office employees’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is suggested Satellite, cellular and microwave connection can be used only if approved by leadership Employees who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense Humana will provide Home or Hybrid Home/Office employees with telephone equipment appropriate to meet the business requirements for their position/job. Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information 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. $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 Manager, Telecomm/Voice Engineering is responsible for designing and implementing all or part of the organization's complex telecommunications infrastructure in line with pre-identified business needs and requirements. The Manager, Telecomm/Voice Engineering 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, Telecomm/Voice Engineering will support one or more of the following: Avaya and Genesys Access Management, Voicemail services, User profile/permissions, Automation via APIs, and related telephony services. The complex infrastructure will include multiple technologies from multiple vendors, such as Redsky e911, Thinkrite, Genesys and Avaya configurations, and others. This position coordinates with other IT functional areas on systems upgrades or modifications and delivery of new functionality. This position troubleshoots more complex problems that have escalated within the telecommunications function. This position may lead teams of telecommunications professionals involved in the design of complex configurations or in the evaluation and administration of the telecommunications system. Decisions are typically related to resources, approach, and tactical operations for projects and initiatives involving own departmental area. Requires cross departmental collaboration, briefings and area meetings; maintains frequent contact with other managers across the department. Use your skills to make an impact Required Qualifications Bachelor's Degree in computer science or related field OR equivalent experience in lieu of degree6 or more years of telecommunications/voice technical experience2 or more years of management experienceExperience designing and implementing complex telecommunications infrastructureExperience troubleshooting escalated complex telecommunications problemsMust be passionate about contributing to an organization focused on continuously improving consumer experiences Preferred Qualifications Information systems and/or telecommunications certificationDemonstrated project management experienceMicrosoft certification Additional Information Scheduled Weekly Hours 40 Pay Range The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc. $115,300 - $158,600 per year This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance. Description of Benefits Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. About us Humana Inc. (NYSE: HUM) is committed to putting health first – for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large. Equal Opportunity Employer It is the policy of  Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or because he or she is a protected veteran. It is also the policy of  Humana to take affirmative action to employ and to advance in employment, all persons regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.
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    Become a part of our caring community and help us put health first The Senior Full Stack Engineer Performs software engineering activities in all layers of the stack, from setting up the database to programming in the back-end and the appearance at the front-end. The Senior Full Stack Engineer work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors. The Senior Full Stack Engineer Is involved in all stages of software development, including front-end development, back-end development, database integrations, network and hosting management, user interface, user experience, and back-end server management. Begins to influence department’s strategy. Makes decisions on moderately complex to complex issues regarding technical approach for project components, andwork is performed without direction. Exercises considerable latitude in determining objectives and approaches to assignments. Use your skills to make an impact Required Qualifications Bachelor's Degree in Computer Science or related field or equivalent experience.5 or more years of experience designing, developing, and testing of software applications and/or infrastructureMust be passionate about contributing to an organization focused on continuously improving consumer experiences Preferred Qualifications Master's Degree Additional Information Scheduled Weekly Hours 40 Pay Range The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc. $104,800 - $144,300 per year This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance. Description of Benefits Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. About us Humana Inc. (NYSE: HUM) is committed to putting health first – for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large. Equal Opportunity Employer It is the policy of  Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or because he or she is a protected veteran. It is also the policy of  Humana to take affirmative action to employ and to advance in employment, all persons regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.
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    Become a part of our caring community and help us put health first The 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 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. Follows established guidelines/procedures. Use your skills to make an impact Required Qualifications Active Registered Nurse license in a state that is part of the Enhanced Nursing Licensure Compact (eNLC) compact without disciplinary action ability to obtain additional state licensures without restrictions 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 Minimum of three, (3), years varied clinical nursing experience. Minimum of one, (1), year of experience auditing and/or performing case management or utilization management chart reviews Ability to work independently under general instructions and with a team Workstyle: Remote work at Home Location: Must reside in a state that is part of the Enhanced Nursing Licensure Compact (eNLC) Schedule: Typically, Monday through Friday 8:30 – 6:00pm Eastern Time Flexible scheduling upon leader approval ​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 Preferred Qualifications Bachelor's, BSN 2 years of behavioral health experience; working knowledge of ASAM criteria Health Plan experience working with large carriers Previous Medicare/Medicaid experience a plus Previous experience in utilization management, case management, discharge planning and/or home health or rehab Certification in Case Management a plus (CCM) Experience working with MCG or InterQual guidelines MCG Certification Additional 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. 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.
