You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you'll have access to competitive benefits including a fresh perspective on workplace flexibility.
Position Purpose: Responsible for developing and conducting a variety of training programs and/or auditing tools for Member and Provider Service roles in Centene's contact centers.
*** The Trainer I role is remote but, it supports the Hawaii market primarily. Candidates must be willing and available to work Hawaii time to be considered for the position. ***
Responsibilities:
Conduct training needs analyses to determine specific training needs for department staff
Identify, select, and develop appropriate training programs, including the selection or design of appropriate training aids
Evaluate effectiveness of training programs, including cost and benefit analyses
Research, analyze and recommend external training programs
Maintain records of training activities and employee progress
Assist in auditing work performed by staff and present findings and recommendations for areas of improvement to management
Assist with revisions to policy and procedures and/or work process development
Performs other duties as assigned
Complies with all policies and standards
Education/Experience: Bachelor's degree in related field or equivalent experience. 2+ years of training experience, preferably in a managed care or healthcare environment.
Pay Range: $56,200.00 - $101,000.00 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
$56.2k-101k yearly Auto-Apply 4d ago
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Supervisor, Provider Data Management
Centene Corporation 4.5
Centene Corporation job in Urban Honolulu, HI
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.
***NOTE: For this role we are seeking candidates who live in Honolulu, Hawaii***
**Position Purpose:** Manage the daily operations of all provider data management functions. Direct provider data management related activities based on plan and contract specifications and standard business rules - includes data analysis and entry, review of data via internet sites and other systems, usage of multiple systems and applications to validate data is complete and accurate, and investigation and resolution of data issues.
+ Manage the end-to-end provider data entry and maintenance to ensure accurate and timely setup for claims payment, member assignment and directory display
+ Investigate and resolve complex provider data management issues
+ Identify trends and recommend improvements to mitigate potential issues
+ Lead task assignment for team's workflow and distribution
+ Monitor team performance to ensure established and provider data quality benchmarks are met
+ Facilitate meetings with Health Plan representatives
+ Train and mentor Provider Data Management Analyst I, II, and Team Leads
+ Performs other duties as assigned
+ Complies with all policies and standards
**Education/Experience:** Bachelor's degree in related field or equivalent experience. 3+ years of combined management and provider data management, data analysis, and customer service experience preferably with healthcare operations (i.e. claims processing, billing, provider relations or contracting) experience in a managed care, insurance, or medical office environment. Experience performing and leading teams.Pay Range: $56,200.00 - $101,000.00 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
$56.2k-101k yearly 49d ago
Remote Cloud & GenAI Operations Leader
Humana Inc. 4.8
Urban Honolulu, HI job
A leading health insurance provider is seeking a talented individual to lead Infrastructure Operations and optimize healthcare delivery using cutting-edge technologies. The ideal candidate will have over 10 years of experience in the field, with a focus on AI and cloud environments like Azure and AWS. This role includes responsibilities such as managing service providers, implementing operational improvements, and developing AI-driven solutions to enhance performance. The position offers a competitive salary and a comprehensive benefits package.
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$91k-105k yearly est. 4d ago
Actuary - Financial Planning and Analysis
Humana Inc. 4.8
Urban Honolulu, HI 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 ***************************************************************************
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$45k-60k yearly est. 4d ago
Market VP, Professional Practice and Pharmacy Compliance
Humana Inc. 4.8
Urban Honolulu, HI job
Become a part of our caring community and help us put health first
The Market Vice President of Pharmacy Professional Practice will be responsible for pharmacy practice related compliance of CenterWell Pharmacy, encompassing Traditional, Specialty, and Community pharmacies throughout the United States. The Market Vice President makes certain the pharmacy and its operations comply with all applicable federal, state and local laws and regulations, as well as ensuring internal policies and procedures meet or exceed industry standards, , and are followed and communicated timely to all affected employees. The Market Vice President will work collaboratively with operational, legal, compliance, and engineering stakeholders to accomplish business initiatives while ensuring pharmacy practice compliance.
The Market Vice President will serve as a subject matter expert in pharmacy practice compliance with extensive knowledge in regulations of Boards of Pharmacy, DEA, FDA, and other applicable healthcare and pharmacy regulatory agencies. The Market Vice President will report directly to the SVP of CenterWell Pharmacy/CenterWell Specialty Pharmacy and will lead a team consisting of Pharmacists-In-Charge, Directors, and Professionals to ensure pharmacy practice compliance. This position can be located anywhere within the lower 48 states and does not require relocation, however travel to pharmacies, industry conferences, and internal meetings is required.
Key Responsibilities
Ensures pharmacy practice compliance with all federal, state, local, and Board of Pharmacy regulations.
Provides guidance and strategy on responses to regulatory agency inquiries (Boards of Pharmacy)
Ensures all pharmacies are appropriately licensed and registered with Boards of Pharmacy, DEA, and other applicable regulatory agencies.
