Become a part of our caring community and help us put health first As the first point of contact for our patients, you will play a crucial role in delivering excellent customer service while managing front desk operations. The ideal candidate is fluent in both English and Spanish, has strong communication skills, and thrives in a fast-paced medical environment. The Receptionist receives and correctly routes incoming and outgoing telephone calls and accommodates visitors so that all callers/visitors are attended to promptly, courteously, and accurately. The Receptionist performs basic administrative/clerical/operational/customer support/computational tasks. Typically works on routine and patterned assignments.
The Receptionist operates a multi-line phone and maintains long distance call logs. Takes and distributes accurate messages. Greets visitors and determines the nature of their visit, issues visitor passes and maintains visitor logs, alerts appropriate party of visitor arrival or directs visitors to appropriate office, department or employee. Responds to routine inquiries from internal or external sources such as the organization's location, hours of operation, phone numbers, and/or email address. Additional responsibilities may include miscellaneous administrative activities such as booking meeting rooms, typing, organizing and distributing mail, receiving and sending courier packages. Decisions are limited to defined parameters around work expectations, quality standards, priorities and timing, and works under close supervision and/or within established policies/practices and guidelines with minimal opportunity for deviation.
Job Functions
* Welcomes patients and visitors and check them in/out for appointments
* Verify patient information, insurance and collect co-pays
* Schedule and confirm appointments via phone and in person
* Answer phone calls, direct inquiries, and assist with patient questions
* Maintain patient records in the EHR system with accuracy
* Assist with administrative tasks such as filing, faxing, and data entry
* Ensure compliance with HIPAA and patient confidentiality policies
Use your skills to make an impact
Requirements
* Excellent phone etiquette: Clinic is very busy, must be comfortable with high volume calls
* Medical office experience
* Strong Customer Service background
* Must be able to multitask
* Knowledge of MS Office (Word, Excel, Outlook, Access)
* Must be Bilingual (English/Spanish)
Preferred
* Experience with Electronic Medical Records
* Experience in a fast paced/high volume environment
Schedule: Monday - Friday 8:00 AM to 5:00 PM
Additional Information
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.
As part of our hiring process for this opportunity, we will be using an interviewing technology called HireVue to enhance our hiring and decision-making ability. HireVue allows us to quickly connect and gain valuable information from you pertaining to your relevant skills and experience at a time that is best for your schedule.
Scheduled Weekly Hours
40
Pay Range
The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.
$38,000 - $45,800 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.
About Us
About Conviva Senior Primary Care: Conviva Senior Primary Care provides proactive, preventive care to seniors, including wellness visits, physical exams, chronic condition management, screenings, minor injury treatment and more. As part of CenterWell Senior Primary Care, Conviva's innovative, value-based approach means each patient gets the best care, when needed most, and for the lowest cost. We go beyond physical health - addressing the social, emotional, behavioral and financial needs that can impact our patients' well-being.
About CenterWell, a Humana company: CenterWell creates experiences that put patients at the center. As the nation's largest provider of senior-focused primary care, one of the largest providers of home health services, and fourth largest pharmacy benefit manager, CenterWell is focused on whole-person health by addressing the physical, emotional and social wellness of our patients. As part of Humana Inc. (NYSE: HUM), CenterWell offers stability, industry-leading benefits, and opportunities to grow yourself and your career. We proudly employ more than 30,000 clinicians who are committed to putting health first - for our teammates, patients, communities and company. By providing flexible scheduling options, clinical certifications, leadership development programs and career coaching, we allow employees to invest in their personal and professional well-being, all from day one.
Equal Opportunity Employer
It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.
Become a part of our caring community and help us put health first The Senior Retail Pharmacist (VSP/PT) compounds and dispenses medications and other pharmaceuticals. The Senior Retail Pharmacist (VSP/PT) 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 Retail Pharmacist (VSP/PT) prepares and maintains all necessary records on prescriptions, patient charges and inventory. Provides information to patients on drugs and pharmaceuticals. Directly interacts with the patients. Begins to influence department's strategy. Makes decisions on moderately complex to complex issues regarding technical approach for project components, and work is performed without direction. Exercises considerable latitude in determining objectives and approaches to assignments.
Use your skills to make an impact
Required Qualifications
* Bachelor's degree
* 5 or more years of technical experience
* Must have an active license with the Board of Pharmacy in the appropriate state
* Must have Immunization Certification and be able to administer Immunizations in Florida
* This role is considered patient facing and is part of Humana/Senior Bridge's Tuberculosis (TB) screening program. If selected for this role, you will be required to be screened for TB.
* Must be passionate about contributing to an organization focused on continuously improving consumer experiences
Preferred Qualifications
* PharmD
* Bi-Lingual (English/Spanish)
Additional Information
* This is an in-person role (NOT REMOTE)
* Working Hours are weekdays from 8:30-5pm
Scheduled Weekly Hours
1
Pay Range
The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.
$115,200 - $158,400 per year
Description of Benefits
Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers benefits for limited term, variable schedule and per diem associates which are designed to support whole-person well-being. Among these benefits, Humana provides paid time off, 401(k) retirement savings plan, employee assistance program, business travel and accident.
About Us
About CenterWell 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.
$115.2k-158.4k yearly 24d ago
Pharmacy Manager - Sign-On Bonus Available
Walgreens 4.4
Sarasota, FL job
Provides empathetic pharmacy consulting services to patients regarding the effective use of medications and drug interaction awareness. Offers preventive and clinical healthcare services, including immunizations, diagnostic testing, and patient outcome services. Ensures prescribed medications are compounded, reviewed, dispensed, and verified accurately according to regulatory guidelines and company policies and procedures. Manages an efficient pharmacy workflow and improves pharmacy financials, manages inventory effectively, and enhances patient experience. Manages pharmacy staff performance and engagement. Ensures the professional development of pharmacy staff by overseeing training, focused coaching, and executing formal performance management initiatives.
Job Responsibilities:
Patient Experience
Engages patients by greeting them and offering assistance with products and services. Resolves patient issues in a timely manner and answers questions to ensure a positive patient experience.
Models and shares customer service best practices with all team members to deliver a distinctive and joyful patient experience, including interpersonal habits that show care (e.g., greeting, eye contact, courtesy, etc.) and Walgreens service traits (e.g., demonstrating curiosity to identify needs and proactively helping, servicing until satisfied, championing empathy and inclusivity, etc.).
Connects with patients by anticipating needs and proactively offering services. Leads efforts on enhancing patient experience by increasing awareness of healthcare services offered through Walgreens (e.g. patient consultation, medication management, drug therapy reviews, and perform clinical, or wellness services such as immunizations, diagnostic testing, and patient outcomes services) thereby promoting the shift of the Walgreen's pharmacy role from transactional to interpersonal.
Participates and assists in events that reflect the unique communities we serve as requested by Store Manager, Healthcare Supervisor, or District Manager.
Operations
Counsels patients and answers questions regarding usage of medicine, side effects, interactions, contraindications, patient information privacy, generics, less expensive medicines, and over-the-counter products. Refers to the medical provider, as needed, to ensure medication is taken correctly, health needs are addressed, and patient is satisfied with service.
Performs pharmacist tasks including compounding, drug therapy reviews, verification, and medication management.
Reviews, interprets, and accurately dispenses prescribed medications, as required.
Ensures the pharmacy operates in accordance with regulations, company policies and standards. Establishes procedures that promote the efficient workflow of the pharmacy including overseeing staff scheduling, assigning roles, coordinating activities, and soliciting team member suggestions. Responsible for opening and closing the pharmacy and shift changes.
Ensures the use of all elements of the Good Faith Dispensing policy in conjunction with state and federal controlled substance laws when filling prescriptions. The Product Review/Retail Fill Process Pharmacist is responsible for ensuring that elements of Good Faith are present.
Collaborates with Store Manager to define and develop new strategic business opportunities.
Maintains information technology knowledge of pharmacy systems including workflow, prescription fulfillment, billing, clinical documentation, training, inventory management, and point of sale registers. Supports pharmacy staff and patients with information technology. Finds opportunities to improve productivity
Ensures insurance claims are processed accurately to prevent payment rejections. Resolves patient issues by working with insurance companies and medical providers and conducting or participating in third party audits.
Follows-up with medical providers to clarify prescribed medications, dosages, refills, interactions, and allergies to suggest alternative medications, and answer medical provider questions. diagnostic testing, disease state management and other healthcare services.
Performs clinical and wellness services such as immunizations, diagnostic testing, disease state management, and other healthcare services
Partners with centralized support for patient registration, exception resolution, and assists with resolving patient issues. In virtual environments, conducts virtual product review by following specific company procedures and guidelines
Manages the maintenance, housekeeping, and improvement of the pharmacy department including repairs, cleaning, new equipment, and layout changes to ensure a functioning, presentable and efficient pharmacy.
