Follow-up Senior Program Delivery Professional - In home Health & Wellbeing Assessment (IHWA)
Humana job in Sacramento, CA
**Become a part of our caring community and help us put health first** The IHWA Follow-up Senior Program Delivery Professional provides daily operational support to programs that impact members' lives by promoting preventive health activities. The IHWA Follow-up Senior Program Delivery Professional works on problems of diverse scope and complexity ranging from moderate to substantial.
**Location:** remote or strong preference for hybrid in Waterside Louisville, KY office
The IHWA Follow-up Senior Program Delivery Professional provides daily operational support to the rapidly expanding In-home Health Well-being Assessment (IHWA) PCP Follow-up program that ensures members follow-up with a PCP and complete essential preventive activities (e.g. mammogram, flu vaccine, colonoscopy) which directly supports our members' care management. The operational support includes being initial person for vendor feedback/questions, delivering routine program reporting, reviewing outreach calls to members, and working directly with vendors to improve pilot performance. Beyond the IHWA PCP Follow-up program, the IHWA Follow-up Senior Program Delivery Professional, will support IHWA Care Management Referrals as back-up for daily operations responsible for ensuring members' physical, behavioral SDOH, and urgent needs identified during the IHWA are correctly routed to internal resources for Humana follow-up.
Primary Responsibilities:
+ Provide input and operationalize new follow-up programs
+ Point of contact for vendor initial questions and feedback
+ Develop and maintain KPI program reports
+ Work with internal partners to develop detailed reports
+ Listen and review outreach calls to members
**Use your skills to make an impact**
**Role Essentials**
+ Bachelor's degree
+ 5 or more years of vendor management, program delivery and/or operations experience
+ Experience analyzing data and reports
+ Demonstrated ability to articulate ideas effectively in both written and oral forms
+ Strong relationship building skills
+ Strong knowledge of Microsoft Office XP products (Word & Excel)
**Role Desirables**
+ Master's Degree in Business Administration or a related field
+ PMP certification a plus
+ Stars, Risk Adjustment, or IHWA experience
+ Knowledge and experience in health care environment/managed care
**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.
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 you.
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.
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: 12-25-2025
**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 ApplyStrategy Advancement Advisor - Distribution Strategy
Humana job in Sacramento, CA
**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 support MarketPoint's investment rationalization and strategic planning efforts. 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). 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:**
+ Leads multiple short- and long-term work streams sometimes across engagements, including hypothesis development, working sessions, and report-outs with leaders across the company, and documenting key ideas and actions to drive follow-up actions
+ Partners closely with finance, analytics, and operators to optimize, track, and report out on internal and external compensation strategy and results
+ Develop high-quality analysis and deliverables that clearly frame organizational objectives, issues/challenges, and articulate compelling, insightful findings, conclusions, and recommendations
+ Lead multiple cross functional investment sizing workstreams and provide high-level support for senior leaders to make informed decisions
+ Identify new growth avenues of opportunity through independent analysis and presents actionable findings
+ Lead key portions of presentations at high-visibility meetings
+ 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 progressive experience consulting in finance, strategic planning, or related roles.
+ Proven track record in **building compensation models** and **incentive design frameworks** .
+ Advanced proficiency in **financial modeling and Excel**
+ Demonstrated experience **managing large, complex budgets** and guiding senior leadership through **trade-off decisions** .
+ Strong background in **business case development** , including **value sizing** , ROI analysis, and scenario modeling.
+ Ability to influence and partner with senior executives to drive strategic decisions.
+ Exceptional analytical and problem-solving skills with a focus on **data-driven decision-making** .
+ Strong communication skills to present complex financial concepts clearly to non-financial stakeholders.
**Preferred Qualifications**
+ Healthcare industry experience, preferably in the managed care or provider sector
+ Experience in **compensation strategy** within large organizations.
+ Exposure to **enterprise-level budgeting and resource allocation** .
**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: 12-28-2025
**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 ApplyMedical Director (Southern CA)
Sacramento, CA job
Provides medical oversight and expertise in appropriateness and medical necessity of services provided to members, targeting improvements in efficiency and satisfaction for both members and providers and ensuring members receive the most appropriate care in the most effective setting. Contributes to overarching strategy to provide quality and cost-effective member care.
Experience conducting Medi-cal reviews
Essential Job Duties
- Determines appropriateness and medical necessity of health care services provided to plan members.
- Supports plan utilization management program and accompanying action plan(s), which includes strategies to ensure high-quality member care - ensuring members receive the most appropriate care at the most effective setting. -Evaluates effectiveness of utilization management (UM) practices - actively monitoring for over and under-utilization.
- Educates and interacts with network, group providers and medical managers regarding utilization practices, guideline usage, pharmacy utilization and effective resource management.
- Assumes leadership relative to knowledge, implementation, training, and supervision of the use of the criteria for medical necessity.
- Participates in and maintains the integrity of the appeals process, both internally and externally.
- Responsible for investigation of adverse incidents and quality of care concerns.
- Participates in preparation for national committee for quality assurance (NCQA) and utilization review accreditation commission (URAC) certifications.
- Provides leadership and consultation for NCQA standards/guidelines for the plan including compliant clinical quality improvement activity (QIA) in collaboration with clinical leadership and quality improvement teams.
- Facilitates conformance to Medicare, Medicaid, NCQA and other regulatory requirements.
- Reviews quality referred issues, focused reviews and recommends corrective actions.
- Conducts retrospective reviews of claims and appeals and resolves grievances related to medical quality of care.