Ensures all pharmacy associates are appropriately licensed and registered in their respective jurisdictions to perform required tasks of the pharmacy. Oversees pharmacy policy and ensures all policies and procedures are appropriate and reviewed regularly
Oversees team that is responsible for Prescription Drug Monitoring Reporting and related compliance
Oversees pharmacy accreditation (ACHC, NABP, URAC) ensuring that required accreditations are obtained and maintained.
Oversees team responsible for pharmacy associate professional development (ex. obtaining pharmacy technician licenses, providing continuing education, etc.)
Oversees team responsible for pharmacy management system user access
Establishes guidelines to comply with the policies and procedures, applicable statutes, and regulations and implement corrective action plans, when needed.
Sets and ensures consistent application of additional internal standards to help a company stand out in the industry
Verifies legality and compliance of pharmacy practice related items
Responsible for oversight of training and education programs and conducts audits to monitor compliance
Influences and collaborates with operational peers related to intradepartmental coordination, development and implementation of strategic plans, and business outcomes, weighing risk and compliance with business operations
Develops and implements strategic plans for the scope of management that are aligned with the Segment or Business strategy
Functions as a key leader on the Pharmacy Leadership team, with the ability to be a strategic thought-partner and to synthesize and communicate complex ideas
Providing strategic leadership to a high-performing team of Pharmacy professionals; grow the team by recruiting, hiring, developing, and retaining high-caliber talent
Required Qualifications
Bachelor's degree in Pharmacy or PharmD.
Min 5 years' experience leading pharmacy practice/compliance for a large pharmacy
Active pharmacist license for the state of employment
Extensive experience in Pharmacy, particularly home delivery pharmacy or managed care environment
5 or more years of management/people leadership experience
Deep knowledge of pharmacy practice regulatory compliance requirements (BOP, DEA, FDA, etc.)
Working knowledge of privacy and HIPAA regulations and USP guidance
Experience in providing guidance for clinical operational aspects of pharmacy
Ability to manage clinical decision-making aspects within the pharmacy
Ability to participate in federal prescription programs
Working knowledge of Medicare Part B and Part D Coverage Determinations (chapters 6 and 18)
Must be passionate about contributing to an organization focused on continuously improving consumer experiences
Use your skills to make an impact Preferred Qualifications
Master's degree
Additional Information
Travel
While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.
Scheduled Weekly Hours
40
Pay Range
The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.
$223,800 - $313,100 per year
This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.
Description of Benefits
Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.
Application Deadline: 02-28-2026
About us
About CenterWell Pharmacy: CenterWell Pharmacy provides convenient, safe, reliable pharmacy services and is committed to excellence and quality. Through our home delivery and over-the-counter fulfillment services, specialty, and retail pharmacy locations, we provide customers simple, integrated solutions every time. We care for patients with chronic and complex illnesses, as well as offer personalized clinical and educational services to improve health outcomes and drive superior medication adherence.
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.
Centerwell, a wholly owned subsidiary of 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 full accessibility rights information and language options *************************************************************
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$66k-80k yearly est. 1d ago
Lead - Finance Special Projects
Humana Inc. 4.8
Urban Honolulu, HI job
Become a part of our caring community and help us put health first
The Lead - Finance Special Projects is responsible for driving targeted process improvement initiatives within the Finance function. This role partners closely with Finance leadership and cross-functional teams to identify, design, and implement solutions that optimize operations, increase efficiency, and promote the adoption of emerging technologies. The successful candidate will serve as a catalyst for collaboration and best practice sharing across Finance, helping to advance both strategic and operational objectives.
This role requires travel into the Humana's Louisville headquarters at least 1 time per month.
Maintain up-to-date knowledge of emerging technologies and their practical applications within Finance, with a continuous focus on improvements enabled by organizational and process design.
Lead and execute special projects such as benchmarking, process redesign, identification and implementation of automation opportunities, and reporting enhancements.
Partner with Finance teams and relevant stakeholders to assess current processes, recommend solutions, and drive the execution of approved initiatives.
Facilitate collaboration and the sharing of best practices across Finance, acting as a connector between teams to promote alignment and continuous improvement.
Develop project plans, manage timelines, and monitor progress to ensure timely and successful delivery of process improvement objectives.
Support the change management process by developing training materials, communications, and capability-building programs as needed.
Prepare reports and presentations to communicate project outcomes and recommendations to leadership and other stakeholders.
Track and report on key performance indicators and value metrics for process improvement projects.
Use your skills to make an impact
Required Qualifications
Bachelor's degree in Finance, Accounting, Business Administration, or related field; advanced degree preferred.
6+ years of demonstrated experience in benchmarking, process improvement, project management, or transformation initiatives, ideally within Finance or a related corporate function.
2+ years of project leadership experience
Strong analytical, problem-solving, and organizational skills.
Proven ability to synthesize complex information and communicate effectively with diverse audiences.
Experience with process design methodologies, automation technologies, and reporting tools is highly desirable.
Exceptional interpersonal skills and a collaborative approach.
