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.
**Applicants must reside in the state of Nebraska**
**Experience with data analysis tied to utilization in a clinical setting is highly preferred.**
**Position Purpose:** Oversees the development and implementation of clinical initiatives and/or programs to improve care coordination, efficiency, and health and quality outcomes. Oversees the clinical operations team and works with senior leadership to ensure all clinical processes are consistent with National Committee for Quality Assurance (NCQA) guidelines, state mandates, and/or government contract requirements.
+ Oversees the development and review of clinical initiatives and/or programs to improve care coordination, efficiency, and health and quality outcomes
+ Oversees clinical, quality, documentation, and data submission projects to achieve strategic objectives
+ Reviews data analyses related to utilization, outcomes, safety, and costs to determine trends and identify areas of improvement for clinical initiatives and/or programs
+ Develops, implements, and oversees clinical plans, policies, and procedures needed for strategic initiatives, programs, and improve processes and/or health and quality outcomes based on collected data
+ Provides guidance and insight based on experience to clinical operations team on clinical processes and initiatives to improve care coordination, efficiency, and health and quality outcomes
+ Identifies process improvements for clinical initiatives and/or programs and presents them to senior leadership team
+ Manages and tracks achievements against goals and objectives for clinical operations team to improve care coordination, efficiency, and health and quality outcomes
+ Works with senior leadership team to ensure clinical initiatives and/or programs are in accordance with National Committee for Quality Assurance (NCQA) guidelines, state mandates, and/or government contract requirements
+ Manages and coordinates the training of clinical operations team members to ensure adequate training and implementation of clinical initiatives and/or programs to improve care coordination, efficiency, and health and quality outcomes
+ Supports in developing the overall strategy for onboarding, hiring, and training clinical operations team members
+ Works cross functionally to drive process improvements to manage costs and support initiatives to improve health and quality outcomes
+ Performs other duties as assigned
+ Complies with all policies and standards
**Education/Experience:** Requires a Bachelor's degree and 6+ years of related experience, including prior management experience.
Or equivalent experience acquired through accomplishments of applicable knowledge, duties, scope and skill reflective of the level of this position.Pay Range: $121,500.00 - $224,900.00 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
$72k-91k yearly est. 14d ago
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Provider Relations Specialist
Unitedhealth Group 4.6
Lincoln, NE job
Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data, and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits, and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start **Caring. Connecting. Growing together.**
**Position Summary:** Proceed Finance's Proceed Relations Specialists support a network of medical and dental providers and borrowers across the United States by helping them obtain financing for patients needing life changing procedures.
The **Provider Relations Specialists** keep provider offices humming by training, answering questions, reviewing loan documents, and ultimately ensuring maximum funding for the work they do.
Our Specialists provide loan service for both customers and providers by responding to incoming telephone calls, emails, texts while delivering an efficient and exceptional provider/customer experience.
**Schedule:** Monday - Friday 10:00 am - 7:00 pm
**Primary Responsibilities:**
+ Manage calls/emails to promote Proceed Finance and to enhance borrower/provider relationships
+ Confirm and clarify customers' needs, explain possible solutions or recommendations, and follow-up on any action needed related to each transaction ensuring that the customer feels supported and valued
+ Handle customer service complaints or situations through active listening and effective problem-solving techniques
+ Utilize software, databases, scripts, tools or supporting departments in researching customer inquiries to provide answers and solutions
+ Develop strong and trusted relationships with clients through timely and accurate communication
+ Assemble marketing kits, borrower packets and assist in daily mailing
+ Document all incoming or outgoing contacts in systems to ensure accurate and comprehensive information and records
+ Review critical documentation to ensure accuracy and security
+ Oversee loan application process utilizing various forms of technology and communication
You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
**Required Qualifications:**
+ High School Diploma/GED (or higher)
+ 1+ years of experience in a customer service or provider support role
+ Intermediate level of proficiency with MS programs including Excel and Word
**Preferred Qualifications:**
+ Bilingual in Spanish
+ Entrepreneurial mindset
+ Knowledge of the financial services industry
+ Welcome and adapt well to change
**Soft Skills:**
+ Proper phone etiquette and communication skills
+ Ability to maintain high levels of confidentiality
+ Ability to prioritize, concentrate, and multitask
+ Excellent listening skills
+ Ability to maintain high levels of accuracy and organization during high volume periods, with the ability to consistently prioritize, meet changing deadlines, and troubleshoot problems
+ Excellent problem-solving skills including ability to identify multiple factors that may impact decisions, selecting best option
+ Ability to exercise tact, judgment and persuasiveness in creating and maintaining harmonious relationships with both internal and external stakeholders
+ Must be able to maintain composure with working under stressful situations, high volume periods, with a high accuracy rate and productivity in a busy setting with many interruptions
**Work Environment:**
+ Work is performed in a standard office setting
+ The noise level in the work environment is usually quiet
**Physical Demands:**
+ Sedentary work that primarily involves sitting/standing
+ Light work that includes moving objects up to 20 pounds occasionally
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 $20.00 to $35.72 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._
\#RPO, #RED
$20-35.7 hourly 46d ago
Actuary - Financial Planning and Analysis
Humana 4.8
Lincoln, NE job
**Become a part of our caring community and help us put health first** Join Humana's Financial Planning & Analysis team, part of the CFO team, which drives aggregate financial results and insights across primarily Individual Medicare Advantage (MA). This team serves as a central hub for financial strategy and analysis, with connections to enterprise-wide and total Insurance perspectives. The Actuary Analytics/Forecasting role offers flexibility in responsibilities, significant exposure to senior leadership, and strong potential for upward mobility.
We seek candidates who are willing to think creatively, challenge assumptions, voice opinions on key drivers and ranges, and contribute to a culture of continuous improvement and healthy debate.
The 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 Actuary, Analytics/Forecasting works on problems of diverse scope and complexity ranging from moderate to substantial.
The 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. Advises executives to develop functional strategies (often segment specific) on matters of significance. Exercises independent judgment and decision making on complex issues regarding job duties and related tasks, and works under minimal supervision, Uses independent judgment requiring analysis of variable factors and determining the best course of action.
**Use your skills to make an impact**
**Required Qualifications**
+ Bachelor's Degree
+ FSA or ASA plus relevant advanced degree, recent and relevant work experience, and/or other relevant professional designations.