- Attends or chairs committees as required such as credentialing, Pharmacy and Therapeutics (P&T) and other committees as directed by the chief medical officer.
- Evaluates authorization requests in timely support of nurse reviewers, reviews cases requiring concurrent review and manages the denial process.
- Monitors appropriate care and services through continuum among hospitals, skilled nursing facilities and home care to ensure quality, cost-efficiency, and continuity of care.
- Ensures that medical decisions are rendered by qualified medical personnel and not influenced by fiscal or administrative management considerations, and that care provided meets the standards for acceptable medical care.
- Ensures medical protocols and rules of conduct for plan medical personnel are followed.
- Develops and implements plan medical policies.
- Provides implementation support for quality improvement activities.
- Stabilizes, improves and educates primary care physicians and specialty networks; monitors practitioner practice patterns and recommends corrective actions as needed.
- Fosters clinical practice guideline implementation and evidence-based medical practices.
- Utilizes information technology and data analytics to produce tools to report, monitor and improve utilization management.
- Actively participates in regulatory, professional and community activities.
Required Qualifications
- At least 3 years health care experience, including at least 2 years of medical practice experience, or equivalent combination of relevant education and experience.
- Active and unrestricted Doctor of Medicine (MD) or Doctor of Osteopathy (DO) license in state of practice.
- Board certification.
- Working knowledge of applicable national, state, and local laws and regulatory requirements affecting medical and clinical staff.
- Ability to work cross-collaboratively within a highly matrixed organization.
- Strong organizational and time-management skills.
- Ability to multi-task and meet deadlines.
- Attention to detail.
- Critical-thinking and active listening skills.
- Decision-making and problem-solving skills.
- Strong verbal and written communication skills.
- Microsoft Office suite/applicable software program(s) proficiency, and ability to learn new programs.
Preferred Qualifications
- Experience with utilization/quality program management.
- Managed care experience.
- Peer review experience.
- Certified Professional in Healthcare Management (CPHM), Certified Professional in Health Care Quality (CPHQ), Commission for Case Manager Certification (CCMC), Case Management Society of America (CMSA) or other health care or management certification.
To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V
\#PJHS
\#LI-AC1
Pay Range: $161,914.25 - $315,733 / ANNUAL
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
Associate Actuary
Humana job in Sacramento, CA
**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 ***************************************************************************
Clinical Document Improvement Specialist - Sacramento, CA
Sacramento, CA job
Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start **Caring. Connecting. Growing together.**
The Clinical Document Improvement Specialist (CDS) is responsible for providing CDI program oversight and day to day CDI implementation of processes related to the concurrent review of the clinical documentation in the inpatient medical record of Optum 360 clients' patients. The goal of the CDS oversight and practice is to support the CDI manager function by providing staff oversite, serve as an additional resource as well as perform CDI role function. The CDS assess the technical accuracy, specificity, and completeness of provider clinical documentation, and to ensure that the documentation explicitly identifies all clinical findings and conditions present at the time of service.
This position collaborates with CDI manager, providers and other healthcare team members to make improvements that result in accurate, comprehensive documentation that reflects completely, the clinical treatment, decisions, and diagnoses for the patient. The CDS utilizes clinical expertise and clinical documentation improvement practices as well as facility specific tools for best practice and compliance with the mission/philosophy, standards, goals and core values of Optum 360. This position does not have patient care duties, does not have direct patient interactions, and has no role relative to patient care.
This will be an office position located at Mercy General Hospital in Sacramento, CA.
**Primary Responsibilities:**
+ Provides expert level review of inpatient clinical records within 24-48 hours of admit; identifies gaps in clinical documentation that need clarification for accurate code assignment to ensure the documentation accurately reflects the severity of the patient condition and acuity of care provided
+ Conducts daily follow-up communication with providers regarding existing clarifications to obtain needed documentation specificity
+ Provides expert level leadership for overall improvement in clinical documentation by providing proficient level review and assessment, and effectively articulating recommendations for improvement, and the rational for the recommendations
+ Actively communicates with providers at all levels, to clarify information and to communicate documentation requirements for appropriate diagnoses based on severity of illness and risk of mortality
+ Performs regular rounding with unit-based physicians
+ Provides face-to-face educational opportunities with physicians on a daily basis
+ Provides complete follow-through on all requests for clarification or recommendations for improvement
+ Leads the development and execution of physician education strategies resulting in improved clinical documentation
+ Provides timely feedback to providers regarding clinical documentation opportunities for improvement and successes
+ Ensures effective utilization of the Midas Clinical Documentation Improvement Focus Study, documenting all verbal, written, electronic clarification activity
+ Utilizes only the Optum360 approved forms, whether paper or electronic
+ Proactively develops a reciprocal relationship with the HIM Coding Professionals
+ Coordinate and conducts regular meeting with HIM Coding Professionals to monitor retrospective query rate and address issues
+ Engages and consults with Physician Advisor when needed, per the escalation process, to resolve provider issues regarding answering clarifications and participation in the clinical documentation improvement process
+ Actively engages with Care Coordination and the Quality Management teams to continually evaluate and spearhead clinical documentation improvement opportunities
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:**
+ 5+ years acute care hospital clinical RN experience OR Foreign Medical Graduate with CDI experience
+ 2+ years of experience in clinical documentation improvement
+ Demonstrated proficiency using a PC in a Windows environment, including Microsoft Word, Excel, Power Point and Electronic Medical Records
+ Experience communicating & working closely with Physicians
**Preferred Qualifications:**
+ BSN degree or equivalent
+ CCDS, CDIP or CCS certification
+ Experience in case management and/or critical care
+ Ability to lead projects with complex responsibilities and timelines
+ Leadership experience
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $71,200 to $127,200 annually based on full-time employment. We comply with all minimum wage laws as applicable.
