Medical Director - IP Claims Management
Humana job in Saint Paul, MN
**Become a part of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement to make determinations whether requested services, requested level of care, and/or requested site of service should be authorized. All work occurs within a context of regulatory compliance, and work is assisted by diverse resources, which may include national clinical guidelines, CMS and state policies and determinations, clinical reference materials, internal teaching conferences, and other reference sources. Medical Directors will learn Medicare, Medicare Advantage, and Medicaid requirements and will understand how to operationalize this knowledge in their daily work.
The Medical Director's work includes computer-based review of moderately complex to complex clinical scenarios, review of all submitted clinical records, prioritization of daily work, communication of decisions to internal associates, and possible participation in care management. May occasionally participate in discussions with external physicians by phone to gather additional clinical information or discuss determinations which may require conflict resolution skills. Some roles include an overview of coding practices and clinical documentation, dispute, grievance, and appeals processes, and outpatient services and equipment, within their scope.
The Medical Director may speak with contracted external physicians, physician groups, facilities, or community groups to support regional market priorities, which may include an understanding of Humana processes, as well as a focus on collaborative business relationships, value-based care, population health, or disease or care management. Medical Directors support Humana values throughout all activities.
**Use your skills to make an impact**
**Responsibilities**
The Medical Director provides medical interpretation and determinations whether services provided by other healthcare professionals are in agreement with national guidelines, CMS and state Medicaid requirements, Humana policies, clinical standards, and (in some cases) contracts. The ideal candidate supports and collaborates with other team members, other departments, and Humana colleagues. After completion of mentored training, daily work is performed with minimal direction. Enjoys working in a structured environment with expectations for consistency in thinking and authorship. Exercises independence in meeting departmental expectations and meets compliance timelines. Supports the assigned work with respect to market-wide objectives and community relations as directed.
**Required Qualifications**
+ MD or DO degree
+ 5+ years of direct clinical patient care experience post residency or fellowship, which preferably includes some experience in an inpatient environment and/or related to care of a Medicare type population (disabled or >65 years of age).
+ Current and ongoing Board Certification an approved ABMS Medical Specialty
+ A current and unrestricted license in at least one jurisdiction and willing to obtain additional license(s), if required.
+ No current sanction from Federal or State Governmental organizations, and able to pass credentialing requirements.
+ Excellent verbal and written communication skills.
+ Evidence of analytic and interpretation skills, with prior experience participating in teams focusing on quality management, utilization management, case management, discharge planning and/or home health or post-acute services such as inpatient rehabilitation.
**Preferred Qualifications**
+ Knowledge of the managed care industry including Medicare Advantage, Managed Medicaid and/or Commercial products, or other medical management organizations, hospitals/ Integrated Delivery Systems, health insurance, other healthcare providers, clinical group practice management.
+ Utilization management experience in a medical management review organization, such as Medicare Advantage, managed Medicaid, or Commercial health insurance.
+ Experience with national guidelines such as MCG or InterQual
+ Internal Medicine, Family Practice, Geriatrics, Hospitalist, Emergency Medicine clinical specialists
+ Advanced degree such as an MBA, MHA, MPH
+ Exposure to Public Health, Population Health, analytics, and use of business metrics.
+ Experience working with Case managers or Care managers on complex case management, including familiarity with social determinants of health.
+ The curiosity to learn, the flexibility to adapt and the courage to innovate
**Additional Information**
Typically reports to a Lead Medical Director, depending on the line of business. The Medical Director conducts Utilization Management or clinical validation of the care received by members in an assigned line of business, member population, or condition type. May also engage in dispute, grievance, and appeals reviews. May participate on project teams or organizational committees.
\#physiciancareers
Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.
**Scheduled Weekly Hours**
40
**Pay Range**
The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.
$223,800 - $313,100 per year
This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.
**Description of Benefits**
Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.
Application Deadline: 02-28-2026
**About us**
Humana Inc. (NYSE: HUM) is committed to putting health first - for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large.
**Equal Opportunity Employer**
It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.
Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our ***************************************************************************
Associate Actuary
Humana job in Saint Paul, MN
**Become a part of our caring community and help us put health first** The Associate Actuary, Analytics/Forecasting analyzes and forecasts financial, economic, and other data to provide accurate and timely information for strategic and operational decisions. Establishes metrics, provides data analyses, and works directly to support business intelligence. Evaluates industry, economic, financial, and market trends to forecast the organization's short, medium and long-term financial and competitive position. The Associate Actuary, Analytics/Forecasting work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors.
The Associate Actuary, Analytics/Forecasting ensures data integrity by developing and executing necessary processes and controls around the flow of data. Collaborates with stakeholders to understand business needs/issues, troubleshoots problems, conducts root cause analysis, and develops cost effective resolutions for data anomalies. Begins to influence department's strategy. Makes decisions on moderately complex to complex issues regarding technical approach for project components, and work is performed without direction. Exercises considerable latitude in determining objectives and approaches to assignments.
**In addition, the Associate Actuary will:**
+ Support long term projects aimed at advancing technical maturity, process efficiency, and forecasting accuracy. We are looking for creativity, curiosity, and a desire to explore and influence uncharted territory.
+ Conduct independent research, collaborate across many teams/departments, and require strong communication skills to be successful in the job.
**Use your skills to make an impact**
**Required Qualifications**
+ Bachelor's Degree
+ Associate of Society of Actuaries (ASA) designation
+ Meets eligibility requirements for Humana's Actuarial Professional Development Program (APDP)
+ MAAA
+ Strong communication skills
+ Demonstrated ability to communicate technical information with audiences not in the actuarial space
+ Must be passionate about contributing to an organization focused on continuously improving consumer experiences
+ 3+ years health industry experience with ASA, or 1+ years health industry experience with FSA
+ 2+ years SQL experience, or equivalent skillset
**Preferred Qualifications**
+ Medicare Advantage background
+ Creative, high degree of self-accountability
+ Experience in Python, PowerApps, and PowerBI
Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.
**Scheduled Weekly Hours**
40
**Pay Range**
The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.
$106,900 - $147,000 per year
This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.
**Description of Benefits**
Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.
Application Deadline: 12-30-2025
**About us**
Humana Inc. (NYSE: HUM) is committed to putting health first - for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large.
**Equal Opportunity Employer**
It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.
Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our ***************************************************************************
M&A Counsel - Healthcare & Strategic Transactions
Minneapolis, MN job
A leading health care organization located in Minneapolis is seeking an Associate General Counsel to oversee M&A legal functions. The ideal candidate should have a Juris Doctorate, at least 3 years of transactional experience, and strong skills in negotiation and stakeholder management. This position offers a competitive salary range of $132,200 to $226,600 annually along with a comprehensive benefits package.
#J-18808-Ljbffr
Pharmacist - Sign-On Bonus & Relocation Available
Minneapolis, MN job
Join Our Team at Walgreens as a Pharmacist! Why Walgreens - For You, For Your Family, For Your Future At Walgreens, pharmacists are medication experts and trusted healthcare providers reshaping the future of patient-focused care. With industry-leading resources, career advancement opportunities, and a strong commitment to work-life balance, we invest in you so you can invest in your patients.
