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Centene jobs in Austin, TX - 135 jobs

  • Senior Internal Auditor

    Centene Corporation 4.5company rating

    Centene Corporation job in Austin, TX

    You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you'll have access to competitive benefits including a fresh perspective on workplace flexibility. **Position Purpose:** Perform complex internal audits, including the execution of strategic, operational, financial, IT, and compliance risk based audits for the entire company and its subsidiaries. + Design, perform, and manage risk-based audits, including evaluating controls and processes for scalability, effectiveness, efficiency, and risk mitigation strategies + Perform audit planning, fieldwork, and wrap-up of engagements, including development and refinement of work programs + Assist in drafting audit reports, including summarizing key findings and recommendations and consolidation of metrics and graphing + Develop and communicate audit observations, recommendations, process improvement opportunities, and best practices and obtain management responses + Monitor and report on the status and findings of audits. + Serve as contact for corporate, field, and external auditors regarding auditing, fraud matters, and projects + Work with external professionals and specialists to complete audits/projects + Collaborate with team members to ensure coordination, timely documentation, and adherence to audit methodology throughout the engagement. + Develop and clearly communicate audit observations, recommendations, and best practices; obtain management responses and support department-level process improvement initiatives. **Education/Experience:** Bachelor's degree in Accounting, Finance, related field or equivalent experience. 3+ years of public accounting, internal audit, or related operational auditing experience. Working knowledge of Generally Accepted Accounting Principles (GAAP) and Statutory Accounting Principles (SAP). Experience and knowledge of compliance requirements, including Medicare, Marketplace, Medicaid, and CMS regulations; familiarity with the health care insurance industry is preferred. Proficiency in data analytics tools and techniques to support audit testing and insights. **License/Certification:** CPA, CIA and CISA preferred. Pay Range: $70,100.00 - $126,200.00 per year Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility. Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law. Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act
    $70.1k-126.2k yearly 12d ago
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  • LTSS Service Care Manager - Behavioral Health

    Centene Management Company 4.5company rating

    Centene Management Company job in Austin, TX

    You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you'll have access to competitive benefits including a fresh perspective on workplace flexibility. Must hold an LCSW, LPC, or RN license with Psych/ Behavioral Health experience. Travel required 3 days per week Service Delivery Area: Waco, TX Monday - Friday: 8 am - 5 pm (CST); no evenings, no weekends, no On-Call Position Purpose: Develops, assesses and coordinates holistic care management activities, with primary focus and support towards populations with significant mental/behavioral health needs, to enable quality, cost-effective healthcare outcomes. Evaluates member service needs and develops or contributes to development of care plans/service plans, and educates members, their families and caregivers on services and benefits available to meet member needs. Evaluates the needs of the most complex and high risk members with mental/behavioral health needs, and recommends a plan of care for the best outcome Acts as liaison and member advocate between the member/family, physician, and facilities/agencies Supports members with primarily mental/behavioral health needs, such as those with (or a history of) major depression, bipolar disorders, schizophrenia, borderline personality disorder, post-traumatic stress disorder, substance use disorder, self-injurious behavior, psychiatric inpatient admissions, etc Performs frequent home and/or other site visits (once a month or more), such as to assess member needs and collaborate with resources, as required Provides and/or facilitates education to long-term care members and their families/caregivers on topics such as preventive care, procedures, healthcare provider instructions, treatment options, referrals, prescribed medication treatment regimens, and healthcare benefits. Provides subject matter expertise and operational support for relevant mental and behavioral health-focused activities, such as the handling of crisis calls, mental health first aid training, field safety and de-escalation practices, psychotropic and other medication monitoring, etc Educates on and coordinates community resources, to include medical, behavioral and social services. Provides coordination of service authorization to members and care managers for various services based on service assessment and plans (e.g., meals, employment, housing, foster care, transportation, activities for daily living) Ensures appropriate referrals based on individual member needs and supports the identification of providers, specialists, and community resources. Ensures identified services are accessible to members Maintains accurate documentation and supports the integrity of care management activities in the electronic care management system. Works to ensure compliance with clinical guidelines as well as current state and federal guidelines Provides feedback to leadership on opportunities to improve and enhance quality of care and service delivery for long-term care members in a cost-effective manner Performs other duties as assigned Complies with all policies and standards Education/Experience: Requires a Master's degree in Mental Health or Social Work or Graduate from an Accredited School of Nursing and 2 - 4 years of related experience. License/Certification: Licensed Behavioral Health Professional or RN based on state contract requirements e.g., LCSW, LPC, or RN with Behavioral Health experience is required Preferred Experience: • 3+ years of case management, care coordination, discharge planning with adult populations (ages:18 - 65) • 2+ years of experience coordinating and managing healthcare/behavioral health services and personal assistance/social services, and providing patient advocacy and education to Medicaid members • Experience in FIELD-BASED Social Worker or Case Managers role in-patient behavioral health hospital, community health, outpatient mental health, substance abuse/ detox recovery treatment, or state social services settings (MHAs, LIDDA) is preferred. Pay Range: $26.50 - $47.59 per hour Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility. Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law. Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act
    $26.5-47.6 hourly Auto-Apply 60d+ ago
  • Care in the Home Social Worker South Austin