+ MAAA
+ Strong communication skills
+ Experience in more than two functions (e.g., modeling, pricing, rate filing, reporting & analysis, reserving or trending)
**Preferred Qualifications**
+ Medicare Advantage pricing and forecasting experience
+ Experience working with aggregate financials across insurance products or enterprise-level financial planning
+ Demonstrated ability to challenge existing assumptions and propose creative solutions
**Additional Information**
Humana is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sexual orientation, gender identity, national origin, age, disability, or veteran status.
For more information on Humana careers, please visit Humana Careers (******************************* .
Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.
**Scheduled Weekly Hours**
40
**Pay Range**
The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.
$129,300 - $177,800 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: 01-30-2026
**About us**
Humana Inc. (NYSE: HUM) is committed to putting health first - for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large.
**Equal Opportunity Employer**
It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.
Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our ***************************************************************************
$129.3k-177.8k yearly 46d ago
Senior Digital Designer
Humana 4.8
Lincoln, NE job
**Become a part of our caring community and help us put health first** The Senior Digital Designer responsible for creating, executing, developing, and maintaining digital design elements across multiple platforms. The Senior Digital Designer work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors.
The Senior Digital Designer collaborate closely with cross-functional teams to conceptualize, design, and produce digital content, graphics, animations, and user interfaces that align with organizational goals and enhance the user experience. Utilize common frameworks to build and develop interactive and responsive digital solutions that ensure compatibility, efficiency, and maximum value for the end-user. Support various business objectives, including product development, advertising, marketing, media, and communications. Begins to influence department's strategy. Makes decisions on moderately complex to complex issues regarding technical approach for project components, and work is performed without direction. Exercises considerable latitude in determining objectives and approaches to assignments.
**Use your skills to make an impact**
Typically requires Bachelor's degree or equivalent and 5+ years of technical experience
Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.
**Scheduled Weekly Hours**
40
**Pay Range**
The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.
$94,900 - $130,500 per year
This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.
**Description of Benefits**
Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.
Application Deadline: 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 ***************************************************************************
$94.9k-130.5k yearly 16d ago
Part Time Pharmacy Technician
Unitedhealth Group 4.6
Lincoln, NE job
"A Day in the Life" video (***************************** **Opportunities with Genoa Healthcare.** A career with Genoa Healthcare means you're part of a collaborative effort to serve behavioral health and addiction treatment communities. We do more than just provide medicine: we change lives for the better. People with serious mental or chronic illness - and those who care for them - have moving stories, and at Genoa we become their voice, their partner. Working as part of a coordinated care team, we partner with community-based providers and others to ensure that people with complex health conditions get the right medications and are able to follow their treatment plans. Our personalized services - in-clinic pharmacies, medication management and more - are leading the way to a new level of care.
Genoa is a pharmacy care services company that is part of Optum and UnitedHealth Group's family of businesses. We are part of a leading information and technology-enabled health services business dedicated to making the health system work better for everyone. Join us to start **Caring. Connecting. Growing together.**
We seek a **Part Time** **Pharmacy Technician** to support all functions of the Genoa mental health and specialty pharmacy primarily through dispensing medical prescriptions and performing necessary clerical duties while under the direct supervision of a registered pharmacist.
**Pharmacy Hours:** Monday - Friday 8:30am - 5pm (Lunch 12:30pm - 1pm)
**Schedule** : **24 hours per week. Shifts are flexible based on business needs**
**Location:** 3100 N 14th Street, Suite P, Lincoln, NE, 68521
**Primary Responsibilities:**
+ Provides exceptional customer service to all consumers and members of the clinic staff
+ Fills prescription orders and makes them available for verification under direct supervision of the registered pharmacist
+ Orders, receives and stores incoming pharmacy supplies
+ Receives and processes wholesaler medication orders
+ Verifies medication stock and enters data in computer to maintain inventory records
+ Works with the Pharmacist to assist in the pharmacy functions and keeping the pharmacy in compliance with all federal and state requirements
+ Performs various clerical duties relating to the department
+ Communicates with strong professional verbal and written communication skills
+ Other duties as assigned
You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
**Required Qualifications:**
+ Active and unrestricted Pharmacy Technician license in the state of Nebraska or the ability to obtain prior to start date
+ National or State Pharmacy Technician Certificationor the ability to obtain within one year of obtaining state license
+ Access to reliable transportation & valid US driver's license
**Preferred Qualifications:**
+ 6+ months of Pharmacy Technician experience
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 $16.15 to $28.80 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._
\#RPO #RED
$16.2-28.8 hourly 17d ago
Family Support and Visitation Specialist
Unitedhealth Group 4.6
Fremont, NE job
Optum is a global organization that delivers care, aided by technology, to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start **Caring. Connecting. Growing together.**
**Family Support and Visitation Specialist** engages in coaching, role modeling, and teaching nurturing parenting practices during family visitations. Family Support and Visitation Specialist will also provide face-to-face assistance, coaching, teaching, and role modeling in the family home and community settings to prepare the natural family for reunification.
**Schedule:** Up to 40 hours per week, scheduled based on client needs. Work may occur on any day of the week and possible evenings
If you live near Omaha, NE, you will enjoy the flexibility of a hybrid-remote role as you take on some tough challenges.
This is a hybrid work structure, with a mix of on-site field responsibilities and potential remote coordination. Candidates must be flexible to travel locally based on client needs. Field work is determined by client needs and may occur any day of the week, including weekends and evenings
**Location** : Must be commutable distance to either:
**(Primary Office):** 1941 S 42Nd St, Suite 328, Omaha, NE
230 East 22 Street. Suite 4, Fremont, NE 68025
**Primary Responsibilities:**
+ Attend and participate in team meetings
+ Complete required trainings as assigned by supervisor
+ Complete reporting requirements including documentation of each service provided, travel logs and monthly reports as requested by supervisor to ensure timely billing
+ Maintain a caseload of clients as agreed upon with supervisor
+ Provide written and/or oral communication with referral sources on a consistent basis
+ Monitor caseload authorizations and coordinate with case manager for necessary updates
+ Contacting assigned client within 24 hours of supervisor assignment
+ Scheduling sessions to meet the needs of the family/client
+ Complete documentation within 24 hours of service
+ Supervising parental and sibling interactions
+ Provide education and support to members and their families, who are justice or court involved, helping navigate the health care system for physical and behavioral health services
+ Participate in Interdisciplinary team meetings and reunification planning with justice facilities and provide information to assist with safe transitions of care
+ Providing resources to families.
