Centene jobs in Lexington, KY - 138 jobs

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. **Please note: Candidate must reside within the state of Kentucky** **Position Purpose:** Position acts as a subject matter expert for the Contractor's Program Integrity unit to reduce Fraud, Waste and Abuse of Medicaid services within Kentucky. Provides direction and guidance to staff who investigate and remediate compliance and fraud, waste, and abuse related matters; while maintaining an investigative workload of moderate to high complexity. Assists manager on monitoring team caseload and report on metrics. + Serve as the single point of contact with the Department + Facilitate timely response to Department requests for information + Serve as a lead for the Kentucky market + Manage and coordinate cases being investigated by the SIU + Maintain all vendor cases + Assist with conducting complex investigations, including on-site investigations, review, complete and submit FWA referrals to the state as needed + Maintain and approve all reports submitted to the state + Monitor state contract and regulatory changes that may arise + Works quickly, with great attention to detail, while managing competing priorities. + Logs, tracks, resolves and responds to all assigned inquiries and complaints while meeting all regulatory, CMS, and WellCare Corporate guidelines in which special care is required to protect and enhance WellCare's reputation. + Works cross-functionally in preparation of effective communications with stakeholders on social channels and provides content to appropriately respond to social media posts regarding provider inquires. + Tracks & trends issues that result in AHCA complaints for purposes of developing preventive measures + Escalates customer service questions to other appropriate internal teams as needed. + Supports the provider escalation project team to resolve claims and payment issues. + Identifies root-cause issues to ensure enterprise solutions and communicate findings as needed. + Shares case studies and best practices throughout the enterprise. + Contributes to the creation of documentation such as SOP's, FAQ's, and resources to be used by internal customer service agents. + Researches escalated issues and takes appropriate action to resolve them within established service level agreements, WellCare best practice and quality standards. + Applies a comprehensive knowledge of claims processing, provider customer service and payment knowledge to escalated provider inquiries. **Education/Experience:** Bachelor's degree in related field or Associate's degree with 6 years of applicable experience, or a High School/GED with 7 years of applicable experience may substitute for the Bachelors Degree . 5+ years of management experience Investigations and healthcare fraud-related investigations with audit and risk analysis. 1+ year of experience in managed care or health insurance company. **Candidate Skills:** In-depth knowledge of government programs, the managed care industry, Medicare, Medicate laws and requirements, federal, state, civil and criminal statutes. Reading, analyzing and interpreting State and Federal laws, rules and regulations. Knowledge of community, state and federal laws and resources. Ability to work in a fast paced environment with changing priorities. Intermediate Excel, Outlook, PowerPoint, Word, Xcelys, SalesForce, and Microsoft Access. Knowledge and understanding of managed care claims processing systems and medical claims coding preferred **Licenses and Certifications:** A license in one of the following is required: Other Accredited Health Care Fraud Investigator (AHFI) or Certified Fraud Examiner (CFE). Other Pharmacy Investigator - Certified Pharmacy Technician. Pay Range: $68,700.00 - $123,700.00 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

Explore opportunities with CBS-Somerset, 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 the Care Transitions Coordinator (CTC), you will be responsible for executing the sales strategy to increase company market share through account development and educating the medical community on services provided by the company while operating within set budget. The CTC's primary responsibility is to facilitate a seamless transition for patients discharging from a facility setting to the care of an of our agency for post-acute care needs. You will work directly with the facility discharge planner to verify the receipt of orders and the agency's ability to meet the needs of the patient. **Primary Responsibilities:** + Achievement of monthly Personal Production Goals and MC admit budgets for assigned locations while being a good steward of the company's financial resources by projecting a return on monies spent and managing to a Sales and Marketing expense budget + Successfully executes a weekly, monthly, and quarterly strategy to increase market share within facility assigned + Following Right of Choice, evaluates patient and orders for suitability for home care + Initiates face-to-face patient transition to educate the patient on LHC agency and identifies primary care physician to follow the plan of care + Presents agency Executive Director with identification of patient needs to obtain branch approval and acceptance and completes CTC encounter documentation in Home Care Home Base + On acceptance, coordinates organization of transfer orders, coordinates other ancillary services for the patient (DME | Infusion) as needed, educates patient on home care/ Hospice orders received from the referral source and home care and/ or hospice services + Acceptance to ensure all patient needs identified by the referral source are documented and met by the agency + Works closely with the Executive Director/Clinical Director to drive a vision of growth by focusing every team member on the needs and expectations of the referral community and patients + Responsible for all sales administration duties including, but not limited to, BOA expense entry compliance, BOA with associated Policies and Procedures, payroll time sheets, Weekly 3LS meetings with strategic updates, PTO requests, Attends all required sales calls and company provided in services, timely cell phone and e-mail correspondence + Educates patient on importance of the post facility discharge follow up appointment with the physician, on obtaining all necessary prescriptions prior to discharge from the hospital and confirm patient's understanding of medication, pharmacy, and delivery method + Serves as a liaison between the LHC Group agency and all involved healthcare providers of newly referred patients as well as existing patients transferred to the hospital from the home health agency + Communicates to discharge planning any active patients that transfer from home health into a Facility and coordinates resumption of care with patient prior to discharge if applicable orders are obtained + Provides follow up feedback to case management team regarding status of readmissions and any non-admit decisions based on information provided to them by the LHC agency + Observes patient confidentiality at all times + Knows the features and benefits of the services provided by LHC Group. Is able to articulate competitive advantages, specialty programs, and Medicare guidelines. Educates the medical community about the services of our organization through effective sales calls and in-services with the appropriate tools and literature 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:** + Current and unrestricted RN or LPN or SW or PT licensure in state of practice + Valid driver's license, vehicle insurance, and reliable transportation or access to public transportation + RT and/or technical school certification demonstrating solid clinical knowledge + 1+ years of home health or hospital case management experience + Thorough understanding of home health qualifying criteria and coverage guidelines + Excellent presentation, negotiation and relationship-building skills + Solid computer skills to meet Microsoft Outlook and other software requirements **Preferred Qualifications:** + 1+ years of medical marketing experience + Excellent verbal and written communication skills with all members of the healthcare team + Excellent organizational skills and ability to complete competing priorities 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. _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._