    Unitedhealth Group 4.6company rating

    Austin, TX job

    **WellMed, part of the Optum family of businesses, is seeking a CareCoach Connect Social Worker to join our team in Austin, TX. Optum is a clinician-led care organization that is changing the way clinicians work and live.** **As a member of the Optum Care Delivery team, you'll be an integral part of our vision to make healthcare better for everyone.** At Optum, you'll have the clinical resources, data and support of a global organization behind you so you can help your patients live healthier lives. Here, you'll work alongside talented peers in a collaborative environment that is guided by diversity and inclusion while driving towards the Quadruple Aim. We believe you deserve an exceptional career, and will empower you to live your best life at work and at home. Experience the fulfillment of advancing the health of your community with the excitement of contributing new practice ideas and initiatives that could help improve care for millions of patients across the country. Because together, we have the power to make health care better for everyone. Join us and discover how rewarding medicine can be while **Caring. Connecting. Growing together.** The CareCoach Connect Social Worker is responsible for the assessment, planning, coordination and oversight of services for identified patients. The position identifies, evaluates, and provides management of services for patients with complex, catastrophic, Social Determinants of Health and/or psychosocial issues to promote quality, effective outcomes throughout the care continuum. The position ensures compliance with state and federal health plan requirements, Medicare guidelines and standards. The social worker acts as a liaison to coordinate and collaborate care with physicians, family, and other providers while always remaining an advocate for patients, putting them at the center of care delivery. The Social Worker will interact and engage with others as an interdisciplinary team member. **Primary Responsibilities:** + Performs comprehensive evaluations and documents findings in a concise/comprehensive manner that is compliant with documentation standards for the Center for Medicare and Medicaid Services (CMS) + Performs patient assessments telephonically, virtually, or in the patient's home as needed + Understands and plans to assure services provided work within the boundaries of the patient's plan eligibility. Coordinates identified patient's needs utilizing federal, state, and local community resources, as available + Coordinates with external and internal teams to minimize obstacles and increase in patient and provider satisfaction + Actively participates in staff and Interdisciplinary Team (IDT) meetings + Adheres to organizational and departmental policies and procedures + Maintains a high level of professionalism and adheres to the WellMed Core Values + Assumes responsibility for personal and professional development + Ensures licensure, certifications, and annual training are maintained and compliant + Maintains knowledge of current health plan benefits + Conducts advanced care discussions with a patients and their families and properly documents their wishes in the electronic medical record + Exhibits professionalism and is courteous with all patients, physicians and co-workers. Follows CareCoach Connect providers' orders regarding the scope and frequency of services needed based on acuity and patient/family needs + Maintains a patient case load, daily visits and point of care documentation levels as per standards + Documents in the electronic health record progress toward established goals as per standards + Performs other duties as assigned In 2011, WellMed partnered with Optum to provide care to patients across Texas and Florida. WellMed is a network of doctors, specialists and other medical professionals that specialize in providing care for more than 1 million older adults with over 16,000 doctors' offices. At WellMed our focus is simple. We're innovators in preventative health care, striving to change the face of health care for seniors. WellMed has more than 22,000+ primary care physicians, hospitalists, specialists, and advanced practice clinicians who excel in caring for 900,000+ older adults. Together, we're making health care work better for everyone. You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. **Required Qualifications:** + Bachelor of Social Work with 3+ years of experience beyond the required years of experience + Current BLS certification or must obtain certification within 30 days of employment hire date + 3+ years of social work experience in a health care environment + Proficient in MS Office Suite to include Word, Excel, Notes, Outlook, and other departmental specific programs/applications + Proven excellent oral and written communications skills + Proven solid organizational skills + Proven ability to prioritize, plan, and handle multiple tasks/demands simultaneously + Reliable transportation for daily travel to various locations as assigned + Valid drivers license within the state of work + Ability to travel up to 80% around the Austin, Texas area to meet with members in their homes, the hospital or in a long-term care setting **Preferred Qualifications:** + Masters of Social Work with licensure (LMSW or LCSW or LBSW) + Experience working with geriatric and behavioral and mental health patient populations + Long Term Care experience + Knowledge of disease management, managed care, medical terminology, referral process, claims, and CPT coding + Bilingual (English/Spanish) language proficiency Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $48,700 to $87,000 annually based on full-time employment. We comply with all minimum wage laws as applicable. _OptumCare is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations._ _OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment._
    $48.7k-87k yearly 60d+ ago
  • Long Term Services & Support Community Advisor

    Centene Corporation 4.5company rating

    Centene Corporation job in Austin, TX

    You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you'll have access to competitive benefits including a fresh perspective on workplace flexibility. Supports Long Term Services & Support (LTSS) network providers with recruitment and retention of direct care staff. Promotes self-determination and self-direction options with our membership. + Partners with LTSS providers and account management to monitor staffing levels and engage providers and offer assistance with staffing gaps when indicated Conducts virtual and in-person job fairs to assist with recruitment + Develops and maintains collaborative partnerships with local colleges and universities, the state workforce commission, agency networks and community groups Provides assistance to members through the following methods: + Education and assistance with accessing Employment Assistance and Supported Employment benefits + Referrals to the workforce commission and community organizations that link members to employment opportunities + Provides support for individuals who self-direct, assist with back-up plan development (as needed) and provide webinars and forums on self-direction + Monitors and expands alternative payment models with LTSS providers to provide financial incentive paid to direct care staff for high quality work **Education/Experience:** Bachelor's degree in Human Resources, Health Care, Sociology or related field or equivalent experience. 3+ years of related, employment specialist, workforce development, job coach, HR, client services, community relations, preferably in a managed care or Medicaid environment or other related experience. Community Health Worker Certification preferred. **Candidates must be in one of the following Texas counties to be considered for this role:** **McMullen County, Texas, Jim Hogg County, Texas, Zapata County, Texas, Duval County, Texas, Maverick County, Texas, Webb County, Texas .** **This is a remote role that requires occasional local travel for internal and provider/member-facing meetings.** Pay Range: $27.02 - $48.55 per hour Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility. Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law. Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act
    $27-48.6 hourly 55d ago
  • Senior Digital Designer

    Humana 4.8company rating

    Austin, TX job

    **Become a part of our caring community and help us put health first** The Senior Digital Designer responsible for creating, executing, developing, and maintaining digital design elements across multiple platforms. The Senior Digital Designer 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 Digital Designer collaborate closely with cross-functional teams to conceptualize, design, and produce digital content, graphics, animations, and user interfaces that align with organizational goals and enhance the user experience. Utilize common frameworks to build and develop interactive and responsive digital solutions that ensure compatibility, efficiency, and maximum value for the end-user. Support various business objectives, including product development, advertising, marketing, media, and communications. 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** Typically requires Bachelor's degree or equivalent and 5+ years of technical experience Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required. **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. $94,900 - $130,500 per year This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance. **Description of Benefits** Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. Application Deadline: 02-22-2026 **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 protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with 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. Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our ***************************************************************************
    $94.9k-130.5k yearly 5d ago
  • Hospice Bereavement Coordinator

    Unitedhealth Group Inc. 4.6company rating

    San Marcos, TX job

    Explore opportunities with CHRISTUS VNA Hospice, a part of LHC Group, a leading post-acute care partner for hospitals, physicians and families nationwide. As members of the Optum family of businesses, we are dedicated to helping people feel their best, including our team members who create meaningful connections with patients, their families, each other and the communities we serve. Find a home for your career here. Join us and embrace a culture of Caring. Connecting. Growing together. As a Bereavement Coordinator, you will supervise the provision of bereavement services that reflect the needs of patients and their families. You will demonstrate proficiency in providing bereavement services to individuals of all races, ages, genders, sexual orientations, social classes, spiritual beliefs, and mental/emotional statuses, as evidenced by observation and EGSS scores. Primary Responsibilities: * Establishes a Plan of Care addressing bereavement needs, detailing services and frequency up to 13 months post-patient death * Demonstrates active listening and provides impactful suggestions during phone and home visits within LHC guidelines * Leads and coordinates at least 12 Grief Support Group sessions per year * Maintains Bereavement Binder with information and attendance sheets from various events and presentations * Provides individualized and compassionate care for each bereaved, documented in Visit Notes, Bereavement Risk Assessment, Care Plan, and EGSS scores You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications: * Bachelor's degree in Social Work, Psychology, Mental Health Counseling, Psychiatric Nursing, Pastoral Counseling, OR equivalent education/training per state regulations * Experience in grief and loss counseling * Current CPR certification * Current driver's license, vehicle insurance, and access to a dependable vehicle or public transportation Preferred Qualification: * Master's degree in Social Work, Psychology, Mental Health Counseling, Psychiatric Nursing, Pastoral Counseling Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $49,700 to $88,800 annually based on full-time employment. We comply with all minimum wage laws as applicable. At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission. UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.
    $49.7k-88.8k yearly 10d ago
  • Associate Actuary, SPA-Rx