For You - Competitive Pay & Flexible Scheduling
Competitive pay - Competitive wage offered based on geography and other business-related factors
Paid Time Off (PTO) - Available after three months of service (subject to state law) because work-life balance matters
Flexible scheduling - Flexible scheduling options to fit your lifestyle
For Your Family - Comprehensive Health & Wellness Benefits
Comprehensive benefits package including medical, prescription drug, dental, vision, disability and life insurance for qualifying team members. Plus free flu shots for all team members and other voluntary benefits
365 Get Healthy Here & Life365 Employee Assistance Program (EAP) - Mental health support and wellness programs
Family-forming support - Walgreens provides financial support for fertility treatments, including medical procedures and prescription medications. Eligible team members can also receive reimbursement for qualified adoption and surrogacy-related expenses
For Your Future - Growth, Education & Exclusive Perks
Opportunities for growth - Many pharmacists advance quickly into leadership roles in pharmacy operations, retail management, multi-site leadership, and corporate support functions
Walgreens University - Free training, certifications, and leadership development, plus tuition discounts at 30+ universities
Employee discounts - 25% off Walgreens brands and 15% off national brands, plus exclusive savings on electronics, travel, and more
401(k) with company match - Contribute to your retirement, and Walgreens provides matching contributions after one year and 1,000 hours of service. Additionally, Walgreens matches qualifying student loan payments as if they were 401(k) contributions
What You'll Do
Provide compassionate, expert-level pharmacy consulting services to patients
Educate and consult patients on medication usage, side effects, and cost-effective options
Deliver clinical healthcare services, including immunizations, diagnostic testing, and medication therapy management
Ensure medication safety through accurate compounding, dispensing, and regulatory compliance
Mentor and train pharmacy team members in a collaborative and supportive environment
Who You Are
Patient-focused & service-driven - You're committed to making healthcare personal
A collaborative team leader - You support, inspire, and uplift those around you
A lifelong learner - You stay ahead of industry advancements and professional growth
A problem-solver - You navigate challenges, from insurance claims to medication management, with ease
Apply Today & Build Your Future with Walgreens!
This is more than just a job-it's a career with purpose. See below for more details!
About Us
Founded in 1901, Walgreens (****************** proudly serves more than 9 million customers and patients each day across its approximately 8,000 stores throughout the U.S. and Puerto Rico. Walgreens has approximately 211,000 team members, including roughly 85,000 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.
Basic Qualifications
BS in Pharmacy or Pharmacist Degree from an accredited educational institution.
Current pharmacist licensure in the states within the district.
Experience performing prescription dispensing activities that demonstrate a strong working knowledge of applicable state and federal controlled substance laws.
Certified Immunizer or willing to become an immunizer within 90 days of hire.
Preferred Qualifications
At least 1 year experience as a pharmacist in a retail setting including prescription filling and verification, records and legal compliance, pharmacy operations, pharmacy software and technology systems and insurance.
We will consider employment of qualified applicants with arrest and conviction records.
An Equal Opportunity Employer, including disability/veterans.
The Salary below is being provided to promote pay transparency and equal employment opportunities at Walgreens. The actual hourly 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: Pharmacist Hourly $73.80-$81.20
IHWA Data and Reporting Professional
Humana job in Saint Paul, MN
**Become a part of our caring community and help us put health first** The Data and Reporting Professional 2 generates ad hoc reports and regular datasets or report information for end-users using system tools and database or data warehouse queries and scripts. The Data and Reporting Professional 2 work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action.
The In-Home Health and Wellbeing assessment team is seeking a Business Analyst who is adept in data analytics and possesses a keen eye for monitoring and troubleshooting KPIs. This role requires someone who can effectively perform ad-hoc analyses to support our business objectives. The ideal candidate will have insatiable curiosity and a strong aptitude for learning.
**Key Responsibilities:**
+ Develop SQL queries for ad hoc data pulls, analysis, and identification of root cause
+ Utilize existing reports and dashboards to monitor and report out on key performance indicators (KPIs).
+ Conduct ad-hoc analyses to provide insights and support decision-making processes.
+ Collaborate with cross-functional teams to gather requirements and enhance reporting capabilities.
+ Refine business processes to improve efficiency and effectiveness.
+ This position will have a list of regular monthly and weekly to-do items on top of ad-hoc analysis requests and projects.
**Use your skills to make an impact**
**Required Qualifications**
+ Minimum one (1) year experience in a data and analytics-oriented role with monitoring of KPI's
+ In-depth experience in Microsoft Excel including formulas, pivots, charts, and graphs.
+ Strong analytical skills and attention to detail.
+ Excellent organizational skills.
+ Ability to read and understand raw data, reports and dashboards.
+ Excellent problem-solving abilities and a proactive approach to identifying and resolving issues.
+ Strategic thinker and skilled communicator.
+ Must be passionate about contributing to a team focused on continuous learning and improvement.
+ Ability to manage multiple projects simultaneously and meet deadlines.
**Preferred Qualifications**
+ Bachelor's degree in business administration/information systems
+ Medicare Risk Adjustment background and knowledge.
+ 1 or more years of experience in SQL, databricks, or Power BI
+ Experience in designing, developing, and maintaining visually appealing reports and dashboards in Power Bi, Microsoft PowerPoint, or similar applications.
+ Automation experience.
+ Proficiency in understanding Healthcare related data.
**Additional Information**
To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria:
+ At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is 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.
**Workstyle** : Open for Hybrid or Remote Work at Home
**Location:** U.S.
**Schedule:** 8:00 AM - 5:00 PM Eastern Time Monday through Friday
**Travel:** occasional onsite as business needs require.
**Work at Home Guidance** To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is 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.
**SSN Alert** Humana values personal identity protection. Please be aware that applicants may be asked to provide their Social Security Number, if it is not already on file. When required, an email will be sent from ******************** with instructions on how to add the information into your official application on Humana's secure website.
**Interview Format** As part of our hiring process for this opportunity, we will be using an interviewing technology called HireVue to enhance our hiring and decision-making ability. HireVue allows us to quickly connect and gain valuable information from you pertaining to your relevant skills and experience at a time that is best for your schedule.
Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.
**Scheduled Weekly Hours**
40
**Pay Range**
The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.
$60,800 - $82,900 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.
Application Deadline: 01-08-2026
**About us**
Humana Inc. (NYSE: HUM) is committed to putting health first - for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large.
**Equal Opportunity Employer**
It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.
Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our ***************************************************************************
Easy ApplyNational Dental Contracting Professional - Medicaid - VSP
Humana job in Saint Paul, MN
**Become a part of our caring community and help us put health first** The National Dental Contracting Professional - Medicaid is responsible for identifying, engaging, and contracting with qualified dentists to join the insurance carrier's Medicaid dental network. This role ensures the network meets accessibility, quality, and compliance standards as required by Medicaid regulations and company policies. The recruiter develops relationships with dental providers, manages the contracting process, and supports provider onboarding to enhance member access to dental care.
Responsibilities of the National Dental Contracting Professional - Medicaid:
+ Proactively source and identify dentists and dental practices for participation in the Medicaid dental network.
+ Develop and implement outreach strategies to attract qualified dental providers, including cold calling, networking, and attending industry events.
+ Present the benefits of participating in the insurance carrier's Medicaid network and address questions or concerns from providers.
+ Facilitate the contracting process, including negotiating terms, collecting required documentation, and ensuring compliance with state and federal Medicaid guidelines.
+ Collaborate with internal teams (legal, credentialing, provider relations) to support a smooth onboarding experience for new providers.
+ Maintain accurate records of recruitment activities, contract status, and provider information in accordance with company and regulatory standards.
+ Monitor market trends and provider feedback to optimize recruitment efforts and network adequacy.
+ Participate in ongoing training related to Medicaid dental program requirements and provider network management.
+ Responsible for developing, coordinating, and delivering educational programs to dental providers participating in Medicaid.
+ Ensures providers understand Medicaid policies, compliance requirements, best practices, and program updates, thereby improving quality of care and adherence to regulatory standards.