Prepares and submits all records, reports, and other documentation as required by state and federal laws to run the pharmacy business (e.g., operating statements, performance indicator reports, supervision notes, deletions, transfers.)
People & Performance Management
Collaborates with Store Manager on pharmacy staff hiring, carries out discipline and termination, as necessary, and ensures compliance with employment laws.
Partners with Store Manager to establish expectations and goals, promote teamwork and foster a shared vision. Monitors and recognizes improvements in pharmacy staff by implementing rewards programs. Manages pharmacy staff performance by overseeing the training of pharmacy staff (e.g., using the correct processes and tools) and conducting formal performance reviews.
Identifies high potential team members and proactively collaborates with Store Manager to manage career progression.
Addresses employee relations concerns. Maintains team member morale by checking on employee welfare, addressing complaints and conflicts, and ensuring positive employee management relationship.
Training & Personal Development
Maintains required licensing/credentialing/certification as established by federal and state regulations to provide clinical services.
Maintains and enhances current knowledge and skills related to pharmacy and healthcare by reading pharmacy related journals and Walgreens publications and communications. Maintains awareness of developments in retail and management areas and pursues best practices to enhance business acumen and pharmacy performance.
Completes education credits and training, including learning modules, as required by the Company
Seeks professional development by monitoring own performance, solicits constructive feedback, and leverages Healthcare Supervisor and Store Manager as mentors and coaches.
Communications
Supports the Store Manager by communicating relevant corporate health and wellness services or strategy information to pharmacy staff.
Business Performance Management
Analyzes performance data including pharmacy financials, customer service, and inventory. Manages pharmacy asset protection activities and oversees inventory management. Identifies pharmacy performance trends and opportunities for improvement.
Business Planning
Develops and maintains good relationships with local medical community including physicians, nurses, and other health care providers. Reaches out to the community to promote the pharmacy business and further enhance growth opportunities. Supports Store Manager in expanding health and wellness awareness in the community
Basic Qualifications
BS in Pharmacy or Pharm D Degree from an accredited educational institution.
Current pharmacist licensure in the states within the district.
Certified Immunizer or willing to become an immunizer within 90 days of hire.
At least 1 year pharmacy experience including prescription filling, recordkeeping, legal compliance, pharmacy operations, pharmacy software and technology systems and insurance billing. (Some states may require more specific pharmacy experience in which case those requirements would take precedent).
Experience performing prescription dispensing activities that demonstrate a strong working knowledge of applicable state and federal controlled substance laws.
An average rating of at least 3.0 on the leadership behaviors on the last performance review if one is on file, and no written disciplinary actions in the last 12 months (Internal candidates only).
About Walgreens
Founded in 1901, Walgreens (****************** proudly serves nearly 9 million customers and patients each day across its approximately 8,500 stores throughout the U.S. and Puerto Rico. Walgreens has approximately 220,000 team members, including nearly 90,000 healthcare service providers, and is committed to being the first choice for pharmacy, retail and health services, building trusted relationships that create healthier futures for customers, patients, team members and communities.
Preferred Qualifications
Supervisory experience planning, organizing, and directing the work of pharmacy staff.
At least 6 months pharmacy experience with Walgreen Co.
An average rating of 3.7 or above on the leadership behaviors on the last performance review if one is on file. (Internal candidates only)
An Equal Opportunity Employer, including disability/veterans
We will consider employment of qualified applicants with arrest and conviction records.
The Salary below is being provided to promote pay transparency and equal employment opportunities at Walgreens. The actual salary within this range that you will be offered will depend on a variety of factors including geography, skills and abilities, education, experience and other relevant factors. This role will remain open until filled. To review benefits, please click here jobs.walgreens.com/benefits. If you are applying on a job board or unable to click on the link, please copy and paste this URL into your browser jobs.walgreens.com/benefits
Salary Range: Pharmacy Manager $5,565.00-$6,119.40 Bi-Weekly
$71k-130k yearly est. 1d ago
Adjudicator, Provider Claims
Molina Healthcare Inc. 4.4
Saint Petersburg, FL job
Provides support for provider claims adjudication activities including responding to providers to address claim issues, and researching, investigating and ensuring appropriate resolution of claims in a call center environment. * Respond to inbound calls to provide support for provider claims adjudication activities including responding to provider to address claim issues, and researching, investigating and ensuring appropriate resolution of claims.
* Responds to incoming calls from providers regarding claims inquiries - provides excellent customer service, support and issue resolution; documents all calls and interactions.
* Provides support for resolution of provider claims issues, including claims paid incorrectly; analyzes systems and collaborates with respective operational areas/provider billing to facilitate resolution.
* Collaborates with the member enrollment, provider information management, benefits configuration and claims processing teams to appropriately address provider claim issues.
* Assists in reviews of state and federal complaints related to claims.
* Collaborates with other internal departments to determine appropriate resolution of claims issues.
* Researches claims tracers, adjustments, and resubmissions of claims.
* Adjudicates or re-adjudicates high volumes of claims in a timely manner.
* Manages defect reduction by identifying and communicating claims error issues and potential solutions to leadership.
* Meets claims department quality and production standards.
* Supports claims department initiatives to improve overall claims function efficiency.
* Completes basic claims projects as assigned.
Required Qualifications
* At least 2 years of experience in a clerical role in a claims, and/or customer service setting, including experience in provider claims investigation/research/resolution/reimbursement methodology analysis within a managed care organization, or equivalent combination of relevant education and experience.
* Research and data analysis skills.
* Organizational skills and attention to detail.
* Time-management skills, and ability to manage simultaneous projects and tasks to meet internal deadlines.
* Customer service experience.
* Effective verbal and written communication skills.
* Microsoft Office suite and applicable software programs proficiency.
To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V
Pay Range: $21.65 - $38.37 / HOURLY
* Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
About Us
Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance. If you are seeking a meaningful opportunity in a team-oriented environment, come be a part of a highly engaged workforce dedicated to our mission. Bring your passion and talents and together we can make a difference in the lives of others. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
$21.7-38.4 hourly 9d ago
Physical Therapist Assistant, Home Health
Humana Inc. 4.8
Humana Inc. job in Clearwater, FL
Become a part of our caring community and help us put health first As a therapist at CenterWell Home Health, you'll play a vital role in helping patients regain strength, mobility and independence-all from the comfort of their homes. By delivering personalized care that focuses on rehabilitation and functional improvement, you'll empower individuals to overcome physical limitations, perform everyday activities with confidence and enjoy a better quality of life.
As a Home Health Physical Therapist Assistant, you will:
* Administer the physical therapy treatment plan as developed by the Physical Therapist.
* Administer non-complex active and passive manual therapeutic exercises, therapeutic massage, traction heat, light, cold, water, and electrical modalities to patients.
* Accurately documents daily, weekly, or monthly records of clients'. Submits clinical paperwork to the office on time each week.
* Attend educational meetings and coordinates and contributes to department in-services.
* Notify physical therapist or Executive Director of any equipment failures, lack of supplies, staff or client changes, and any other departmental
* Schedule clients and performs varied office tasks.
* Apply concepts of infection control and universal precautions in performing patient care activities.
* Accept clinical assignments that are consistent with education and competence to care for patients.
* Promote compliance with all fiscal intermediaries and/or other third-party payors, through education, coaching, and other assistance as necessary.
Use your skills to make an impact
* Associate degree in Physical Therapy from an American Physical Therapy Association.
* Current state license to practice Physical Therapy.
* Valid driver's license, auto insurance and reliable transportation.
* Proof of current CPR certification.
* Minimum two years experience as a Physical Therapy Assistant,
* Comprehensive knowledge of the physical, emotional, social, and biological changes that occur in the geriatric population.
* Self-directed, enthusiastic, and accepts constructive feedback.
* Demonstrates good verbal and written communication and organization skills.
* Communicates and demonstrates a professional image/attitude for patients, families, clients, coworkers, and others.
* Meets mandatory continuing education requirements of CenterWell Home Health and licensing board. Maintains clinical competency in Physical Therapy practice and theory.
* Ability to work a flexible schedule and travel locally.
* Able to maintain confidentiality.
* Maintains current licensure certifications and meets mandatory continuing education requirements.
* Must read, write, and speak fluent English.
* Must have good and regular attendance.
* Performs other related duties as assigned.
Pay Range
* $41.00 - $57.00 pay per visit/unit
* $64,000 - $87,500 per year base pay
Scheduled Weekly Hours
40
Pay Range
The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.
$64,000 - $87,500 per year
Description of Benefits
Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.
About Us
About CenterWell Home Health: CenterWell Home Health specializes in personalized, comprehensive home care for patients managing a chronic condition or recovering from injury, illness, surgery or hospitalization. Our care teams include nurses, physical therapists, occupational therapists, speech-language pathologists, home health aides, and medical social workers - all working together to help patients rehabilitate, recover and regain their independence so they can live healthier and happier lives.