+ Performs other duties as assigned
**What are the reasons to consider working for UnitedHealth Group? Put it all together - competitive base pay, a full and comprehensive benefit program, performance rewards, and a management team who demonstrates their commitment to your success. Some of our offerings include:**
+ Paid Time Off which you start to accrue with your first pay period plus 8 Paid Holidays
+ Medical Plan options along with participation in a Health Spending Account or a Health Saving account
+ Dental, Vision, Life& AD&D Insurance along with Short-term disability and Long-Term Disability coverage
+ 401(k) Savings Plan, Employee Stock Purchase Plan
+ Education Reimbursement
+ Employee Discounts
+ Employee Assistance Program
+ Employee Referral Bonus Program
+ Voluntary Benefits (pet insurance, legal insurance, LTC Insurance, etc.)
+ More information can be downloaded at: *************************
You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear directions on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
**Required Qualifications:**
+ Associate's Degree in Human Services, Social Work, Psychology, Early Childhood Development or related field
+ 1+ years of computer proficiency experience (including the ability to work on multiple web browsers using dual monitors at the same time to include Microsoft Office)
+ Ability to travel 75% of the time (60-70 miles one way) between Iowa and the Omaha and\or Freemont, Nebraska Office locations
+ Ability to work a flexible schedule to include evenings and weekends up to 40 hours per week, based on client needs
+ Access to reliable transportation, with a current and non-restricted valid state driver's license and state-required insurance
**Preferred Qualifications:**
+ Bachelor's Degree in Human Services, Social Work, Psychology, Early Childhood Development or related field
+ 1+ years of experience in the Human Services field
+ 6+ months of experience working with families involved in the justice or child welfare systems
+ 6+ months of experience providing direct services in home or field-based environments
+ Experience in social services, child welfare or family support UnitedHealth Group is working to create the health care system for tomorrow
+ Knowledge of the needs of families who are involved in the child welfare or juvenile justices' system
**Soft Skills:**
+ Strong oral and written communication skills - specifically telephone skills
+ Demonstrated effective organizational skills and scheduling skills as observed in day-to-day work
+ Excellent customer service skills
+ Excellent interpersonal and problem-solving skills
+ Attention to detail, as observed in day-to-day work
+ Excellent time management and prioritization skills
+ Must demonstrate flexibility, ability to follow through on all tasks in a timely fashion, good attention to detail and a willingness to learn
+ Strong team player, initiative in achieving individual and team goals, and team building skills
+ Able to handle sensitive issues with members and providers in a confidential manner
+ Demonstrates initiative in achieving individual, team, and organizational goals and objectives
+ Creative problem-solving skills with the ability to use community and network resources to meet members' needs
+ Ability and flexibility to assume responsibilities and tasks in a constantly changing work environment
*All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy.
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 $20.00 to $35.72 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._
\#RPO #YELLOW
$27k-31k yearly est. 24d ago
IT Internal Auditor 2
Humana 4.8
Lincoln, NE job
**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 ***************************************************************************
$71.1k-97.8k yearly 9d ago
Chief Medical Officer - Nebraska
Centene 4.5
Centene job in Omaha, NE
Centene is transforming the health of our communities one person at a time. As an Executive on our team, you could be the one who changes everything for our 28 million members.
We are seeking a new CMO for Nebraska Total Care. Candidates must reside or be willing to relocate to Nebraska and must be licensed or willing to obtain a Nebraska license.
Position Purpose: Provide medical oversight, expertise and leadership to ensure the delivery of cost effective, quality healthcare services to health plan members.
Serves as clinical advisor to and educator of medical management staff making sure correct clinical judgment is applied to all medical management determinations.
Provide leadership and expertise in the development, implementation and interpretation of medical review and quality related policies and guidelines.
Provide oversight and direction for staff and provider training and education.
Promote positive relations with the local medical community, including periodic consultation with providers or prescribers.
Review case management data, identifies trends and gaps in care and recommends corrective actions.
Review all quality of care issues and oversees the development and implementation of processes for improvement.
Monitor performance indicators to ensure the delivery of cost-effective care within quality standards.
Monitor member and provider satisfaction and recommends and implements changes to improve satisfaction levels.
Work collaboratively to develop corporate clinical care standards and medical practice policies.
Provide medical guidance to the Medical Management department.
Education/Experience:
Medical Doctor (MD) or Doctor of Osteopathy required.
7+ years clinical experience in the practice of medicine required.
Management experience preferred.
Utilization Management experience and knowledge of quality accreditation standards preferred.
Actively practices medicine and provides leadership in the local medical community preferred.
Course work in the areas of Health Administration, Health Financing, Insurance, and/or Personnel Management preferred.
Experience treating or managing care for a culturally diverse population preferred.
Licenses/Certifications:
Board certification in a medical specialty recognized by the American Board of Medical Specialists required.
Certification in a primary care specialty preferred.
Nebraska license as a MD or DO without restrictions, limitations or sanctions from government programs required.
Pay Range: $251,400.00 - $478,100.00 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
$251.4k-478.1k yearly Auto-Apply 17d ago
Business Intelligence Lead - Digital VOC
Humana 4.8
Lincoln, NE job
**Become a part of our caring community and help us put health first** The Digital Voice of Customer (VoC) Program Leader & Insights Champion will own and advance the end-to-end VoC strategy across Digital CW, ensuring measurement approaches align with customer experience goals and business priorities. This position is responsible for vendor management (Qualtrics), cross-functional stakeholder collaboration, and driving everyday self-service and adoption of VoC insights throughout the organization. The ideal candidate will develop diverse VoC touchpoints, analyze structured and unstructured data, present findings through effective storytelling, and serve as a thought leader to educate and empower teams for data-driven decision-making.
**Key Responsibilities** :
+ Develop, execute, and continuously refine the comprehensive VoC Program strategy for Digital CW, ensuring alignment with enterprise customer experience objectives and business priorities.