**Become a part of our caring community and help us put health first** The Procurement Lead within the Procure-to-Pay organization will lead initiatives in Catalog Operations and Requisition to Purchase Order space. This role focuses on streamlining workflows, optimizing catalog offerings, and implementing enterprise-wide catalogs in partnership with IT, business stakeholders, vendor partners, and legal teams. The Procurement Lead will develop, manage, and execute strategic initiatives that deliver additional value to internal stakeholders and the business within Procure to Pay operations. This position reports to the Associate Director of Procurement overseeing the Catalog Operations team and Requisition to Purchase Order team to ensure seamless procurement processes. **Responsibilities** + **Partner with and govern offshore teams** Work through implementations, system changes, and process enhancements, ensuring alignment with global standards and successful delivery of operational objectives. + **Lead Catalog Strategy & Governance** Develop and maintain enterprise-wide catalog standards, ensuring alignment with procurement policies and business objectives and Identify opportunities to optimize catalog processes, reduce complexity, and improve user experience + **Implement Enterprise Catalogs** Partner with IT, business stakeholders, and vendor partners to design and deploy catalogs. (e.g., Coupa, Oracle). Requires leading as Project Manager to cover wide array of tasks associated with catalog implementation. + **Lead and manage the end-to-end Requisition-to-Purchase Order (Req-to-PO)** Support process end to end, ensuring accuracy, compliance, and timely execution across all procurement activities. + **Serve as a subject matter expert on system integrations and cross-platform workflows** Collaborating across several teams to maintain seamless connectivity and data integrity, validate concerns and errors, identify solutions to resolve + **Drive process optimization and continuous improvement initiatives** Scenario testing, troubleshooting, and implementing best practices to enhance efficiency and reduce cycle times. + **Handle escalated customer service inquiries** Requires professionalism and urgency, providing resolution and guidance while maintaining strong stakeholder relationships. + **Drive Compliance & Preferred Supplier Adoption** Ensure catalog content supports corporate compliance initiatives and preferred supplier programs through effective change management. Overseeing catalog updates, pricing accuracy, and supplier data integrity to maintain a reliable procurement experience. + **Drive Continuous Improvement** Monitor catalog performance metrics and implement process improvements to enhance efficiency and compliance. **Use your skills to make an impact** **Required Qualifications** + Minimum 5 years of Procure to Pay experience, including Requisition to Purchase Order and Catalog implementation experience. + Experience with Coupa and Oracle + Strong interpersonal and communication skills (oral and written), with the ability to influence and lead. + Proven relationship management skills with integrity and confidence. + Ability to manage multiple priorities in a complex, multi-business environment. + Analytical skills to interpret ambiguous data and make actionable recommendations. + Strong project management skills to motivate teams and meet deadlines. + Flexibility and willingness to learn new skills quickly. + Solid financial and business acumen. + This role is hybrid office, 2-3 days per week based on business objectives and collaboration. **Preferred Qualifications** + Advanced degree (MBA or equivalent). + Professional certifications such as CPSM, Six Sigma, and/or PMP. 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. $104,000 - $143,000 per year This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance. **Description of Benefits** Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. **About us** Humana Inc. (NYSE: HUM) is committed to putting health first - for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large. **Equal Opportunity Employer** It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or 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 ***************************************************************************

**Explore opportunities with CPS** , part of the Optum family of businesses. We're dedicated to crafting and delivering innovative hospital and pharmacy solutions for better patient outcomes across the entire continuum of care. With CPS, you'll work alongside our team of more than 2,500 pharmacy professionals, technology experts, and industry leaders to drive superior financial, clinical, and operational performance for health systems nationwide. Ready to help shape the future of pharmacy and hospital solutions? Join us and discover the meaning behind **Caring. Connecting. Growing together.** As a per diem Staff Pharmacist you'll play a vital role in delivering safe, accurate, and efficient pharmacy services. This is a hands-on opportunity to make a direct impact by ensuring the accuracy of medication orders, verifying technician-prepared products, and safeguarding controlled substances. You'll contribute to a high-performing team by mentoring new staff, maintaining seamless daily operations, and supporting the Director in optimizing pharmacy performance. 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:** + ACPE-accredited pharmacy degree (PharmD preferred) + Active applicable state pharmacist license in good standing + 1+ years of recent pharmacist experience (hospital setting preferred) + Experience with pharmacy systems and Microsoft Office 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 $94.52 to $162.07 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._

**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: 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 ***************************************************************************

**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 ***************************************************************************

Become a part of our caring community and help us put health first As an Area Director of Sales, you will: * Manage, develop and train sales staff in all to ensure area sales and profit targets are achieved or exceeded. * Analyze gross profit factors, market conditions, business volume/mix and competition. * Partner with Sales Management to develop and execute area specific annual strategic plan/budget and prepare quarterly sales updates to ensure achievement of established sales goals. * Partner with Operations counterpart to ensure continued branch growth by expanding new and existing client base. Use your skills to make an impact Required Experience/Skills: * Bachelors Degree or the equivalent * Minimum of five years healthcare sales experience * Current or recent experience managing a minimum of 5M in healthcare revenue in a multi-location setting * Previous home health or hospice sales experience strongly preferred * Success in revenue growth and in the development and execution of market planning * Outstanding leadership, managerial skills * Good organizational, interpersonal and communication skills * Ability to travel within assigned territory and to sales meetings as required * Must currently reside in KY Preferred Qualifications: * RN or LPN License * Additional Information * Compensation listed may include base and incentive pay Scheduled Weekly Hours 40 Pay Range The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc. $115,200 - $158,400 per year This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance. Description of Benefits Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. About Us About CenterWell Home Health: CenterWell Home Health specializes in personalized, comprehensive home care for patients managing a chronic condition or recovering from injury, illness, surgery or hospitalization. Our care teams include nurses, physical therapists, occupational therapists, speech-language pathologists, home health aides, and medical social workers - all working together to help patients rehabilitate, recover and regain their independence so they can live healthier and happier lives. About CenterWell, a Humana company: CenterWell creates experiences that put patients at the center. As the nation's largest provider of senior-focused primary care, one of the largest providers of home health services, and fourth largest pharmacy benefit manager, CenterWell is focused on whole-person health by addressing the physical, emotional and social wellness of our patients. As part of Humana Inc. (NYSE: HUM), CenterWell offers stability, industry-leading benefits, and opportunities to grow yourself and your career. We proudly employ more than 30,000 clinicians who are committed to putting health first - for our teammates, patients, communities and company. By providing flexible scheduling options, clinical certifications, leadership development programs and career coaching, we allow employees to invest in their personal and professional well-being, all from day one. 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.