**This role is Variable Staffing Pool( VSP), Variable Staffing Pool Humana associates work specific hours to meet business needs on a limited term basis.**
**Use your skills to make an impact**
**Required Qualifications**
+ Minimum of 4 years of experience in dental provider Medicaid recruitment, provider service and retention.
+ Knowledge of Medicaid dental programs, provider contracting, fee negotiations, and regulatory compliance is highly desirable.
+ Excellent communication, public speaking and relationship-building skills.
+ Strong organizational and project management abilities.
+ Proficiency with Microsoft Office and salesforce platform.
**Preferred Qualifications**
+ Bachelor's degree in business, healthcare administration, or related field preferred.
**Additional Information**
+ At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is suggested.
+ Satellite, cellular and microwave connection can be used only if approved by leadership
+ Associates who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense.
+ Humana will provide Home or Hybrid Home/Office associates with telephone equipment appropriate to meet the business requirements for their position/job.
+ Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information
Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.
**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.
$65,000 - $88,600 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.
Application Deadline: 01-09-2026
**About us**
Humana Inc. (NYSE: HUM) is committed to putting health first - for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large.
**Equal Opportunity Employer**
It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.
Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our ***************************************************************************
Content Designer
Humana job in Saint Paul, MN
**Become a part of our caring community and help us put health first** Humana is committed to innovative digital experiences that improve our members' quality of life and the interactions they have with us. We are looking for a content designer who is passionate about digital content and the critical role it plays in customer experience. As a member of Humana's Consumer Digital team, you will be responsible for defining and creating content that ensures people get the information they need to successfully choose and use their plans.
By partnering with leaders from business, research, design, technology, marketing and legal and compliance, you will ensure we get the right information, in the right ways, at the right times to audiences that include consumers, members, providers, employers and agents.
As the Content Designer, you will:
+ Create content strategies and direct information hierarchy, content types, voice and tone to ensure content is aligned to established audience and business objectives, research insights, brand standards, legal and compliance requirements, accessibility best practices and digital standards
+ Collaborate with other UX experts on content organization, navigation, site maps and information architecture
+ Seek simplicity, distilling complex concepts into clear, concise and contextual content and taxonomies
+ Create and manage copy for all steps of the digital experience, including headlines, product summaries and comparison, alt text, microcopy, buttons, navigation and error messaging
+ Develop tools such as content matrices and editorial calendars to track and manage content updates
+ Regularly audit and inventory online content to identify gaps in quality, compliance, standards and branding
+ Continuously improve digital content, including partnering to identify research needs, mining user data and insights and conducting competitive assessments
+ Maintain Humana digital content guidelines, standards, tools and processes
**Use your skills to make an impact**
**Required Qualifications**
+ Bachelor's Degree in English, Journalism or similar field
+ At least 3+ years of content strategy and UX writing experience
+ E-commerce experience
+ Experience writing and optimizing content for a variety of content types, digital channels and secure portals
+ Well-organized and detail-oriented, capable of handling multiple projects simultaneously, and able to move between strategic and tactical work
+ Familiar with working in a regulatory environment that requires legal and compliance oversight
+ Excellent verbal, written, and presentation skills
+ Experience with collaboration and agile technology, such as Jira
Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.
**Scheduled Weekly Hours**
40
**Pay Range**
The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.
$65,000 - $88,600 per year
This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.
**Description of Benefits**
Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.
Application Deadline: 01-01-2026
**About us**
Humana Inc. (NYSE: HUM) is committed to putting health first - for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large.
**Equal Opportunity Employer**
It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.
Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our ***************************************************************************
Patient Services Coordinator-LPN, Home Health
Humana Inc. job in Brooklyn Park, MN
Become a part of our caring community and help us put health first The Patient Services Coordinator-LPN is directly responsible for scheduling visits and communicating with field staff, patients, physicians, etc. to maintain proper care coordination and continuity of care. The role also assists with day-to-day office and staff management
* Manages schedules for all patients. Edits schedule for agents calling in sick, ensuring patients are reassigned timely. Updates agent unavailability in worker console.
* Initiates infection control forms as needed, sends the HRD the completed "Employee Infection Report" to upload in the worker console.
* Serves as back up during the lunch hour and other busy times including receiving calls from the field staff and assisting with weekly case conferences. Refers clinical questions to Branch Director as necessary.
* Maintains the client hospitalization log, including entering coordination notes, and sending electronic log to all office, field, and sales staff.
* Completes requested schedule as task appears on the action screen. Ensures staff are scheduled for skilled nurse/injection visits unless an aide supervisory visit is scheduled in conjunction with the injection visit.
* Completes requested schedules for all add-ons and applicable orders:
* Schedules discharge visit / OASIS Collection or recert visit following case conference when task appears on action screen.
* Schedules TIF OASIS collection visits and deletes remaining schedule.
* Reschedules declined or missed (if appropriate) visits.
* Processes reassigned and rescheduled visits.
* Ensures supervisory visits are scheduled.
* Runs all scheduling reports including Agent Summary Report and Missed Visits Done on Paper Report.
* Prepares weekly Agent Schedules. Performs initial review of weekly schedule for productivity / geographic issues and forwards schedule to Branch Director for approval prior to distribution to staff.
* Verifies visit paper notes in scheduling console as needed.
* Assists with internal transfer of patients between branch offices.
* If clinical, receives lab reports and assesses for normality, fax a copy of lab to doctor, make a copy for the Case Manager, and route to Medical Records Department. Initiate Employee / Patient Infection Reports as necessary.
* If clinical, may be required to perform patient visits and / or participate in on-call rotation.
Use your skills to make an impact
Required Experience/Skills:
* Be a Licensed Professional Nurse or a Licensed Vocational Nurse licensed in the state in which he / she practices
* Have at least 1 year of home health experience.
* Prior packet review / QI experience preferred.
* Coding certification is preferred.
* Must possess a valid state driver's license and automobile liability insurance.
* Must be currently licensed in the State of employment if applicable.
* Must possess excellent communication skills, the ability to interact well with a diverse group of individuals, strong organizational skills, and the ability to manage and prioritize multiple assignments.
Scheduled Weekly Hours
40
Pay Range
The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.
$48,900 - $66,200 per year
Description of Benefits
Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.
About Us
About CenterWell Home Health: CenterWell Home Health specializes in personalized, comprehensive home care for patients managing a chronic condition or recovering from injury, illness, surgery or hospitalization. Our care teams include nurses, physical therapists, occupational therapists, speech-language pathologists, home health aides, and medical social workers - all working together to help patients rehabilitate, recover and regain their independence so they can live healthier and happier lives.
About CenterWell, a Humana company: CenterWell creates experiences that put patients at the center. As the nation's largest provider of senior-focused primary care, one of the largest providers of home health services, and fourth largest pharmacy benefit manager, CenterWell is focused on whole-person health by addressing the physical, emotional and social wellness of our patients. As part of Humana Inc. (NYSE: HUM), CenterWell offers stability, industry-leading benefits, and opportunities to grow yourself and your career. We proudly employ more than 30,000 clinicians who are committed to putting health first - for our teammates, patients, communities and company. By providing flexible scheduling options, clinical certifications, leadership development programs and career coaching, we allow employees to invest in their personal and professional well-being, all from day one.
Equal Opportunity Employer
It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.
Sr. Program Delivery Professional IWHA-Interoperability
Humana job in Saint Paul, MN
**Become a part of our caring community and help us put health first** The Senior Program Delivery Professional strategically identifies, develops, and implements programs that influence providers, members or market leadership towards value-based relationships and/or improved quality metrics. The Senior Program Delivery Professional work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors.