+ Manage and cultivate the vendor relationship with Qualtrics, representing the interests of Digital CW and collaborating with the Humana Digital lead.
+ Partner with stakeholders across UX, Product, Business Intelligence, Operations, and other lines of business to strategize, design, and implement optimal VoC touchpoints-including expansion beyond digital channels-to capture actionable customer insights.
+ Champion the incorporation of VoC metrics into everyday business practices, fostering a pull-driven, self-service engagement model across the enterprise.
+ Analyze structured and unstructured data to identify trends, friction points, opportunities for improvement, and root causes impacting user experiences.
+ Synthesize and communicate insights through compelling storytelling to influence cross-functional teams and drive user-backed optimizations.
+ Stay current with industry trends, emerging tools, and best practices to enhance VoC program effectiveness and operational efficiency.
+ Serve as a thought leader, educating stakeholders and promoting a culture of data-driven decision-making.
**Use your skills to make an impact**
**Required Qualifications**
+ Bachelor's degree and 8 or more years of technical experience in data analysis OR Master's degree and 4 years of experience
+ 2 or more years of project leadership experience
**Preferred Qualifications**
+ Demonstrated experience leading VOC or customer experience programs in a digital environment
+ Strong vendor management skills, preferably with Qualtrics or similar platforms
+ Knowledge of current trends and tools in customer experience measurement and analytics
+ Advanced experience in analysis and synthesis of quantitative and qualitative data
+ Excellent communication, presentation, and storytelling skills to inform and influence senior and executive leadership
+ Experience aggregating data across multiple sources (e.g., primary research, secondary research, operational data)
+ Working knowledge of primary research techniques (e.g., basic survey design)
+ Advanced Degree in a quantitative discipline, such as **Business, Marketing, Analytics** , Mathematics, Statistics, Computer Science, or related field
+ Passion for contributing to an organization focused on continuously improving consumer experiences
+ Experience analyzing data to solve a wide variety of business problems and create data visualizations that drive strategic direction
+ Advanced experience working with big and complex data sets within large organizations
+ Proven ability to work with cross-functional teams and translate requirements between business, project management and technical projects or programs
+ Proficiency in understanding Healthcare related data
+ Experience creating analytics solutions for various healthcare sectors
+ Advanced in SQL, SAS and other data systems
+ Experience with tools such as Tableau and Qlik for creating data visualizations
+ Expertise in data mining, forecasting, simulation, and/or predictive modeling
Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.
**Scheduled Weekly Hours**
40
**Pay Range**
The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.
$117,600 - $161,700 per year
This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.
**Description of Benefits**
Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.
Application Deadline: 04-17-2026
**About us**
Humana Inc. (NYSE: HUM) is committed to putting health first - for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large.
**Equal Opportunity Employer**
It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.
Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our ***************************************************************************
$117.6k-161.7k yearly 15d ago
Financial Reporting Professional 2
Humana 4.8
Lincoln, NE job
**Become a part of our caring community and help us put health first** The Financial Reporting Professional 2 prepares and distributes periodic financial statements. The role requires data driven technical skills to support process improvement. The Financial Reporting Professional 2 work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action.
This role is suited for a technically capable reporting professional who can work directly with data, understand end to end reporting flows, and exercise sound judgement within established accounting and organizational guidelines to deliver accurate and timely financial information. Individual will own assigned reporting processes and schedules within the financial reporting team with accountability for data readiness, documentation and adherence to filing requirements/timelines.
The individual will partner with finance, accounting and engineering teams on broader automation and efficiency initiatives. The role requires the ability to implement basic technical solutions including revising SQL queries and modifying lightweight automation solutions. Advanced system development is NOT required
**Key responsibilities**
+ Contribute to light automation and workflow improvements while partnering with technical resources for more complex development.
+ Maintain reporting calendars and filing schedules for regulatory submissions.
+ Coordination with Compliance to ensure deadlines are tracked and met across multiple states and programs
+ Support financial and regulatory reporting through accurate execution of reporting process
+ Post journal entries and perform data reconciliations across source systems and the general ledger
+ Load, validate and maintain reporting data tables
+ Operate as business owner for existing tools including coordination of inputs, validation of outputs, and design changes
+ Ensure compliance with internal controls and regulatory requirements
+ Analyze data flows and identify opportunities to improve accuracy, efficiency and automation
+ Collaborate with cross functional partners on finance and accounting initiative
+ Write and modify basic SQL queries and support data validation and troubleshooting
**Use your skills to make an impact**
**Required Qualifications**
+ Undergraduate degree with emphasis in Finance, Accounting, Data Analytics or related field
+ 3 years of experience in accounting/finance department
+ Basic understanding of SQL and Microsoft Power Platform
+ Intermediate Excel
+ Strong analytical and problem-solving capabilities
+ Experience supporting or improving financial reporting processes
+ Working knowledge of general ledger and financial statement preparation
+ Ability to work independently and exercise sound professional judgment
**Preferred Qualifications:**
+ Healthcare insurance experience, including CMS and MLR ( **Medical Loss Ratio)** reporting requirements
+ Experience building apps on Microsoft Power Platform (Power BI, Power Apps, Power Automate, SharePoint)
+ Advanced SQL and/or VBA
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: 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 ***************************************************************************
$71.1k-97.8k yearly 15d ago
Unthink Retirement Representative
Primerica 4.6
Lincoln, NE job
Be a True Generational Hero Can you imagine offering a solution to the quest that keeps over 45 million Americans awake at night? "Will I outlive my money?" We've developed a revolutionary alternative to traditional retirement planning _ one that brings clarity, confidence, and peace of mind to millions.
Now more than ever, people need real hope that they can not only retire - but retire in good shape.
We'd love the opportunity to show you how this breakthrough can change lives and reshape the future of retirement.
Learn more about the retirement solution that's giving America hope!
This is NOT a job. It's a pathway to financial freedom. Your pace, your potential. Watch the video to learn more and get started. Change your tomorrow!
Watch our intro videos to learn more **********************************
Scroll down to "start your journey to financial freedom today" Click watch video
4 minute video
22 minute video
If you would like to start or learn more, please reach out for a one on one. Build your retirement while earning residual income.