    Humana 4.8company rating

    Austin, TX job

    **Become a part of our caring community and help us put health first** The Associate Actuary, Analytics/Forecasting analyzes and forecasts financial, economic, and other data to provide accurate and timely information for strategic and operational decisions. Establishes metrics, provides data analyses, and works directly to support business intelligence. Evaluates industry, economic, financial, and market trends to forecast the organization's short, medium and long-term financial and competitive position. The Associate Actuary, Analytics/Forecasting work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors. _This a remote nationwide position_ The Associate Actuary, Analytics/Forecasting ensures data integrity by developing and executing necessary processes and controls around the flow of data. Collaborates with stakeholders to understand business needs/issues, troubleshoots problems, conducts root cause analysis, and develops cost effective resolutions for data anomalies. 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 + Associate of Society of Actuaries (ASA) designation + MAAA + Strong communication skills + Must be passionate about contributing to an organization focused on continuously improving consumer experiences **Preferred Qualifications** + Prior Part D experience + Strong SAS skills + Prior Databricks experience **Our Hiring Process** As part of our hiring process for this opportunity, we may contact you via text message and email to gather more information using a software platform called Modern Hire. Modern Hire Text, Scheduling and Video technologies allow you to interact with us at the time and location most convenient for you. If you are selected to move forward from your application prescreen, you may receive correspondence inviting you to participate in a pre-recorded Voice, Text Messaging and/or Video interview. Your recorded interview will be reviewed and you will subsequently be informed if you will be moving forward to next round of interviews If you have additional questions regarding this role posting and are an Internal Candidate, please send them to the Ask A Recruiter persona by visiting go/Buzz and searching Ask A Recruiter! Please be sure to provide the requisition number so we may be able to research your request quicker. **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 ******************** with instructions to add the information into the application at Humana's secure website. **_Humana is more than an equal opportunity employer, Humana's dedication to promoting diversity, multiculturalism, and inclusion is at the heart of what we do in all of our Humana roles. Diversity is more than a commitment to us, it is the foundation of what we do. We are fully focused on diversity of race, gender, sexual orientation, religion, ethnicity, national origin and all of the other fascinating characteristics that make us each uniquely wonderful._** \#LI-Remote Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required. **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. $106,900 - $147,000 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. Application Deadline: 01-29-2026 **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 protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with 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. Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our ***************************************************************************
    $106.9k-147k yearly Easy Apply 27d ago
  • Medical Assistant Specialists for Health Podiatry

    Unitedhealth Group Inc. 4.6company rating

    Austin, TX job

    $2,500 Sign-on Bonus for External Candidates Explore opportunities with WellMed, part of the Optum family of businesses. We believe all patients are entitled to the highest level of medical care. Here, you will be part of a team who shares your passion for helping people achieve improved health outcomes. Explore rewarding opportunities for physicians, clinical staff and non-patient-facing roles. Join us and discover the meaning behind Caring. Connecting. Growing together. The Medical Assistant (MA) participates in providing patient care at the appropriate skill level. They have a duty to provide a standard of care that meets or exceeds that of a reasonably competent and knowledgeable Medical Assistant. The MA performs duties within their scope of practice delegated by, and under the supervision of, a provider (TX) or physician (FL) Organizes the clinical environment and provides support in patient care situations. Support includes but is not limited to assisting physicians and nursing personnel, including those skills listed under Job Functions below along with various other procedures under the direct supervision and responsibility of a medical provider. The MA assists in identifying patient needs or problems and communicating data to the provider or other members of the clinical team. The MA delivers quality customer service. Ensures policy and procedures are followed including infection control, privacy and confidentiality. Completes mandatory training. Primary Responsibilities: * Performs all duties within the scope of a Medical Assistant's practice. Operates diagnostic equipment (cannot interpret tests), remove staples from superficial wounds, changes wound dressing and obtains cultures, administers non-intravenous medication, performs simple specimen collection via noninvasive techniques and collects blood specimens via venipuncture or via capillary, performs EKGs. Performs quality control checks on equipment. Prepares and sterilizes medical equipment using the autoclave * Rooms patients according to policy and procedures, prepares patient for examination * Records patient care documentation in the medical record accurately and in a timely manner * Coordinates patient care as directed by physicians, company standards and policies * Respects patient confidentiality at all times and treats patients with courtesy and respect * Organizes exam and treatment rooms, stocks and cleans rooms and sterilizes instruments * Practices standard infection control precautions * Telephone and in-person screening limited to intake and gathering of information without requiring the exercise of judgment based on clinical knowledge * Supports and follows Standard Delegation of Orders (SDO) * Performs all other related duties as assigned You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications: * High school graduate or GED equivalent * Current, nationally recognized Medical Assistant certification or the ability to obtain the certification within 180 days of employment. Medical Assistants who are hired prior to receiving their certification are expected to perform at the same level as a "certified" Medical Assistant. * Current BLS certification for healthcare providers (written exam and in-person assessment) at time of hire or within 30 days of hire * Basic computer literacy with intermediate Excel skills * Knowledge of medical terminology * Proven ability to react calmly and effectively in emergency situations * Proven good communication and customer service skills * This position requires Tuberculosis screening as well as proof of immunity to Measles, Mumps, Rubella, Varicella, Tetanus, Diphtheria, and Pertussis through lab confirmation of immunity, documented evidence of vaccination, or a doctor's diagnosis of disease Preferred Qualifications: * 1+ years of experience as a Medical Assistant * Knowledge of ICD-10 and CPT coding * Bilingual Physical & Mental Requirements: * Ability to lift, push or pull >35 lbs. with assistance * Ability to stand for extended periods of time * Ability to use fine motor skills to operate equipment and/or machinery * Ability to receive and comprehend instructions verbally and/or in writing * Ability to use logical reasoning for simple and complex problem solving * Occasionally requires exposure to communicable diseases or bodily fluids * Ability to discriminate shades of color when reading dipstick Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $19.00 to $25.00 per hour based on full-time employment. We comply with all minimum wage laws as applicable. At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission. UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.
    $19-25 hourly 3d ago
  • Senior Site Reliability Engineer