The Program Delivery Professional - IHWA Interoperability plays a key role in driving seamless data integration and collaboration within the In-Home Health and Wellbeing Assessment (IHWA) team and across interoperability initiatives. Serving as a business subject matter expert (SME), this individual partners closely with internal and external stakeholders, as well as the Interoperability team, to advance program objectives.
Key responsibilities include collaborating with leaders on implementation planning, reviewing and communicating program results, and contributing to the ongoing improvement of processes and automation. The role also begins to influence departmental strategy and requires independent decision-making on moderately complex to complex technical matters related to project components. Work is performed without direct supervision, with considerable latitude in determining objectives and approaches to assignments.
The ideal candidate demonstrates a collaborative approach, a strong interest in technology solutions, and a commitment to continuous process improvement.
**Use your skills to make an impact**
**Required Qualifications**
+ Minimum three, (3) years of IT project management or business process automation, experience in technology solutions.
+ Excellent communication skills, both oral and written
+ Proven experience in interoperability or data integration within a healthcare or technology setting.
+ Strong problem-solving skills with demonstrated success in process improvement initiatives and process automation.
+ Familiarity with various technology solutions and interest in exploring new innovations.
+ Excellent collaboration, and stakeholder management abilities.
+ Experience with managing and monitoring successful and impactful projects.
+ Self-starter with the ability to work independently and as part of a team.
+ Futuristic and broad thinker with attention to detail and downstream impacts.
**Preferred Qualifications**
+ Bachelor's degree in Information Technology, Computer Science, Information Systems, or a related field.
+ Experience with EHR integration or usage.
+ Experience with AI integration.
+ Experience automating business processes.
+ PMP certification a plus
+ Knowledge and experience in health care environment/managed care
+ Strong analytical skills
**Workstyle** : Open for Hybrid or Remote Work at Home
**Location:** U.S.
**Schedule:** 8:00 AM - 5:00 PM Eastern Time Monday through Friday
**Travel:** occasional onsite as business needs require.
**Work at Home Guidance** To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is 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.
**SSN Alert** Humana values personal identity protection. Please be aware that applicants may be asked to provide their Social Security Number, if it is not already on file. When required, an email will be sent from ******************** with instructions on how to add the information into your official application on Humana's secure website.
**Interview Format** As part of our hiring process for this opportunity, we will be using an interviewing technology called HireVue to enhance our hiring and decision-making ability. HireVue allows us to quickly connect and gain valuable information from you pertaining to your relevant skills and experience at a time that is best for your schedule.
Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.
**Scheduled Weekly Hours**
40
**Pay Range**
The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.
$86,300 - $118,700 per year
This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.
**Description of Benefits**
Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.
Application Deadline: 01-08-2026
**About us**
Humana Inc. (NYSE: HUM) is committed to putting health first - for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large.
**Equal Opportunity Employer**
It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.
Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our ***************************************************************************
Easy ApplyPhoto Specialist
Woodbury, MN job
* Provides customers with courteous, friendly, fast, and efficient photo service and information. * Models and delivers a distinctive and delightful customer experience. * Assists in other store functions, as requested (e.g. assisting customers at register, maintaining other departments).
Customer Experience
* Engages customers and patients by greeting them and offering assistance with products and services. 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
* Provides customers with courteous, friendly, fast, and efficient service in the photo area, including digital passport photo service and suggestive sell of promotional photo products.
* Recommends items for sale to customer and recommends trade-up and/or companion items.
* Registers customer purchases on assigned cash register, collects cash and distributes change as requested; processes voids, returns, rain checks, refunds, and exchanges as needed.
* Keeps counters and shelves clean and well merchandised, takes inventory, and maintains records. Checks in and prices merchandise as required or as directed by store manager or communicated by the shift leader.
* Implements Company asset protection procedures to identify and minimize profit loss.
* Ensures compliance with state and local laws regarding regulated products (e.g., alcoholic beverages and tobacco products).
* Constructs and maintains displays, including promotional, seasonal, super structures, and sale merchandise. Completes resets and revisions as directed.
* Has working knowledge of store systems and store equipment.
* Assumes web pick-up responsibilities (monitors orders in Picture Care Plus, fills orders (pick items), delivers orders to customers as they arrive at store).
* Assists with exterior and interior maintenance by ensuring clean, neat, orderly store condition and appearance.
* Complies with all company policies and procedures; maintains respectful relationships with coworkers.
* Completes special assignments and other tasks as assigned.
Training & Personal Development
* Attends training and completes PPLs requested by Manager or assigned by corporate.
Basic Qualifications
* Must be fluent in reading, writing, and speaking English. (Except in Puerto Rico)
* Requires willingness to work flexible schedule, including evenings and weekend hours.
Preferred Qualifications
* Prefer six months of experience in a retail environment.
* Prefer to have prior work experience with Walgreens.
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: $15 - $17.5 / Hourly
Billing Compliance Auditor
Minneapolis, MN job
_This position is National Remote. You'll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges._ Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start **Caring. Connecting. Growing together.**
This position is full time Monday - Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 6:00 am - 6:00 pm EST. It may be necessary to attend later meetings according to physician's schedule.
We offer 12 weeks of on-the-job training. The hours of the training will be aligned with your schedule.
**Primary Responsibilities:**
+ Responsible for performing internal coding audits and billing compliance reviews of various elements of physician billing for the organization.
+ Works within specified third party payer and federal (CMS) coding/billing regulations.
+ Develops training and education materials.
+ Provides training and education to providers, clinical department and Revenue Operations staff.
+ Provides other internal billing-related compliance services to the organization as required.
+ Measures coding trends as compared to national standards.
+ Review work samples from applicable reps/analysts to ensure quality/accuracy (e.g., billing processors, quality reps, collection reps).
+ Demonstrate understanding of applicable quality review processes (e.g., corporate reviews, individual reviews, focus reviews, review to outcome analysis).
+ Communicate audit/review findings to applicable stakeholders, as needed (e.g., Billing Operations, Customer Care, Optum).
+ Respond to inquiries from applicable stakeholders (e.g., Quality groups, Billing Operations, Customer Care, vendors), and escalate as needed and take appropriate action.
+ Review and ensure accuracy of audit reports prior to distribution to upper management.
+ Provide support for external audit requests, as needed (e.g. Performant).
You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
**Required Qualifications:**
+ High School Diploma / GED
+ Must be 18 years of age OR older
+ Certified Professional Coder required (one of the following: CPC, CCS, CPMA, CEMC or COC)
+ 3+ years of experience in a physician/professional billing environment
+ Experience with auditing physician chart utilizing E+M guidelines
+ Experience with Microsoft Office Suite (Microsoft Excel, Microsoft Word, Microsoft Power Point) or successful completion of related course
+ Must show proficiency in current billing software (EPIC) within six (6) months
+ Ability to work any of our 8-hour shift schedules during our normal business hours of 6:00 am - 6:00 pm EST. It may be necessary, given the business need, to work occasional overtime
**Preferred Qualifications:**
+ Great communication skills
+ Ability to work independently and within a team
+ Demonstrated experience with third party payer guidelines
+ Provider education/Presentation Skills
+ Utilize standard scoring (CMS) methodologies to report findings to providers
+ Ability to employ clinical reference with the auditing process
+ Apply CPT and ICD-10 coding convention to documentation guidelines
+ Apply CMS and other payer constraints to final code and documentation determination
+ Knowledge of medical terminology
**Telecommuting Requirements:**
+ Ability to keep all company sensitive documents secure (if applicable)
+ Required to have a dedicated work area established that is separated from other living areas and provides information privacy
+ Must live in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service
*All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy.