_At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission._
_UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations._
_UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment._
Summer 2026 MBA Internship - Marketing & Consumer Engagement
Humana job in Sacramento, CA
**Become a part of our caring community and help us put health first** Humana is seeking MBA Interns to join for Summer 2026! Humana's MBA Summer Internship Program offers a unique opportunity for MBA students to contribute to enterprise level initiatives across a range of business functions. Interns will drive strategic projects, gain exposure to executive leadership, and develop the skills and insights needed to launch a successful post-MBA or graduate school career in healthcare.
We are looking for talented interns who are innovative, agile learners who have a high degree of emotional intelligence and are excited to tackle the ambiguous world of healthcare. We are looking for talent driven by purpose.
Internships are available across multiple domains, and can be in the following areas:
+ CenterWell Marketing
+ PCO Marketing
+ MarketPoint
+ Retail & Consumer Marketing
**Location:** The summer internship program is remote, and all interns are expected to travel to Louisville, KY for the first week of internship for orientation.
Note that if you are extended a full-time offer at the conclusion of the internship to start upon graduation, you could be expected to be based out of or willing to relocate to the following cities: Boston, MA; Chicago, IL; Louisville, KY; Nashville, TN; or Washington, DC.
**Use your skills to make an impact**
**Required Qualifications:**
+ Enrolled in a Master of Business (MBA) or other advanced professional degree (e.g. MPH, MD, JD, Ph.D.), with a graduation in Spring or Summer 2027
+ Must be available to work full-time, 40 hours per week for 12 weeks from May 18 to August 7, 2026
+ Must not require sponsorship to work in the United States either now or in the future
+ Minimum of three years of work experience prior to beginning graduate school
+ Demonstrated leadership experience through professional, academic, military, or extracurricular roles, showcasing the ability to lead teams, drive cross-functional initiatives, influence stakeholders, and deliver measurable results in a dynamic environment
**Preferred Qualifications:**
+ Must possess strong interpersonal, written, and oral communication skills
+ Must be intellectually curious, flexible, as demonstrated through previous jobs, internships, and/or projects
+ Be actively involved on-campus and/or community activities
+ Commitment to innovative thought, strategic thinking, and making a difference
+ Passion and interest in working in the healthcare industry
**What to expect during your 12-week internship program**
+ **Strategic, High-Impact Work:** Lead meaningful projects aligned with critical business initiatives, designed to stretch your skills and deliver real value.
+ **Executive Access & Networking:** Engage with senior leaders and peers through speaker series, fireside chats, and curated networking events.
+ **Mentorship & Support:** Receive personalized guidance from mentors, coaches, and buddies to help you thrive professionally and personally.
+ **Leadership Development:** Participate in hands-on workshops, certifications, and leadership training tailored for future business leaders.
+ **Culture & Community Immersion:** Experience Humana's values through DEIB initiatives, well-being programs, and community volunteerism.
+ **Career Growth Opportunities:** Showcase your work, receive structured feedback, and be considered for full-time roles or leadership programs post-internship.
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.
$37,440 - $96,800 per year
**Description of Benefits**
Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers benefits for limited term, variable schedule and per diem associates which are designed to support whole-person well-being. Among these benefits, Humana provides paid time off, 401(k) retirement savings plan, employee assistance program, business travel and accident.
**About us**
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 ***************************************************************************
Summer 2026 MBA Internship - Finance & Human Resources
Humana job in Sacramento, CA
**Become a part of our caring community and help us put health first** Humana is seeking MBA Interns to join for Summer 2026! Humana's MBA Summer Internship Program offers a unique opportunity for MBA students to contribute to enterprise level initiatives across a range of business functions. Interns will drive strategic projects, gain exposure to executive leadership, and develop the skills and insights needed to launch a successful post-MBA or graduate school career in healthcare.
We are looking for talented interns who are innovative, agile learners who have a high degree of emotional intelligence and are excited to tackle the ambiguous world of healthcare. We are looking for talent driven by purpose.
Internships are available across multiple domains, and can be in the following areas:
+ Treasury
+ Office of Diversity, Equity, and Inclusion
+ HR Strategy Advancement
+ Total Rewards
**Location:** The summer internship program is remote, and all interns are expected to travel to Louisville, KY for the first week of internship for orientation.
Note that if you are extended a full-time offer at the conclusion of the internship to start upon graduation, you could be expected to be based out of or willing to relocate to the following cities: Boston, MA; Chicago, IL; Louisville, KY; Nashville, TN; or Washington, DC.
**Use your skills to make an impact**
**Required Qualifications:**
+ Enrolled in a Master of Business (MBA) or other advanced professional degree (e.g. MPH, MD, JD, Ph.D.), with a graduation in Spring or Summer 2027
+ Must be available to work full-time, 40 hours per week for 12 weeks from May 18 to August 7, 2026
+ Must not require sponsorship to work in the United States either now or in the future
+ Minimum of three years of work experience prior to beginning graduate school
+ Demonstrated leadership experience through professional, academic, military, or extracurricular roles, showcasing the ability to lead teams, drive cross-functional initiatives, influence stakeholders, and deliver measurable results in a dynamic environment
**Preferred Qualifications:**
+ Must possess strong interpersonal, written, and oral communication skills
+ Must be intellectually curious, flexible, as demonstrated through previous jobs, internships, and/or projects
+ Be actively involved on-campus and/or community activities
+ Commitment to innovative thought, strategic thinking, and making a difference
+ Passion and interest in working in the healthcare industry
**What to expect during your 12-week internship program**
+ **Strategic, High-Impact Work:** Lead meaningful projects aligned with critical business initiatives, designed to stretch your skills and deliver real value.