About CenterWell, a Humana company: CenterWell creates experiences that put patients at the center. As the nation's largest provider of senior-focused primary care, one of the largest providers of home health services, and fourth largest pharmacy benefit manager, CenterWell is focused on whole-person health by addressing the physical, emotional and social wellness of our patients. As part of Humana Inc. (NYSE: HUM), CenterWell offers stability, industry-leading benefits, and opportunities to grow yourself and your career. We proudly employ more than 30,000 clinicians who are committed to putting health first - for our teammates, patients, communities and company. By providing flexible scheduling options, clinical certifications, leadership development programs and career coaching, we allow employees to invest in their personal and professional well-being, all from day one.
Equal Opportunity Employer
It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.
$64k-87.5k yearly 27d ago
Medicare Sales Field Agent - CarePlus Hillsborough/East Pasco County
Humana Inc. 4.8
Humana Inc. job in Brandon, FL
Become a part of our caring community and help us put health first With over 10 million sales interactions annually, Humana understands that while great products are important, it's the quality of our service that truly defines us. We know that when our members and prospects have delightful and memorable experiences, it strengthens their connection with us and enables us to put their Health First. After all, a health services company that has multiple ways to improve the lives of its customers is uniquely positioned to put those customers at the center of everything it does.
The MarketPoint Career Channel Team is looking for skilled Medicare Field Sales Agents. This is a field-based role, and candidates must live in the designated territory to effectively serve their local community. As part of a collaborative team of 8-12 Medicare Sales Agents, you'll work under the guidance of a Senior Manager and Regional Director who are committed to your success. Together, you'll help bring Humana's strategy to life: Deliver on the fundamentals, differentiate through exceptional service, and grow by expanding our reach and impact.
What You'll Do in This FIELD Based Role:
* Deliver: Build trust and educate individuals on Humana's Medicare Advantage plans and additional offerings like Life, Dental, Vision, and Prescription coverage.
* Differentiate: Create meaningful, face-to-face connections through grassroots marketing, community events, and in-home visits-providing a personalized experience that sets Humana apart.
* Grow: Drive self-generated sales, meet performance goals, and expand Humana's presence in the market by becoming a valued resource in your community.
You'll engage with customers in the FIELD through a mix of in-person, virtual, and phone interactions. Face-to-face visits in prospective members' homes are a key part of this role.
Why Join Humana?
* People-first culture that supports your personal and professional growth.
* Inclusive and diverse environment that values multilingual talent and cultural understanding.
* Autonomy and flexibility to manage your schedule and success.
* Purpose-driven mission to help people achieve their best health-and transform healthcare along the way.
Benefits include:
* Medical, Dental, Vision, and a variety of other supplemental insurances
* Paid Time Off (PTO) and Paid Holidays
* 401(k) retirement savings plan with a competitive match
* Tuition reimbursement and/or scholarships for qualifying dependent children
* And much more!
Use your skills to make an impact
Required Qualifications
* Active Health Insurance License required.
* Must reside in Hillsborough or East Pasco County.
* Comfortable with daily face-to-face interactions in prospective members' homes, at community-based events and engaging with the community through service, organizations, volunteer work or local events.
* Valid state driver's license and proof of personal vehicle liability insurance meeting at least 25/25/10 coverage limits (or higher, based on state requirements).
Preferred Qualifications
* Active Life and Variable Annuity Insurance License.
* Prior experience selling Medicare products.
* Experience in public speaking or delivering presentations to groups.
* Associate's or Bachelor's degree.
* Experience using Microsoft Office tools such as Teams, Excel, Word, and PowerPoint.
* Bilingual in English and Spanish, with the ability to speak, read, and write fluently in both languages.
Additional Information
* This position is in scope of Humana's Driving Safety and Vehicle Management Program and therefore subject to driver license validation and MVR review.
* Any Humana associate who speaks with a member in a language other than English must take a language proficiency assessment, provided by an outside vendor, to ensure competency. Applicants will be required to take the Interagency Language Rating (ILR) test as provided by the Federal Government.
* Alert: Humana values personal identity protection. Please be aware that applicants selected for leader review may be asked to provide their social security number, if it is not already on file. When required, an email will be sent from ******************** with instructions on how to add the information into your official application on Humana's secure website.
Schedule: Meeting with members requires appointments and/or event times that may vary on nights and weekends. Flexibility is essential to your success.
Training: The first five weeks of employment and attendance is mandatory.
Interview Format:
As part of our hiring process for this opportunity, we are 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.
If you are selected to move forward in the process, you will receive a text message inviting you to participate in a HireVue prescreen. In this prescreen, you will receive a set of questions via text and given the opportunity to respond to each question. You should anticipate this prescreen taking about 15 minutes. Your responses will be reviewed and if selected to move forward, you will be contacted with additional details involving the next step in the process.
Pay Range
The range below reflects a good faith estimate of total compensation for full time (40 hours per week) employment at the time of posting. This compensation package includes both base pay and commission with guarantee. The pay range may be higher or lower based on geographic location. Actual earnings will vary based on individual performance, with the base salary and commission structure aligned to company policies and applicable pay transparency requirements.
$80,000 - $125,000 per year
#medicaresalesrep
Scheduled Weekly Hours
40
About us
About CarePlus Health Plans: CarePlus Health Plans is a recognized leader in healthcare delivery that has been offering Medicare Advantage health plans in Florida over 23 years. CarePlus strives to help people with Medicare, or both Medicare and Medicaid, achieve their best possible health and wellness through plans with benefits and services they care about. As a wholly owned subsidiary of Humana, CarePlus currently serves Medicare beneficiaries throughout 21 Florida counties.
About Humana: Humana Inc. (NYSE: HUM) is committed to putting health first - for our teammates, our customers, and our company. Through our Humana insurance services, and our CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large.
Equal Opportunity Employer
It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or 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.
$28k-36k yearly est. Easy Apply 15d ago
LPN or LVN
Brookdale Senior Living 4.2
Sarasota, FL job
Recognized by Newsweek in 2024 and 2025 as one of America's Greatest Workplaces for Diversity
Make Lives Better Including Your Own. If you want to work in an environment where you can become your best possible self, join us! You'll earn more than a paycheck; you can find opportunities to grow your career through professional development, as well as ongoing programs catered to your overall health and wellness. Full suite of health insurance, life insurance and retirement plans are available and vary by employment status.
Part and Full Time Benefits Eligibility
Medical, Dental, Vision insurance
401(k)
Associate assistance program
Employee discounts
Referral program
Early access to earned wages for hourly associates (outside of CA)
Optional voluntary benefits including ID theft protection and pet insurance
Full Time Only Benefits Eligibility
Paid Time Off
Paid holidays
Company provided life insurance
Adoption benefit
Disability (short and long term)
Flexible Spending Accounts
Health Savings Account
Optional life and dependent life insurance
Optional voluntary benefits including accident, critical illness and hospital indemnity Insurance, and legal plan
Tuition reimbursement
Base pay in range will be determined by applicant's skills and experience. Role is also eligible for team based bonus opportunities. Temporary associates are not benefits eligible but may participate in the company's 401(k) program.
Veterans, transitioning active duty military personnel, and military spouses are encouraged to apply. To support our associates in their journey to become a U.S. citizen, Brookdale offers to advance fees for naturalization (Form N-400) application costs, up to $725, less applicable taxes and withholding, for qualified associates who have been with us for at least a year.
The application window is anticipated to close within 30 days of the date of the posting.
Assist in maintaining a physical, social and psychological environment in the best interest of residents.
Monitor care of residents according to treatment plans prescribed by a physician as well as documenting responses to care plans.
Nurses also administer medications, ensure cleanliness and security of medicine supply room and adhere to company systems, procedures and processes.
LPN or LVN License Required per state regulations.
Brookdale is an equal opportunity employer and a drug-free workplace.
$43k-54k yearly est. 3d ago
Supervisor, Pharmacy Operations/Call Center
Molina Healthcare Inc. 4.4
Tampa, FL job
Leads and supervises a team of pharmacy call center representatives and operations staff responsible to ensure that members have access to medically necessary prescription drugs. Contributes to overarching pharmacy strategy for optimization of medication related health care outcomes, and quality cost-effective member care.
Essential Job Duties
* Hires, trains, develops, and supervises a team of pharmacy service representatives supporting processes involved with Medicare Stars and Pharmacy quality operations.
* Ensures that average phone call handle time, average speed to answer, and average hold time are compliant with Centers for Medicare and Medicaid Services (CMS) regulations.
* Ensures that adequate staffing coverage is present at all times of operation.
* Assists pharmacy leadership with monitoring and oversight of Molina's contracted Pharmacy Benefit Manager (PBM) for pharmacy contractually delegated functions.
* Responsible for key performance indicators (KPI) reporting to department leadership on a monthly basis.
* Participates, researches, and validates materials for both internal and external program audits.
* Acts as liaison to internal and external customers to ensure prompt resolution of identified issues.