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $48,700 - $87,000 annually based on full-time employment. We comply with all minimum wage laws as applicable.
**_Application Deadline:_** _This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants._
_At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location, and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups, and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission._
_UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations._
_UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment._
\#RPO #RED
Senior Manager, MarketPoint Sales - Raleigh Durham, NC.
Humana job in Saint Paul, MN
**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.
Are you passionate about the Medicare population, looking for a role in management with the ability to directly impact your own income potential? If so, we are looking for licensed, highly motivated and self-driven individuals to join our team. Our Senior Manager, Medicare Sales, motivates and drives a team of Medicare Sales Field Agents who sell individual health plan products and educate beneficiaries on our services in a field setting. Our teams also sell Life, Annuity, Indemnity, Dental, Vision, Prescription plans, and more.
Humana has an inclusive and diverse culture welcoming candidates with multilingual skill sets to service our consumers.
**This role is** **field** **based, and you will be out and about in the field in the Raleigh** **Durham, NC.** **area working with your team and meeting members face to face. You must reside in Raleigh** **Durham, NC.** **area or be willing to relocate to the area.**
In this **field** position, you will; coach, mentor, educate, motivate and train a team of sales individuals. The Senior Manager, Medicare Sales, must have a solid understanding of the market they serve, how to resolve operational problems and provide creative solutions to increase sales while following CMS guidelines. This role also involves cultivating, maintaining, and building relationships with Humana's customers, both internal and external business partners, along with the community we serve through telephonic, virtual, and face-to-face interactions with individuals and groups. Other responsibilities include developing marketing budgets, and looking for branding opportunities.
**Use your skills to make an impact**
**Required Qualifications**
+ **Must reside in the** **Raleigh** **Durham, NC.** **area or be willing to relocate**
+ **Active Health & Life Insurance Licenses**
+ 2 or more years of sales leadership experience
+ 6 or more years of experience working in the insurance industry
+ Must be able to travel up to 50% of the time
+ Ability to lead a team of sales associates and train them in successful sales techniques, educational presentation skills, utilizing technology tools as well as building relationships with communities and medical providers
+ Strong aptitude for technology with proficiency in MS Office products, various CRM platforms, and various iPhone app capabilities
+ Must be a strong leader, strong producer
+ Strong organizational, interpersonal, communication and presentation skills
+ Ability to adapt and overcome when necessary
+ Community Engagement/Grassroots experience in marketing Medicare plans in the community
+ Must be passionate about contributing to an organization focused on continuously improving consumer experiences
+ This role is part of Humana's Driver safety program and therefore requires an individual to have a valid state driver's license and proof of personal vehicle liability insurance with at least 100/300/100 limits
**Preferred Qualifications**
+ Bachelor's Degree
+ Prior experience working in Medicare and the health solutions industry
+ Engaged with the community through service, organizations, activities and volunteerism
+ Project management background or certification a plus
+ Bilingual with the ability to speak, read and write without limitations or assistance
**Humana Perks:**
Full time associates enjoy:
+ Base salary with a competitive commission structure
+ Medical, Dental, Vision and a variety of other supplemental insurances
+ Paid time off (PTO) & Paid Holidays
+ 401(k) retirement savings plan
+ Tuition reimbursement and/or scholarships for qualifying dependent children.
+ And much more!
**Social Security Task:**
Alert: Humana values personal identity protection. Please be aware that applicants being considered for an interview will be asked to provide a social security number, if it is not already on file. When required, an email will be sent from ******************** with instructions to add the information into the application at Humana's secure website.
**Virtual Pre-Screen:**
As part of our hiring process for this opportunity, we will be using exciting virtual pre-screen technology called HireVue to enhance our hiring and decision-making ability. HireVue allows us to quickly connect and gain valuable information for you pertaining to your relevant skills and experience at a time that is best for your schedule. If you are selected for a virtual pre-screen, you will receive an email and text correspondence inviting you to participate in a HireVue interview. In this virtual pre-screen, you will receive a set of questions to answer. You should anticipate this virtual pre-screen to take about 10-15 minutes.
\#MedicareSalesManager \#MedicareSalesReps
Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.
**Scheduled Weekly Hours**
40
**Pay Range**
The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.
$77,000 - $105,100 per year
This job is eligible for a commission incentive plan. This incentive opportunity is based upon company and/or individual performance.
**Description of Benefits**
Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.
Application Deadline: 01-30-2026
**About us**
Humana Inc. (NYSE: HUM) is committed to putting health first - for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large.
**Equal Opportunity Employer**
It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.
Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our ***************************************************************************
Easy ApplyMaintenance Technician Assistant
Brooklyn Park, MN job
Supports the maintenance team by assisting with routine maintenance, repairs, and the upkeep of equipment and facility systems to ensure efficient, reliable and smooth operations. This role primarily focuses on ensuring equipment reliability, performing preventive maintenance, and driving continuous improvements across facility operations. This role is ideal for someone eager to learn technical skills in mechanical, electrical, and general maintenance trades.
Job Responsibilities
Operates and maintains fulfillment equipment to ensure smooth daily operations.
Performs routine preventive maintenance on material-handling systems per guidelines.
Assists with mechanical, electrical, and hydraulic troubleshooting and minor repairs.
Escalates complex issues to seasoned colleagues (such as maintenance technicians, senior maintenance technicians), and supervisor as needed.
Clears jams, removes obstructions, and conducts general equipment upkeep.
Supports equipment repairs and part replacements under technician supervision.
Performs facility maintenance tasks, including lighting, minor construction, and plumbing.
Maintains accurate maintenance records and adheres to safety and cleanliness protocols.
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.
High School Diploma or GED.
Basic troubleshooting and diagnostic skills with strong attention to detail.
Ability to perform physical tasks, including lifting up to 50 lbs., standing for extended periods, climbing ladders, and working in various environments.
Strong problem-solving skills and ability to follow safety protocols.
Technical certification or coursework in electrical, mechanical, HVAC, or industrial maintenance.
Previous experience in a maintenance or technical role (even as a trainee or apprentice).
Basic understanding of electrical circuits, plumbing, HVAC systems, or mechanical systems.
Familiarity with preventive maintenance procedures and basic troubleshooting.
Ability to work independently and in a team.
Good organizational skills and attention to detail.
We will consider employment of qualified applicants with arrest and conviction records.
Speech Therapist, Home Health
Humana Inc. job in Saint Paul, MN
Become a part of our caring community and help us put health first As a Part-Time Speech Therapist at CenterWell Home Health, you'll play a vital role in helping patients regain strength, mobility and independence-all from the comfort of their homes. By delivering personalized care that focuses on rehabilitation and functional improvement, you'll empower individuals to overcome physical limitations, perform everyday activities with confidence and enjoy a better quality of life.
As a Home Health Speech Language Pathologist, you will:
* Evaluate, direct and provide speech/language pathology service to patients in the home or facility
* Participate in the development and periodic review of the Plan of Treatment and Plan of Care.
* Utilize professional skills and judgment in assessing and treating disorders of speech, voice, language, hearing and swallowing to prevent, identify, evaluate and minimize the effects of such disorders and conditions.
* Administer and interpret diagnostic tests and applications of therapeutic treatments including audio logic screening.
* Observe, record and report changes in the patient's condition and response to treatment to supervisor and/or the physician.
* Provide instruction and training to patients in use of alternative communication systems when appropriate.
* Provide counsel and instruction to patients, families and healthcare staff.