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
Preferred QualificationsAdditional Information
Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.
Scheduled Weekly Hours
40
Pay Range
The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.
$94,900 - $130,500 per year
This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.
Description of Benefits
Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.
Application Deadline: 02-19-2026
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 ***************************************************************************
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$94.9k-130.5k yearly 4d ago
Field Based Community Health Worker - Oahu, HI
Unitedhealth Group Inc. 4.6
Urban Honolulu, HI job
At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and equitable. Ready to make a difference? Join us to start Caring. Connecting. Growing together.
The Field Based Community Health Worker is responsible for assessment, planning and implementing care strategies that are individualized by patient and directed toward the most appropriate, least restrictive level of care. They also Identify and initiate referrals for social service programs; including financial, psychosocial, community and state supportive services, and manage the care plan throughout the continuum of care as a single point of contact for the member. The Field Based Community Health Worker also addresses social determinant of health such as transportation, housing, and food access; link to community supports.
If you reside on Oahu, Hawaii, you'll enjoy the flexibility to work remotely* as you take on some tough challenges.
Schedule: Monday through Friday, any 8-hour or 10-hour shift to be determined by the hiring manager between the hours of 7:00 am to 6:00 pm Hawaii Standard Time. This position is a field-based position with a home-based office. You will work from home when not in the field.
Location: Honolulu and surrounding communities in Hawaii. Local travel up to 75% and mileage is reimbursed at current government rate.
Primary Responsibilities:
* Engage members either face to face or over the phone to educate about their health
* Review available member service records and relevant documentation (e.g., utilization history, functional level, stratification information, current plan of care)
* Conduct comprehensive member assessment that includes bio-psychosocial, functional, and behavioral health needs
* Utilize interviewing techniques and active listening to collect and retain member information and incorporating responses as they are presented to complete assessment
* Identify when supplemental assessments are needed and conduct supplemental assessments
* Identify member service needs related to health concerns
* Identify urgent member situations and escalate to next level when necessary
* Engage member to participate in the assessment process and collaboratively develop plan of care based on their individual needs, preferences, and objectives with nursing oversight
* Work with members to develop healthcare goals and identify potential barriers to achieving healthcare goals
* Identify member support systems available and incorporate into plan of care
* Review plan benefits and identify appropriate programs and services based on heath needs and benefits
* Integrate health care and service needs into a plan or recommendation for member care and service
* Work collaboratively with the interdisciplinary care team to ensure an integrated team approach
* Collaborate with member to create solutions to overcome barriers to achieving healthcare goals
* Collaborate with hospital case managers to decrease ER visits and decrease hospital readmission rate
* Identify relevant community resources available based on member needs
* Refer members to appropriate programs and services
* Facilitate member choice of preferred provider
* Provide informal counseling and social support resources
* Advocate for individuals and communities within the health and social service systems
* Moderate work experience within own function
* Some work is completed without established procedures
* Basic tasks are completed without review by others
* Supervision/guidance is required for higher level tasks
* Performs 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:
* High School Diploma/GED (or higher) OR 5+ years of equivalent community outreach work experience
* 1+ year field-based experience (medical, behavioral, or social work field)
* Intermediate computer proficiency including MS Word, Excel and Outlook
* Access to a designated quiet workspace in your home (separated from non-workspace areas) with the ability to secure Protected Health Information (PHI)
* Ability to travel locally approximately 75% of the time and up to 60 miles round trip with reliable transportation and driver's license
* Reside on Oahu, Hawaii
Preferred Qualifications:
* 1+ years of knowledge of medical terminology
* Background in managing populations with complex medical or behavioral needs
* Experience with arranging community resources
* Experience with electronic charting
* Bilingual - Korean, Tagalog, Chuukese
* Knowledge and/or experience with behavioral health or substance use disorders
* Previous care management experience
Soft Skills:
* Ability to work independently and maintain good judgment and accountability
* Demonstrated ability to work well with health care providers
* Solid organizational and time management skills
* Ability to multi-task and prioritize tasks to meet all deadlines
* Ability to work well under pressure in a fast-paced environment
* Excellent verbal and written communication skills; ability to speak clearly and concisely, conveying information in a manner that others can understand, as well as ability to understand and interpret information from others
* All employees working remotely 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. #UHCPJ
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.
$20-35.7 hourly 2d ago
Senior Digital Designer
Humana 4.8
Urban Honolulu, HI 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 17d ago
Health Plan Operations Specialist - On Site - Downtown Honolulu, HI
Unitedhealth Group Inc. 4.6
Urban Honolulu, HI job
At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and optimized. Ready to make a difference? Join us to start Caring. Connecting. Growing together.
The Health Plan Operations Specialist will handle a variety of tasks to ensure the daily operations within the Hawaii Health Plan. Key supporter to ensure that the HI health plan is compliant with our state welcome calls. Assist with collection of assigned shares of cost. Supporter of basic office functions including mail sorting and scanning and onsite member support.
This is a full time, on-site, role in downtown Honolulu, HI.