**Become a part of our caring community and help us put health first** The IT Audit Professional 2 develops, directs, plans and evaluates internal audit programs for the organization's information systems and related procedures to ensure compliance with the organization's policies, procedures and standards. The IT Audit Professional 2 work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action. The IT Internal Auditor 2 audits information system applications to ensure that appropriate controls exist, information produced by the system is accurate, and cybersecurity risks are effectively managed. This role includes evaluating security controls, identifying vulnerabilities, and recommending improvements that strengthen the organization's cyber posture. The IT Audit Professional 2 understands department, segment, and organizational strategy and operating objectives, including their linkages to related areas. Work assignments are varied and frequently require interpretation and independent determination of appropriate courses of action. Detailed role responsibilities include but are not limited to: + Perform IT audit and cybersecurity‑focused consulting engagements, evaluating application, infrastructure, and cloud environments in accordance with established audit methodology and within budgeted timeframes. + Apply professional IT audit concepts, cybersecurity frameworks (e.g., NIST CSF), and established technologies while consistently using standard audit techniques such as control testing, data analysis, and risk assessment. + Participate in audit planning, providing insights on technology risks, threat vectors, and cyber control design to help shape audit scope, objectives, and testing strategies. + Attend and conduct walkthroughs with Humana business and technology teams, focusing on system architecture, authentication mechanisms, data flows, and security controls. + Identify where IT general controls and application controls are designed and operating effectively, including access management, change management, logging/monitoring, configuration management, and vulnerability management. + Identify control weaknesses, cybersecurity vulnerabilities, misconfigurations, and root causes, and prepare clear, actionable draft audit issues that reflect impact, likelihood, and risk alignment. + Recommend security‑focused improvements and follow through on corrective actions until management remediation plans are verified, ensuring risks are appropriately mitigated. + Collaborate with internal audit team members to align IT audit coverage with enterprise cyber risk priorities and support overall department and company objectives. + Develop communication skills to effectively navigate discussions involving security findings, conflict, or risk acceptance decisions. + Clearly and concisely communicate the results of IT audit and cybersecurity engagements through written reports and presentations to management, translating technical risks into business‑relevant impact. **Use your skills to make an impact** Required Qualifications · Bachelor's degree in related field · At least 2 years of IT audit or consulting experience · Successful track record in facilitating and consulting across teams and managing projects · Comprehensive knowledge of all Microsoft Office applications, including Word, Excel and PowerPoint · Excellent organizational skills and attention to detail · Team-oriented; optimistic attitude · Ability to manage multiple or competing priorities · Excellent communication skills, both oral and written · Implementation and execution skills; critical thinking skills · Aptitude for establishing working relationships with associates within the department and the business · Must be passionate about contributing to an organization focused on continuously improving consumer experiences · Self-starter; ability to work independently Preferred Qualifications · Certifications such as CPA, CIA, CISA, CISSP, PMP, CFE · Advanced degree preferred · Data Analytics / Business Intelligence experience a plus. Prior experience with data analytics tools, including but not limited to, PowerBI, Alteryx, Tableau, SQL, R & Python 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. $71,100 - $97,800 per year This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance. **Description of Benefits** Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. Application Deadline: 04-29-2026 **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 ***************************************************************************

Become a part of our caring community and help us put health first The Medical Assistant 2 performs clinical tasks. These responsibilities include discussing symptoms, obtaining vital signs, and medication/vaccine administration. Additionally, the Medical Assistant 2 is responsible for phlebotomy, collecting specimens, performing diagnostic screening tests, sterilizing equipment, maintain examination rooms, and document information into the electronic medical records system. * Work is onsite, Monday-Friday 8-5 at 3101 Richmond Rd., Lexington, KY 40509 * Report to Clinic/Center Administrator on a team with other Medical Assistants Use your skills to make an impact Required * Successful completion of MA school/training program or a Certified/Registered Medical Assistant or 5+ years of experience and approval from Provider * High school diploma or equivalent * CPR Certified Preferred * Certified or Registered - (Arizona, Indiana, and South Carolina require Medical Assistant Certification or Registration) * Phlebotomy experience * Medication/vaccine administration experience * 1+ years MA experience * Value-based Care experience including knowledge of HEDIS, CPT/ICD coding, and CAHPS/HOS Patient Experience. * Bilingual proficiency in English and Spanish Additional Information * The company considers this role patient facing and runs the Tuberculosis (TB) screening program. If selected for this role, the company will require you to screen for TB. 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. $40,000 - $52,300 per year This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance. Description of Benefits Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. About Us About CenterWell Senior Primary Care: CenterWell Senior Primary Care provides proactive, preventive care to seniors, including wellness visits, physical exams, chronic condition management, screenings, minor injury treatment and more. Our unique care model focuses on personalized experiences, taking time to listen, learn and address the factors that impact patient well-being. Our integrated care teams, which include physicians, nurses, behavioral health specialists and more, spend up to 50 percent more time with patients, providing compassionate, personalized care that brings better health outcomes. We go beyond physical health by also addressing other factors that can impact a patient's well-being. About CenterWell, a Humana company: CenterWell creates experiences that put patients at the center. As the nation's largest provider of senior-focused primary care, one of the largest providers of home health services, and fourth largest pharmacy benefit manager, CenterWell is focused on whole-person health by addressing the physical, emotional and social wellness of our patients. As part of Humana Inc. (NYSE: HUM), CenterWell offers stability, industry-leading benefits, and opportunities to grow yourself and your career. We proudly employ more than 30,000 clinicians who are committed to putting health first - for our teammates, patients, communities and company. By providing flexible scheduling options, clinical certifications, leadership development programs and career coaching, we allow employees to invest in their personal and professional well-being, all from day one. 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.