    Centene Corporation 4.5company rating

    Centene Corporation job in Austin, TX

    You could be the one who changes everything for our 28 million members by using technology to improve health outcomes around the world. As a diversified, national organization, Centene's technology professionals have access to competitive benefits including a fresh perspective on workplace flexibility. **Position Purpose:** Helps lead projects that are focused on managing and maintaining optimum platform infrastructure performance, reliability, and security using **SRE practices** , observability tools, manual and automated procedures, documentation, people and processes and continuous delivery(CI/CD) tools, processes, and designs. Develops complex services to automate monitoring activities and provide critical information to facilitate response and resolution of performance and availability issues and incidents. Understands and advocates for standardized and scalable software tools to ensure that systems operate without interruption at optimum performance and leads project teams through out the deployment process. Troubleshoots and analyzes service disruptions to determine the root cause of issues and develop solutions for improved reliability. + Troubleshoots and resolves more complex problems with systems and services and initiates regular deployment of new versions of the systems and their subcomponents + Leads more complex projects focused on building and maintaining observability/monitoring for the application, monitoring key performance indicators, maintaining alerting, and continuously improving visibility. + Helps make decisions around periodic system validation and testing, service monitoring, and standing up new services/tools + Uses knowledge and experience to identify strategies that increase system reliability and performance through on-call rotation and process optimization + Identifies and implements necessary manual and automated procedures for improved collaborative response in real-time + Leads lower level Engineers in stress, security, and performance testing + Resolves issues that come up through support escalation + Keeps documentation and runbooks up to date to effectively deal with new incidents that might arise + Leads post incident reviews and documents findings for future informed decision making + Reviews proposals to optimize Software Development Life Cycle (SDLC) to boost service reliability and makes decisions around which proposals should move forward. + Communicates complex topics with development teams to investigate and document issues and leads internal team to develop solutions to mitigate them + Performs other duties as assigned + Complies with all policies and standards **Education/Experience:** A Bachelor's degree in a quantitative or business field (e.g., statistics, mathematics, engineering, computer science) and Requires 4 - 6 years of related experience. Or equivalent experience acquired through accomplishments of applicable knowledge, duties, scope and skill reflective of the level of this position. **Technical Skills:** One or more of the following skills are desired. + Experience with Linux Operating System; Operating Systems; Unix Operating System; Windows Operating System + **Experience with observability/monitoring tools such as Splunk, Dynatrace, Elastic, New Relic, Prometheus, Grafana** + Experience with enterprise level CICD Tools such as Ansible, Jenkins, Cloudbees, OpenShift + **Experience with working in public cloud platforms like AWS and Azure** + Experience with Programming Tools + Experience with Other: building and operating highly scaled applications + Experience with MongoDB; MySQL; Oracle Database Management System (DBMS); PL SQL; SQL (Programming Language) + Experience with varying code repositories, auto deployments, branching with tools such as Gitlab, Bitbucket, Subversion + Experience with IT service management tools such as Service Now, Atlassian, BMC **Soft Skills:** + Seeks to acquire knowledge in area of specialty + Ability to identify basic problems and procedural irregularities, collect data, establish facts, and draw valid conclusions + Ability to work independently + Demonstrated analytical skills + Demonstrated project management skills + Demonstrates a high level of accuracy, even under pressure + Demonstrates excellent judgment and decision making skills Pay Range: $87,000.00 - $161,300.00 per year Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility. Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law. Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act
    $87k-161.3k yearly 60d+ ago
  • Executive Underwriter, Middle Market Technology

    Liberty Mutual 4.5company rating

    Austin, TX job

    We are seeking an experienced Executive Underwriter to underwrite middle market technology accounts focused on Property & Casualty and Technology Errors & Omissions (Tech E&O). This role combines autonomous underwriting authority with commercial development: you will manage a portfolio of brokers and clients, underwrite complex/mid-to-large risk technology accounts, price risk analytically, and shape product and go-to-market strategy for the technology vertical. Responsibilities: * Risk Selection: Reviews, rates, underwrites, evaluates, or assesses the business applying for insurance by qualifying accounts, identifying, selecting and assessing risks, determining the premium, policy terms and conditions, obtaining approvals, creating/presenting the proposal to the agent/broker, and successfully negotiating deals. * Agent/Broker Relationships: Demonstrates a high level of responsiveness and focus on supporting Agents and Brokers objectives. Establishes, develops, and maintains successful relationships with Agents and Brokers to facilitate marketing of products, through responsive service, site visits, in person renewal meetings or enhanced knowledge of their customers businesses. Develops strong personal brand to build and maintain a long-term quality pipeline with Agents/Brokers. * Portfolio Management: Manages a sizable and complex book of technology business by analyzing the portfolio, identifying areas of opportunity for improved growth, profit and diversification, and executing marketing plans to increase market share by making marketing calls to brokers to market and cross market. * Documenting the Deal: Documents files in a way that reflects a solid thought process and decision making through comprehensive account reviews, sign-offs and referrals that comply with state regulations, letter of authority, and underwriting guidelines. * Leadership: Formally guides, mentors, and coaches underwriters and account analysts in both technical and professional skills. Demonstrates an area of expertise and provides regular updates to other underwriters. * Continuous Improvement: Actively participates in continuous improvement by generating suggestions, participating in problem solving activities and using continuous improvement tools to support the work of the team. Qualifications * Degree in Business or equivalent typically required * A minimum of 7 years expected, typically 10 years or more, of progressive underwriting experience and/or other related business experience * CPCU or professional insurance designation preferred * Proven analytical ability to evaluate and judge underwriting risks within scope of responsibility * Demonstrated ability to communicate complex analyses and information in understandable written and/or oral directives to other persons in the organization for underwriting or training purposes * Demonstrated effective communication and interpersonal skills in dealing with internal and external stakeholders * Must demonstrate comprehension of most complex technical underwriting issues and be capable of defining and implementing necessary underwriting and administrative processes/workflows to properly manage or administer those issues * Proven track record of developing and underwriting profitable business About Us Pay Philosophy: The typical starting salary range for this role is determined by a number of factors including skills, experience, education, certifications and location. The full salary range for this role reflects the competitive labor market value for all employees in these positions across the national market and provides an opportunity to progress as employees grow and develop within the role. Some roles at Liberty Mutual have a corresponding compensation plan which may include commission and/or bonus earnings at rates that vary based on multiple factors set forth in the compensation plan for the role. At Liberty Mutual, our goal is to create a workplace where everyone feels valued, supported, and can thrive. We build an environment that welcomes a wide range of perspectives and experiences, with inclusion embedded in every aspect of our culture and reflected in everyday interactions. This comes to life through comprehensive benefits, workplace flexibility, professional development opportunities, and a host of opportunities provided through our Employee Resource Groups. Each employee plays a role in creating our inclusive culture, which supports every individual to do their best work. Together, we cultivate a community where everyone can make a meaningful impact for our business, our customers, and the communities we serve. We value your hard work, integrity and commitment to make things better, and we put people first by offering you benefits that support your life and well-being. To learn more about our benefit offerings please visit: *********************** Liberty Mutual is an equal opportunity employer. We will not tolerate discrimination on the basis of race, color, national origin, sex, sexual orientation, gender identity, religion, age, disability, veteran's status, pregnancy, genetic information or on any basis prohibited by federal, state or local law. Fair Chance Notices * California * Los Angeles Incorporated * Los Angeles Unincorporated * Philadelphia * San Francisco
    $33k-53k yearly est. Auto-Apply 7d ago
  • Business Intelligence Lead - Digital VOC