Primary Responsibilities:
* Excellent Customer Service
* Welcome Calls
* Onsite Provider/member engagement
* Resolving eligibility/demographic discrepancies
* Collection and tracking of shares of cost
* Assist on various projects and tasks to improve member satisfaction and business operations.
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:
* 2+ years of experience in customer service
* 2+ years of experience with MS Excel and MS Word
* Data entry experience
* Able to work on-site in downtown Honolulu Monday through Friday 7:45am - 4:30pm
Preferred Qualifications:
* Health care 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 $20.38 to $36.44 per hour based on full-time employment. We comply with all minimum wage laws as applicable. #UHGPJ
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.
$20.4-36.4 hourly 11d ago
Per Diem Registered Nurse - Field Assessor - LTS
Unitedhealth Group Inc. 4.6
Urban Honolulu, HI job
Explore opportunities with the LHC Group, a leading post-acute care partner for hospitals, physicians and families nationwide. As members of the Optum family of businesses, we are dedicated to helping people feel their best, including our team members who create meaningful connections with patients, their families, each other and the communities we serve. Find a home for your career here. Join us and embrace a culture of Caring. Connecting. Growing together.
As the Registered Nurse you will provide and direct provisions of nursing care to patients in their homes as prescribed by the physician and in compliance with applicable laws, regulations, and agency policies. You will also coordinate total plan of care with other health care professionals involved in care and helps to achieve and maintain continuity of patient care by planning and exchanging information with physician, agency personnel, patient, family, and community resources.
You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.
Primary Responsibilities:
* Provide high-quality clinical services within scope of practice and infection control standards
* Coordinate care with other members of the patient/client's care team from admission to discharge
* Complete clinical nursing assessments per federal/state program requirements and payer needs
* Ensure patient/client eligibility and medical necessity for services as defined by payer and agency policy
* Develop and revise individualized plans of care/service plans with other community providers
* Ensure plan of care frequency and duration meets patient needs and initiate revisions with physician approval
You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
Required Qualifications:
* Current and unrestricted RN licensure in the state of practice
* Current driver's license, vehicle insurance and access to a dependable vehicle or public transportation
* Ability to function in any home situation regardless of age, race, creed, color, sex, disability, or financial condition of the client
Preferred Qualifications:
* Able to work independently
* Good communication, writing, and organizational skills
* All employees working remotely 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 $28.27 to $50.48 per hour based on full-time employment. We comply with all minimum wage laws as applicable.
Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.
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.
$28.3-50.5 hourly 26d ago
AVP HR and Finance Technology Transformation
Humana 4.8
Urban Honolulu, HI job
**Become a part of our caring community and help us put health first** Humana is a Fortune 50 market leader in integrated healthcare whose dream is to help people achieve lifelong well-being. As a company focused on the health and well-being of the people we serve, Humana starts from within and is committed to providing progressive benefits that advance the employment experience and vitality of the associate community. Through offerings anchored in a whole person view of human well-being, Humana embraces a focus on stimulating positive individual and population changes while nurturing a sense of security, enabling people to live life fully and be their most productive.
The Associate Vice President (AVP), Corporate Technology Solutions is a bold and strategic leader responsible for overseeing technology delivery across Human Resources IT (HRIT), Finance IT, and Legal, Compliance & Risk. Partnering closely with the VP, Segment CIO, this role drives transformation, fosters cross-functional alignment, and proactively engages with business stakeholders to deliver meaningful outcomes. The AVP will help build a high-performing, future-ready technology organization reshaping how teams collaborate internally and with business partners to shift from reactive delivery to proactive, value-driven solutions.
Given the scale of transformation and critical need for integration for the HR and Finance, this AVP role will initially oversee these areas primarily. Legal, Risk, and Compliance will be a focus in future phases as transformation efforts evolve.
**Job Description:**
This role is ideal for someone who thrives in complexity, leads with clarity, and brings a consultative, enterprise-wide mindset to every initiative. We're looking for a resilient and assertive leader who:
+ Has deep program and project management experience and can lead large-scale, multi-stakeholder initiatives.
+ Is fluent in change management and cultural transformation-able to shift mindsets and behaviors across teams.
+ Is bold yet inclusive, with the ability to influence outcomes and drive progress in challenging environments.
+ Demonstrates creativity and persistence in overcoming barriers to achieve strategic goals.
+ Brings expertise in platforms like Workday, Oracle Fusion, and Anaplan, and has led HR and Finance transformation efforts.
The successful candidate will possess proven delivery experience and technical expertise across multiple platforms and will have senior level leadership experience in a complex corporate environment. He/she will be a "disrupter" with a record of driving meaningful change and collaborating effectively with a wide range of internal and external business partners to design and execute strategic initiatives. Healthcare industry experience is a plus.
**Key Responsibilities**
+ Work with the technology and business leadership teams to develop vision and strategy aligned to lead technology strategy and execution for the HR, Finance, Legal, Compliance, and Risk IT portfolio including 75+ applications and core platforms.