**Become a part of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement to make determinations whether requested services, requested level of care, and/or requested site of service should be authorized at the Inpatient level. All work occurs within a context of regulatory compliance, and work is assisted by diverse resources, which may include national clinical guidelines, CMS policies and determinations, clinical reference materials, internal teaching conferences, and other reference sources. Medical Directors will learn Medicare, Medicaid, and Medicare Advantage requirements and will understand how to operationalize this knowledge in their daily work. The Medical Director's work includes computer-based review of moderately complex to complex clinical scenarios, review of all submitted clinical records, prioritization of daily work and communication of decisions to internal associates. The clinical scenarios predominantly arise from inpatient or post-acute care environments. A remote possibility exists of doing peer-to-peer discussions with an external provider. Some roles include an overview of coding practices and clinical documentation, dispute/grievance and appeals processes, and outpatient services and equipment, within their scope. Medical Directors support Humana values, and Humana's mission, throughout all activities. **Use your skills to make an impact** **Responsibilities** The Medical Director provides medical interpretation and determinations whether services provided by other healthcare professionals are in agreement with national guidelines, CMS requirements, Humana policies, clinical standards, and (in some cases) contracts. The ideal candidate supports and collaborates with other team members, other departments, Humana colleagues and the Lead Medical Director. After completion of mentored training, daily work is performed with minimal direction. Enjoys working in a structured environment with expectations for consistency in thinking and authorship. Exercises independence in meeting departmental expectations and meets compliance timelines. Supports the assigned work with respect to market-wide objectives and community relations as directed. **Required Qualifications** + MD or DO degree + 5+ years of direct clinical patient care experience post residency or fellowship, which preferably includes experience in an inpatient environment and/or related to care of a Medicare type population (disabled or >65 years of age). + Current and ongoing Board Certification an approved ABMS Medical Specialty + A current and unrestricted license in at least one jurisdiction and willing to obtain additional license, if required. + No current sanction from Federal or State Governmental organizations, and able to pass credentialing requirements. + Excellent verbal and written communication skills. + Evidence of analytic and interpretation skills, with prior experience participating in teams focusing on quality management, utilization management, case management, discharge planning and/or home health or post-acute services such as inpatient rehabilitation. **Preferred Qualifications** + Knowledge of the managed care industry including Medicare Advantage, Managed Medicaid and/or Commercial products, or other Medical management organizations, hospitals/ Integrated Delivery Systems, health insurance, other healthcare providers, clinical group practice management. + Utilization management experience in a medical management review organization, such as Medicare Advantage, managed Medicaid, or Commercial health insurance. + Experience with national guidelines such as MCG or InterQual + Internal Medicine, Hospitalist, Family Practice, Geriatrics, Emergency Medicine clinical specialists + Advanced degree such as an MBA, MHA, MPH + Exposure to Public Health, Population Health, analytics, and use of business metrics. + The curiosity to learn, the flexibility to adapt and the courage to innovate **Additional Information** Typically reports to a Lead Medical Director. The Medical Director conducts post-service, inpatient care reviews for accurate billing of clinically valid diagnoses and care received. May also engage in disputes and grievance and appeals reviews. May participate on project teams or organizational committees. \#physiciancareers 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. $223,800 - $313,100 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: 02-28-2026 **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 ***************************************************************************

**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 ***************************************************************************

Explore opportunities with At Home Healthcare, 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 the Speech Therapist in Home Health is responsible for the assessment and evaluation of patient care needs related to treating speech and language disorders, and functional training in communication, swallowing, and cognitive impairments. Based on this assessment and evaluation, the Speech Therapist works to help determine a treatment plan, performs interventions aimed at improving and enhancing the patient's well-being, and evaluates the patient's progress. #LHCJobs Primary Responsibilities: * Provides services within the scope of practice as defined by the state laws governing the practice of speech therapy, in accordance with the plan of care, and in coordination with other members of the health care team * Evaluates the patient's level of function by applying diagnostic and prognostic functional ability tests. Assists the physician in the development of the therapy plan of care * Treats patients to communicate effectively by expressing thoughts according to the patient's condition using acceptable standards of practice * Observes, records, and reports to the supervising nurse and/or physician the patient's response to treatment and changes in the patient's condition * Instructs the patient, the family and/or caregiver and other members of the health care team in areas of speech therapy in which they can participate 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: * Licensed in Speech Therapy in the state of residence * Current CPR certification * Current driver's license, vehicle insurance, access to a dependable vehicle or public transportation 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 $71,200 to $127,200 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.