* Assists pharmacy leadership in the collection and tabulation of data for reporting purposes and maintains files of confidential information submitted for review.
* Assures that activities and processes are compliant with CMS, National Committee of Quality Assurance (NCQA) guidelines, and Molina policies and procedures.
* Participates in the daily workload of the department, performing Representative duties as needed.
* Facilitates interviews with pharmacy service representative job applicants, and provides hiring recommendations to leadership.
* Provides coaching for pharmacy representatives, and helps identify and provide for training needs in collaboration with pharmacy leadership.
* Communicates effectively with practitioners and pharmacists.
* Collaborates with and keeps pharmacy leadership apprised of operational issues, including staffing resources, program and system needs.
* Assists with development of and maintenance of pharmacy policies and procedures
* Participates in the development of programs designed to enhance preferential or required targeted drugs or supplies.
Required Qualifications
* At least 5 years of experience in health care, preferably within a health-related call center environment, or equivalent combination of relevant education and experience.
* Knowledge of prescription drug products, dosage forms and usage.
* Experience designing, implementing, monitoring, and evaluating metrics that measure call center agent productivity.
* Working knowledge of medical/pharmacy terminology
* Excellent verbal and written communication skills.
* Microsoft Office suite, and applicable software program(s) proficiency.
Preferred Qualifications
* Supervisory/leadership experience.
* Certified Pharmacy Technician (CPhT) and/or state pharmacy technician license (state specific if state required). If licensed, license must be active and unrestricted in state of practice.
* Call center experience.
* Managed care experience.
To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V
Pay Range: $55,706.51 - $80,464.96 / ANNUAL
* Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
About Us
Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance. If you are seeking a meaningful opportunity in a team-oriented environment, come be a part of a highly engaged workforce dedicated to our mission. Bring your passion and talents and together we can make a difference in the lives of others. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
$55.7k-80.5k yearly 34d ago
Medical Receptionist
Humana Inc. 4.8
Humana Inc. job in Pinellas Park, FL
Become a part of our caring community and help us put health first The Receptionist receives and correctly routes incoming and outgoing telephone calls and accommodates visitors so that all callers/visitors are attended to promptly, courteously, and accurately. The Receptionist performs basic administrative/clerical/operational/customer support/computational tasks. Typically works on routine and patterned assignments.
The Receptionist operates a switchboard or multi-line phone and maintains long distance call logs. Takes and distributes accurate messages. Greets visitors and determines the nature of their visit, issues visitor passes and maintains visitor logs, alerts appropriate party of visitor arrival or directs visitors to appropriate office, department or employee. Responds to routine inquiries from internal or external sources such as the organization's location, hours of operation, phone numbers, and/or email address. Additional responsibilities may include miscellaneous administrative activities such as booking meeting rooms, typing, organizing and distributing mail, receiving and sending courier packages. Decisions are limited to defined parameters around work expectations, quality standards, priorities and timing, and works under close supervision and/or within established policies/practices and guidelines with minimal opportunity for deviation.
Job Functions
* Welcomes patients and visitors
* Patient check-in
* Assists patients, answering patients' questions
* Appointment scheduling
* Verification of insurances
* Collecting patient charges
Use your skills to make an impact
Requirements
* Excellent phone etiquette: Clinic is very busy, must be comfortable with high volume calls
* Medical office experience
* Strong Customer Service background
* Must be able to multitask
* Knowledge of MS Office (Word, Excel, Outlook, Access)
* Experience in a fast paced/high volume environment
Preferred
* Experience with Electronic Medical Records
* Bilingual (English/Spanish)
Schedule: Monday - Friday 8:00 AM to 5:00 PM
Additional Information
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.
As part of our hiring process for this opportunity, we will be using an interviewing technology called HireVue to enhance our hiring and decision-making ability. HireVue allows us to quickly connect and gain valuable information from you pertaining to your relevant skills and experience at a time that is best for your schedule.
Scheduled Weekly Hours
40
Pay Range
The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.
$38,000 - $45,800 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.
About Us
About Conviva Senior Primary Care: Conviva Senior Primary Care provides proactive, preventive care to seniors, including wellness visits, physical exams, chronic condition management, screenings, minor injury treatment and more. As part of CenterWell Senior Primary Care, Conviva's innovative, value-based approach means each patient gets the best care, when needed most, and for the lowest cost. We go beyond physical health - addressing the social, emotional, behavioral and financial needs that can impact our patients' well-being.
About 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.
$38k-45.8k yearly Easy Apply 60d+ ago
Lab/Medical Assistant WellMed Curlew
Unitedhealth Group Inc. 4.6
Palm Harbor, FL job
$2,200 SIGN ON BONUS FOR EXTERNAL CANDIDATES 8 Major Holidays Company Paid, 18 Days PTO Bonus Program - Paid 2x a year Opportunities at WellMed, part of the Optum family of businesses. We believe all patients are entitled to the highest level of medical care. Here, you will join a team who shares your passion for helping people achieve better health. With opportunities for physicians, clinical staff and non-patient-facing roles, you can make a difference with us as you discover the meaning behind Caring. Connecting. Growing together.
Primary Responsibilities:
* Assist physicians and nursing personnel with injections, EKGs, phlebotomy and other patient care procedures
* Maintain established quality control standards Record and process patient care documentation quickly and accurately
* Coordinate patient care as directed by physicians, company standards and policies
* Organize, stock and clean exam and treatment rooms and sterilize instruments
* Maintain quality control standards and required Medical Assistant and CPR certifications
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 or GED
* Current nationally recognized Medical Assistant certification or registration or the ability to obtain the designation within 180 days of employment
* Current CPR and/or BLS certification or the ability to attain the certification within 30 days of employment
* Microsoft experience
* Knowledge of medical terminology
* Phlebotomy skills
* This position requires Tuberculosis screening as well as proof of immunity to Measles, Mumps, Rubella, Varicella, Tetanus, Diphtheria, and Pertussis through lab confirmation of immunity, documented evidence of vaccination, or a doctor's diagnosis of disease
UnitedHealth Group is working to create the health care system of tomorrow.
Already Fortune 5, we are totally focused on innovation and change. We work a little harder. We aim a little higher. We expect more from ourselves and each other. And at the end of the day, we're doing a lot of good.
Through our family of businesses and a lot of inspired individuals, we're building a high-performance health care system that works better for more people in more ways than ever. Now we're looking to reinforce our team with people who are decisive, brilliant - and built for speed.
Come to UnitedHealth Group, and share your ideas and your passion for doing more. We have roles that will fit your skills and knowledge. We have diverse opportunities that will fit your dreams.
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $16.00 to $27.69 per hour based on full-time employment. We comply with all minimum wage laws as applicable.
PLEASE NOTE The Sign On Bonus is only available to external candidates. Candidates who are currently working for a UnitedHealth Group, UnitedHealthcare or a related entity in a full time, part time, or per diem basis ("Internal Candidates") are not eligible to receive a Sign On Bonus.
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.
$16-27.7 hourly 12d ago
Primary Care Physician
Humana Inc. 4.8
Humana Inc. job in Sarasota, FL
Become a part of our caring community and help us put health first Join a Team That's Redefining Senior Primary Care Humana's Primary Care Organization is one of the largest and fastest-growing senior-focused, value-based care providers in the country. With more than 340 centers across 15 states operating under the CenterWell and Conviva brands, we're transforming healthcare by placing seniors at the center of everything we do.
We are currently seeking a Primary Care Physician to join our team full-time at Conviva/CenterWell Primary Care. This role is ideal for a compassionate, experienced clinician who thrives in a collaborative, patient-centered environment and is committed to improving outcomes for adult and geriatric populations.
Why You'll Love Working With Us
* Team-Based Care Model: Collaborate with a multidisciplinary team focused on whole-person care-physical, emotional, and social.
* More Time With Patients: Enjoy a lower daily patient volume to foster deeper relationships and deliver more personalized care.
* Supportive Culture: Work in a welcoming, inclusive environment that values teamwork, innovation, and continuous learning.
* Work-Life Balance: Benefit from generous PTO, minimal call responsibilities, and dedicated CME time.
Key Responsibilities
* Deliver comprehensive outpatient care to adult and senior patients.
* Maintain accurate and timely medical records and documentation.
* Diagnose and manage moderately to complex medical conditions.
* Coordinate referrals and collaborate with specialists as needed.
* Participate in clinical quality improvement initiatives.
* Work closely with interdisciplinary teams to ensure holistic care.
* Contribute to strategic initiatives and innovations in care delivery.
* Exercise independent clinical judgment in patient management.
Required Qualifications
* MD or DO from an accredited medical school.
* Active, unrestricted medical license in the state of practice.
* Board Certification in family medicine, internal medicine, or geriatric medicine.
* Minimum of two years' experience in value-based care or managing high-acuity geriatric patients.
* Commitment to improving patient experience and outcomes.