+ **Executive Access & Networking:** Engage with senior leaders and peers through speaker series, fireside chats, and curated networking events.
+ **Mentorship & Support:** Receive personalized guidance from mentors, coaches, and buddies to help you thrive professionally and personally.
+ **Leadership Development:** Participate in hands-on workshops, certifications, and leadership training tailored for future business leaders.
+ **Culture & Community Immersion:** Experience Humana's values through DEIB initiatives, well-being programs, and community volunteerism.
+ **Career Growth Opportunities:** Showcase your work, receive structured feedback, and be considered for full-time roles or leadership programs post-internship.
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.
$37,440 - $96,800 per year
**Description of Benefits**
Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers benefits for limited term, variable schedule and per diem associates which are designed to support whole-person well-being. Among these benefits, Humana provides paid time off, 401(k) retirement savings plan, employee assistance program, business travel and accident.
**About us**
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 ***************************************************************************
Medical Assistant for Vascular and Endovascular Clinic
Live Oak, CA job
Who We Are We are a community built on care. Our caregivers and supporting staff extend compassion to those in need, helping to improve the health and well-being of those we serve, and provide comfort and healing. Your community is our community. Our Story
We started out as a small operation in California. In May 1969, we acquired four hospitals, some additional care facilities and real estate for the future development of hospitals. Over the years, we've grown tremendously in size, scope and capability, building a home in new markets over time, and curating those homes to provide a compassionate environment for those entrusting us with their care.
We have a rich history at Tenet. There are so many stories of compassionate care; so many 'firsts' in terms of medical innovation; so many examples of enhancing healthcare delivery and shaping a business that is truly centered around patients and community need. Tenet and our predecessors have enabled us to touch many different elements of healthcare and make a difference in the lives of others.
Our Impact Today
Today, we are leading health system and services platform that continues to evolve in lockstep with community need. Tenet's operations include three businesses - our hospitals and physicians, USPI and Conifer Health Solutions.
Our impact spreads far and deep with 65 hospitals and approximately 510 outpatient centers and additional sites of care. We are differentiated by our top notch medical specialists and service lines that are tailored within each community we serve. The work Conifer is doing will help provide the foundation for better health for clients across the country, through the delivery of healthcare-focused revenue cycle management and value-based care solutions.
Together as an enterprise, we work to save lives and can accept nothing less than excellence from ourselves in service of our patients and their families, every day.
Adheres to and supports the mission, purpose, philosophy, objectives, policies, and procedures of Tenet Physician Resources.
Adheres to the Tenet HIPAA Compliance Plan and the Privacy Standards Confidentiality Agreement.
Demonstrates support for the Tenet Corporate Compliance Program by being knowledgeable of compliance responsibilities as expressed in the Code of Conduct; adhering to federal and state laws, rules, regulations, and corporate policies and procedures policies that affect his/her specific job functions/responsibilities; and reporting compliance issues/concerns in a timely and appropriate manner.
Assists in the assessment of patient needs and health plan by taking vital signs, history, medication listing, assessing visual acuity and determining chief complaint. Assesses patients' physical and mental status.
Completes all necessary documentation in the patient's medical record in accordance with practice's charting policy.
Prepares equipment and assists physicians with medical treatments, exams and medical procedures
Administers prescribed oral medications and gives intramuscular and subcutaneous and intradermal injections. Performs venipunctures, CLIA-Waived and non-CLIA Waived lab testing.
Maintains a clean, orderly and safe environment for patients and visitors. This includes cleaning, sterilizing, and storing instruments in accordance with practice policies. Stocks rooms in preparation for the daily work schedule. Takes inventory of medical and exam room supplies.
Complies with established personal protective equipment requirements necessary for protection against exposure to blood and other potentially infectious body fluids, chemical disinfectants, radiation, and other hazardous substances.
Arranges for specialized consultations and appointments for testing as ordered by the physicians. Notifies appropriate insurance personnel to pre-certify surgeries or tests ordered by the physician or other health care provider, which require pre-certification by the insurance company.
Answering office phones, assisting front desk in scheduling appointments and directing calls appropriately.
Assists in checking out patients and assists them with referral processing and scheduling process
Assist in other functions of the physician practice as needed
$1000 Sign On Bonus!
A non-exempt medical office position responsible for providing direct nursing care in a medical office setting under the direction of a physician, assists medical providers, and maintains a clean and safe environment in accordance with the policies and procedures of the practice.
Education
Required: High school diploma/GED;
Medical Assistant diploma from an accredited school OR three years of relevant work experience in a healthcare setting in lieu of a Medical Assistant diploma
Certification
Required: CPR Certification
Preferred: Medical Assistant
Experience
Required: Medical Assistant diploma from an accredited school OR
three years of relevant work experience in a healthcare setting in lieu of a Medical Assistant diploma OR a Current Medical Assistant certification
#LI-CC3
Employment practices will not be influenced or affected by an applicant's or employee's race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship.
Tenet participates in the E-Verify program. Follow the link below for additional information.
E-Verify: *****************************
The employment practices of Tenet Healthcare and its companies comply with all applicable laws and regulations.