+ Oversee the enterprise-level strategic investment and modernization roadmap for HR technology portfolio with a focus on associate experience.
+ Effectively communicate with diverse stakeholders, including senior leaders across IT and enterprises.
+ Enable journey-based interactions for candidates, contractors, associates, alumni, visitors, and other stakeholders.
+ Partner closely with product owners and product managers, strategy teams, enterprise security team, along with portfolio leadership, and supporting IT development partners for building the strategy and executing on the roadmap.
+ Manage large delivery teams and create a culture of high performance and engagement through goal setting, talent development, coaching, and feedback.
+ Evaluate new technology, software, and processes continuously, recommend changes as appropriate and advance capabilities of the organization.
+ Assess and communicate risks associated with IT investments; Manage risks and assess risks as they come up as related to IT corporate systems.
+ Coordinate and facilitate consultation with stakeholders to define systems requirements for new technology implementations.
+ Build an in-depth understanding of how organization capabilities interrelate across segments and/or enterprise wide.
+ Make decisions that are typically related to intradepartmental coordination, development and implementation of strategic plans, and business outcomes.
**Behavioral Competencies**
+ Exceptional leadership marked by poise, positive influence, and the ability to drive change.
+ Collaborative, energetic, and results-oriented management style with a focus on innovation.
+ Strategic thinker with strong analytical skills and the ability to influence senior leaders across business and technology.
+ Proven success in cross-functional collaboration within a matrixed organization.
+ Ability to attract and retain top talent, build high-performing teams, and develop next-level leaders.
+ Advanced problem-solving and decision-making skills using integrated and conceptual thinking.
+ Strong interpersonal, presentation, and communication skills (written and oral).
+ Expertise in program and project management, delivering complex initiatives on time and within scope.
+ Skilled in navigating cross-functional initiatives and managing competing priorities.
+ Deep understanding of change management and cultural transformation.
+ Assertive and resilient leadership with a creative approach to overcoming barriers and achieving goals.
**Use your skills to make an impact**
**Required Qualifications**
+ Bachelor's degree
+ 15+ years of technical leadership experience with HCM and ERP solutions, **preferred Workday, Oracle, and other SaaS solutions across Finance, HR, Legal, Compliance, and Risk.**
+ 10+ years' experience leading large people teams of FTE and contractors
+ In-depth knowledge of vendor contract negotiations, technology, and risk best practices
+ Strong verbal and communication skills
+ Passionate about contributing to an organization focused on continuously improving consumer experiences
+ Ability to influence peers and leadership teams across the organization
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.
$189,400 - $260,500 per year
This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.
**Description of Benefits**
Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.
Application Deadline: 02-12-2026
**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 ***************************************************************************
$189.4k-260.5k yearly 60d+ ago
Senior Digital Forensics and Incident Response Engineer
Humana 4.8
Urban Honolulu, HI job
**Become a part of our caring community and help us put health first** The Senior Digital Forensics and Incident Response Engineer provides forensics technical expertise and investigations support to EIP CyberSecurity defense stakeholders to assist with incident response, remediation, and root-cause identification. The Senior Digital Forensics and Incident Response Engineer work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors.
The Senior, Digital Forensics and Incident Response (E-Discovery) supports the ongoing development and improvement of the organization's E-Discovery function. This position is responsible for the operational execution of E-Discovery processes that facilitate legal, compliance, and investigative initiatives.
The Senior Digital Forensics and Incident Response Engineer actively assesses and correlates incident data to enable vulnerability identification and provide forensics analysis recommendations for remediation activities. Manages a real-time forensic capability that collects, assesses, and analyzes data correlations and facilitates the creation of reports for EIP leadership consumption that provide in-depth investigative analysis into possible root causes of high-profile incidents within Humana infrastructures and assets. 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.
· Assist with the design and implementation of E-Discovery workflows, ensuring processes meet regulatory and organizational best practices.
· Provide technical expertise and support the E-Discovery team in daily activities to promote operational excellence and collaboration.
· Collaborate with Legal, Compliance, IT Security, and EIP stakeholders to help ensure the integration and efficiency of E-Discovery capabilities.
· Contribute to the development and maintenance of documentation, playbooks, and training materials related to E-Discovery procedures and technologies.
· Support the evaluation, deployment, and optimization of tools used for electronic data identification, preservation, collection, processing, review, and production.
· Monitor E-Discovery activities and prepare reports for management and relevant stakeholders.
· Ensure E-Discovery operations adhere to internal policies, legal standards, and data protection regulations.
**Use your skills to make an impact**
**Required Qualifications:**
· Bachelor's degree in Computer Science, Information Security, or related field.
· Substantial experience in digital forensics, incident response, and E-Discovery.
· Solid understanding of legal and regulatory frameworks relevant to E-Discovery.
· Strong technical, analytical, and communication skills.
**Preferred Qualifications:**
· eDiscovery certifications (Certified E-Discovery Specialist, etc.)