* Maintain and submit documentation as required by the Company and/or facility. Prepare and submit timely written reports of evaluations, visits, summaries, care plans, care coordination activities and progress reports as required by Company policy.
* Participate in care coordination activities and discharge planning.
* Maintain the highest standards of professional conduct in relation to information that is confidential in nature. Share information only when the recipient's right to access is clearly established and the sharing of such information is clearly in the best interests of the patient.
* Attend, participate in and/or conduct internal staff development programs, obtain continuing education as required by Company policy, regulation.
Use your skills to make an impact
Required Experience/Skills:
* Meet the education and experience requirements for Certification of Clinical Competence in Speech Language Pathology or Audiology granted by ASHA
* Minimum of six months experience as a speech therapist / speech language pathologist
* Home Health experience a plus
* Current and unrestricted license
* Current CPR certification
* Good organizational and communication skills
* A valid driver's license, auto insurance, and reliable transportation are required.
Pay Range
* $49.00 - $69.00 - pay per visit/unit
* $77,200 - $106,200 per year base pay
Patient visits available in:
Chaska, Chanhassen, Excelsior, MTKA, St Louis Park, Plymouth, Brooklyn Park, Golden Valley and northern part of the cities.
Scheduled Weekly Hours
24
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.
$59,300 - $80,900 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.
Inventory Specialist
Chanhassen, MN 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.
$17 - $20 / Hourly
Strategy Advancement Advisor - Distribution Strategy
Humana job in Saint Paul, MN
**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 Strategy Advancement Advisor provides data-based strategic direction to identify and address business issues and opportunities. Provides business intelligence and strategic planning support for business segments or the company at large. The Strategy Advancement Advisor works on problems of diverse scope and complexity ranging from moderate to substantial.
**Become a part of our caring community and help us put health first**
The Strategy Advisor (Distribution) provides data-based strategic direction to identify and address business issues and opportunities. Provides business intelligence and strategic planning support for the Enterprise Growth vertical. The Strategy Advisor's work involves complex assignments performed without direction where the analysis of situations or data requires an in-depth evaluation of variable factors. This work may require leading end-to-end strategy engagements.
As part of the Strategy Advancement team, this role will lead MarketPoint's strategic investment portfolio, responsible building a new intake, evaluation, and measurement process that spans across range of cross-functional initiatives. The role requires comfort with ambiguity and creating new solutions in the "white space" where answers are not clear cut or readily available. A successful candidate will be someone who has worked for several years in large matrixed organization (e.g. a publicly traded corporation or large not profit organization) or has several years' experience with stakeholder management (strategy/operations at a top-tier consulting/professional services firm). They will have a demonstrated ability to synthesize large amounts of information into clear and concise outputs (PPT, Excel, PowerBI). This person must be comfortable working collaboratively with senior leaders and subject matter experts alike and should have a high degree of executive presence leading engagements with these stakeholders. This person also will be effective at multitasking and possess keen program and change management skills to balance an evolving set of priorities and deadlines. Healthcare experience is a plus, but not required, though must have a history of mastering an understanding of their prior industry.
Other examples of the kind of work required from this role include leading the analysis of complex business problems and issues using data from internal and external sources. The candidate should bring expertise or identify subject matter experts in support of multi-functional efforts to identify, interpret, and produce strategic recommendations and plans. The candidate's work will substantially shape the thinking of distribution org. They will exercise independent judgment and decision making on complex issues to determine the best course of action and work under minimal supervision.
**Use your skills to make an impact**
About the team: Humana's distribution organization, MarketPoint, plays a key part in driving Humana's long-term vision to achieve leading growth in Medicare and individual products. The MarketPoint strategy team was created to help transform Humana's customer acquisition approach. The team functions with a mandate to think creatively, discover new opportunities and re-envision operations to drive growth and deliver a first-class experience to our members and agents.
**Responsibilities:**
+ Develops and leads MarketPoint's investment and strategic initiatives intake, evaluation, and measurement process
+ Tracks and reports out on investment and initiative performance on a regular basis, partnering closely with analytics, finance, operations, to refine analyses
+ Develops high-quality analysis and deliverables that clearly frame organizational objectives, issues/challenges, and articulate compelling, insightful findings, value, and recommendations for senior leadership
+ Lead key portions of presentations at high-visibility meetings, including developing new meeting cadence with senior leadership to review portfolio performance
+ Assist MarketPoint leadership in communicating value and impact of MarketPoint initiatives to broader Humana organization
+ Coach junior team members to develop technical and professional skillsets
**Use your skills to make an impact**
**Required Qualifications**
+ Bachelor's degree
+ 3+ years of experience in strategy consulting, investment banking, corporate/business unit strategy, or finance
+ 2+ years of project/program leadership experience
+ Demonstrated ability for bringing structure to ambiguity / working in 'white space' to independently manage strategy engagements end-to-end from conception to final deliverables
+ Strong problem-solving skills and the ability to perform complex qualitative / quantitative analysis and modeling
+ Excellent verbal and written communication including familiarity with slide design and storytelling with data
+ Highly collaborative, flexible, takes coaching, team-oriented working style; builds social capital easily
+ Ability to quickly build and maintain trust with both senior business leaders and subject matter experts
+ Ability to operate in a fast-paced environment under tight deadlines
+ Demonstrated commitment to personal and professional growth
**Preferred Qualifications**
+ Healthcare industry experience, preferably in the managed care or provider sector
+ MBA, MA/MS, PhD, or graduate degree in a management field, with outstanding academic credentials
+ Track record of setting and exceeding performance metrics, with a focus on delivering tangible and measurable results
**Additional Information**
**- Position does have the potential for up to 5% travel.**
**- Position will be working Eastern (EST) hours.**
**Virtual Pre-Screen**
As part of our hiring process for this opportunity, we will be using an exciting 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 for a first round interview, you will receive an email correspondence (please be sure to check your spam or junk folders often to ensure communication isn't missed) inviting you to participate in a HireVue interview. In this interview, you will listen to a set of interview questions over your phone or text and you will provide recorded responses to each question. You should anticipate this interview to take about 15 to 30 minutes. Your recorded interview will be reviewed and you will subsequently be informed if you will be moving forward to next round of interviews.
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.
**Work-At-Home Requirements**
At minimum, a download speed of 25 mbps and an upload speed of 10 mbps is recommended; wireless, wired cable or DSL connection is suggested Satellite, cellular and microwave connection can be used only if approved by leadership Associates who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense. Humana will provide Home or Hybrid Home/Office associates with telephone equipment appropriate to meet the business requirements for their position/job. Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information
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.
Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.
**Scheduled Weekly Hours**
40
**Pay Range**
The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.
$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.
Application Deadline: 12-27-2025
**About us**
Humana Inc. (NYSE: HUM) is committed to putting health first - for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large.
**Equal Opportunity Employer**
It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.
Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our ***************************************************************************
Easy ApplyAI Product Management Intern - Master's/Ph.D. -Eden Prairie, MN
Eden Prairie, MN job
Internships at UnitedHealth Group. If you want an intern experience that will dramatically shape your career, consider a company that's dramatically shaping our entire health care system. UnitedHealth Group internship opportunities will provide a hands-on view of a rapidly evolving, incredibly challenging marketplace of ideas, products and services. You'll work side by side with some of the smartest people in the business on assignments that matter. So here we are. You have a lot to learn. We have a lot to do. It's the perfect storm. Join us to start Caring. Connecting. Growing together.
About Us
Optum Insight simplifies health care through technology, analytics, and trusted connections.