**********
Vendor Management Lead
Humana job in Sacramento, CA
**Become a part of our caring community and help us put health first** Join Humana's In Home Well-being Assessment (IHWA) team team and lead the management of key vendor relationships that drive in-home health and well-being assessments for Medicare members. As a Program Delivery Lead, you'll own vendor partnerships, monitor contractual obligations, and ensure compliance with CMS guidelines-all while supporting Humana's Retail bid goals and Medicare Risk Adjustment requirements. This role requires strong task management, project management, independent decision-making, and the ability to operate in times of ambiguity.
**Key Responsibilities**
+ Serve as the primary point of contact for one or more IHWA vendors, building strong, productive partnerships.
+ Manage and monitor vendor deliverables, contractual obligations, and service-level agreements.
+ Track, prioritize, and oversee a high volume of vendor activities while supporting internal Humana partners.
+ Ensure compliance with CMS guidelines and Medicare Risk Adjustment standards.
+ Collaborate with Stars program teams to manage vendor activities tied to quality and risk adjustment goals.
+ Operate independently, make decisions in ambiguous situations, and manage multiple projects simultaneously.
+ Proactively identify issues, communicate findings, and influence process improvements.
**Use your skills to make an impact**
**Required Qualifications**
+ Bachelor's degree or equivalent experience
+ 6 or more years of large project implementation or vendor management
+ 2 or more years of project leadership experience
+ Strong knowledge of Microsoft Office XP products (Word, Excel, Access)
+ Excellent communication skills, both oral and written
+ Strong relationship building skills
+ Must be passionate about contributing to an organization focused on continuously improving consumer experiences
**Required Travel:** Quarterly vendor meetings required, plus occasional ad hoc travel. Estimated total travel: **6-7 trips per year** .
**Preferred Qualifications**
+ Master's Degree in Business Administration or a related field
+ PMP certification a plus
+ Six Sigma Certification also a plus
+ Knowledge and experience in health care environment/managed care
+ Strong analytical skills
**Additional Information**
Humana offers a variety of benefits to promote the best health and well-being of our employees and their families. We design competitive and flexible packages to give our employees a sense of financial security-both today and in the future, including:
+ Health benefits effective day 1
+ Paid time off, holidays, volunteer time and jury duty pay
+ Recognition pay
+ 401(k) retirement savings plan with employer match
+ Tuition assistance
+ Scholarships for eligible dependents
+ Parental and caregiver leave
+ Employee charity matching program
+ Network Resource Groups (NRGs)
+ Career development opportunities
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.
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: 12-11-2025
**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 ***************************************************************************
Insurance Strategy Consultant
Humana job in Sacramento, CA
**Become a part of our caring community and help us put health first** Humana, a Fortune 50 Healthcare Company Humana is a publicly traded, Fortune 50 healthcare company with a long history of successful innovation and reinvention. It has transformed itself from the largest US nursing home company in the 60's, to the largest US hospital corporation in the 80's, to a leading health benefits company beginning in the 90's. Today, Humana is a leader in consumer-focused health solutions and is one of the largest health benefits organizations in the country.
The Healthcare Strategy team supports Humana's Insurance segment. This segment, Humana's largest, comprises the majority of the company's total revenue and earnings. Team members partner with senior leaders of the business unit, and more broadly with leaders throughout the enterprise, as they deliver strategy projects addressing some of the businesses' most important opportunities and challenges. These high-profile strategy projects place the team at the forefront of helping to define the future of Humana's largest businesses.
Humana is seeking a team member, with prior management consulting experience or professional experience leveraging core consulting skills, to support delivering some of the Insurance segment's highest priority projects and initiatives, with an emphasis on Medicare Advantage strategy development. As a Senior Strategy Advancement Professional, you will deconstruct issues and challenges, perform targeted research and analysis, support core strategy operational work, and craft sound, logical solutions and recommendations. You will also shape implementation considerations, and work with business owners as appropriate to transition analysis into execution. While deep diving into key areas, you will also have a bird's-eye view of the business unit's overall strategy. Your role be instrumental in synthesizing the strategic and operational choices being made across the business unit into coherent plans to drive growth and profitability, while simultaneously improving the lives and health of Humana's members. While doing so, you will have the opportunity to collaborate with fellow team members, subject matter experts, members of Humana's executive Management Team, and corporate, functional, and business unit leaders.
Recent example projects include assessing the performance of strategic initiatives and business areas, evolving key facets of the Medicare Advantage growth strategy, leading the development of the annual Medicare Advantage strategic plan, monitoring segment-wide operational performance, and refreshing the strategy for Humana's sales organization.