· Security certifications (CISSP, CCSP, GIAC, etc
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: 02-02-2026
**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 1d ago
Medical Director - Nat'l UM Team 1wknd/mo
Humana 4.8
Urban Honolulu, HI job
**Become a part of our caring community and help us put health first** Become a part of our caring community and help us put health first The Medical Director actively uses their medical background, experience, and judgement to make determinations whether requested services, level of care, and/or site of service should be authorized. All work occurs within a context of regulatory compliance, and work is assisted by diverse resources, which may include national clinical guidelines, CMS policies and determinations, clinical reference materials, internal teaching conferences, and other reference sources. Medical Directors will learn Medicare and Medicare Advantage requirements and will understand how to operationalize this knowledge in their daily work.
Weekend work required one weekend per month with compensated days off during the work week
The Medical Director's work includes reviewing of all submitted medical records, synthesizing complex hospital-based clinical scenarios, and providing expert decisioning on the requested services. They will have regular discussions with external providers by phone to gather additional clinical information and discuss determinations. Medical directors are expected to understand Humana processes with a focus on collaborative professional relationships. The ideal candidate will have a high degree of integrity, professionalism, resourcefulness, and enjoy working in a team-based environment. Medical Directors support Humana value throughout all activities.
**Responsibilities**
The Medical Director provides medical interpretation and determinations whether services provided by other healthcare professionals are concordant with national guidelines, CMS requirements, Humana policies, clinical standards, and (in some cases) contracts. After completion of structured and mentored training, daily work is performed with minimal direction, but with ready support from other team members. The ideal candidate enjoys working in a structured environment with expectations for consistency in thinking and authorship. Exercises independence in meeting departmental expectations and meets compliance timelines.
+ Conduct comprehensive, timely, and compliant medical necessity reviews for inpatient services
+ Maintain accountability for productivity, quality, and compliance metrics
+ Communicate determinations clearly both verbally and in writing
+ Demonstrate adaptability and willingness to learn evolving workflows, tools, and utilization management practices
+ **Weekend work required one weekend per month with compensated days off during the work week**
**Use your skills to make an impact**
**Use your skills to make an impact**
**Required Qualifications**
+ MD or DO degree
+ 5+ years of direct clinical patient care experience post residency or fellowship, which preferably includes some experience in an inpatient environment and/or related to care of a Medicare type population (disabled or >65 years of age).
+ Current and ongoing Board Certification an approved ABMS Medical Specialty
+ A current and unrestricted license in at least one jurisdiction and willing to obtain additional license, if required.
+ No current sanction from Federal or State Governmental organizations, and able to pass credentialing requirements.
+ Excellent verbal and written communication skills.
+ Evidence of analytic and interpretation skills, with prior experience working in a team environment
**Preferred Qualifications**
+ Knowledge of the managed care industry including Medicare Advantage, Managed Medicaid and/or Commercial products, or other Medical management organizations, hospitals/ Integrated Delivery Systems, health insurance, or other healthcare providers.
+ Utilization management experience in a medical management review organization, such as Medicare Advantage, Managed Medicaid, or Commercial health insurance.
+ Experience with national guidelines such as MCG or InterQual
+ Experience in hospital-based clinical practice, including specialties of Internal Medicine, Family Practice, Geriatrics, Hospitalist, Emergency Medicine, and hospital-based clinical specialists
+ The curiosity to learn and the flexibility to adapt to changes in order to enhance efficiency, productivity, and organizational goals.
+ Ability to thrive in a dynamic fast-paced, team-oriented environment.
+ Commitment to a culture of innovation, including being facile with using technology to improve workflows
+ Participate in educational activities by attending required conferences and also create content to lead/teach/present for individual subject matter contribution
+ Passionate about contributing to an organization's focus on consistency in outcomes, consumer experiences and a highly engaged team culture
**Additional Information**
The medical director reports to a Lead Medical Director.
Participation in weekend work on a rotational basis to ensure cases are decisioned in a timely manner
May participate on project teams or organizational committees.
\#physiciancareers
Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.
**Scheduled Weekly Hours**
40
**Pay Range**
The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.
$223,800 - $313,100 per year
This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.
**Description of Benefits**
Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.
Application Deadline: 04-30-2026
**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 ***************************************************************************
$223.8k-313.1k yearly 60d+ ago
IT Internal Auditor 2
Humana 4.8
Urban Honolulu, HI 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 10d ago
Utilization Management Behavioral Health Nurse
Humana 4.8
Urban Honolulu, HI job
**Become a part of our caring community and help us put health first** The Utilization Management Behavioral Health Nurse 2 utilizes clinical nursing skills to support the coordination, documentation and communication of behavioral health services and/or benefit administration determinations. The Utilization Management Behavioral Health Nurse 2 work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action.