$27k-33k yearly est. Auto-Apply 60d+ ago
Speech Therapist, Home Health
Humana Inc. 4.8
Omaha, NE job
Become a part of our caring community and help us put health first As a therapist at CenterWell Home Health, you'll play a vital role in helping patients regain strength, mobility and independence-all from the comfort of their homes. By delivering personalized care that focuses on rehabilitation and functional improvement, you'll empower individuals to overcome physical limitations, perform everyday activities with confidence and enjoy a better quality of life.
As a Home Health Speech Language Pathologist, you will:
* Evaluate, direct and provide speech/language pathology service to patients in the home or facility
* Participate in the development and periodic review of the Plan of Treatment and Plan of Care.
* Utilize professional skills and judgment in assessing and treating disorders of speech, voice, language, hearing and swallowing to prevent, identify, evaluate and minimize the effects of such disorders and conditions.
* Administer and interpret diagnostic tests and applications of therapeutic treatments including audio logic screening.
* Observe, record and report changes in the patient's condition and response to treatment to supervisor and/or the physician.
* Provide instruction and training to patients in use of alternative communication systems when appropriate.
* Provide counsel and instruction to patients, families and healthcare staff.
* Maintain and submit documentation as required by the Company and/or facility. Prepare and submit timely written reports of evaluations, visits, summaries, care plans, care coordination activities and progress reports as required by Company policy.
* Participate in care coordination activities and discharge planning.
* Maintain the highest standards of professional conduct in relation to information that is confidential in nature. Share information only when the recipient's right to access is clearly established and the sharing of such information is clearly in the best interests of the patient.
* Attend, participate in and/or conduct internal staff development programs, obtain continuing education as required by Company policy, regulation.
Use your skills to make an impact
Required Experience/Skills:
* Meet the education and experience requirements for Certification of Clinical Competence in Speech Language Pathology or Audiology granted by ASHA
* Minimum of six months experience as a speech therapist / speech language pathologist
* Home Health experience a plus
* Current and unrestricted license
* Current CPR certification
* Good organizational and communication skills
* A valid driver's license, auto insurance, and reliable transportation are required.
Pay Range
* $49.00 - $69.00 - pay per visit/unit
* $77,200 - $106,200 per year base pay
Scheduled Weekly Hours
1
Pay Range
The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.
$85,400 - $117,500 per year
Description of Benefits
Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers benefits for limited term, variable schedule and per diem associates which are designed to support whole-person well-being. Among these benefits, Humana provides paid time off, 401(k) retirement savings plan, employee assistance program, business travel and accident.
About Us
About 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.
$85.4k-117.5k yearly 20d ago
Manager, Compliance
Humana 4.8
Lincoln, NE job
**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 ***************************************************************************
$104k-143k yearly 4d ago
Social Worker, Home Health
Humana Inc. 4.8
Omaha, NE job
Become a part of our caring community and help us put health first The Medical Social Worker participates in the interdisciplinary care provided to home health patients. The Medical Social Worker functions to evaluate and develop a plan of care personalized to fit the patient's emotional and social needs. The Medical Social Worker provides direction and supervision of the Social Worker Assistant as required and when involved in the patient's plan of care. The Medical Social Worker works within CenterWell Home Health's company-specific policy and procedures, applicable healthcare standards, governmental laws, and regulations.
* Assesses the patient's social and emotional state as it relates to his or her illness or injury, needs for care and his or her response to such treatment, and adjustments to care.
* Assesses any relationships of the patient's medical and nursing needs in the home setting, financial resources, and available community resources.
* Provides any appropriate action to obtain available community resources to assist in resolving issues that may be impeding the patient's recovery.
* Instructs patients and families in treating and coping with social and emotional response connected with Provides ongoing assessment of patient and family needs and responses to teaching
* Assists the physician and other health team members in understanding the significant social and emotional factors related to the patient's health Participates in the development and periodic re-evaluation of the physician's Plan of Care for the patient.
* Observes, records, and reports changes in patients' condition and response to treatment to the Clinical Manager and the Participates in the discharge planning process
* Participates as a member of the interdisciplinary care team in care coordination activities and acts as a resource to other health team members in the identification and resolution of patient needs
* Supervises instructs and evaluates the performance of the Social Work Assistant (BSW) to assure that all medical social services are provided to patients in compliance with Company, government, and professional standards
* Maintains and submits documentation as required by the company and/ or facility including any case conferences, patient/physician community contacts, visit reports progress notes, and confers with other health care disciplines in providing optimum patient.
Use your skills to make an impact
Required Skills/Experience
* Masters or doctoral degree from a school of social work accredited by the Council on Social Work Education.
* Social Worker licensure in the state of practice; if required by state law or regulation.
* A valid driver's license, auto insurance, and reliable transportation are required.
* Proof of current CPR certification
* Minimum of one year of experience as a social worker in a health care setting, home health, and/or hospice.
* Knowledge of and the ability to assist with discharge planning needs, and to obtain community resources (housing, shelter, funeral/memorial service arrangements, legal, information and referral, state/federal financial and medication programs, and eligibility.
* Excellent oral and written communication and interpersonal skills.
* Must read, write and speak fluent English.
* Knowledge of medications and their correct administration.
* Ability to organize tasks, develop action plans, set priorities, and function under stressful situations.
* Ability to be flexible in work hours and travel locally.
* Ability to communicate effectively with patients and their family members and at all levels of the organization.
* Maintains current licensure certifications and meets mandatory continuing education requirements.
* Must read, write and speak fluent English.
* Must have good and regular attendance.
* Performs other related duties as assigned.
* Valid driver's license, auto insurance and reliable transportation.
Scheduled Weekly Hours
1
Pay Range
The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.
$39,000 - $49,400 per year
Description of Benefits
Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers benefits for limited term, variable schedule and per diem associates which are designed to support whole-person well-being. Among these benefits, Humana provides paid time off, 401(k) retirement savings plan, employee assistance program, business travel and accident.
About Us
About 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.
$39k-49.4k yearly 60d+ ago
Eligibility Enrollment Services Supervisor
Tenet Healthcare Corporation 4.5
Omaha, NE job
Responsible for maximizing product performance and value to Tenet Patient Financial Services, its clients and the healthcare market through effective supervision, direction and operation of the government programs product and the coordination of its delivery through field operation offices.