    Humana 4.8company rating

    Austin, TX job

    **Become a part of our caring community and help us put health first** The Digital Voice of Customer (VoC) Program Leader & Insights Champion will own and advance the end-to-end VoC strategy across Digital CW, ensuring measurement approaches align with customer experience goals and business priorities. This position is responsible for vendor management (Qualtrics), cross-functional stakeholder collaboration, and driving everyday self-service and adoption of VoC insights throughout the organization. The ideal candidate will develop diverse VoC touchpoints, analyze structured and unstructured data, present findings through effective storytelling, and serve as a thought leader to educate and empower teams for data-driven decision-making. **Key Responsibilities** : + Develop, execute, and continuously refine the comprehensive VoC Program strategy for Digital CW, ensuring alignment with enterprise customer experience objectives and business priorities. + Manage and cultivate the vendor relationship with Qualtrics, representing the interests of Digital CW and collaborating with the Humana Digital lead. + Partner with stakeholders across UX, Product, Business Intelligence, Operations, and other lines of business to strategize, design, and implement optimal VoC touchpoints-including expansion beyond digital channels-to capture actionable customer insights. + Champion the incorporation of VoC metrics into everyday business practices, fostering a pull-driven, self-service engagement model across the enterprise. + Analyze structured and unstructured data to identify trends, friction points, opportunities for improvement, and root causes impacting user experiences. + Synthesize and communicate insights through compelling storytelling to influence cross-functional teams and drive user-backed optimizations. + Stay current with industry trends, emerging tools, and best practices to enhance VoC program effectiveness and operational efficiency. + Serve as a thought leader, educating stakeholders and promoting a culture of data-driven decision-making. **Use your skills to make an impact** **Required Qualifications** + Bachelor's degree and 8 or more years of technical experience in data analysis OR Master's degree and 4 years of experience + 2 or more years of project leadership experience **Preferred Qualifications** + Demonstrated experience leading VOC or customer experience programs in a digital environment + Strong vendor management skills, preferably with Qualtrics or similar platforms + Knowledge of current trends and tools in customer experience measurement and analytics + Advanced experience in analysis and synthesis of quantitative and qualitative data + Excellent communication, presentation, and storytelling skills to inform and influence senior and executive leadership + Experience aggregating data across multiple sources (e.g., primary research, secondary research, operational data) + Working knowledge of primary research techniques (e.g., basic survey design) + Advanced Degree in a quantitative discipline, such as **Business, Marketing, Analytics** , Mathematics, Statistics, Computer Science, or related field + Passion for contributing to an organization focused on continuously improving consumer experiences + Experience analyzing data to solve a wide variety of business problems and create data visualizations that drive strategic direction + Advanced experience working with big and complex data sets within large organizations + Proven ability to work with cross-functional teams and translate requirements between business, project management and technical projects or programs + Proficiency in understanding Healthcare related data + Experience creating analytics solutions for various healthcare sectors + Advanced in SQL, SAS and other data systems + Experience with tools such as Tableau and Qlik for creating data visualizations + Expertise in data mining, forecasting, simulation, and/or predictive modeling Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required. **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. $117,600 - $161,700 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. Application Deadline: 04-17-2026 **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 protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with 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. Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our ***************************************************************************
    $117.6k-161.7k yearly 4d ago
  • Nurse Practitioner - Evernorth - Austin TX

    The Cigna Group 4.6company rating

    Austin, TX job

    **Evernorth Workplace Care** offers health care delivery services along with population health and health coaching solutions, conducted in person or virtually. **Our mission is to deliver proactive, personalized, and holistic patient care and coaching by acting on health data and insights to improve the overall health and wellness of our clients' employees, and those they care about most, by providing access to high quality, affordable services where they work and live.** Our Evernorth Workplace Care solution isn't a one-size-fits-all model. Using data-driven insights, we'll customize a solution that addresses your organization's most pressing needs-creating a more affordable, predictable, and simple health care experience. _Evernorth Workplace Care - Personalized Care Where You Are_ **Position Summary:** + Provide Primary Care treatment in a Workplace-based setting + Episodic care (low acuity Urgent Care) + Extended Episodic Acute Care which can include 4-5 visits for an illness or injury that is limited in its chronicity + Chronic condition education and co-management with outside primary care if EWC is not the PCP + Ability to oversee and perform CLIA waived tests, dispense Rx medications, and oversee a specimen collection lab + Collaboration with onsite employees to provide biometric screening and health and wellness education + Potential for Travel Medicine recommendation and immunizations or administration of allergen immunotherapy (with proper training) + Direct one on one health coaching to employees along with referring patients into wellness programs + Partner with local HR/Benefits team to improve employee health + Partner closely with, and potentially oversee, members of the health care team (MA, LPN, etc.) **Clinical Requirements:** + Graduate of Certified NP program + Active and unrestricted NP license required in respective state, and ability to maintain + Minimum of 2 or more years of NP experience, working independently in an internal medicine or family practice setting + Ability to practice independently in respective state + May be asked to obtain licensure in additional states + DEA licensure and prescriptive authority and ability to maintain + Strong primary care experience including women's health + Chronic Disease Management experience is preferred + Electronic Health Record experience; EPIC experience is a plus + BLS certification and ability to maintain current certification + Phlebotomy experience is a plus **Non-Clinical Qualifications:** + Excellent interpersonal skills including internal and external customers and group settings + Passionate about overall health and wellness and patient education + High energy and strong customer-centric focus + Ability to work clinic hours + Solid attendance record + Strong time management skills + Additional language skills such as Spanish is a plus + Supervisory experience (indirect or direct) is preferred This position is based in the health center in Austin TX. If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload. **About Evernorth Health Services** Evernorth Health Services, a division of The Cigna Group, creates pharmacy, care and benefit solutions to improve health and increase vitality. We relentlessly innovate to make the prediction, prevention and treatment of illness and disease more accessible to millions of people. Join us in driving growth and improving lives. _Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws._ _If you require reasonable accommodation in completing the online application process, please email:_ _*********************_ _for support. Do not email_ _*********************_ _for an update on your application or to provide your resume as you will not receive a response._ _The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State._ _Qualified applicants with criminal histories will be considered for employment in a manner_ _consistent with all federal, state and local ordinances._
    $103k-125k yearly est. 59d ago
  • Actuarial Principal - Financial Planning and Analysis