The Utilization Management Behavioral Health Nurse 2 uses clinical knowledge, communication skills, and independent critical thinking skills towards interpreting criteria, policies, and procedures to provide the best and most appropriate treatment, care or services for members. Coordinates and communicates with providers, members, or other parties to facilitate optimal care and treatment. Nursing license is required. Understands department, segment, and organizational strategy and operating objectives, including their linkages to related areas. Makes decisions regarding own work methods, occasionally in ambiguous situations, and requires minimal direction and receives guidance where needed. Follows established guidelines/procedures.
**Use your skills to make an impact**
**Required Qualifications**
+ Active unrestricted registered nurse license in the state of Virginia or obtain a multi-state license in a state that participates in the enhanced compact licensure, (eNLC)
+ Minimum one, (1) year of post-degree clinical experience in private practice or other clinical patient care setting
+ Minimum one, (1) year of managed care experience
+ Intermediate to Advanced knowledge using Microsoft Office Word, Excel, PowerPoint, navigating multiple systems and platforms and ability to troubleshoot and resolve basic technical difficulties in a remote environment.
+ Ability to work independently under general instructions and with a team
+ Strong oral, written, and interpersonal communication skills, problem-solving skills, facilitation skills
**Preferred Qualifications**
+ Experience with utilization review process
+ Experience with behavioral change, health promotion, coaching and wellness
+ Knowledge of community health and social service agencies and additional community resources
**Additional Information:**
**Workstyle:** Remote work at Home
**Location:** Must reside in the state of Virginia or reside in a state participating in the enhanced nurse compact licensure, (eNLC)
**Schedule:** Must work a minimum of 8 hours between 8:00AM to 5:00 PM Eastern Time, business needs may require working rotating holidays or weekends.
**Work at Home Guidance** To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is required. Satellite, cellular and microwave connection can be used only if approved by leadership. Employees who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense. Humana will provide Home or Hybrid Home/Office employees with telephone equipment appropriate to meet the business requirements for their position/job. Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.
**SSN Alert:** Humana values personal identity protection. Please be aware that applicants may be asked to provide their Social Security Number, if it is not already on file. When required, an email will be sent from ******************** with instructions on how to add the information into your official application on Humana's secure website.
**Interview Format:** As part of our hiring process for this opportunity, we will be using an interviewing technology called HireVue to enhance our hiring and decision-making ability. HireVue allows us to quickly connect and gain valuable information from you pertaining to your relevant skills and experience at a time that is best for your schedule.
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.
$78,400 - $107,800 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: 02-05-2026
**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 ***************************************************************************
$78.4k-107.8k yearly Easy Apply 1d ago
Business Intelligence Lead - Digital VOC
Humana 4.8
Urban Honolulu, HI 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 16d ago
Insurance Strategy Consultant
Humana 4.8
Urban Honolulu, HI job
**Become a part of our caring community and help us put health first** Humana, a Fortune 50 Healthcare Company Humana is a publicly traded, Fortune 50 healthcare company with a long history of successful innovation and reinvention. It has transformed itself from the largest US nursing home company in the 60's, to the largest US hospital corporation in the 80's, to a leading health benefits company beginning in the 90's. Today, Humana is a leader in consumer-focused health solutions and is one of the largest health benefits organizations in the country.
The Healthcare Strategy team supports Humana's Insurance segment. This segment, Humana's largest, comprises the majority of the company's total revenue and earnings. Team members partner with senior leaders of the business unit, and more broadly with leaders throughout the enterprise, as they deliver strategy projects addressing some of the businesses' most important opportunities and challenges. These high-profile strategy projects place the team at the forefront of helping to define the future of Humana's largest businesses.
Humana is seeking a team member, with prior management consulting experience or professional experience leveraging core consulting skills, to support delivering some of the Insurance segment's highest priority projects and initiatives, with an emphasis on Medicare Advantage strategy development. As a Senior Strategy Advancement Professional, you will deconstruct issues and challenges, perform targeted research and analysis, support core strategy operational work, and craft sound, logical solutions and recommendations. You will also shape implementation considerations, and work with business owners as appropriate to transition analysis into execution. While deep diving into key areas, you will also have a bird's-eye view of the business unit's overall strategy. Your role be instrumental in synthesizing the strategic and operational choices being made across the business unit into coherent plans to drive growth and profitability, while simultaneously improving the lives and health of Humana's members. While doing so, you will have the opportunity to collaborate with fellow team members, subject matter experts, members of Humana's executive Management Team, and corporate, functional, and business unit leaders.
Recent example projects include assessing the performance of strategic initiatives and business areas, evolving key facets of the Medicare Advantage growth strategy, leading the development of the annual Medicare Advantage strategic plan, monitoring segment-wide operational performance, and refreshing the strategy for Humana's sales organization.