ESSENTIAL DUTIES AND RESPONSIBILITIES
Include the following. Others may be assigned.
* Provides overall supervision of Government Programs for assigned division including direction, knowledge, and resources to management and staff to enable them to expedite governmental program recovery and decrease facility bad debt.
* Ensures staff understanding and application of local, state and federal laws and guidelines.
* Develops and delivers Eligibility Program training to divisional staff and its clients.
* Provides direction to staff on issues/questions relating to Government Programs.
* Develops, refines, and manages the product to maximize operational goals and objectives while working with the management team and staff.
* Monitors and builds team morale and productivity as measured against planned objectives.
* Identifies key performance indicators and utilizes them to track and manage product performance.
FINANCIAL RESPONSIBILITY (Specify Revenue/Budget/Expense): N/A
* Scope: Multiple small locations, or single medium sized location, or single large sized location
SUPERVISORY RESPONSIBILITIES
This position carries out supervisory responsibilities 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) Patient Advocate and Lead, EES Financial Counselor and Lead. Typically, a 1:12 ratio
* Indirect Reports (titles) Clerical Support, EES
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 accommodations may be made to enable individuals with disabilities to perform the essential functions.
* Working familiarity with the rules and regulations pertaining to Federal, State and County programs
* P/C systems literate including Windows, and Microsoft Outlook, Excel and Word programs
* Ability to work independently
* Detail oriented, with strengths in dealing with multiple facilities, Supervisors, and Hospital platforms
* Ability to prioritize and manage multiple tasks with efficiency
* Excellent oral and written communication, interpersonal, organizational and management skills
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 required to perform the job.
* Bachelors Degree in Business Administration, Marketing and/or related field or equivalent experience
* 3 - 5 years experience in healthcare finance or revenue cycle
* Most recent 3 years experience in Federal, State and Local government programs
* 2 - 3 years supervisory experience in Federal, State and Local government programs
* Working knowledge of healthcare products
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.
* Ability to sit and work at a computer terminal for extended periods of time.
* Must be able to walk through a hospital environment, including across broad campus settings and Emergency Department environments, and visit patients at bedside.
* Ability to travel.
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.
* Both Hospital and Office facilities, in direct contact with Patients and Staff
OTHER
* Must be able to travel.
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.
**********
$59k-73k yearly est. 60d+ ago
Senior IT Product Manager - Information Marketplace & Data Governance Platform
Humana 4.8
Lincoln, NE job
**Become a part of our caring community and help us put health first** The Senior IT Product Manager - Information Marketplace & Data Governance is responsible for the strategic vision, roadmap, and execution of the Information Marketplace and its ecosystem of integrated enterprise capabilities. This role owns the end-to-end product lifecycle for the Information Marketplace as well as integrations with its supporting capabilities, data discovery, data quality and observability, metadata management, data cataloging, semantic enablement, and governed data usage processes such as the Protected Information Review Council (PIRC).
The Information Marketplace serves as the front door and starting off point for finding and understanding Humana's data. It serves a large role in day-to-day data usage and management processes and that role will continue to expand and evolve.
The Senior IT Product Manager partners closely with data governance leadership, architecture, engineering, security, compliance, and business stakeholders to ensure these capabilities operate as a cohesive, scalable product that enables trusted data use, risk reduction, and business value realization. They will create, prioritize and manage product backlogs with a focus on iteration and scalability. They will directly influence department strategy and make decisions on moderately complex to complex issues regarding technical and non-technical approaches for project components. Work will be performed without direction and considerable latitude will need to be exercised in determining objectives and approaches.
Detailed Responsibilities
**Product Strategy & Vision**
+ Define and own the long-term product vision and roadmap for the Information Marketplace and its integration to supporting capabilities and processes.
+ Translate enterprise data governance, compliance, and analytics strategies into actionable product capabilities and prioritized initiatives.
+ Act as the product authority for how data discovery, quality, observability, metadata management, and semantic layers work together as a unified experience.
**Information Marketplace Ownership**
+ Own the Information Marketplace as a core enterprise product, including user experience, adoption, scalability, and extensibility.
+ Ensure the Marketplace enables intuitive discovery of curated and un-curated data assets.
+ Drive continuous improvement of Marketplace capabilities based on usage analytics, stakeholder feedback, and emerging governance trends.
**Platform Integrations & Ecosystem Management**
+ Lead integration strategy and execution across platforms supporting:
+ Data quality and observability
+ Data cataloging and metadata management
+ Data lineage and impact analysis
+ Semantic layers and business term enablement
+ Workflow and approval processes (e.g., PIRC)
+ Partner with architecture and engineering teams to ensure integrations are scalable, secure, resilient, and aligned with enterprise standards.
+ Manage dependencies across internal platforms, vendor tools, and custom-built solutions.
**Stakeholder Engagement & Leadership**
+ Serve as the primary product interface between data governance leadership and stakeholders.
+ Facilitate prioritization decisions.
+ Communicate product strategy, roadmap progress, and outcomes to executive and senior leadership audiences.
**Delivery & Execution**
+ Own and manage the product backlog, ensuring clear articulation of epics, features, and acceptance criteria.
+ Partner with agile delivery teams to ensure timely, high-quality execution of product initiatives.
+ Define and track success metrics related to adoption, data trust, operational efficiency, and risk reduction.
**Use your skills to make an impact**
**Required Qualifications**
+ 8+ years of experience in product management, technology product ownership, or platform leadership roles.
+ Proven experience managing complex, enterprise-scale platforms with multiple integrations and stakeholders.
+ Demonstrated success owning products across the full lifecycle, from strategy and vision through delivery and adoption.
+ Ability to work effectively with architects and engineers on integration patterns, APIs, metadata flows, and platform interoperability.
+ Experience operating in hybrid or multi-platform environments, including vendor tools and custom-built solutions.
+ Exceptional stakeholder management skills, with the ability to influence without direct authority.
**Preferred Qualifications**
+ Strong understanding of data governance concepts, including metadata management, data quality, data lineage, and data stewardship.
+ Experience with data discovery, data cataloging, or information marketplace-style platforms.
+ Familiarity with compliance-driven data usage processes (e.g., privacy reviews, data access approvals, risk assessments).