* Participation in Tuberculosis (TB) screening program.
Preferred Qualifications
* Specialty training in family medicine, internal medicine, med-peds, or geriatrics.
* Experience working with senior populations or in value-based care settings.
* Proficiency with electronic health records (EHR) and digital documentation.
* Strong communication, collaboration, and interpersonal skills.
* Ability to work independently and adapt to evolving clinical environments.
* Experience supervising advanced practice providers (NPs/PAs).
*
Use your skills to make an impact
Additional Information
* Full-time, patient-facing role with opportunities for professional growth and leadership.
* Physicians are expected to contribute to a culture of innovation and continuous improvement.
* Competitive compensation package including sign-on bonus, relocation assistance, and comprehensive benefits.
Work Environment
* Outpatient clinical setting.
* Standard schedule: Monday-Friday, 8:00 AM - 5:00 PM.
Equal Opportunity Employer
We are proud to be an Equal Opportunity Employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.
#LI-CS2
#physiciancareers
Scheduled Weekly Hours
40
Pay Range
The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.
$219,400 - $306,900 per year
This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.
Description of Benefits
Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.
About Us
About Conviva Senior Primary Care: Conviva Senior Primary Care provides proactive, preventive care to seniors, including wellness visits, physical exams, chronic condition management, screenings, minor injury treatment and more. As part of CenterWell Senior Primary Care, Conviva's innovative, value-based approach means each patient gets the best care, when needed most, and for the lowest cost. We go beyond physical health - addressing the social, emotional, behavioral and financial needs that can impact our patients' well-being.
About 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.
$219.4k-306.9k yearly 14d ago
Medical Records Collector
Molina Healthcare Inc. 4.4
Tampa, FL job
JOB DESCRIPTION Job SummaryProvides support for medical records collection activities. Supports quality improvement activities through outreach to providers for collection of medical records for Healthcare Effectiveness Data and Information Set (HEDIS) specific data collection, projects and audit processes. Contributes to overarching strategy to provide quality and cost-effective member care.
Essential Job Duties
* Outreaches to providers via phone call, fax, mail, electronic medical record system retrieval and direct on-site pick up for collection of medical records.
* Loads medical records and reports from provider offices into the Healthcare Effectiveness Data and Information Set (HEDIS) application.
* Supports annual HEDIS audit and other like audits, and organizes provider outreach, pursuit, collection and upload of provider medical records into the internal database.
* Provides project management support to leadership via coordination, identification, pursuit and collection of medical records and other required data with other HEDIS staff.
* Participates in meetings with vendors related to the medical record collection process.
* Some medical records collection related travel may be required.
Required Qualifications• At least 1 year customer service experience, preferably in an administrative support capacity in a health care setting, or equivalent combination of relevant education and experience.
* Valid and unrestricted driver's license, reliable transportation, and adequate auto insurance for job related travel requirements.
* Excellent customer service and active listening skills.
* Proficiency with data analysis tools (e.g., Excel).
* Ability to manage files, schedules and information efficiently.
* Ability to effectively interface with staff, clinicians, and leadership.
* Strong prioritization skills and detail orientation.
* Strong verbal and written communication skills, including professional phone etiquette.
* Microsoft Office suite/applicable software program(s) proficiency, and ability to learn new programs.
Preferred Qualifications
* Registered Health Information Technician (RHIT).
* Medical records collection experience.
* Managed care experience.
* Basic knowledge of Healthcare Effectiveness Data Information Set (HEDIS) and National Committee for Quality Assurance (NCQA).
* Project planning experience.
To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V
Pay Range: $21.65 - $31.71 / HOURLY
* Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
About Us
Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance. If you are seeking a meaningful opportunity in a team-oriented environment, come be a part of a highly engaged workforce dedicated to our mission. Bring your passion and talents and together we can make a difference in the lives of others. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
$21.7-31.7 hourly 9d ago
Nure Practitioner Float Pinellas County
Humana Inc. 4.8
Humana Inc. job in Pinellas Park, FL
Become a part of our caring community and help us put health first Humana's Primary Care Organization is one of the largest and fastest growing value-based care, senior-focused primary care providers in the country, operating multiple centers across eight states under two brands: CenterWell & Conviva. Operating as a payor-agnostic, wholly owned subsidiary of Humana, our centers put the unique needs of seniors at the center of everything we do. Our Clinics offer a team-based care model where our physicians lead a multi-disciplinary care team supporting patient's physical, emotional, and social wellness.
The advanced practice provider provides health promotion and maintenance through the diagnosis and treatment of acute illness and chronic conditions. Prescribes medication, examines patients, diagnoses illnesses, and provides treatment. 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.
Patient Care:
* Evaluates and treats center patients in accordance with standards of care.
* Follows level of medical care and quality for patients and monitors care using available data and chart reviews.
* Assists in the coordination of patient services, including but not limited to specialty referrals, hospital and SNF coordination, durable medical equipment and home health care.
* Acts as an active participant and lead with the care team through daily huddles.
* Helps Regional Medical Director (RMD), Physician and Center Administrator in setting a tone of cooperation in practice by displaying a professional and approachable demeanor.
* Completes all medical record documentation in a timely manner working with a quality- based coder to optimize coding specificity.
* Follows policy and protocol defined by clinical leadership.
* Meets with RMD about quality of care, review of outcome data, policy, procedure and records issues.
* Participates in potential growth opportunities for new or existing services within the Center.
* Participates in the local primary care "on-call" program of Conviva Senior Primary Care.
* Assures personal compliance with licensing, certification, and accrediting bodies.
Required Qualifications
* Minimum of two to five years directly applicable experience
* Successful completion of a nurse practitioner program with board certification
* Active, unrestricted nurse practitioner license in state of practice location
* Excellent communication skills, written and verbal; demonstrate a high level of skill with interpersonal relationships and communications with all colleagues; fully engaged in the concept of "Integrated team-based care".
* Willingness and ability to learn/adapt to practice in a value-based care setting.
* Superior patient/customer service.
* Basic computer skills, including email and EMR.
* Appropriate certification to write prescriptions under the authority of a collaborating physician/medical director.
* This role is considered patient facing and is a part of our Tuberculosis (TB) screening program. If selected for this role, you will be required to be screened for TB.
Preferred Qualifications
* Active and unrestricted DEA license
* Medicare Provider Number/ Medicaid Provider Number
* Experience managing Medicare Advantage panel of patients with understanding of Best Practice in coordinated care environment in a value based relationship environment.
* Knowledge of Medicare guidelines and coverage.
* Knowledge of HEDIS quality indicators.
Use your skills to make an impact
* Base salary + bi-annual incentive
* Excellent benefit package - health insurance effective on your first day of employment
* CME Allowance/Time
* Occurrence Malpractice Insurance
* Relocation and sign-on bonus options
* 401(k) with employer match
* Life Insurance/Disability
* Paid Time Off/Holidays
* Minimal call
Scheduled Weekly Hours
40
Pay Range
The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.
$115,200 - $158,400 per year
This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.
Description of Benefits
Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.
About Us
About Conviva Senior Primary Care: Conviva Senior Primary Care provides proactive, preventive care to seniors, including wellness visits, physical exams, chronic condition management, screenings, minor injury treatment and more. As part of CenterWell Senior Primary Care, Conviva's innovative, value-based approach means each patient gets the best care, when needed most, and for the lowest cost. We go beyond physical health - addressing the social, emotional, behavioral and financial needs that can impact our patients' well-being.
About 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.
$115.2k-158.4k yearly 36d ago
Pharmacy Manager - Sign-On Bonus Available
Walgreens 4.4
Tampa, FL job
Provides empathetic pharmacy consulting services to patients regarding the effective use of medications and drug interaction awareness. Offers preventive and clinical healthcare services, including immunizations, diagnostic testing, and patient outcome services. Ensures prescribed medications are compounded, reviewed, dispensed, and verified accurately according to regulatory guidelines and company policies and procedures. Manages an efficient pharmacy workflow and improves pharmacy financials, manages inventory effectively, and enhances patient experience. Manages pharmacy staff performance and engagement. Ensures the professional development of pharmacy staff by overseeing training, focused coaching, and executing formal performance management initiatives.
Job Responsibilities:
Patient Experience
Engages patients by greeting them and offering assistance with products and services. Resolves patient issues in a timely manner and answers questions to ensure a positive patient experience.
Models and shares customer service best practices with all team members to deliver a distinctive and joyful patient experience, including interpersonal habits that show care (e.g., greeting, eye contact, courtesy, etc.) and Walgreens service traits (e.g., demonstrating curiosity to identify needs and proactively helping, servicing until satisfied, championing empathy and inclusivity, etc.).
Connects with patients by anticipating needs and proactively offering services. Leads efforts on enhancing patient experience by increasing awareness of healthcare services offered through Walgreens (e.g. patient consultation, medication management, drug therapy reviews, and perform clinical, or wellness services such as immunizations, diagnostic testing, and patient outcomes services) thereby promoting the shift of the Walgreen's pharmacy role from transactional to interpersonal.