    Humana 4.8company rating

    Austin, TX job

    **Become a part of our caring community and help us put health first** Join Humana's Financial Planning & Analysis team, part of the CFO team, which drives aggregate financial results and insights across primarily Individual Medicare Advantage (MA). This team serves as a central hub for financial strategy and analysis, with connections to enterprise-wide and total Insurance perspectives. The Actuarial Analytics/Forecasting Principal role offers flexibility in responsibilities, significant exposure to senior leadership, and strong potential for upward mobility. We seek candidates who are willing to think creatively, challenge assumptions, voice opinions on key drivers and ranges, and contribute to a culture of continuous improvement and healthy debate. The Actuarial Analytics/Forecasting Principal analyzes and forecasts financial, economic, and other data to provide accurate and timely information for strategic and operational decisions. Establishes metrics, provides data analyses, and works directly to support business intelligence. Evaluates industry, economic, financial, and market trends to forecast the organization's short, medium, and long-term financial and competitive position. The Actuarial Analytics/Forecasting Principal provides strategic advice and guidance to functional team(s). Highly skilled with broad, advanced technical experience. The Actuarial Analytics/Forecasting Principal ensures data integrity by developing and executing necessary processes and controls around the flow of data. Collaborates with stakeholders to understand business needs/issues, troubleshoots problems, conducts root cause analysis, and develops cost-effective resolutions for data anomalies. Works with senior executives to develop and drive segment or enterprise-wide functional strategies. Advises one or more areas, programs, or functions and provides recommendations to senior executives on matters of significance, and as an advanced subject matter expert competent to work at very high levels in multiple knowledge and functional areas across the enterprise. **Use your skills to make an impact** **Required Qualifications** + Bachelor's degree, in some instances a Master's or Doctorate's degree + 10 or more years of technical experience + 2-5 years of project/people leadership + FSA or ASA plus relevant advanced degree, recent and relevant work experience, and/or other relevant professional designations + MAAA + Strong communication skills + Experience in more than two functions (e.g., modeling, pricing, rate filing, reporting & analysis, reserving or trending) + Must be passionate about contributing to an organization focused on continuously improving consumer experiences **Preferred Qualifications** + Medicare Advantage pricing and forecasting experience + Experience working with aggregate financials across insurance products or enterprise-level financial planning + Demonstrated ability to challenge existing assumptions and propose creative solutions **Additional Information** Humana is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sexual orientation, gender identity, national origin, age, disability, or veteran status. For more information on Humana careers, please visit Humana Careers (******************************* . Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required. **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. $156,600 - $215,400 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. Application Deadline: 01-30-2026 **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 protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with 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. Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our ***************************************************************************
    $156.6k-215.4k yearly 35d ago
  • Care Management Support Professional

    Humana 4.8company rating

    Austin, TX job

    **Become a part of our caring community and help us put health first** Humana Care Support strives to assist in meeting members' needs and requirements so they can achieve and/or maintain an optimal wellness state. The Care Management Support Professional 1 contributes to administration of care management in coordination with the RNs and Social Workers on this team. Work assignments are often straightforward and of moderate complexity. Responsibilities include: + Using knowledge of social determinants of health (SDOH) to identify, research, document and coordinate services and resources to support member health and well-being. + Guiding members and their families towards resources appropriate for their care and wellbeing. + Serve as a key knowledge source for community services and information for member and other Humana associates. + Providing education, contact information, and assistance in contacting basic resources such as transportation, food, rent/mortgage assistance, and medical bills. + and housing. + Work collaboratively with other Humana associates as a member of Humana's Care Management Support team. + Must be passionate about contributing to an organization focused on continuously improving consumer experiences. + May complete assessments as warranted. **Use your skills to make an impact** **Required Qualifications** + Master's degree in Social Work (Non-licensed MSW only). + 2+ years' experience working in a medical and/or community-based setting. + Proficiency with Microsoft Office Word and Outlook. + Ability to learn new systems and work in multiple platforms. + Experience working with people who have social determinants of health challenges. + Exceptional communication & interpersonal skills with ability to build rapport with internal and external members and stakeholders over the telephone. + Strong written communication skills. + Ability to multi-task and work in a fast-paced environment + Demonstrated understanding and respect of all cultures and demographic diversity. **Preferred Qualifications** + Experience providing community resources for basic and healthcare needs. + Experience working with members/patients with medical and mental health co-morbidities. + Experience advocating for managed care members at all levels of care. + Non-clinical Case Management experience. + Bilingual Spanish and Creole + Hospital discharge planning, home health or hospice a plus **Work-At-Home Requirements** To ensure Home or Hybrid Home/Office associates' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office associates must meet the following criteria: + At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is suggested + Satellite, cellular and microwave connection can be used only if approved by leadership + Associates who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense + Humana will provide Home or Hybrid Home/Office associates with telephone equipment appropriate to meet the business requirements for their position/job + Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information **Additional Information** + Training Hours: Monday-Friday 8:00am-4:30pm (2 weeks) + Actual Work Schedule: Monday-Friday 9:30am-6:00pm EST Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required. **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. $45,400 - $61,300 per year **Description of Benefits** Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. Application Deadline: 01-21-2026 **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 protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with 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. Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our ***************************************************************************
    $45.4k-61.3k yearly 11d ago
  • Production Control Engineer II

    Centene Corporation 4.5company rating

    Centene Corporation job in Austin, TX

    You could be the one who changes everything for our 28 million members by using technology to improve health outcomes around the world. As a diversified, national organization, Centene's technology professionals have access to competitive benefits including a fresh perspective on workplace flexibility. **Position Purpose:** Oversees daily operations of the production control activities in an IT environment. Develops and administers policies and procedures for ensuring the flow of data and operations between or within departments. + Manages daily operations of production control activities for systems software and hardware, data and applications + Works with product teams to define, architect and implement tools to enhance availability, scalability, cost-efficiency, and performance of IT environment + Ensures capacity planning for IT environment and implements performance metrics and event-driven alerting + Provides second-level production support and maintain system management tools + Participates in the disaster recovery processes/exercises and ensure preventive maintenance activities are carried out to maintain business continuity + Ensures that major revisions to applications in production are passed after thorough testing and proper documentation according to change management and software development life cycle + Recommends suitable software solutions and ideas for automating tasks of daily operations + Documents standard operating procedures and sharing frequent progress reports/ updates with required stakeholders + Performs other duties as assigned + Complies with all policies and standards **Schedule:** Sunday - Wednesday 4 days with 10 hour shift 2pm - 12amCST **Education/Experience:** A Bachelor's degree in a quantitative or business field (e.g., statistics, mathematics, engineering, computer science) and requires 2 - 4 years of related experience. Or equivalent experience acquired through accomplishments of applicable knowledge, duties, scope and skill reflective of the level of this position. IT operations and administration required. managed health care environment and related industry regulations required. **Technical Skills:** + One or more of the following skills are desired. + Knowledge of Other: software lifecycles and practices **Soft Skills:** + Intermediate - Seeks to acquire knowledge in area of specialty + Intermediate - Ability to identify basic problems and procedural irregularities, collect data, establish facts, and draw valid conclusions + Intermediate - Ability to work independently Pay Range: $30.58 - $55.09 per hour Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility. Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law. Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act
    $30.6-55.1 hourly 5d ago
  • Lead Experience Researcher