The Supervisor of HIM oversees and supervises/manages the daily operations of the Health Information Management staff assigned by leading, assigning work, ensuring timely completion of work, and confirming that productivity and quality standards are being met. This position is responsible for training staff in the operation of system applications/equipment and technical aspects of assigning, processing, retrieving, releasing, and storing medical records, including legal requirements regarding HIPAA and confidentiality of medical records. The Supervisor of HIM will analyze the staff's production and workflow concerns in both electronic and manual systems and processes and develops and/ or revises work procedures to increase efficiency and resolve problems. ESSENTIAL DUTIES AND RESPONSIBILITIES Include the following. Others may be assigned. Customer and Employee Satisfaction * Develops positive customer relationships by displaying professional and helpful behaviors, as well as mutual respect for patients, physicians, team members, visitors, and family/significant others. * Communicates openly and honestly; following through with assignments; behaving in a fair and consistent manner; and supporting teamwork at all levels of the organization. Health Information Management * Leads and directs assigned HIM team in ensuring daily operations, production, and quality standards are met. * Manages staff and systems in defined areas to achieve appropriate staffing, resource utilization and cost containment objectives of the organization. * Ensures staff adheres to appropriate departmental and facility policies and procedures which include ensuring quality and quantity of work/services of staff are acceptable and the staff is meeting established productivity standards * Develops and maintains policies and procedures applicable to scope of services supervised. * Makes recommendations concerning updating and revising of HIM policies. Reporting Functions * Evaluates and prepares daily, weekly, and monthly reports indicating production levels and utilization of time and progress toward meeting established goals. * Completes, analyzes, and submits daily, weekly, monthly, and yearly reports (statistical, productivity, Key Performance Indicators (KPIs) of a complex nature with the use of various applications including MS Excel and PowerPoint. * Reviews various reports, analyzes data, identifies problem areas and makes recommendations/implements resolution of problems Electronic Medical Record (EMR) Management * Assists with planning, organizing and supervising implementation/upgrades of all HIM related IS systems, including integrated system testing and training * Keeps abreast of information systems and all updates and assists HIMD with ensuring implementation meets compliance with department standards Privacy/Confidentiality/Release of Information * Assists HIM Director/Manager in directing and evaluating compliance to privacy, information security, and confidentiality of health information standards * Assists HIM Director/Manager in ensuring compliance with related regulations and standards established by State, Federal, accrediting, and other regulatory agencies Personnel Management * Effectively recruits, develops, and retains qualified staff * Coaches and mentors staff in order to improve performance and expand responsibility * Monitors, evaluates, appraises, or disciplines employees' activities according to organizational guidelines * Reviews and updates job descriptions annually or as necessary to delineate current requirements * Conducts, at a minimum, monthly staff team meetings with ongoing staff training * Verifies the validity of employees hours submitted to payroll Training Functions * Monitors completion of required compliance, privacy, information security, and other mandatory training * Facilitates training for new or transfer hires and ensures staff are properly trained on all department policies and procedures and systems * Conducts ongoing staff education, coaching, mentoring, and cross training of direct reports * Fosters building a cooperative, collaborative, and efficient team while ensuring team engagement SUPERVISORY RESPONSIBILITIES If direct report positions are listed below, the following responsibilities will be performed in accordance with guidelines, policies and procedures and applicable laws. Supervisory responsibilities include interviewing, hiring, and training employees; planning, assigning and directing work; appraising performance; rewarding and disciplining employees; addressing complaints and resolving problems. Direct Reports (titles) Sr. HIM Specialists, HIM Specialists, HIM Leads KNOWLEDGE, SKILLS, ABILITIES To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable consideration may be given to other candidates per Senior Management discretion. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. * Current knowledge of HIM and healthcare standards, policies, and procedures * Understanding of HIM processes in an electronic health record environment * Extensive knowledge of medical record documentation requirements * Demonstrated leadership abilities * Ability to understand and follow established procedures and other guidelines of great complexity in the performance of work tasks that involve making frequent decisions * Ability to determine methods and approaches to work problems * Ability to handle multiple complex assignments * Ability to identify and resolve problems of varying degrees of complexity using strong analytical and logic skills * Ability to develop and recommend policies and procedures * Ability to develop and maintain positive relationships with direct reports, departmental management and hospital/medical staff leadership * Ability to communicate effectively in all interactions * Excellent interpersonal and organizational skills and attention to detail * Strong verbal/written communication skills * Computer knowledge of MS Office * Ability to apply common sense understanding to carry out instructions furnished in written, oral, or diagram form. Conifer requires its candidates, as applicable and as permitted by law, to obtain and provide confirmation of all required vaccinations and screenings prior to the start of employment. This may include, but is not limited to, the COVID-19 vaccination, influenza vaccination, and/or any future required vaccines and screenings. EDUCATION / EXPERIENCE Include minimum education, technical training, and/or experience preferred to perform the job. * Associate Degree in Health Information Technology or Bachelor's degree in Health Information Management or closely related field and three (3) years in supervisory or lead role preferred * Previous experience in hospital and/or academic hospital/health system environment with an EMR strongly preferred REQUIRED CERTIFICATIONS/LICENSURE Include minimum certification required to perform the job. * Registered Health Information Administrator (RHIA) or Registered Health Information Technician (RHIT) preferred PHYSICAL DEMANDS The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. * Duties may require bending, twisting and lifting of materials up to 25 lbs. * Duties may require driving an automobile to off-site locations. * Ability to sit for extended periods of time. WORK ENVIRONMENT The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. * Office Work Environment * Hospital Work Environment * Work environment is at a moderate level * Capacity to work independently in a virtual office setting or at hospital setting if required to travel for assignment. TRAVEL * Up to 45% travel may be required As a part of the Tenet and Catholic Health Initiatives family, Conifer Health brings 30 years of healthcare industry expertise to clients in more than 135 local regions nationwide. We help our clients strengthen their financial and clinical performance, serve their communities, and succeed at the business of healthcare. Conifer Health helps organizations transition from volume to value-based care, enhance the consumer and patient healthcare experience and improve quality, cost and access to healthcare. Are you ready to be part of our solutions? Welcome to the company that gives you the resources and incentives to redefine healthcare services, with a competitive benefits package and leadership to take your career to the next step! Employment practices will not be influenced or affected by an applicant's or employee's race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship. Tenet participates in the E-Verify program. Follow the link below for additional information. E-Verify: ***************************** The employment practices of Tenet Healthcare and its companies comply with all applicable laws and regulations. **********