Participates and assists in events that reflect the unique communities we serve as requested by Store Manager, Healthcare Supervisor, or District Manager.
Operations
Counsels patients and answers questions regarding usage of medicine, side effects, interactions, contraindications, patient information privacy, generics, less expensive medicines, and over-the-counter products. Refers to the medical provider, as needed, to ensure medication is taken correctly, health needs are addressed, and patient is satisfied with service.
Performs pharmacist tasks including compounding, drug therapy reviews, verification, and medication management.
Reviews, interprets, and accurately dispenses prescribed medications, as required.
Ensures the pharmacy operates in accordance with regulations, company policies and standards. Establishes procedures that promote the efficient workflow of the pharmacy including overseeing staff scheduling, assigning roles, coordinating activities, and soliciting team member suggestions. Responsible for opening and closing the pharmacy and shift changes.
Ensures the use of all elements of the Good Faith Dispensing policy in conjunction with state and federal controlled substance laws when filling prescriptions. The Product Review/Retail Fill Process Pharmacist is responsible for ensuring that elements of Good Faith are present.
Collaborates with Store Manager to define and develop new strategic business opportunities.
Maintains information technology knowledge of pharmacy systems including workflow, prescription fulfillment, billing, clinical documentation, training, inventory management, and point of sale registers. Supports pharmacy staff and patients with information technology. Finds opportunities to improve productivity
Ensures insurance claims are processed accurately to prevent payment rejections. Resolves patient issues by working with insurance companies and medical providers and conducting or participating in third party audits.
Follows-up with medical providers to clarify prescribed medications, dosages, refills, interactions, and allergies to suggest alternative medications, and answer medical provider questions. diagnostic testing, disease state management and other healthcare services.
Performs clinical and wellness services such as immunizations, diagnostic testing, disease state management, and other healthcare services
Partners with centralized support for patient registration, exception resolution, and assists with resolving patient issues. In virtual environments, conducts virtual product review by following specific company procedures and guidelines
Manages the maintenance, housekeeping, and improvement of the pharmacy department including repairs, cleaning, new equipment, and layout changes to ensure a functioning, presentable and efficient pharmacy.
Prepares and submits all records, reports, and other documentation as required by state and federal laws to run the pharmacy business (e.g., operating statements, performance indicator reports, supervision notes, deletions, transfers.)
People & Performance Management
Collaborates with Store Manager on pharmacy staff hiring, carries out discipline and termination, as necessary, and ensures compliance with employment laws.
Partners with Store Manager to establish expectations and goals, promote teamwork and foster a shared vision. Monitors and recognizes improvements in pharmacy staff by implementing rewards programs. Manages pharmacy staff performance by overseeing the training of pharmacy staff (e.g., using the correct processes and tools) and conducting formal performance reviews.
Identifies high potential team members and proactively collaborates with Store Manager to manage career progression.
Addresses employee relations concerns. Maintains team member morale by checking on employee welfare, addressing complaints and conflicts, and ensuring positive employee management relationship.
Training & Personal Development
Maintains required licensing/credentialing/certification as established by federal and state regulations to provide clinical services.
Maintains and enhances current knowledge and skills related to pharmacy and healthcare by reading pharmacy related journals and Walgreens publications and communications. Maintains awareness of developments in retail and management areas and pursues best practices to enhance business acumen and pharmacy performance.
Completes education credits and training, including learning modules, as required by the Company
Seeks professional development by monitoring own performance, solicits constructive feedback, and leverages Healthcare Supervisor and Store Manager as mentors and coaches.
Communications
Supports the Store Manager by communicating relevant corporate health and wellness services or strategy information to pharmacy staff.
Business Performance Management
Analyzes performance data including pharmacy financials, customer service, and inventory. Manages pharmacy asset protection activities and oversees inventory management. Identifies pharmacy performance trends and opportunities for improvement.
Business Planning
Develops and maintains good relationships with local medical community including physicians, nurses, and other health care providers. Reaches out to the community to promote the pharmacy business and further enhance growth opportunities. Supports Store Manager in expanding health and wellness awareness in the community
Basic Qualifications
BS in Pharmacy or Pharm D Degree from an accredited educational institution.
Current pharmacist licensure in the states within the district.
Certified Immunizer or willing to become an immunizer within 90 days of hire.
At least 1 year pharmacy experience including prescription filling, recordkeeping, legal compliance, pharmacy operations, pharmacy software and technology systems and insurance billing. (Some states may require more specific pharmacy experience in which case those requirements would take precedent).
Experience performing prescription dispensing activities that demonstrate a strong working knowledge of applicable state and federal controlled substance laws.
An average rating of at least 3.0 on the leadership behaviors on the last performance review if one is on file, and no written disciplinary actions in the last 12 months (Internal candidates only).
About Walgreens
Founded in 1901, Walgreens (****************** proudly serves nearly 9 million customers and patients each day across its approximately 8,500 stores throughout the U.S. and Puerto Rico. Walgreens has approximately 220,000 team members, including nearly 90,000 healthcare service providers, and is committed to being the first choice for pharmacy, retail and health services, building trusted relationships that create healthier futures for customers, patients, team members and communities.
Preferred Qualifications
Supervisory experience planning, organizing, and directing the work of pharmacy staff.
At least 6 months pharmacy experience with Walgreen Co.
An average rating of 3.7 or above on the leadership behaviors on the last performance review if one is on file. (Internal candidates only)
An Equal Opportunity Employer, including disability/veterans
We will consider employment of qualified applicants with arrest and conviction records.
The Salary below is being provided to promote pay transparency and equal employment opportunities at Walgreens. The actual salary within this range that you will be offered will depend on a variety of factors including geography, skills and abilities, education, experience and other relevant factors. This role will remain open until filled. To review benefits, please click here jobs.walgreens.com/benefits. If you are applying on a job board or unable to click on the link, please copy and paste this URL into your browser jobs.walgreens.com/benefits
Salary Range: Pharmacy Manager $5,565.00-$6,119.40 Bi-Weekly
$69k-129k yearly est. 1d ago
Independent Representative
Primerica 4.6
Bradenton, FL job
Job Brief:
Primerica, Inc. is a company that provides insurance, investment, and financial services to middle-income families in the United States and Canada.
Primerica is always looking to add to its ever-growing with those who are motivated to learn and grow. The goal is to build strong positive relationships, create personal growth, and increase our firm's reputation. This opportunity allows you to be remote which means you can work from anywhere. You do not need prior experience and will have access to many pieces of training and classes to help you.
Skills Required:
None! It doesn't matter if you don't know anything about insurance as you will be taking classes regardless and will learn along the way
$22k-28k yearly est. 60d+ ago
Speech Therapist, Home Health
Humana Inc. 4.8
Humana Inc. job in Port Charlotte, FL
Become a part of our caring community and help us put health first As a therapist at CenterWell Home Health, you'll play a vital role in helping patients regain strength, mobility and independence-all from the comfort of their homes. By delivering personalized care that focuses on rehabilitation and functional improvement, you'll empower individuals to overcome physical limitations, perform everyday activities with confidence and enjoy a better quality of life.
Lee/ Collier counties
As a Home Health Speech Therapist, you will:
* Evaluate, direct and provide speech/language pathology service to patients in the home or facility
* Participate in the development and periodic review of the Plan of Treatment and Plan of Care.
* Utilize professional skills and judgment in assessing and treating disorders of speech, voice, language, hearing and swallowing to prevent, identify, evaluate and minimize the effects of such disorders and conditions.
* Administer and interpret diagnostic tests and applications of therapeutic treatments including audio logic screening.
* Observe, record and report changes in the patient's condition and response to treatment to supervisor and/or the physician.
* Provide instruction and training to patients in use of alternative communication systems when appropriate.
* Provide counsel and instruction to patients, families and healthcare staff.
* Maintain and submit documentation as required by the Company and/or facility. Prepare and submit timely written reports of evaluations, visits, summaries, care plans, care coordination activities and progress reports as required by Company policy.
* Participate in care coordination activities and discharge planning.
* Maintain the highest standards of professional conduct in relation to information that is confidential in nature. Share information only when the recipient's right to access is clearly established and the sharing of such information is clearly in the best interests of the patient.
* Attend, participate in and/or conduct internal staff development programs, obtain continuing education as required by Company policy, regulation.
Use your skills to make an impact
Required Experience/Skills:
* Meet the education and experience requirements for Certification of Clinical Competence in Speech Language Pathology or Audiology granted by ASHA
* Minimum of six months experience as a speech therapist / speech language pathologist
* Home Health experience a plus
* Current and unrestricted license
* Current CPR certification
* Good organizational and communication skills
* A valid driver's license, auto insurance, and reliable transportation are required.