**Use your skills to make an impact**
**Key responsibilities include:**
+ Delivering high quality analysis and deliverables that clearly frame objectives, issues/challenges, and articulate compelling, insightful findings, conclusions, and recommendations
+ Managing and delivering analysis and workstreams within high-profile, high-impact strategy projects
+ Developing high quality, insightful, and clear analysis and deliverables for Humana's executive management team and Board of Directors
+ Developing hypotheses to be validated or refined through targeted research and analysis
+ Conducting interviews and working sessions with stakeholders across the company
+ Conducting industry, market, competitor, and financial analysis
+ Working collaboratively with fellow team members and leaders across the company
+ Leading critical processes to prepare leadership for interactions with Humana's executive Management Team and Board of Directors
+ Being a steward of the strategy team's operating model, norms and ways of working
+ Coordinating and overseeing key meetings to ensure key topics and decisions are communicated to leadership in a timely manner
+ Defining and developing opportunities for strategic alignment and consistent reporting across the business segment
+ Partnering with key stakeholders to implement segment-wide tracking tools and databases
+ Designing and monitoring key metrics and the reporting cadence across the organization
+ Working across operational units to execute strategic planning process and quarterly refinement
**Required Qualifications**
+ Bachelor's degree
+ 2+ years of full-time work experience with a leading management consulting firm and/or 3+ years of professional experience in a role that required core consulting skills
+ Demonstrated ability to manage analysis and work streams
+ Excellent verbal and written communication abilities
+ Highly collaborative, flexible, team-oriented working style
+ Strong problem-solving skills and the ability to perform complex qualitative and quantitative analysis
+ Demonstrated ability working within a matrixed environment
**Preferred Qualifications**
+ MBA, MPH, PhD, or graduate degree in a management field
+ Prior healthcare industry experience, preferably in the managed care or provider sector
**Reporting Relationships**
The role reports to a Director within the Strategy team, works collaboratively with leaders and members of rest of the team, and with senior leadership throughout the enterprise.
Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.
**Scheduled Weekly Hours**
40
**Pay Range**
The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.
$86,300 - $118,700 per year
This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.
**Description of Benefits**
Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.
Application Deadline: 12-19-2025
**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 ***************************************************************************
Photo Specialist
Stockton, CA 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.
Must be fluent in reading, writing, and speaking English. (Except in Puerto Rico)
Requires willingness to work flexible schedule, including evenings and weekend hours.
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
Supervisor, Utilization Management
Sacramento, CA job
You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering competitive benefits including a fresh perspective on workplace flexibility.
**Position Purpose:** Supervises Prior Authorization, Concurrent Review, and/or Retrospective Review Clinical Review team to ensure appropriate care to members. Supervises day-to-day activities of utilization management team.
+ Monitors and tracks UM resources to ensure adherence to performance, compliance, quality, and efficiency standards
+ Collaborates with utilization management team to resolve complex care member issues
+ Maintains knowledge of regulations, accreditation standards, and industry best practices related to utilization management
+ Works with utilization management team and senior management to identify opportunities for process and quality improvements within utilization management
+ Educates and provides resources for utilization management team on key initiatives and to facilitate on-going communication between utilization management team, members, and providers
+ Monitors prior authorization, concurrent review, and/or retrospective clinical review nurses and ensures compliance with applicable guidelines, policies, and procedures
+ Works with the senior management to develop and implement UM policies, procedures, and guidelines that ensure appropriate and effective utilization of healthcare services
+ Evaluates utilization management team performance and provides feedback regarding performance, goals, and career milestones
+ Provides coaching and guidance to utilization management team to ensure adherence to quality and performance standards
+ Assists with onboarding, hiring, and training utilization management team members
+ Leads and champions change within scope of responsibility
+ Performs other duties as assigned
+ Complies with all policies and standards
**Education/Experience:** Requires Graduate of an Accredited School Nursing or Bachelor's degree and 4+ years of related experience.
Knowledge of utilization management principles preferred.
Must have a CA RN License
**License/Certification:**
+ RN - Registered Nurse - State Licensure and/or Compact State Licensure required
+ For Health Net Federal Services: Must have current and active licensure or certification that permits independent assessment required
+ For Health Net Federal Services (Medical Management): Certified Managed Care Nurse (CMCN) within 1-1/2 Yrs required
+ For Health Net Federal Services: US citizenship and current National Agency Check government security clearance required
Pay Range: $73,800.00 - $132,700.00 per year
Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.
Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.
Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act
Beauty and Wellness Consultant
Brentwood, CA job
**Job Objectives** Maximizes sales and brand awareness by providing exceptional customer care to all customers in a friendly, efficient, and professional manner; gives impartial, personalized, expertise and advice regardless of brand and budget. Demonstrates a passion for beauty and wellness and provides inspirational beauty knowledge and know-how. Provides customers with solutions for their beauty and wellness needs, including mini-makeovers and skincare consultations, with an emphasis on the customers' total look. Models and delivers a distinctive and delightful customer experience. Oversees and maintains overall beauty department standards.
**Job Responsibilities/Tasks**
**Customer Experience**
+ Engages customers 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 care best practices by proactively offering assistance, asking questions to determine customers' needs, and informing customers of options.
+ Greets, listens, and engages customers to identify their needs, making them aware of appropriate products and services, and providing warm transfers to other areas of the store when necessary
+ Provides expertise in product demonstrations and consultations utilizing tools such as the Skin Hydrometer and tablet.
+ Leads and delivers in-store events to promote brand awareness and loyalty of Owned Brands and total Beauty, Wellness and Personal Care.
+ Builds relationships with customers; provides authentic closure of customer interaction and builds and fosters relationships.
+ Engages with omni-channel solutions to enhance customer engagement/experience.
+ Locates products in other stores or online if unavailable in the store.
**Operations**
+ Achieves or exceeds predetermined sales goals by assisting customers in the purchase of products and by modeling exceptional customer care.
+ Reviews beauty business on a regular basis to understand performance within store and district in partnership with store leadership.
+ Consistently focuses on link-selling and up-selling with customers by showing them sale items and complimentary offerings.
+ Uses testers and sampling to demonstrate product application and leverage items from beauty promotional programs.
+ Ensures testers are stocked and maintained in compliance with hygiene standards; maintains a clean and organized department.
+ Implements company asset protection procedures to identify and minimize profit loss.
+ Processes sales for customers and/or employee purchases on cash register.