**Become a part of our caring community and help us put health first** The Associate Director, Database Administration manages and maintains all production and non-production databases. Responsible for standards and design of physical data storage, maintenance, access and security administration. The Associate Director, Database Administration requires a solid understanding of how organization capabilities interrelate across department(s). The Associate Director will lead the design, reliability, scalability, and operational excellence of Humana's enterprise data platforms across multi cloud and on-prem environments. This role is responsible for ensuring high availability, performance, security, compliance, and cost efficiency for mission-critical data systems supporting analytics, AI/ML, and customer-facing applications. This leader will partner closely with Application, Data Engineering, Analytics, Product, Security, Finance, and Platform Engineering teams to define and operate standardized, resilient, and automated database platforms across technologies such as SQL Server, Oracle, PostgreSQL, MongoDB, Snowflake, Databricks, and other modern data services. In addition, this role will spearhead the application of AI and Generative AI to database operations and data platform reliability-driving predictive insights, automated remediation, intelligent observability, and operational copilots that reduce manual overhead while maintaining strict healthcare compliance (HIPAA, PHI). **Key Responsibilities:** **Data Platform Strategy & Operations Leadership** + Define and execute the enterprise database and data platform operations strategy across cloud and on-prem environments. + Provide senior-level guidance on platform standards, architectural decisions, lifecycle management, and modernization of relational and non-relational databases. + Establish short-, mid-, and long-term roadmaps for data platform reliability, scalability, automation, and cost optimization. + Lead the operational maturity model for data platforms, aligned with SRE and platform engineering best practices. **Reliability, Availability & SRE for Data Platforms** + Own 24/7 availability and performance of mission-critical database and analytics platforms. + Lead escalated incident, problem, and root cause analysis for data platform outages, performance degradation, and data integrity issues (24/7/365). + Define and improve MTTD / MTTR through proactive monitoring, automation, and AI-assisted diagnostics. + Establish SLOs, SLIs, and error budgets for database and analytics platforms. **Database Operations & Managed Services** + Lead and govern Managed Service Providers (MSPs) supporting database operations across cloud and on-prem environments. + Build and maintain L2/L3 SOPs for database operations, backup/recovery, patching, failover, and disaster recovery. + Oversee change planning, release coordination, and operational readiness for database platform upgrades and migrations. + Support and guide cloud and on-prem database migrations, including legacy modernization initiatives. **Observability, Monitoring & Automation** + Establish enterprise-grade observability for data platforms, including metrics, logs, traces, query performance, and capacity forecasting. + Partner with observability teams to implement event correlation, anomaly detection, and intelligent alerting for databases and data pipelines. + Identify manual operational tasks and drive automation through scripting, APIs, and platform tooling. + Partner with DevOps and Platform Engineering on CI/CD for database changes, schema management, and infrastructure-as-code. **AI & GenAI for Database and Data Platform Operations** + Lead research, prototyping, and adoption of AI/GenAI to enhance database and data platform operations. + Design AI-driven capabilities for: + Predictive capacity and performance forecasting + Automated incident detection and triage + Query and workload optimization recommendations + Intelligent root cause analysis and log summarization + Develop AI copilots and natural-language tools to support database engineers and operations teams. + Integrate LLMs and ML models into observability platforms for real-time insights and self-healing actions. **Security, Compliance & Governance** + Ensure database platforms adhere to security best practices, regulatory requirements, and healthcare compliance standards (HIPAA, PHI). + Partner with Security and Risk teams to continuously assess vulnerabilities, access controls, encryption, and audit readiness. + Define governance standards for data access, retention, backup, and recovery across platforms. **Cost Optimization & FinOps for Data Platforms** + Lead cost transparency, optimization, and forecasting for cloud and on-prem database platforms. + Implement chargeback/showback models for database and analytics consumption. + Partner with Finance and stakeholders to optimize storage, compute, licensing, and usage patterns. + Analyze usage, utilization, and growth trends to reduce total cost of ownership. **Reporting, Metrics & Continuous Improvement** + Define and publish operational dashboards and executive-level reporting for data platform health, cost, and performance. + Analyze operational data to identify trends, risks, and improvement opportunities. + Drive standardization and platform consistency across teams to improve efficiency and reliability. + Act as a trusted advisor on data platform capabilities, limitations, and best practices. **AI / GenAI & Advanced Capabilities** + Experience or strong interest in AI/ML or GenAI applications for operational intelligence. + Familiarity with LLMs, vector databases, predictive analytics, or AI-driven monitoring solutions. Ability to move rapidly from concept → pilot → production for AI-enabled operational enhancements. **Use your skills to make an impact** **Required Qualifications:** + Bachelor's Degree + 10+ years of experience in database, data platform, or infrastructure engineering/operations, with 5+ years in a senior leadership role. + Deep hands-on experience with enterprise database and analytics platforms, such as: + SQL Server, PostgreSQL, MySQL + MongoDB or other NoSQL platforms + Snowflake, Databricks, or similar analytics platforms + Strong understanding of SRE, ITIL/ITSM, and operational best practices for data platforms. + Proven experience operating 24/7, high-availability, mission-critical systems. + Experience applying automation and infrastructure-as-code (Terraform, Ansible, scripting). + Advanced understanding of observability for data platforms (performance, capacity, query analysis). + Strong analytical, reporting, and stakeholder communication skills. + Experience integrating new technologies with existing technologies + Experience implementing technologies with enterprise-wide impact + Must be passionate about contributing to an organization focused on continuously improving consumer experiences **Preferred Qualifications** + Familiarity with Agile methodologies + Healthcare industry experience + Cloud certifications (Azure, AWS, GCP) and/or database platform certifications + Experience with CI/CD pipelines for database and analytics platforms + ITIL, SRE, or Platform Engineering certifications **Additional Information** **Work-At-Home Requirements** + WAH requirements: Must have the ability to provide a high speed DSL or cable modem for a home office. Associates or contractors who live and work from home in the state of California will be provided payment for their internet expense. + A minimum standard speed for optimal performance of 25x10 (25mpbs download x 10mpbs upload) is required. + Satellite and Wireless Internet service is NOT allowed for this role. + A dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information\#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. $142,300 - $195,700 per year This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance. **Description of Benefits** Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. **About us** Humana Inc. (NYSE: HUM) is committed to putting health first - for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large. **Equal Opportunity Employer** It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or 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 ***************************************************************************

**Become a part of our caring community and help us put health first** The Principal Data Scientist uses mathematics, statistics, modeling, business analysis, and technology to transform high volumes of complex data into advanced analytic solutions. The Principal Data Scientist is highly skilled with broad, advanced technical experience and provides strategic advice and guidance to functional teams. The Consumer Digital organization at Humana develops innovative digital capabilities that empower people with personalized guidance and solutions to achieve their best health. We are seeking a Principal Data Scientist to lead advanced analytics initiatives and provide strategic insights that shape enterprise-wide decisions. This role combines deep technical expertise with leadership and advisory responsibilities, working closely with senior leadership to drive functional strategies across the organization. **Key Responsibilities** + Develop, maintain, and collect structured and unstructured data sets for analysis and reporting + Apply machine learning, mathematics, statistics, and business analysis to transform large, complex data into actionable insights + Build advanced models, projections, and presentations to support business strategy and tactics + Collaborate with senior executives to develop and drive segment- or enterprise-wide strategies + Mentor and guide junior data science talent **Use your skills to make an impact** **Required Qualifications** + Master's Degree or Ph.D. in machine learning, computer science, statistics, mathematics, data science, engineering, or a related quantitative field + 10+ years of hands-on experience applying machine learning and creating advanced analytics solutions to solve complex business problems + 2+ years of project and/or people leadership experience + Proficient in Python and PySpark, including libraries such as scikit-learn, TensorFlow, Keras, and Spark ML + In-depth knowledge of machine learning techniques such as regression, decision trees, ensemble models, neural networks, deep learning, clustering, and forecasting + Experience in working with high volumes of structured and unstructured data to develop tactical and strategic insights + Experience with cloud platforms (e.g., Azure, GCP, or AWS) + Strong analytical and critical thinking skills with a track record of delivering data-driven solutions in fast-paced environments + Experience with providing strategic advice and guidance to functional teams + Exceptional verbal and written communication skills, with the ability to explain complex concepts clearly to diverse audiences, including non-technical stakeholders + Demonstrated success in providing strategic guidance and working with senior executives on enterprise-wide initiatives + Experience mentoring and developing junior team members **Preferred Qualifications** + Knowledge of the healthcare domain + Experience in e-commerce analytics + Experience with NLP and Generative AI techniques and applications + 3-5 years of project and/or people leadership 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. $172,200 - $236,900 per year This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance. **Description of Benefits** Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. **About us** Humana Inc. (NYSE: HUM) is committed to putting health first - for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large. **Equal Opportunity Employer** It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or 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 ***************************************************************************