    Humana 4.8company rating

    Austin, TX job

    **Become a part of our caring community and help us put health first** The Lead Experience Researcher will inform experience strategy by identifying priority customer segments, uncovering unmet needs, and translating insights into differentiated experience capabilities. this role partners closely with product, design, and clinical staeholders to inform journey optimization and ensure solutions are grounded in customer and market evidence. The researcher will connect customer insight to business outcomes, enabling scalable, market-relevant experiences. We are seeking a Lead Experience Researcher to drive high-impact experiences. This role blends qualitative and quantitative research expertise with strategic problem-solving to identify meaningful solutions that address unmet and unrealized needs. The ideal candidate will have a strong background in research design, a passion for human-centered innovation, and the ability to translate insights into actionable recommendations that advance business and experience outcomes. The Research Consulting Lead provides expert guidance around study design, research methodology, analyses and interpretation of results. Acts as principal investigator, leading the study team from study inception to dissemination of research results. Advises leadership to develop functional strategies on matters of significance. Exercises independent judgment and decision making on complex issues regarding job duties and related tasks, and works under minimal supervision, Uses independent judgment requiring analysis of variable factors and determining the best course of action. **Key Responsibilities:** + **Lead Research Engagements:** Design and execute mixed-method research (qualitative and quantitative) to deeply understand patient, member, and associate experiences. + **Root Cause and Opportunity Analysis:** Investigate underlying drivers of key business challenges, surfacing unmet and unrealized needs. + **Insight Synthesis:** Translate research findings into clear, actionable insights that inform experience strategy, product design, and operational decision-making. + **Strategic Problem-Solving:** Partner with cross-functional teams to co-create solutions, identifying opportunities that align with organizational strategy, end-to-end journey transformation and deliver measurable impact. + **Thought Partnership:** Serve as a consulting partner to leaders and stakeholders, guiding them through the research-to-action process. + **Measurement & Impact:** Recommend success metrics and help establish measurement frameworks to evaluate the effectiveness of implemented solutions. **Why Join Our Team** As a Lead Experience Researcher, you'll play a pivotal role in shaping experiences that improve health outcomes and transform how care is delivered. You'll work on high-visibility projects that drive organizational learning, accelerate decision-making, and directly impact the lives of the people we serve. **Use your skills to make an impact** **Required Qualifications** + Bachelor's degree + A minimum of five years' experience successfully applying experience research methods to design differentiating products and services + Experience planning, developing and conducting quantitative and qualitative research + Working experience with human-centered design methodologies including design thinking or comparable iterative methodologies + Knowledge of service design, social science, behavior change, perception, cognition, task analysis, experimental design, and statistics + Experience applying insights to shape strategies, programs, or products. + Expertise in a range of research methodologies (in-depth interviews, surveys, journey mapping, statistical analysis) + Experience leading or participating in service design and/or service blueprinting **Preferred Qualifications** + Master's degree in social science or healthcare strongly preferred (e.g., anthropology, health services research, psychology, public health, or social work) + Experience with Agile Methodologies + Experience informing zero to one experiences **Additional Information** + Remote role + Must work central or eastern hours; 8-5 Monday-Friday + Travel - Intermittent, approximately 1x per quarter Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required. **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. $138,900 - $191,000 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. Application Deadline: 03-01-2026 **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 protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with 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. Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our ***************************************************************************
    $138.9k-191k yearly 4d ago
  • Field Medical Assistant Central or South Austin

    Unitedhealth Group 4.6company rating

    Austin, TX job

    **$3,500 Sign-on Bonus for External Candidates** **Opportunities at WellMed,** part of the Optum family of businesses. We believe all patients are entitled to the highest level of medical care. Here, you will join a team who shares your passion for helping people achieve better health. With opportunities for physicians, clinical staff and non-patient-facing roles, you can make a difference with us as you discover the meaning behind **Caring. Connecting. Growing together.** The Certified Medical Assistant for the Mobile Team performs a variety of healthcare screening activities to assist providers in conducting quality clinics, including administering injections, diagnostic testing, phlebotomy, quality surveys and various other procedures. Delivers exceptional customer service and maintains established quality control standards. This position will work directly with our quality mobile team, contracted physician groups and staff in the respective markets as assigned. **Primary Responsibilities:** + Performs all duties within the scope of a Certified Medical Assistant (procedures, injections, diagnostic testing, phlebotomy) + Coordinates healthcare screening results as directed by providers, company standards, and policies + Travels with the mobile team to clinics and centralized locations to conduct screening clinics to support contracted physician network + Rooms patients according to company standards + Follows all physician office guidelines while conducting screening clinics onsite at contracted physician clinics + Arrives to all clinics as least 15 minutes early to introduce the team to the office staff and set up equipment in exam room designated for clinic + Organizes onsite clinics to ensure all equipment and supplies are on hand and set up in the exam rooms prior to receiving patients for screening appointments + Performs and completes all quality program health screenings per required metrics.Telephone and in-person screening limited to intake and gathering of information without requiring the exercise of judgment based on clinical knowledge + Processes appropriate documents in an organized and accurate manner and copies all physicians on patient results and quality forms submitted + Reviews all patient screening forms to ensure all outstanding healthcare screenings are performed and reviews medical records and collect referral information for colon screenings, DM eye exams, mammograms and labs + Records patient care documentation in the medical records accurately and according to company policy + Conducts post audits on all information submitted to quality program to make sure information is complete and presented within the guidelines.Any items rejected due to noncompliance will be researched and resubmitted according to guidelines + Reviews all medical information, test results and survey questions prior to the patient leaving to ensure all information is captured + Presents abnormal results to the provider promptly to ensure there is not an emergent condition that needs immediate attention + Post clinic preparation of mobile team charts for faxing, filing and forwarding to the PCP offices + Compiles results and enters information into utilization reports for submission to management + Works as a liaison between mobile team, physician business managers, and contracted PCP offices to ensure all patient information is reported accurately and are completed.Offers solutions to improve quality goals + Coordinates with the providers and contracted PCP groups to ensure timely submission of their screenings to the DataRaps department + Maintains confidentiality of all materials handled within the department as well as proper release of patient information at all times + Maintains certifications (MA and CPR) and quality control standards + Participates in marketing events as determined by business need + Performs all other related duties as assigned You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. **Required Qualifications:** + High school graduate or GED equivalent + Current, nationally recognized Medical Assistant certification or registration required or must obtain the designation within 180 days of employment hire date + Current BLS certification for healthcare providers (written exam and in-person assessment) at time of hire or within 30 days of hire + Knowledge of medical terminology + ICD-10 and CPT coding + Basic computer literacy + Proven ability to react calmly and effectively in emergency situations + Proven good communication and customer service skills + Proven flexible and adaptable to change + Reliable transportation for daily travel to various clinics as assigned + Valid drivers license within the state of work + Ability to travel frequently within assigned market + This position requires Tuberculosis screening as well as proof of immunity to Measles, Mumps, Rubella, Varicella, Tetanus, Diphtheria, and Pertussis through lab confirmation of immunity, documented evidence of vaccination, or a doctor's diagnosis of disease **Preferred Qualifications:** + Graduation from an accredited Medical Assistant program + 1+ years of experience as a Medical Assistant + 1+ years of related experience in a medical setting + Bilingual (English/Spanish) **Physical & Mental Requirements** : + Ability to lift up to 50 pounds + Ability to push or pull heavy objects using up to 100 pounds of force + Ability to stand for extended periods of time + Ability to use fine motor skills to operate equipment and/or machinery + Ability to receive and comprehend instructions verbally and/or in writing + Ability to use logical reasoning for simple and complex problem solving + Occasionally requires exposure to communicable diseases or bodily fluids The hourly range for this role is $19.00 to $25.00 per hour based on full-time employment. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. In addition to your salary, UnitedHealth Group offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with UnitedHealth Group, you'll find a far-reaching choice of benefits and incentives. _At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission._ _Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employers and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law._ _UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment._
    $19-25 hourly 60d+ ago
  • ENA Strategic Acct Mgr I