**Use your skills to make an impact**
**Key responsibilities include:**
+ Delivering high quality analysis and deliverables that clearly frame objectives, issues/challenges, and articulate compelling, insightful findings, conclusions, and recommendations
+ Managing and delivering analysis and workstreams within high-profile, high-impact strategy projects
+ Developing high quality, insightful, and clear analysis and deliverables for Humana's executive management team and Board of Directors
+ Developing hypotheses to be validated or refined through targeted research and analysis
+ Conducting interviews and working sessions with stakeholders across the company
+ Conducting industry, market, competitor, and financial analysis
+ Working collaboratively with fellow team members and leaders across the company
+ Leading critical processes to prepare leadership for interactions with Humana's executive Management Team and Board of Directors
+ Being a steward of the strategy team's operating model, norms and ways of working
+ Coordinating and overseeing key meetings to ensure key topics and decisions are communicated to leadership in a timely manner
+ Defining and developing opportunities for strategic alignment and consistent reporting across the business segment
+ Partnering with key stakeholders to implement segment-wide tracking tools and databases
+ Designing and monitoring key metrics and the reporting cadence across the organization
+ Working across operational units to execute strategic planning process and quarterly refinement
**Required Qualifications**
+ Bachelor's degree
+ 2+ years of full-time work experience with a leading management consulting firm and/or 3+ years of professional experience in a role that required core consulting skills
+ Demonstrated ability to manage analysis and work streams
+ Excellent verbal and written communication abilities
+ Highly collaborative, flexible, team-oriented working style
+ Strong problem-solving skills and the ability to perform complex qualitative and quantitative analysis
+ Demonstrated ability working within a matrixed environment
**Preferred Qualifications**
+ MBA, MPH, PhD, or graduate degree in a management field
+ Prior healthcare industry experience, preferably in the managed care or provider sector
**Reporting Relationships**
The role reports to a Director within the Strategy team, works collaboratively with leaders and members of rest of the team, and with senior leadership throughout the enterprise.
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.
$86,300 - $118,700 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: 02-11-2026
**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 ***************************************************************************
$86.3k-118.7k yearly 60d+ ago
Lead - Finance Portfolio Management and Strategy
Humana 4.8
Urban Honolulu, HI job
**Become a part of our caring community and help us put health first** The Lead - Finance Portfolio Management and Strategy plays a critical role in supporting the development and execution of the Finance function's strategic roadmap. This position partners closely with Finance leadership, IT, Enterprise Data Governance, and other cross-functional teams to advance key initiatives, ensure robust portfolio management, and foster continuous improvement across the Finance organization.
+ This role requires travel into the Humana's Louisville headquarters at least 1 time per month.
+ Support the creation and refinement of the Finance target state and strategic roadmap in collaboration with senior stakeholders.
+ Develop a strong understanding of the requirements and priorities across Finance towers and the business teams they serve to inform the strategic direction and execution plans.
+ Contribute to the development and implementation of prioritization frameworks, working with Finance stakeholders to assess and validate proposed priorities and initiatives.
+ Analyzes the financial implications of proposed investments so that senior managers can evaluate alternatives against the organization's business objectives.
+ Liaise with Finance, IT, Enterprise Data Governance, and other relevant teams to ensure effective sequencing of initiatives, identify dependencies, and create detailed project plans with clear KPIs and value metrics.
+ Monitor progress against established milestones and project budgets, providing timely updates and reports to stakeholders.
+ Execute ad-hoc priorities as required, including preparing materials for the Enterprise Transformation Office and other executive audiences.
+ Design and implement efficient and effective portfolio management infrastructure, including project reporting and budget tracking, in collaboration with cross-functional teams.
+ Manage the Finance change portfolio and budget jointly with IT and Finance teams, ensuring transparency and accountability across all stakeholders.
+ Coordinate tracking of value measures in alignment with Transformation Office methodology to assess the impact of key initiatives.
+ Support the development of training, communications, and capability-building programs to position Finance for future success
+ Stay informed on emerging technologies and best practices relevant to Finance, recommending and supporting their application where appropriate.
+ Foster collaboration and the sharing of best practices across the Finance organization, serving as a connector between teams.
+ Demonstrate strong communication and problem-solving abilities, synthesizing complex information and delivering clear messaging to diverse audiences.
**Use your skills to make an impact**
**Required Qualifications:**
+ Bachelor's degree in Finance, Accounting, Business Administration, or related field
+ 6+ years of experience in portfolio management, strategy development, and project management within a Finance or corporate environment.
+ 2 or more years of project leadership experience
+ Proven ability to lead and support cross-functional teams and drive complex initiatives to completion.
+ Strong analytical, organizational, and communication skills.
+ Demonstrated ability to develop and implement effective processes and training programs.
+ Familiarity with emerging technologies and process improvement methodologies.
+ Must be passionate about contributing to an organization focused on continuously improving consumer experiences
**Preferred Qualifications**
+ Master's Degree in Business Administration or a CPA strongly preferred
+ Prior health insurance industry experience working in Finance/Accounting
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: 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 ***************************************************************************
$104k-143k yearly 32d ago
Senior IT Product Manager - Information Marketplace & Data Governance Platform
Humana 4.8
Urban Honolulu, HI 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 17d ago
Financial Reporting Professional 2
Humana 4.8
Urban Honolulu, HI 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 ***************************************************************************