**Home Infusion Registered Nurse - Accredo Specialty Pharmacy** Take your nursing skills to the next level by helping to improve lives with Accredo Specialty Pharmacy, a division of Evernorth Health Services. We are looking for dedicated registered nurses like you to administer intravenous medications to patients in their homes. As a Home Infusion Registered Nurse at Accredo, you'll travel to patients' homes to provide critical infusion medications. However, this job is about more than just administering meds; it's about building relationships with patients and seeing the positive impact of your care. You'll work independently, making decisions that lead to the best outcomes for your patients. You'll drive growth in your career by challenging yourself to use your nursing skills, confidence, and positive attitude to handle even the toughest situations, with the support from your team. For more than 30 years, Accredo has delivered dedicated, first-class care and services for patients. We partner closely with prescribers, payers, and specialty manufacturers. Bring your drive and passion for purpose. You'll get the opportunity to make a lasting impact on the lives of others. **How you'll make a difference and improve lives:** + Empower Patients: Focus on the overall well-being of your patients. Work with pharmacists and therapeutic resource centers to ensure that patients' needs are met and to help them achieve their best health. + Administer Medications: Take full responsibility for administering IV infusion medications in patients' homes. + Provide follow-up care and manage responses to ensure their well-being. + Stay Connected: Be the main point of contact for updates on patient status. Document all interactions, including assessments, treatments, and progress, to keep track of their journey. **Requirements:** + Active RN license in the state where you'll be working and living + 2+ years of RN experience + 1+ year of experience in critical care, acute care, or home healthcare + Strong skills in IV insertion + Valid driver's license + Willingness to travel to patients' homes within a large geographic region + Ability to do multiple patient visits per week (can include days, evenings, and weekends, per business need) + Flexibility to work different shifts on short notice and be available for on-call visits as needed 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._

Become a part of our caring community and help us put health first The Patient Services Coordinator-LPN is directly responsible for scheduling visits and communicating with field staff, patients, physicians, etc. to maintain proper care coordination and continuity of care. The role also assists with day-to-day office and staff management. * Manages schedules for all patients. Edits schedule for agents calling in sick, ensuring patients are reassigned timely. Updates agent unavailability in worker console. * Initiates infection control forms as needed, sends the HRD the completed "Employee Infection Report" to upload in the worker console. * Serves as back up during the lunch hour and other busy times including receiving calls from the field staff and assisting with weekly case conferences. Refers clinical questions to Branch Director as necessary. * Maintains the client hospitalization log, including entering coordination notes, and sending electronic log to all office, field, and sales staff. * Completes requested schedule as task appears on the action screen. Ensures staff are scheduled for skilled nurse/injection visits unless an aide supervisory visit is scheduled in conjunction with the injection visit. * Completes requested schedules for all add-ons and applicable orders: * Schedules discharge visit / OASIS Collection or recert visit following case conference when task appears on action screen. * Schedules TIF OASIS collection visits and deletes remaining schedule. * Reschedules declined or missed (if appropriate) visits. * Processes reassigned and rescheduled visits. * Ensures supervisory visits are scheduled. * Runs all scheduling reports including Agent Summary Report and Missed Visits Done on Paper Report. * Prepares weekly Agent Schedules. Performs initial review of weekly schedule for productivity / geographic issues and forwards schedule to Branch Director for approval prior to distribution to staff. * Verifies visit paper notes in scheduling console as needed. * Assists with internal transfer of patients between branch offices. * If clinical, receives lab reports and assesses for normality, fax a copy of lab to doctor, make a copy for the Case Manager, and route to Medical Records Department. Initiate Employee / Patient Infection Reports as necessary. * If clinical, may be required to perform patient visits and / or participate in on-call rotation. Use your skills to make an impact Required Experience/Skills: * Be a Licensed Professional Nurse or a Licensed Vocational Nurse licensed in the state in which he / she practices * Have at least 1 year of home health experience. * Prior packet review / QI experience preferred. * Coding certification is preferred. * Must possess a valid state driver's license and automobile liability insurance. * Must be currently licensed in the State of employment if applicable. * Must possess excellent communication skills, the ability to interact well with a diverse group of individuals, strong organizational skills, and the ability to manage and prioritize multiple assignments. 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. $48,900 - $66,200 per year Description of Benefits Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. About Us About CenterWell Home Health: CenterWell Home Health specializes in personalized, comprehensive home care for patients managing a chronic condition or recovering from injury, illness, surgery or hospitalization. Our care teams include nurses, physical therapists, occupational therapists, speech-language pathologists, home health aides, and medical social workers - all working together to help patients rehabilitate, recover and regain their independence so they can live healthier and happier lives. About CenterWell, a Humana company: CenterWell creates experiences that put patients at the center. As the nation's largest provider of senior-focused primary care, one of the largest providers of home health services, and fourth largest pharmacy benefit manager, CenterWell is focused on whole-person health by addressing the physical, emotional and social wellness of our patients. As part of Humana Inc. (NYSE: HUM), CenterWell offers stability, industry-leading benefits, and opportunities to grow yourself and your career. We proudly employ more than 30,000 clinicians who are committed to putting health first - for our teammates, patients, communities and company. By providing flexible scheduling options, clinical certifications, leadership development programs and career coaching, we allow employees to invest in their personal and professional well-being, all from day one. 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.