+ Participates in meetings and conference calls concerning programs and promotions, new items, brand launches, sales goals, and modeling exceptional customer care.
+ Has working knowledge of store systems and store equipment.
+ Ensures compliance with state and local laws regarding regulated products (e.g., alcoholic beverages and tobacco products).
+ Complies with all company policies and procedures; maintains respectful relationships with coworkers.
+ Completes special assignments as assigned.
**Training & Personal Development**
+ Seeks self-development by monitoring own performance, setting high personal standards, maintaining awareness of beauty and wellness trends, learning from others, and improving job performance.
+ Maintains knowledge of competition, new product/brand launches, and overall industry trends
+ Attends and participates in meetings, seminars, and other knowledge and business-driving opportunities; educates store team on new beauty updates, information, and learnings from training.
+ Attends training and completes e-learning modules requested by Manager or assigned by Corporate.
+ Maintains professional appearance and image in compliance with company guidelines at all times.
+ Models and shares behavior with other Beauty and Wellness Consultants; provides training and assistance to new Beauty and Wellness Consultants.
+ Works collaboratively with Store Leadership to review goals and maintain product knowledge.
**About Walgreens**
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.
**Job ID:** 1717613BR
**Title:** Beauty and Wellness Consultant
**Company Indicator:** Walgreens
**Employment Type:** Full-time
**Job Function:** Retail
**Full Store Address:** 4520 BALFOUR RD,BRENTWOOD,CA,94513
**Full District Office Address:** 4520 BALFOUR RD,BRENTWOOD,CA,94513-01529-06871-S
**External Basic Qualifications:**
+ High School Diploma/GED and at least one year of experience working in a retail sales environment that required meeting a defined sales goal OR at least one year of experience proactively selling beauty or cosmetic products and providing customer care
+ Experience in developing ways to accomplish goals with little or no supervision, depending on oneself to complete objectives and determining when escalation of issues is necessary
+ Knowledge of products and brands in order to engage and meet the needs of the customer.
+ Experience building and maintaining relationships within a team.
+ Basic level PC/tablet skills.
+ Requires willingness to work flexible schedule including evenings, weekends, and holidays.
+ Must be fluent in reading, writing and speaking English. (Except in Puerto Rico)
**Preferred Qualifications:**
+ Licensure in Cosmetology or as an Esthetician as granted by appropriate state licensing authority.
+ Experience establishing & maintaining relationships with individuals at all levels of the organization, in the business community & with vendors.
+ Experience demonstrating makeup application and providing makeovers to customers.
+ Experiencing selling Prestige brands.
+ Degree from Beauty School.
+ Experience with another retailer in the form of an Externship.
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
**Shift:**
**Store:** 06871-BRENTWOOD CA
**Pay Type:** Hourly
**Start Rate:** 17
**Max Rate:** 21
Manager, Inbound/Outbound (Distribution Center)
Woodland, CA job
Inbound responsibilities include the areas of Receiving, Replenishment, Put-away and Split Case Stocking. Outbound responsibilities include the areas of Shipping, Full and Split Case Picking, RX and Specialty Picking. Qualifications External Basic Qualifications :
Bachelor's Degree and at least 2 years of experience in a distribution, warehousing or logistics environment OR a High School Diploma/GED and at least 4 years of experience in a distribution, warehousing or logistics environment.
At least 2 years of experience with distribution product flow.
Intermediate level skill in Microsoft Excel (for example: using SUM function, setting borders, setting column width, inserting charts, using text wrap, sorting, setting headers and footers and/or print scaling).
Basic skill level in Microsoft PowerPoint (for example: inserting, rearranging, hiding and deleting slides, navigating between slides, increasing list level, adding, centering and editing text, changing views, inserting a table or a note, moving objects, printing outline view and/or running a slide show).
Basic level skill in Microsoft Word (for example: opening a document, cutting, pasting and aligning text, selecting font type and size, changing margins and column width, sorting, inserting bullets, pictures and dates, using find and replace, undo, spell check, track changes, review pane and/or print functions).
At least 1 year of direct leadership, indirect leadership and/or cross-functional team leadership.
Additional Information
All your information will be kept confidential according to EEO guidelines.
On-Site Centralized Non-Retail Pharmacist (FT) Reside MN
Roseville, CA job
Responsible for the implementation of healthcare strategies and driving patient health outcomes. Executes patient intervention pharmacy programs and ensures compliance of clinical pharmacy services. Responsible for executing against identified partner-established pharmacy programs. Drives Pharmacy financial performance by executing on pharmacy programs to maximize reimbursements while improving patient health outcomes. Responsible for prescription processing from a remote setting. Fosters strong relationships with medical communities in assigned area and acts as a representative and liaison of the company. Serves as a subject matter expert and resource to other pharmacists and field leaders. Maintains current knowledge of Pharmacy industry and maintains required licensure.
Job Responsibilities
Implements direct patient care programs, including but not limited to Medication Therapy Management programs, Immunization Services, and Payer and Pharma Adherence & Clinical Programs. Drives the execution of multiple business plans and projects to ensure business needs are being met.
Drives compliance and continuous quality improvement in the delivery of clinical pharmacy patient care and services by studying, evaluating, and re-designing processes; monitoring and analyzing results; and implementing changes. Helps ensure area Pharmacies adhere to regulatory compliance, standard operating procedures and FDA regulations.
Drives regional pharmacy financial performance by aligning business strategies with company financial goals. Implements and executes patient intervention pharmacy programs to maximize financial performance.