+ Strong understanding of how semantic layers, business glossaries, and metadata drive analytics and AI enablement.
+ Strong executive communication skills, including the ability to translate complex technical concepts into business outcomes.
+ Experience supporting regulated industries (e.g., healthcare, financial services, insurance).
+ Exposure to data observability platforms, data quality automation, or AI-enabled governance capabilities.
+ Experience operationalizing governance processes through workflow tools or custom platforms.
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: 03-26-2026
**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 ***************************************************************************
$104k-143k yearly 16d ago
Director - Finance Portfolio Management, Strategy, & Special Projects
Humana 4.8
Lincoln, NE job
**Become a part of our caring community and help us put health first** The Director of Finance Portfolio Management, Strategy, & Special Projects is a key leadership role responsible for shaping the future state of the Finance function through strategic planning, portfolio oversight, and transformational initiatives. This individual will collaborate closely with senior finance leaders, cross-functional partners, and enterprise stakeholders to set direction, drive execution, and ensure accountability for critical finance projects and change initiatives.
+ This role requires travel into the Humana's Louisville headquarters at least 1 time per month.
+ Provide direction and vision for the Finance function, developing and maintaining a comprehensive 3-5-year strategic roadmap in partnership with senior leaders and stakeholders.
+ Analyze and understand the needs of all Finance towers and the business teams they support to inform target state definition and the approach to achieving it.
+ Establish and lead criteria and processes for initiative prioritization, facilitating decision-making with Finance leadership.
+ Analyzes the financial implications of proposed investments so that senior managers can evaluate alternatives against the organization's business objectives.
+ Define and implement value tracking measures in alignment with Transformation Office (TO) methodology; apply these to prioritized initiatives for ongoing assessment.
+ Collaborate with Finance Towers, Enterprise Transformation Office, IT, Data Governance, and other teams to determine sequencing and dependencies of initiatives; develop detailed plans, KPIs, and value metrics; monitor progress against milestones and budgets.
+ Oversee portfolio management infrastructure, including project reporting and budget tracking; coordinate with other teams to ensure processes are efficient and effective.
+ Manage the finance change portfolio and budget in partnership with IT and Finance teams, ensuring transparency and stakeholder accountability.
+ Lead execution of special projects, including process redesign, automation opportunities, and other high-priority, cross-functional transformation efforts.
+ Prepare and present materials for the Enterprise Transformation Office and other executive-level audiences.
+ Develop and implement training, communication, and capability-building programs; identify skill gaps and create strategies for training and hiring to future-proof the Finance function.
+ Foster collaboration across Finance, acting as the connective tissue to share best practices and facilitate knowledge exchange.
+ Remain current on emerging technologies and their application within Finance, while driving improvements through organizational and process design.
+ Lead and develop a team of approximately four associates, providing mentorship, coaching, and support for career growth and development.
+ Demonstrate exemplary communication and problem-solving skills, synthesizing complex information for diverse audiences.
**Use your skills to make an impact**
**Required Qualifications**
+ Bachelor's degree in Finance, Accounting, Business Administration, or related field; advanced degree preferred.
+ 10+ years experience in finance strategy, portfolio management, and transformational initiatives within a large, complex organization.
+ Proven ability to lead cross-functional teams and manage large-scale projects or portfolios.
+ Strong understanding of finance operations, process improvement, and emerging technologies.
+ Exceptional communication, facilitation, and stakeholder management skills.
+ Demonstrated ability to lead, mentor, and develop high-performing teams (5+ years)
+ Experience in the healthcare industry or other complex, regulated industry is preferred
+ Must be passionate about contributing to an organization focused on continuously improving consumer experiences
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.
$168,000 - $231,000 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: 02-19-2026
**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 ***************************************************************************
$168k-231k yearly 31d ago
Patient Access Representative II - PRN
Tenet Healthcare Corporation 4.5
Nebraska City, NE job
Responsible for duties in support of departmental efficiencies which may include: but not limited to performing scheduling, registration, patient pre-admission and admission, reception and discharge functions. Must obtain complete and accurate patient demographic information. Patient Access representatives also must employ proper, compliant patient liability collection techniques before, during & after date of service.
ESSENTIAL DUTIES AND RESPONSIBILITIES
Include the following. Others may be assigned.
* Greeting patients following Conifer Standards of Care, provides world-class customer service, completes full patient registration at date of service, adheres to financial & cash control policies & procedures, thoroughly explains and secures Hospital & patient legal forms (i.e., Advance Directives, Conditions of services, Consent for treatment, Important Message from Medicare, EMTALA, etc.). Scan Protected Health Information, create and file patient information packets/folders for upcoming Hospital services. May also assist with scheduling diagnostic procedures (enters data in scheduling system, provide customer with appointment instructions, other tasks as needed).
* Educates patients about patient financial liabilities, employs proper, compliant patient liability collection techniques before, during & after date of service, performs Hospital cash reconciliation & secured payment entry in adherence to financial & cash control policies & procedures.
* Secures medical necessity checks/verification in accordance to Centers for Medicare & Medicaid services, verifies insurance, benefits, coverage & eligibility, completes assigned registration financial clearance work lists activities, obtains insurance authorizations for scheduled & unscheduled Hospital services, and secures inpatient visit notification to payors. May also assist with scheduling and coordinating post discharge care for patients.
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 accommodations may be made to enable individuals with disabilities to perform the essential functions.
* Minimum typing skills of 35 wpm
* Demonstrated working knowledge of PC/CRT/printer
* Knowledge of function and relationships within a hospital environment preferred
* Customer service skills and experience
* Ability to work in a fast paced environment
* Ability to receive and express detailed information through oral and written communications
* Understanding of Third Party Payor requirements preferred
* Understanding of Compliance standards preferred
* Must be able to perform essential job duties in at least two Patient Access service areas including Emergency Department.
* Uses proper negotiation techniques to professionally collect money owed by our Patients/Guarantors.
* Builds and maintains collaborative relationships with both internal and external Clients that lead to more effective communication and a higher level of productivity and accuracy.
* Must be able to appropriately interpret physician orders, medical terminology and insurance cards while maintaining Conifer Standards of Care.
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.
* High School Diploma or GED required.