**Become a part of our caring community and help us put health first** The Manager, Compliance ensures compliance with governmental requirements. The Manager, Compliance works within specific guidelines and procedures; applies advanced technical knowledge to solve moderately complex problems; receives assignments in the form of objectives and determines approach, resources, schedules and goals. The Manager, Compliance develops and implements compliance policies and procedures. Researches compliance issues and recommends changes that assure compliance with contract obligations. Maintains relationships with government agencies. Coordinates site visits for regulators, coordinates implementation and compliance with corrective action plans, as needed. Decisions are typically related to resources, approach, and tactical operations for projects and initiatives involving own departmental area. Requires cross departmental collaboration, and conducts briefings and area meetings; maintains frequent contact with other managers across the department. The Medicare Pharmacy Regulatory Compliance Manager position will support senior associates on the team that oversee pharmacy compliance for the CMS Program Audit focused areas, including but not limited to Formulary Administration, Coverage Determination, and Organization Determination (Part B drugs) functions. The Manager will also be completing work functions in the assigned areas as well and generally providing support for the senior associates within the team. The Manager work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors. Responsible for assisting in the completion of risk assessments, with latitude in creating annual work plans to audit and monitor pharmacy performance of areas within the scope of the position for Medicare Part D. While working within assigned areas to optimize business results, the Lead will: + Assist in the development of strategy and provide on-going oversight and monitoring of Pharmacy performance including Medicare Part D and related areas, to ensure full compliance and minimize risk for the Enterprise; + Have latitude and discretion in the completion of risk assessments and creating annual work plans to audit and monitor performance; + Interpret and define regulatory and contract requirements to be implemented by appropriate Humana Departments and/or external business partners in support of Pharmacy including Medicare Part D with support of Associate Director; + Communicate with and present to outside regulators; + Oversee Regulatory Compliance senior professional roles assigned to the position, as well as to assist across the team, to review and analyze market documents and data to identify what can be used to evidence meeting compliance and regulatory standards; + Oversee Regulatory Compliance senior professional roles assigned, as well as to assist across the team, to audit and monitor pharmacy and Medicare Part D programs and performance, and report to RC leadership top risks, remediation plans and other information as appropriate; + Work across Humana operational units and product lines to enhance data analytics and operational improvement efforts; + Perform assessments, develop action plans, and provide guidance to internal business units; + Build relationships with pharmacy business units; + Coordinate on-site audits, working with business partners and Regulatory Compliance teams. **Use your skills to make an impact** **Required Qualifications** + Bachelor's degree or 5 years or more years of demonstrated experience in the areas of pharmacy and compliance + 3 or more years of experience working in a Compliance-related, risk management and/or managed care-related field + 7 years of pharmacy experience in claims operations + 1 year of management and/or leadership experience + Strong communication skills with the ability to influence effectively + Experience working with regulatory agencies, including state departments of health insurance and/or CMS + Knowledgeable in regulations governing health care industries + Audit or consulting experience + Knowledge of PBM operations **Preferred Qualifications** + Graduate or advanced degree or equivalent work 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. $104,000 - $143,000 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: 05-30-2026 **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 ***************************************************************************

Become a part of our caring community and help us put health first Join a Team That's Redefining Senior Primary Care: Humana's Primary Care Organization is one of the largest and fastest-growing senior-focused, value-based care providers in the country. With over 340 centers across 15 states operating under the CenterWell and Conviva brands, we're transforming healthcare by putting seniors at the heart of everything we do. As a Primary Care Physician at CenterWell Senior Primary Care, you'll be part of a collaborative, multidisciplinary team that includes nurse practitioners, pharmacists, care coaches, behavioral health specialists, and more-all working together to deliver personalized, high-quality care. We're not just improving healthcare-we're improving lives. That includes yours. Why You'll Love Working Here * Team-Based Care Model: Work alongside a dedicated care team that supports patients' physical, emotional, and social wellness. * More Time with Patients: See fewer patients per day and spend more time delivering meaningful care. * Supportive Culture: We foster a welcoming, inclusive environment where teamwork and growth are prioritized. * Work-Life Balance: Enjoy generous PTO, minimal call responsibilities, and CME time. Your Role & Responsibilities * Provide comprehensive care to seniors in accordance with clinical standards. * Collaborate daily with your care team to ensure coordinated, high-quality care. * Manage referrals, hospital/SNF coordination, DME, and home health services. * Participate in daily huddles. CAs tend to lead the huddles * Document care accurately and efficiently with support from quality-based coders. * Participate in on-call rotation and support growth initiatives at your center. * Ensure compliance with all licensing and accreditation requirements. * Spend 100% of your time clinically focused on direct patient care, inclusive of patient facing time and general administrative time (charting, meetings, etc.) as it relates to direct patient care. Use your skills to make an impact Compensation (base pay + quality metric bonus) can exceed $300K * DOE and Lucrative Sign-on Bonus Up to $60K We're hiring for CenterWell Regency Centre Clinic: 171 W Lowry Ln Suite 180 Lexington, KY 40503 What We're Looking For Required: * Graduate of accredited MD or DO program from an accredited university * Board Certification or Eligible to become certified (ABMS or AOA) in Family Medicine, Internal Medicine or Geriatric Medicine * Current and unrestricted medical license or willing to obtain a medical license in state of practice; eligible and willing to obtain licenses in other states in the region of assignment, as required * Excellent verbal and written communication skills * Demonstrate a high level of skill with interpersonal relationships and communications with colleagues/patients * Fully engaged in the concept of "Integrated team-based care" model * Willingness and ability to learn/adapt to practice in a value-based care setting * Superior patient/customer service * Basic computer skills, including email and EMR * This role is considered patient facing and is a part of our Tuberculosis (TB) screening program. If selected for this role, you will be required to be screened for TB Preferred: * Active and unrestricted DEA license * Medicare Provider Number * Medicaid Provider Number * Minimum of two to five years directly applicable experience preferred * Experience managing Medicare Advantage panel of patients with understanding of Best Practice in coordinated care environment in a value-based relationship environment * Knowledge of Medicare guidelines and coverage * Knowledge of HEDIS quality indicators Compensation & Benefits * Competitive base salary + annual bonus * Health insurance effective Day 1 * 401(k) with employer match * CME allowance + dedicated CME time * Occurrence-based malpractice coverage * Life & disability insurance * Generous PTO & paid holidays * Minimal call responsibilities Scheduled Weekly Hours 40 * Monday to Friday * 8:00 a.m. to 5:00 p.m. #physiciancareers #healtcarejobs #primarycare #LI-JB1 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. $219,400 - $306,900 per year This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance. Description of Benefits Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. About Us About CenterWell Senior Primary Care: CenterWell Senior Primary Care provides proactive, preventive care to seniors, including wellness visits, physical exams, chronic condition management, screenings, minor injury treatment and more. Our unique care model focuses on personalized experiences, taking time to listen, learn and address the factors that impact patient well-being. Our integrated care teams, which include physicians, nurses, behavioral health specialists and more, spend up to 50 percent more time with patients, providing compassionate, personalized care that brings better health outcomes. We go beyond physical health by also addressing other factors that can impact a patient's well-being. About CenterWell, a Humana company: CenterWell creates experiences that put patients at the center. As the nation's largest provider of senior-focused primary care, one of the largest providers of home health services, and fourth largest pharmacy benefit manager, CenterWell is focused on whole-person health by addressing the physical, emotional and social wellness of our patients. As part of Humana Inc. (NYSE: HUM), CenterWell offers stability, industry-leading benefits, and opportunities to grow yourself and your career. We proudly employ more than 30,000 clinicians who are committed to putting health first - for our teammates, patients, communities and company. By providing flexible scheduling options, clinical certifications, leadership development programs and career coaching, we allow employees to invest in their personal and professional well-being, all from day one. 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.