Pay Range
* $54.00 - $76.00 pay per visit/unit
* $85,400 - $117,500 per year base pay
Scheduled Weekly Hours
1
Pay Range
The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.
$85,400 - $117,500 per year
Description of Benefits
Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers benefits for limited term, variable schedule and per diem associates which are designed to support whole-person well-being. Among these benefits, Humana provides paid time off, 401(k) retirement savings plan, employee assistance program, business travel and accident.
About Us
About CenterWell Home Health: CenterWell Home Health specializes in personalized, comprehensive home care for patients managing a chronic condition or recovering from injury, illness, surgery or hospitalization. Our care teams include nurses, physical therapists, occupational therapists, speech-language pathologists, home health aides, and medical social workers - all working together to help patients rehabilitate, recover and regain their independence so they can live healthier and happier lives.
About CenterWell, a Humana company: CenterWell creates experiences that put patients at the center. As the nation's largest provider of senior-focused primary care, one of the largest providers of home health services, and fourth largest pharmacy benefit manager, CenterWell is focused on whole-person health by addressing the physical, emotional and social wellness of our patients. As part of Humana Inc. (NYSE: HUM), CenterWell offers stability, industry-leading benefits, and opportunities to grow yourself and your career. We proudly employ more than 30,000 clinicians who are committed to putting health first - for our teammates, patients, communities and company. By providing flexible scheduling options, clinical certifications, leadership development programs and career coaching, we allow employees to invest in their personal and professional well-being, all from day one.
Equal Opportunity Employer
It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.
$85.4k-117.5k yearly 60d+ ago
Adjudicator, Provider Claims
Molina Healthcare Inc. 4.4
Tampa, FL job
Provides support for provider claims adjudication activities including responding to providers to address claim issues, and researching, investigating and ensuring appropriate resolution of claims in a call center environment. * Respond to inbound calls to provide support for provider claims adjudication activities including responding to provider to address claim issues, and researching, investigating and ensuring appropriate resolution of claims.
* Responds to incoming calls from providers regarding claims inquiries - provides excellent customer service, support and issue resolution; documents all calls and interactions.
* Provides support for resolution of provider claims issues, including claims paid incorrectly; analyzes systems and collaborates with respective operational areas/provider billing to facilitate resolution.
* Collaborates with the member enrollment, provider information management, benefits configuration and claims processing teams to appropriately address provider claim issues.
* Assists in reviews of state and federal complaints related to claims.
* Collaborates with other internal departments to determine appropriate resolution of claims issues.
* Researches claims tracers, adjustments, and resubmissions of claims.
* Adjudicates or re-adjudicates high volumes of claims in a timely manner.
* Manages defect reduction by identifying and communicating claims error issues and potential solutions to leadership.
* Meets claims department quality and production standards.
* Supports claims department initiatives to improve overall claims function efficiency.
* Completes basic claims projects as assigned.
Required Qualifications
* At least 2 years of experience in a clerical role in a claims, and/or customer service setting, including experience in provider claims investigation/research/resolution/reimbursement methodology analysis within a managed care organization, or equivalent combination of relevant education and experience.
* Research and data analysis skills.
* Organizational skills and attention to detail.
* Time-management skills, and ability to manage simultaneous projects and tasks to meet internal deadlines.
* Customer service experience.
* Effective verbal and written communication skills.
* Microsoft Office suite and applicable software programs proficiency.
To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V
Pay Range: $21.65 - $38.37 / HOURLY
* Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
About Us
Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance. If you are seeking a meaningful opportunity in a team-oriented environment, come be a part of a highly engaged workforce dedicated to our mission. Bring your passion and talents and together we can make a difference in the lives of others. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
$21.7-38.4 hourly 9d ago
RN Clinical Coding Educator - Value-Based Primary Care
Humana Inc. 4.8
Humana Inc. job in Tampa, FL
Become a part of our caring community and help us put health first The RN Coding Education Facilitator is responsible for delivering clinically relevant coding education to providers, nurse practitioners (NPs), and physician assistants (PAs) in a value-based primary care setting. This role uses clinical expertise and knowledge of risk adjustment and coding to present educational materials in a way that improves documentation accuracy, coding integrity, and patient outcomes-while supporting provider efficiency and well-being.
You'll work directly with providers and advanced practice clinicians, presenting education that aligns with value-based care priorities like risk adjustment accuracy, quality performance, compliance, and effective patient management.
Key Responsibilities
* Deliver coding education and presentations focused on value-based primary care for providers, NPs, and PAs
* Present materials on topics such as chronic condition documentation, preventive care, and quality measure alignment
* Facilitate role-based education sessions (providers, APPs, care teams) using case studies, scenarios, and practical examples
* Provide easy-to-use resources such as microlearning, job aids, and point-of-care tools
* Translate complex coding and compliance concepts into clear, clinically meaningful information for provider workflows
* Collaborate with coding, compliance, and quality teams to ensure educational content is accurate and current
* Align education delivery with EMR workflows and documentation tools to promote efficiency
* Gather and use feedback from learners to improve presentations and education materials
* Support providers and care teams during EMR implementations or workflow changes with focused education
* Monitor success using metrics like documentation accuracy, risk score stability, and provider satisfaction
Targeting candidates that live near The Villages (including Orlando and Tampa)
Use your skills to make an impact
Required Qualifications
* Active RN license
* A minimum of five years of clinical experience in primary care, internal medicine, family medicine, or similar
* AHIMA coding credential (CCS, or equivalent) or AAPC CPC certification
* Strong understanding of risk adjustment, HCC coding, value-based care, and preventive/chronic disease management
* Experience delivering clinical or coding education to providers, Nurse Practitioners, or Physician Assistants
* Able to communicate complex coding and regulatory requirements in a practical, provider-friendly manner
Preferred Qualifications
* Experience in value-based primary care or Medicare Advantage
* Familiarity with EMR optimization and documentation workflows
* Background in adult education or program delivery
* Experience in large, multi-site healthcare organizations
Additional Information
* Remote role
* Weekly travel to The Villages; anticipating up to 50% of the time in the first year
* Targeting candidates that live near The Villages (including Orlando and Tampa)
Key Competencies
* Clinical credibility and rapport with providers, NPs, and PAs
* Strong presentation and education delivery skills
* Workflow optimization mindset
* Clear written and verbal communication
* Data-driven improvement approach
* Collaborative and able to influence without authority
Work at Home Requirements
To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria:
* At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is suggested
* Satellite, cellular and microwave connection can be used only if approved by leadership
* Employees who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense.
* Humana will provide Home or Hybrid Home/Office employees with telephone equipment appropriate to meet the business requirements for their position/job.
* Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information
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.
About Us
About CenterWell Senior Primary Care: CenterWell Senior Primary Care provides proactive, preventive care to seniors, including wellness visits, physical exams, chronic condition management, screenings, minor injury treatment and more. Our unique care model focuses on personalized experiences, taking time to listen, learn and address the factors that impact patient well-being. Our integrated care teams, which include physicians, nurses, behavioral health specialists and more, spend up to 50 percent more time with patients, providing compassionate, personalized care that brings better health outcomes. We go beyond physical health by also addressing other factors that can impact a patient's well-being.
About CenterWell, a Humana company: CenterWell creates experiences that put patients at the center. As the nation's largest provider of senior-focused primary care, one of the largest providers of home health services, and fourth largest pharmacy benefit manager, CenterWell is focused on whole-person health by addressing the physical, emotional and social wellness of our patients. As part of Humana Inc. (NYSE: HUM), CenterWell offers stability, industry-leading benefits, and opportunities to grow yourself and your career. We proudly employ more than 30,000 clinicians who are committed to putting health first - for our teammates, patients, communities and company. By providing flexible scheduling options, clinical certifications, leadership development programs and career coaching, we allow employees to invest in their personal and professional well-being, all from day one.
Equal Opportunity Employer
It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.
$86.3k-118.7k yearly 19d ago
Inventory Specialist
Walgreens 4.4
Nokomis, FL job
* Responsible for executing, monitoring, and training inventory best practices and standard operating procedures for the entire store, including both front end and pharmacy. Supports pharmacy inventory management activities, including receiving, counting, ordering, and facilitating returns. Champions On-Shelf Availability and is responsible for receiving, counting, pricing, returns, and all in-store inventory processes. Validates and ensures accuracy of planograms.
* Responsible for reviewing and coordinating the proper use of reports and system applications, which have an impact on the accuracy of front end and pharmacy on-hand balances and pricing.
* Responsible for executing and maintaining front end and pharmacy asset protection techniques, and filing claims for warehouse and vendor overages (merchandise received, but not billed), shortages (merchandise billed, but not received), order errors or damaged goods including prescription drugs.
* In designated stores, as required, opens and closes the store in the absence of store management, including all required systems start-ups, required cash handling and cashier responsibilities, and ensuring the floor and stock room are ready for the business day.