* 0 - 1 year in a Customer Service role.
* 0 - 1 year administrative experience in medical facility, health insurance, or related area preferred
* Some college coursework is 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.
* Must be able to sit at computer terminal for extended periods of time.
* Resolves Physician's office and Patient issues. May experience extreme patient volumes and uncooperative Patients.
* Occasionally lift/carry items weighing up to 25 lbs.
* Frequent prolonged standing, sitting, and walking.
* Occasionally push a wheelchair to assist patients with mobility problems.
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.
* Hospital administration
* Can work in patient care locations which include potential exposure to life-threatening patient conditions.
OTHER
* Must be available to work hours and days as needed based on departmental/system demands.
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.
**********
$30k-34k yearly est. 3d ago
Associate Actuary, SPA-Rx
Humana 4.8
Lincoln, NE job
**Become a part of our caring community and help us put health first** The Associate Actuary, Analytics/Forecasting analyzes and forecasts financial, economic, and other data to provide accurate and timely information for strategic and operational decisions. Establishes metrics, provides data analyses, and works directly to support business intelligence. Evaluates industry, economic, financial, and market trends to forecast the organization's short, medium and long-term financial and competitive position. The Associate Actuary, Analytics/Forecasting work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors.
_This a remote nationwide position_
The Associate Actuary, Analytics/Forecasting ensures data integrity by developing and executing necessary processes and controls around the flow of data. Collaborates with stakeholders to understand business needs/issues, troubleshoots problems, conducts root cause analysis, and develops cost effective resolutions for data anomalies. Begins to influence department's strategy. Makes decisions on moderately complex to complex issues regarding technical approach for project components, and work is performed without direction. Exercises considerable latitude in determining objectives and approaches to assignments.
**Use your skills to make an impact**
**Required Qualifications**
+ Bachelor's Degree
+ Associate of Society of Actuaries (ASA) designation
+ MAAA
+ Strong communication skills
+ Must be passionate about contributing to an organization focused on continuously improving consumer experiences
**Preferred Qualifications**
+ Prior Part D experience
+ Strong SAS skills
+ Prior Databricks experience
**Our Hiring Process**
As part of our hiring process for this opportunity, we may contact you via text message and email to gather more information using a software platform called Modern Hire. Modern Hire Text, Scheduling and Video technologies allow you to interact with us at the time and location most convenient for you.
If you are selected to move forward from your application prescreen, you may receive correspondence inviting you to participate in a pre-recorded Voice, Text Messaging and/or Video interview. Your recorded interview will be reviewed and you will subsequently be informed if you will be moving forward to next round of interviews
If you have additional questions regarding this role posting and are an Internal Candidate, please send them to the Ask A Recruiter persona by visiting go/Buzz and searching Ask A Recruiter! Please be sure to provide the requisition number so we may be able to research your request quicker.
**Alert:** Humana values personal identity protection. Please be aware that applicants selected for leader review may be asked to provide a social security number, if it is not already on file. When required, an email will be sent from ******************** with instructions to add the information into the application at Humana's secure website.
**_Humana is more than an equal opportunity employer, Humana's dedication to promoting diversity, multiculturalism, and inclusion is at the heart of what we do in all of our Humana roles. Diversity is more than a commitment to us, it is the foundation of what we do. We are fully focused on diversity of race, gender, sexual orientation, religion, ethnicity, national origin and all of the other fascinating characteristics that make us each uniquely wonderful._**
\#LI-Remote
Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.
**Scheduled Weekly Hours**
40
**Pay Range**
The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.
$106,900 - $147,000 per year
This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.
**Description of Benefits**
Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.
Application Deadline: 01-29-2026
**About us**
Humana Inc. (NYSE: HUM) is committed to putting health first - for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large.
**Equal Opportunity Employer**
It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.
Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our ***************************************************************************
$106.9k-147k yearly Easy Apply 38d ago
Part Time Pharmacy Technician
Unitedhealth Group 4.6
Omaha, NE job
"A Day in the Life" video (***************************** **Opportunities with Genoa Healthcare.** A career with Genoa Healthcare means you're part of a collaborative effort to serve behavioral health and addiction treatment communities. We do more than just provide medicine: we change lives for the better. People with serious mental or chronic illness - and those who care for them - have moving stories, and at Genoa we become their voice, their partner. Working as part of a coordinated care team, we partner with community-based providers and others to ensure that people with complex health conditions get the right medications and are able to follow their treatment plans. Our personalized services - in-clinic pharmacies, medication management and more - are leading the way to a new level of care.
Genoa is a pharmacy care services company that is part of Optum and UnitedHealth Group's family of businesses. We are part of a leading information and technology-enabled health services business dedicated to making the health system work better for everyone. Join us to start **Caring. Connecting. Growing together.**
We seek a **Part Time** **Pharmacy Technician** to support all functions of the Genoa mental health and specialty pharmacy primarily through dispensing medical prescriptions and performing necessary clerical duties while under the direct supervision of a registered pharmacist.
**Pharmacy Hours:** Monday - Friday 8:30am - 5pm (Lunch 12pm - 12:30pm)
**Schedule** : 24 hours per week. Shifts are flexible based on business needs
**Location:** 7150 Arbor Street, Suite P, Omaha, NE, 68106
**Primary Responsibilities:**
+ Provides exceptional customer service to all consumers and members of the clinic staff
+ Fills prescription orders and makes them available for verification under direct supervision of the registered pharmacist
+ Orders, receives and stores incoming pharmacy supplies
+ Receives and processes wholesaler medication orders
+ Verifies medication stock and enters data in computer to maintain inventory records
+ Works with the Pharmacist to assist in the pharmacy functions and keeping the pharmacy in compliance with all federal and state requirements
+ Performs various clerical duties relating to the department
+ Communicates with strong professional verbal and written communication skills
+ Other duties as assigned
You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
**Required Qualifications:**
+ Active and unrestricted Pharmacy Technician license in the state of Nebraska
+ National Pharmacy Technician Certification (required if the state technician license was issued more than one year ago)
+ Access to reliable transportation & valid US driver's license
**Preferred Qualifications:**
+ 6+ months of Pharmacy Technician experience
+ National Pharmacy Technician Certification
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 $16.15 to $28.80 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._
\#RPO #RED