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    Become a part of our caring community and help us put health first This is an excellent opportunity for a results-oriented program leader to make a significant impact on the Primary Care growth strategy within the healthcare industry. The Senior IT Project Manager oversees various system projects and/or programs of a highly complex nature. The Senior IT Project Manager work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors. The Senior IT Project Manager assembles and leads project team, identifies appropriate resources needed, and develops schedules to ensure timely completion of project. Often actively manages stakeholder partnerships and mitigates risks. Familiar with the system scope and project objectives, as well as the role and function of each team member, in order to effectively coordinate the activities of the team. When managing programs, oversees the interdependencies and integration of interrelated projects, and sets strategies and leads program execution to deliver longer term business value. Can possess specialized knowledge of Software Development Life Cycle (SDLC) and Information Technology Infrastructure Library (ITIL) frameworks used to manage risks and issues unique to technology projects. Begins to influence department’s strategy. Makes decisions on moderately complex to complex issues regarding technical approach for project components, and work is performed without direction. Exercises considerable latitude in determining objectives and approaches to assignments. Use your skills to make an impact Required Qualifications Bachelor's degree in Business, Information Technology or a related field or 5+ years of experience in healthcare IT project management5+ years of experience in leading and managing construction projects with specific knowledge around IT deliverables. In-depth knowledge of clinical IT applications, setup, hardware, systems, and infrastructure configurations (i.e., EMR, Practice Management, etc.). Strong understanding of operating procedures within a healthcare clinic associated with IT construction standards, policies, and security requirements. Excellent communication, collaboration, and problem-solving skills Demonstrated experience in technical product selection, technical design and practical implementation of IT solutionsMust be passionate about contributing to an organization focused on continuously improving consumer experiences Preferred Qualifications Master's Degree in Business AdministrationProject Management Institute certification Additional Information Why Humana Humana offers a variety of benefits to promote the best health and well-being of our employees and their families. We design competitive and flexible packages to give our employees a sense of financial security—both today and in the future, including: Health benefits effective day 1 Paid time off, holidays, volunteer time and jury duty pay Recognition pay 401(k) retirement savings plan with employer match Tuition assistance Scholarships for eligible dependents Parental and caregiver leave Employee charity matching program Network Resource Groups (NRGs) Career development opportunities Work-At-Home Requirements To ensure Home or Hybrid Home/Office employees’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is suggested Satellite, cellular and microwave connection can be used only if approved by leadership. Employees who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense. Humana will provide Home or Hybrid Home/Office employees with telephone equipment appropriate to meet the business requirements for their position/job. Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information. Interview Format As part of our hiring process for this opportunity, we will be using an interviewing technology called 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. Social Security Task Humana values personal identity protection. Please be aware that applicants may be asked to provide their Social Security Number, if it is not already on file. When required, an email will be sent from Humana@myworkday.com with instructions on how to add the information into your official application on Humana’s secure website. *This is a remote position. **Must be able to work EST hours. #LI-Remote #LI-CB2 Scheduled Weekly Hours 40 Pay Range The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc. $102,200 - $140,700 per year This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance. Description of Benefits Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. About us About Conviva: Conviva Care Centers provides proactive, preventive care to seniors, including wellness visits, physical exams, chronic condition management, screenings, minor injury treatment and more. As part of Humana’s Primary Care Organization, which includes CenterWell Senior Primary Care, Conviva’s innovative, value-based approach means each patient gets the best care, when needed most, and for the lowest cost. We go beyond physical health – addressing the social, emotional, behavioral and financial needs that can impact our patients' well-being. About Humana: Humana Inc. (NYSE: HUM) is committed to putting health first – for our teammates, our customers, and our company. Through our Humana insurance services, and our CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large. Equal Opportunity Employer It is the policy of  Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or because he or she is a protected veteran. It is also the policy of  Humana to take affirmative action to employ and to advance in employment, all persons regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.