We help customers reduce costs, manage risk and quality, and grow revenue by streamlining clinical, administrative, and financial processes. Our mission is to deliver the right insights to the right places at the right time-improving patient outcomes, reducing friction, and lowering costs.
Health care is at a turning point where even small improvements can drive major transformation. At Optum Insight, you'll work on high-performance teams solving complex challenges with optimism and innovation. Your skills can make a lasting impact on millions of lives every day.
Join us to shape the future of health care with advanced technology, data-driven insights, and a culture of collaboration and possibility.
For you, that means working on high performance teams tackling sophisticated challenges. It's a culture of optimism unlike any place you've ever worked, filled with incredible ideas in one incredible company.
Are you ready?
Step into the future of healthcare innovation with an AI Product Management Internship within the Product & Business Development Program-a dynamic 10-week experience designed to immerse you in the world of product strategy, development, and AI-driven solutions.
This position follows a hybrid schedule with four in-office days per week.
Program Highlights:
* Full-Time summer internship position working 40 standard business working hours
* Program Dates: Monday- Friday from June 2nd, 2026 - August 7th, 2026
* Program Location: Eden Prairie, MN
* A housing stipend will be provided for those who meet the eligibility requirements
* 4:1 Hybrid Work Schedule: Interns will work on-site at Company Headquarters four days per week, with one flexible remote day. This schedule maximizes opportunities for in-person collaboration, visibility with senior leaders, and solid connections within your intern cohort
* Real-World Impact: Work alongside experienced product management professionals to develop and deploy cutting-edge healthcare solutions. Apply AI and advanced technologies across the product lifecycle to drive meaningful business outcomes
* Project-Based Learning: Interns will be assigned a strategic project aligned with business needs and personal skillsets, offering hands-on experience and tangible contributions to enterprise initiatives
* Practical Insights: through on-site work at strategic locations, while building lasting professional relationships and developing key stakeholder management skills
This internship is more than a summer opportunity-it's a launchpad for a career in healthcare technology and product leadership.
The AI Product Management internship offers a 10-week immersive experience where you'll collaborate with product management leaders. This internship provides a unique chance to contribute to the implementation of innovative solutions throughout the product development process while driving business success.
The start date for this internship is June 2, 2026.
A housing stipend will be provided for those who meet the eligibility requirements.
* UnitedHealth Group is not able to offer visa sponsorship now or in the future for this position*
Primary Responsibilities:
* Perform in-depth market research and competitive analysis to uncover trends, opportunities, and risks
* Establish product requirements and roadmaps aligned with customer needs, business goals, and technical feasibility
* Work closely with engineering, design, marketing, and sales teams to drive product development and go-to-market strategies
* Evaluate user data, A/B test results, and key performance metrics to assess product success and enhance performance
* Create and present business cases for new product initiatives to stakeholders and leadership.
* Help prioritize product features and define key success metrics
* Participate in Agile product development activities, including backlog grooming, sprint planning, and stakeholder updates
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:
* Currently enrolled in a PhD or Master's degree program with a concentration in product management, data analytics, data science, information systems, computer science, business analytics, or a related area of study. with planned or completed AI coursework and a clear interest in Product Specialization
* 3+ years professional work experience in product management and AI solution lifecycle with proven impact and rapid delivery. Ideally with exposure to AI-driven projects or advanced analytics
* Proficiency in designing and documenting user flows and workflows for application development, with a focus on leveraging technology for process improvement. Familiarity with Agile methodologies and product management tools (e.g., JIRA, Trello)
* Ability to use quantitative and qualitative data to prioritize product features, optimize workflows, and deliver measurable business impact. Including experience applying data-driven decision-making in product strategy
* Proven track record of leading or contributing to initiatives where rapid innovation resulted in quantifiable business impact, such as cost savings, increased user adoption, or enhanced product capabilities
* Eligible to work in the U.S. without company sponsorship, now or in the future, for employment-based work authorization
* Ability to work from Eden Prairie, MN office for Summer 2026
Preferred Qualifications:
* Solid interest in pursuing a long-term career in product management, especially in AI-enabled healthcare or technology solutions
* Proven knowledge of software development, cloud platforms, machine learning, and automation tools.
* Experience with data analytics and user-centered design principles
* Demonstrated solid strategic thinking, problem-solving, and adaptability under pressure
* Ability to communicate complex ideas clearly to technical and non-technical audiences
* Skilled in cross-functional collaboration and influencing adoption of new technologies
* Proven excellent written and verbal communication; detail-oriented with solid analytical skills
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $85,000 to $125,000 annually based on full-time employment. We comply with all minimum wage laws as applicable.
At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.
UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.
UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.
Chief Architect with AI/ML for OptumRx
Eden Prairie, MN job
Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start **Caring. Connecting. Growing together.**
The Chief AI Architect for OptumRx leads the design and implementation of AgenticAI, shaping the company's AI/ML strategy. This role drives the shift to an AI-focused enterprise, collaborating with executives to set strategic direction, optimize operations, and enable innovation. The ideal candidate has solid AI/ML expertise, leadership experience, and a proven record in large-scale AI transformation.
**Primary Responsibilities:**
+ Involved across many aspects of architecture, design, build, engineering and implementation of technical solutions and capabilities providing technical leadership
+ Communicate overall architecture vision, technical strategies, and trade-offs across various levels in the organization to gain buy-in
+ Provide recommendations and technical guidance to improve performance, reliability, and reusability within the constraints of budget, resource and business dependencies
+ Engage across teams in a capacity that ranges from assisting on in-flight initiatives, up to technical briefings and demonstrations of new technologies across the organization
+ Leads business solutions, capabilities, and is a solid influencer that engages with client executives and stakeholders
+ Provides leadership to and is accountable for the performance and results through multiple layers of management and senior level professional staff
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:**
+ 8+ years of software engineering experience with Java and/or Python
+ 5+ years of knowledge in generative AI models, AgenticAI systems for autonomous decision-making, and traditional AI/ML techniques like supervised, unsupervised, and reinforcement learning
+ 3+ years of design and implementation of advanced AI/ML strategies
+ 3+ years of Cloud-Native AI deployment
**Preferred Qualifications:**
+ 2+ years of experience with frameworks such as Langgraph, Autogen, CrewAI, OpenAI APIs, and Scikit-learn
+ 1+ years of experience developing applications powered by generative AI (e.g., conversational AI, content creation, personalization) and AgenticAI systems for adaptive and goal-oriented decision-making
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $156,400 to $268,000 annually based on full-time employment. We comply with all minimum wage laws as applicable.
_At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission._
_UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations._
_UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment._
Hospital Coding Subject Matter Expert
Minneapolis, MN job
_This position is National Remote. You'll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges._ **Explore opportunities with Optum** , in strategic partnership with ProHealth Care. ProHealth Care is proud to be a leader in health care services, serving Waukesha County and the surrounding areas for more than a century. Explore opportunities across the full spectrum of care as you help us improve the well-being of the community with your skills, compassion and innovation. Be part of a collaborative environment that strives for excellence, nurtures respect and ensures high-quality care delivery to our patients. Join us in making an impact as an Optum Team Member supporting Pro Health Care and discover the meaning behind **Caring. Connecting. Growing together.**
Responsible for providing oversight to Optum360 coding services, directly overseeing facility-based and/or HIM (Health Information Management) Center operations leadership of Optum 360 Coding Departments within the assigned Region. The SME will lead key initiatives within the organization related to Quality metrics, workflow improvement, and audits, etc. to meet or exceed metrics, drive efficient coding services, and deliver performance excellence through standardization of processes and focus primarily on ensuring best practices are followed within their respective facilities.