Customer Experience
* Engages customers by greeting them and offering assistance with products and services. In designated stores, when serving as the leader on duty, resolves customer issues and answers questions to ensure a positive customer experience.
* Models and shares customer service best practices with all team members to deliver a distinctive and delightful customer experience, including interpersonal habits (e.g., greeting, eye contact, courtesy, etc.) and Walgreens service traits (e.g., offering help proactively, identifying needs, servicing until satisfied, etc.).
Operations
* Executes and coaches team members on warehouse and vendor inventory management processes including but not limited to creating, reviewing, and receiving orders.
* Scans in all deliveries while the vendor is still in the store, including common carrier deliveries. Focuses on One Box receiving. Takes the appropriate action marking delivery as received if the product was physically delivered, contacting vendor for past undelivered scheduled receipts, and opening tickets as needed to correct inaccurate orders.
* Under the supervision of the pharmacist-in-charge, verifies all pharmacy shipments are posted for products physically received at the store. Completes or verifies postings of all pharmacy warehouse orders, ABC prescription and OTC orders daily, secondary vendor orders, flu and dropship orders performing any necessary tote audits, and accurately reporting any shortages or damaged product.
* Completes On-Shelf Availability (OSA) end-to-end process including warehouse and direct store delivery (DSD) for planogrammed departments, executing disposals, call-ins, and vendor returns before expiration, completes scan outs/ scan outs returns on all subscribed departments including vendor/ DSD departments and pharmacy scan outs.
* Under the supervision of the pharmacist-in-charge,completes pharmacy inventory activities including but not limited to pharmacy recalls following Pharmacy Hazardous Waste Policy, vendor returns, non-controlled, and damaged salvage returns. Facilitates excess inventory returns or interstore pharmacy transfers where applicable for non-returnable ABC overstock. Verifies posting of all pharmacy/ prescription claims.
* Completes execution of all pricing activities including price changes, markdowns, and markdowns deletes. Responsible for basic department pricing, including daily price changes, accurate pricing with correct signage, and reliable and timely completion of any additional regulatory pricing tasks.
* Responsible for supporting front end and pharmacy ordering by ordering expense items. Monitors pharmacy manual orders to identify excess orders. Maintains consigned inventory and orders as required.
* Ensures all designated pull & quarantine item on-hands are updated and placed in the designated holding area.
* Maintains accurate inventory counts. Maintains the accuracy of on-hand quantities including but not limited to basic departments, stockroom, overstock locations.
* Under the supervision of the pharmacist-in-charge, maintains accurate inventory counts and accuracy of on-hand quantities in pharmacy and completes pharmacy smart counts.
* Ensures the store maintains inventory compliance with state and local laws regarding regulated products (e.g., alcoholic beverages and tobacco products).
* Assists in the maintenance of inventory records, including receiving and posting of all products (in the front-end)) received at the store in all inventory systems. Organizes files and retains all invoices/receipts/return authorizations necessary for all inventory activities.
* Helps to prepare for physical inventory and supports the physical inventory day activities, including but not limited to preparing sales floor, stockroom, and pharmacy for inventory and auditing the third party team on the day of inventory.
* Supports keeping all counters and shelves clean and well merchandised.
* Knowledgeable of all store systems and equipment.
* Assists and coaches store team on all package delivery activities, including scanning in and out of packages, completing all daily inventory functions and, package returns at Walgreens. Supports execution of Pickup Program.
* In designated stores, when serving as the leader on duty, responsible and accountable for registering all related sales on assigned point-of-sale system (POS), including records of scanning errors, price verifications, items not on file, price modifications, and voids. Completes product returns, order voids, customer refunds, cash drops to safe, and provides change as requested for point of sale.
* Complies with all company policies and procedures; maintains respectful relationships with coworkers.
* Completes any additional activities and other tasks as assigned.
Training & Personal Development
* Attends company-based trainings for continuous development and completes all e-learning modules including safety training requirements.
* Obtains and maintains a valid pharmacy license/certification as required by the state.
Communications
* Serves as a liaison between management and non-management team members by coaching and developing other capabilities with inventory systems. When serving as the leader on duty, communicates assigned tasks to team members and reports disciplinary issues and customer complaints to management.
Basic Qualifications
* Six months of prior work experience with Walgreens (internal candidates) or one year of prior retail work experience (external candidates).
* Must be fluent in reading, writing, and speaking English (except in Puerto Rico).
* Must have a willingness to work a flexible schedule, including evening and weekend hours.
* "Achieving expectations" rating on last performance review and no written disciplinary actions in the previous 12 months (internal candidates only).
* Demonstrated attention to detail and ability to multi task and manage execution.
* Experience in identifying operational issues and recommending and implementing strategies to resolve problems.
Preferred Qualifications
* Prefer previous experience as a shift lead, pharmacy technician, designated hitter, or customer service associate.
* Prefer to have prior work experience with Walgreens, with an evaluation on file.
We will consider employment of qualified applicants with arrest and conviction records.
An Equal Opportunity Employer, including disability/veterans.
The actual compensation that you will be offered will depend on a variety of factors including geography, skills and abilities, education, experience and other relevant factors. This role will remain open until filled. To review benefits, please click here jobs.walgreens.com/benefits. If you are applying on a job board or unable to click on the link, please copy and paste this URL into your browser jobs.walgreens.com/benefits
Salary Range: $17 - $20 / Hourly
$17-20 hourly 21d ago
Occupational Therapist Assistant, Home Health
Humana Inc. 4.8
Humana Inc. job in Port Charlotte, FL
Become a part of our caring community and help us put health first As a therapist at CenterWell Home Health, you'll play a vital role in helping patients regain strength, mobility and independence-all from the comfort of their homes. By delivering personalized care that focuses on rehabilitation and functional improvement, you'll empower individuals to overcome physical limitations, perform everyday activities with confidence and enjoy a better quality of life.
Naples/ Bonita/ Estero
As a Home Health Occupational Therapist Assistant, you will:
* Provide therapy services planned, delegated and supervised by the qualified Occupational Therapist in accordance with the patient's Plan of Treatment.
* Assist in the implementation of vocational/education programs and activities established by registered Occupational Therapist designed to restore, reinforce, and enhance task performances, diminish or correct pathology, and to promote/maintain health and self-sufficiency.
* Design/adapt equipment and working and/or living environment. Fabricate devices to assist and improve function and independence and participation in the program and/or community where possible.
* Provide therapeutic treatment and instruction to patients as directed by the qualified Occupational Therapist and in accordance with physician orders to improve/restore strength, coordination, range-of-motion and function or teach compensation measures.
* Report information and observations to Occupational Therapist and/or Clinical supervisor, document observed information in patient records and prepares clinical notes. Assist with preparation of progress reports. Maintain and submit documentation as required by the Company and/or facility.
* Instruct patients and family members regarding home programs as well as care and use of adaptive equipment.
* Participate in care coordination and discharge planning activities and act as a resource to other health care personnel in meeting patient's needs.
* Design community reintegration activities, as appropriate, to assist the client in the physical reconditioning effort, and/or the psychological adjustment and coordinate the plan with members of the interdisciplinary team.
Use your skills to make an impact
Required Experience/Skills:
* Current and unrestricted OTA licensure
* Minimum of six months occupational therapist assistant experience preferred
* Home Health experience a plus
* Current CPR certification
* Good organizational and communication skills
* Valid driver's license, auto insurance and reliable transportation.
Pay Range
* $41.00 - $57.00 pay per visit/unit
* $64,000 - $87,500 per year base pay
Scheduled Weekly Hours
1
Pay Range
The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.
$64,000 - $87,500 per year
Description of Benefits
Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers benefits for limited term, variable schedule and per diem associates which are designed to support whole-person well-being. Among these benefits, Humana provides paid time off, 401(k) retirement savings plan, employee assistance program, business travel and accident.
About Us
About CenterWell Home Health: CenterWell Home Health specializes in personalized, comprehensive home care for patients managing a chronic condition or recovering from injury, illness, surgery or hospitalization. Our care teams include nurses, physical therapists, occupational therapists, speech-language pathologists, home health aides, and medical social workers - all working together to help patients rehabilitate, recover and regain their independence so they can live healthier and happier lives.
About CenterWell, a Humana company: CenterWell creates experiences that put patients at the center. As the nation's largest provider of senior-focused primary care, one of the largest providers of home health services, and fourth largest pharmacy benefit manager, CenterWell is focused on whole-person health by addressing the physical, emotional and social wellness of our patients. As part of Humana Inc. (NYSE: HUM), CenterWell offers stability, industry-leading benefits, and opportunities to grow yourself and your career. We proudly employ more than 30,000 clinicians who are committed to putting health first - for our teammates, patients, communities and company. By providing flexible scheduling options, clinical certifications, leadership development programs and career coaching, we allow employees to invest in their personal and professional well-being, all from day one.
Equal Opportunity Employer
It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.