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    Become a part of our caring community and help us put health first The Care Coach 1 assesses and evaluates member's needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families toward and facilitate interaction with resources appropriate for the care and wellbeing of members. The Care Coach 1 work assignments are often straightforward and of moderate complexity. We are looking for motivated and dynamic case managers that reside in the Hillsborough County, FLORIDA areas. This rewarding role allows you to spend time connecting with our members to ensure they receive the services they need. The Care Coach 1 role involves meeting members in their location, spending quality time assessing their needs and barriers and then connecting our members with quality services to promote their ultimate well-being and drive health outcomes. If you enjoy applying your creativity and skills to help those in need, find long term solutions, this role is for is for you! Here at Humana, we thrive on teamwork and highlighting the success of each of our team members. At Humana one of our main areas of focus is to inspire health in others. We are looking for individuals who enjoy talking to others about their health while providing education, motivation and encouragement. We also desire to cultivate the uniqueness in each of our associates as well as our members and are looking for individuals from various backgrounds who can bring their expertise to the role of the Care Coach 1. If you are looking for a new work family and team of dynamic professionals, we hope you will apply! The Care Coach 1 Visits Medicaid members in their homes, Assisted Living Facilities, and/or Long-Term Care Facilities and other care settings – 75-90% local travel.Assesses and evaluates member's needs and requirements in order to establish a member specific care plan.Ensures members are receiving services in the least restrictive setting in order to achieve and/or maintain optimal well-being.Planning and implementing interventions to meet those needs. Coordinating services, and monitoring and evaluating the case management plan against the member's personal goalsGuides members/families towards resources appropriate for their care.Services are driven by facilitating interactions with other payer sources, providers, interdisciplinary teams and others involved in the member’s care as appropriate and required by our comprehensive contract. Use your skills to make an impact Required Qualifications Care Coaches must meet one of the following qualifications: Bachelor's Degree with at least 2 years of relevant experience (Health Services, Social Work, Psychology).Registered Nurse (RN), licensed in the state of Florida with at least 2 years of relevant experience.Licensed Practical Nurse (LPN), licensed in the state of Florida, with at least 4 years of relevant experience.A minimum of 6 years of Health Services/Case Management Experience. Care Coaches must meet all of the following qualifications: Prior experience with Medicare & Medicaid recipients.Intermediate to advanced computer skills and experience with Microsoft Word, Excel and Outlook.AHCA Fingerprint Required. Preferred Qualifications Bilingual (English/Spanish).Prior nursing home diversion or long term care case management experienceExperience with electronic case note documentation and documenting in multiple computer applications/systems.Experience working with geriatric population.Experience with health promotion, coaching and wellness.Knowledge of community health and social service agencies and additional community resources701B CertificationMedication application (RFA) experience Additional Information Workstyle: Field. Associates perform their core duties at one or more non-Humana locations. Work Location: must live in Pinellas County, Florida.Travel: 75-90% local travel throughout above listed counties.Work Days/Hours: Monday - Friday, 8:30am - 5:00 pm Eastern Standard Time (EST). Limited Geography Remote - This is a remote position but located within a specific geography. WAH Internet Statement To ensure Home or Hybrid Home/Office employees’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is suggested.Satellite, cellular and microwave connection can be used only if approved by leadership.Employees who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense.Humana will provide Home or Hybrid Home/Office employees with telephone equipment appropriate to meet the business requirements for their position/job.Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information. Driving This role is part of Humana's driver safety program and therefore requires an individual to have a valid state driver's license and proof of personal vehicle liability insurance with at least 100/300/100 limits. TB This role is considered patient facing and is part of Humana’s Tuberculosis (TB) screening program. If selected for this role, you will be required to be screened for TB. Benefits Humana offers a variety of benefits to promote the best health and well-being of our employees and their families. We design competitive and flexible packages to give our employees a sense of financial security—both today and in the future, including: Health benefits effective day 1Paid time off, holidays, volunteer time and jury duty payRecognition pay401(k) retirement savings plan with employer matchTuition assistanceScholarships for eligible dependentsParental and caregiver leaveEmployee charity matching programNetwork Resource Groups (NRGs)Career development opportunities Modern Hire As part of our hiring process for this opportunity, we will be using an interviewing technology called Modern Hire to enhance our hiring and decision-making ability. Modern Hire allows us to quickly connect and gain valuable information from you pertaining to your relevant skills and experience at a time that is best for your schedule. SSN Alert Humana values personal identity protection. Please be aware that applicants may be asked to provide their Social Security Number, if it is not already on file. When required, an email will be sent from Humana@myworkday.com with instructions on how to add the information into your official application on Humana’s secure website. #LI-Remote Scheduled Weekly Hours 40 Pay Range The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc. $47,700 - $65,600 per year Description of Benefits Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. About us Humana Inc. (NYSE: HUM) is committed to putting health first – for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large. Equal Opportunity Employer It is the policy of  Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or because he or she is a protected veteran. It is also the policy of  Humana to take affirmative action to employ and to advance in employment, all persons regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.
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