The Coding SME is a critical member of the Optum360 HIM/Coding Operations team. This role is responsible for client facing meetings with the Quality Teams, CDI, and others directly related to accounts associated with prebill reviews, such as, HAC/PSIs. The Coding SME drives continuous quality improvements and tracks, monitors, and trends performance to improve business objectives and to disrupt the status quo to exceed Service Level Agreement commitments. This position must maintain strong client relationships and represent Optum360 in all aspects of its values.
This position is full-time (40 hours/week) Monday - Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 6am - 6pm. It may be necessary, given the business need, to work occasional overtime.
We offer weeks of on-the-job training and the hours during training will be during normal business hours.
**Primary Responsibilities:**
+ Maintains and demonstrates expert knowledge of coding, coding operations, coding review of all coding staff (domestic and global) and best demonstrated coding practices; drives the integration of Optum360 Coding related business objectives within the client environment.
+ Identifies & builds consensus for facilitation of system and process standardization, utilization of best practices, work integration, change management, issue resolution, metric development and measurement, and communication related to the key components of coding operations:
+ Works collaboratively with HIM, CDI, Client, and Coding Operations to monitor day to day coding operations, complete prebill coding reviews, and prebill quality reviews.
+ Assists Coding Leadership with oversight of processes and initiatives designed to continuously improve coding quality and/or efficiency.
+ Maintains expert knowledge of coding to ensure high level of accuracy and proficiency standards of performance are achieved to meet or exceed targets.
+ Effectively leads and participates in coding quality assurance/compliance activities that include action plans relevant to audit results including remediation, education, and when appropriate assisting to create and monitor corrective action plans
+ Serves as the liaison between the coding operations collaboratively bring each unit together including establishing, building, and maintaining cohesive relationships with the client.
+ Effectively utilizes tools and data provided to capture and continually improve union, client, and employee engagement. Leads initiatives towards meeting and exceeding employee satisfaction.
+ Leads by example; promotes teamwork by fostering a positive, transparent, and focused working environment which achieves maximum results.
+ Participates actively in leadership forums at the system level and leads such forums and other informational/educational offerings for assigned HIM/Coding/CDI Managers.
+ Provides team leadership and promotes a successful business operation by: Executes the integration of the Optum360 Coding functions and processes in the facilities they serve. Leverages standard processes, systems, or other vehicles to reduce waste and cost at the facility while improving SLAs, KPIs (Key Performance Indicators), metrics and the overall client and/or patient experience. Fosters teamwork atmosphere between business and clinical stakeholders. Provides staff training and mentoring. Provides development of employees through consistent and constructive feedback geared towards accuracy. Rewards and recognizes performance and provides leadership direction during the common review process. Seeks to innovate and foster innovative ideas toward the development of staff to ensure increased employee engagement and employee satisfaction.
+ Other duties as needed and assigned by Optum360 leadership, including but not limited to leading and conducting special projects. Develops project work plans, facilitates resource allocation, executes project tasks and obtains assistance from other intra and inter-departmental resources, as required.
+ Subject Matter Expert of applicable Federal, State, and local laws and regulations, Optum360's organizational integrity program, standards of conduct, as well as other policies and procedures to ensure adherence in a manner that reflects honest, ethical, and professional behavior.
+ Promotes a service-oriented culture within the organization and assures satisfaction with the quality and amount of support provided for departmental functions, initiatives, and projects.
You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
**Required Qualifications:**
+ High School Diploma / GED
+ AAPC or AHIMA (CCS, CPC, RHIT or RHIA) coding credential
+ Must be 18 years of age or older
+ 3+ years of experience in inpatient hospital coding
+ Experience with MS-DRG and/or APR-DRG
+ Experience with ICD-10-CM and/or ICD-10-PCS coding systems
+ Experience working collaboratively with CDI and/or Quality leadership in partnership to improve reimbursement and coding accuracy
+ Experience with computer assisted coding technologies and EMR (Electronic Medical Record) coding workflow
+ Experience with Microsoft Office Suite, including Excel, Word, and PowerPoint
+ Ability to work an eight-hour shift between 6:00 AM and 6:00 PM, Monday through Friday.
**Preferred Experience:**
+ 5+ years as a subject matter expert in corporate coding leadership role for large multi-site healthcare organizations with at least 35 coding staff members, both internal and contract as well as remote and/or domestic and global
+ Ability to influence change and serve as primary change agent
+ Ability to work with a variety of individuals in executive, managerial and staff level positions. The incumbent frequently interacts with staff at the Corporate/National, Regional and Local organizations. May also interact with external parties, such as financial auditors, third party payer auditors, consultants, and various hospital associations
+ Operational knowledge of health care related Federal and State regulations, as well as standards from regulatory agencies and accrediting organizations (e.g., CMS, TJC)
**Telecommuting Requirements:**
+ Ability to keep all company sensitive documents secure (if applicable)
+ Required to have a dedicated work area established that is separated from other living areas and provides information privacy
+ Must live in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service
**Soft Skills:**
+ Excellent organizational skills required (ability to multi-task, produce rapid turnaround, and effectively manage multiple projects)
+ Must possess a personal presence that is characterized by a sense of honesty, integrity, and caring with the ability to inspire and motivate others to promote the philosophy, mission, vision, goals, and values of Optum360 and our client organization(s)
*All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $28.27 - $50.48 per hour based on full-time employment. We comply with all minimum wage laws as applicable.
**_Application Deadline:_** _This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants._
_At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location, and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups, and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission._
_UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations._
_UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment._
Licensed Pharmacy Technician Fulfillment - Offers $1,500 Sign-On Bonus!!
Brooklyn Park, MN job
Walgreens is a trusted and convenient local health destination that millions of Americans rely on every day. Our founder, Charles R. Walgreen Sr., was known for finding new ways to connect with customers on a personal level and treating each person like a guest in his own home. For over a century, we have expanded that personal connection through our network of neighborhood pharmacies and our innovative health services and products.
The foundation for all of this is our trusted pharmacy expertise, and our team members who provide essential care that helps people achieve better health outcomes at an affordable cost.
Job Description
Our pharmacy micro-fulfillment centers are the pharmacies of the future! What is pharmacy micro-fulfillment? It's a pharmacy network of facilities that dispenses and ships a variety of prescriptions to Walgreens retail stores. We're using innovative, robotic technology in a central pharmacy environment. Together, we're making lives healthier and simpler by reaching thousands of patients with life-saving medications each day.
The Fulfillment Pharmacy Technician is responsible for providing order processing support for fulfillment and/or provide assistance in the preparation and distribution of prescription medication via the use of the fulfillment system. Follows standard operating procedures and performs duties in accordance with Company policies and procedures.
We are currently offering a $1,500 Sign-On Bonus!
Job Responsibilities
Develops and maintains proficiency in all medication dispensing areas and workstations
May assist with department training and new hire support.
Prepares bulk medication for loading into automated dispensing system.
Performs manual packing duties including, but not limited to, packing and shipping, completingorders, verifying accuracy based on conformance to quality standards/specifications andpreparing packages for mail.
Affixes labels to the appropriate containers.
Conducts cycle counts and put away.
Resolves order delay reporting as well as upgrade, expedite and cancels orders.
May also be responsible for stocking non-pharmaceutical products.
Other responsibilities as judgement or necessity dictate.
Must obtain active technician license or certification within the first 90 days and maintain anactive technician license or certification.
Qualifications
High school diploma from an accredited school or equivalent GED
State Pharmacy Technician License (PTCB, CPhT, ExCPT)
At least one year of pharmacy technician experience in a retail, fulfillment or call centerenvironment.