    HCSC 4.5company rating

    Austin, TX job

    At HCSC, our employees are the cornerstone of our business and the foundation to our success. We empower employees with curated development plans that foster growth and promote rewarding, fulfilling careers. Join HCSC and be part of a purpose-driven company that will invest in your professional development. Job Summary This position is responsible for partnering with assigned account executive in all aspects of retaining and growing enterprise national accounts. Responsible for ongoing service strategy and ensuring client satisfaction. Ability and willingness to travel, including overnight stays as needed. Required Job Qualifications: * Bachelor degree and 2 years in Healthcare operations handling independent work OR 6 years of experience in Healthcare operations handling independent work. * Possess current state general agent insurance license or obtain general agent insurance license within 90 days of starting in the role. * Organization/project implementation skills. * Verbal and written communications skills to work with customer representatives, customers, brokers and across internal departments. * Knowledge of health insurance products and the industry. * PC proficiency to include Word, Excel and PowerPoint. * Analytical skills. * Ability and willingness to travel, including overnight stays as needed. Preferred Job Qualifications: * Bachelor degree. * Experience servicing accounts and working with brokers. * Knowledge of salesforce.com or applicable sales database. Are you being referred to one of our roles? If so, ask your connection at HCSC about our Employee Referral process! Pay Transparency Statement: At Health Care Service Corporation, you will be part of an organization committed to offering meaningful benefits to our employees to support their life outside of work. From health and wellness benefits, 401(k) savings plan, pension plan, paid time off, paid parental leave, disability insurance, supplemental life insurance, employee assistance program, paid holidays, tuition reimbursement, plus other incentives, we offer a robust total rewards package for employees. Learn more about our benefit offerings by visiting ************************************** The compensation offered will vary depending on your job-related skills, education, knowledge, and experience. This role aligns with an annual incentive bonus plan subject to the terms and the conditions of the plan. HCSC Employment Statement: We are an Equal Opportunity Employment employer dedicated to providing a welcoming environment where the unique differences of our employees are respected and valued. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other legally protected characteristics. Base Pay Range $65,100.00 - $97,600.00 Exact compensation may vary based on skills, experience, and location.
    $65.1k-97.6k yearly Auto-Apply 31d ago
  • Informaticist

    Humana 4.8company rating

    Austin, TX job

    **Become a part of our caring community and help us put health first** The Provider Analytics organization's vision is to improve member healthcare through innovative analytics and actionable insights, which empower members, and providers to drive higher quality, lower cost of care, and improved health outcomes. Provider Analytics develops and applies actionable analytics and insights, which are integral to business needs, to drive informed provider network strategy and is looking for an Informaticist 2 to join their team. The Informaticist 2: + Designs and constructs models to estimate impact of contractual changes tied to ancillary and industry leading innovative care delivery models + Collates, models, interprets and analyzes data in order to identify, explain, and influence variances and trends + Explains variances and trends and enhances modeling techniques + Utilizes multiple data sources such as SQL, Power BI, Excel, etc., to create advanced analytics to facilitate contracting initiatives + Uses a consultative approach to collaborate effectively with the markets, and other customers, building productive cross-functional relationships + Extracts historical data, performs data mining, develops insights to drive provider contracting strategy and reimbursement terms for National Ancillary Contracting + Develops tools and automates processes to model financial implications of ancillary contracted rate changes, including changes in capitated arrangements In addition to being a great place to work, Humana also offers industry leading benefits for all employees, starting your FIRST day of employment. Benefits include: + Medical Benefits + Dental Benefits + Vision Benefits + Health Savings Accounts + Flex Spending Accounts + Life Insurance + 401(k) + PTO including 9 paid holidays, one personal holiday, one day of volunteer time off, 23 days of annual PTO, parental leave, caregiving leave, and weekly well-being time + And more **Use your skills to make an impact** **Required Qualifications** + 3+ years of demonstrated healthcare analytical experience + 1+ years SQL experience + 1+ years' experience in data visualization (ie. Power BI, Tableau, etc.) + Experience in compiling, modeling, interpreting and analyzing data in order to identify, explain, influence variances and trends + Experience in managing data to support and influence decisions on day-to-day operations, strategic planning and specific business performance issues + Possess a working knowledge and understand department, segment and organizational strategy **Preferred Qualifications** + Bachelor's Degree in analytics or related field + Advanced Degree + Understanding of healthcare membership, claims, and other data sources used to evaluate cost and other key financial and quality metrics **Additional Information** Work at Home/Remote Requirements **Work-At-Home Requirements** + To ensure Home or Hybrid Home/Office associates' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office associates must meet the following criteria: + At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended to support Humana applications, per associate. + Wireless, Wired Cable or DSL connection is suggested. + Satellite, cellular and microwave connection can be used only if they provide an optimal connection for associates. The use of these methods must be approved by leadership. (See Wireless, Wired Cable or DSL Connection in Exceptions, Section 7.0 in this policy.) + Humana will not pay for or reimburse Home or Hybrid Home/Office associates for any portion of the cost of their self-provided internet service, with the exception of associates who live or work from Home in the state of California, Illinois, Montana, or South Dakota. Associates who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense. + Humana will provide Home or Hybrid Home/Office associates with telephone equipment appropriate to meet the business requirements for their position/job. + Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information **Our Hiring Process** As part of our hiring process, we will be using an exciting interviewing technology provided by HireVue, a third-party vendor. This technology provides our team of recruiters and hiring managers an enhanced method for decision-making. If you are selected to move forward from your application prescreen, you will receive correspondence inviting you to participate in a pre-recorded Voice, Text Messaging, and/or Video Interview. If participating in a pre-recorded interview, you will respond to a set of interview questions via your phone or computer. You should anticipate this interview to take approximately 10-15 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. If you have additional questions regarding this role posting and are an Internal Candidate, please send them to the Ask A Recruiter persona by visiting go/Buzz and searching Ask A Recruiter! Please be sure to provide the requisition number so we may be able to research your request quicker. \#LI-LM1 Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required. **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. $73,400 - $100,100 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. Application Deadline: 01-21-2026 **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 protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with 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. Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our ***************************************************************************
    $73.4k-100.1k yearly 3d ago
  • Monitor Tech, PRN - RBH

    Tenet Healthcare 4.5company rating

    New Braunfels, TX job

    Provides appropriate telemetry monitoring based on patient's age and rhythm. Demonstrates knowledge of arrhythmia identification and analysis. Completes established competencies for the position within designated introductory period. Other related duties as assigned. Education: MINIMUM EDUCATION: Completion of an ECG course PREFERRED EDUCATION: ECG certification Experience: MINIMUM EXPERIENCE: Demonstrated experience in medical field, with transcription and medical terminology. Certifications: REQUIRED CERTIFICATIONS/LICENSURE: NA PREFERRED CERTIFICATIONS/LICENSURE: NA REQUIRED COURSES/COMPLETIONS (e.g., CPR): NA #LI-RR1
    $31k-36k yearly est. Auto-Apply 7d ago

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