Supports efforts on enhancing patient experience by increasing focus on healthcare services (e.g. patient consultation, medication management, drug therapy reviews, and retail, clinical, or wellness services such as immunizations, disease state management and Specialty programs).
Provides expertise, resources, education and support to pharmacists and field leadership. Supports staff training experiences and development opportunities. Promotes teamwork and motivates Pharmacy staff by fostering a shared vision and supporting company policies, procedures, mission, values, and standards of ethics and integrity.
Conducts data and clinical reviews and taking necessary actions to ensure accuracy and appropriateness of medications.
Reviews drug histories and patient profiles to ensure proper and safe drug therapy. Provides individualized patient/provider consultation.
Through use of superior communication skills, wins the trust of patients by listening to their issues and providing a sounding board for the pharmacy concerns.
Provides feedback as to the effectiveness of the Customer Retention Program including comments from patients as the value of individual consultations.
Responsible for all questions, dialogues, and issues which relate directly to patient therapy.
Provides clinical consultation and knowledge to patients, doctors, and insurance plans as needed.
Performs other work consistent with the job responsibilities in this document as assigned by management.
Follows guidelines and procedures for all job responsibilities in order to meet goals. Adheres to company policies and procedures including all HIPAA guidelines/regulations.
Ensures compliance with federal, state, and local pharmacy laws.
About Walgreens
Founded in 1901, Walgreens (****************** has a storied heritage of caring for communities for generations and proudly serves nearly 9 million customers and patients each day across its approximately 8,500 stores throughout the U.S. and Puerto Rico, and leading omni channel platforms. Walgreens has approximately 220,000 team members, including nearly 90,000 healthcare service providers, and is committed to being the first choice for retail pharmacy and health services, building trusted relationships that create healthier futures for customers, patients, team members and communities.
BS in Pharmacy or PharmD and at least one (1) year of experience in a retail pharmacy environment.
Current Pharmacist license as granted by the appropriate state licensing authority.
Experience motivating team members to research and resolve issues.
Experience working with confidential information.
Willing to work non-standard hours, which may include evenings, holidays and/or weekends.
Experience using time management skills such as prioritizing/organizing and tracking details and meeting deadlines of multiple projects with varying completion dates.
Experience developing ways of accomplishing goals with little or no supervision, depending on oneself to complete objectives and determining when escalation of issues is necessary.
Experience providing customer service to internal and external customers, including meeting quality standards for services, and evaluation of customer satisfaction.
Willing to travel up to 10% of the time for business purposes (within state and out of state).
Willingness to obtain other state pharmacy licenses if needed.
Knowledge of insurance plans.
Knowledge of computer operating systems including Intercom, Promise, and Plus.
Basic level skill in Microsoft Excel (for example: opening a workbook, inserting a row, selecting font style and size, formatting cells as currency, using copy, paste and save functions, aligning text, selecting cells, renaming a worksheet, inserting a column, selecting a chart style, inserting a worksheet, setting margins, selecting page orientation, using spell check and/or printing worksheets).
Basic skill level in Microsoft PowerPoint (for example: inserting, rearranging, hiding and deleting slides, navigating between slides, increasing list level, adding, centering and editing text, changing views, inserting a table or a note, moving objects, printing outline view and/or running a slide show).
Basic level skill in Microsoft Word (for example: opening a document, cutting, pasting and aligning text, selecting font type and size, changing margins and column width, sorting, inserting bullets, pictures and dates, using find and replace, undo, spell check, track changes, review pane and/or print functions).
Data Scientist I Shiny
Sacramento, CA job
You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you'll have access to competitive benefits including a fresh perspective on workplace flexibility.
**Position Purpose:** Responsible for advanced and predictive data analytics using big data and data science technology for healthcare innovation. Perform analysis using data science techniques on structured and unstructured data sets, and develop algorithms for targeted business needs.
+ Designs and develops data models to predict member outcomes or future impact of key member decisions.
+ Design and construct analysis tools that extract, and analyze data and store analytical results in an appropriate format for business needs.
+ Conduct exploratory data analysis from complex data sources and build key data sets to support company mission operational analysis.
+ Evaluate and design experiments to monitor key metrics and identify improvement opportunities.
+ Develop of mathematical and statistical models to distinguish relevant content or events and recognize patterns.
+ Participate in presentations and communicate results of research analysis and findings.
+ Participate in the design of automated, operational analytics processes to achieve scale and durability of analysis processes.
+ Create analysis and data reconciliation through SAS, R and other tools, to include healthcare provider data, claims data, membership data.
**Knowledge/Experience:** Master's degree in Statistics, Mathematics, Computer Science, Informatics, Econometrics, Engineering, Experimental Science with 1+ years of experience or Bachelor's degree and 3+ years of quantitative analysis experience in data science capabilities including data mining, predictive modeling, machine learning, statistical modeling, large scale data acquisition, transformation, and structured and unstructured data analysis. Experience with database technologies, including Oracle, Teradata, MS SQL Server, MySQL. R Shiny preferred
**_By applying to this requisition, you acknowledge and understand that you may be considered for other job opportunities for which Centene believes you may be qualified._**
Pay Range: $68,700.00 - $123,700.00 per year
Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.
Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.
Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act
Senior Accountant - Tax Accounting
Humana job in Sacramento, CA
**Become a part of our caring community and help us put health first** The Senior Tax Accountant analyzes and interprets tax laws, regulations, GAAP, and Statutory tax accounting principles, and prepare technical reports on how they impact the organization's operations. The Senior Tax Accountant work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors.
The Senior Tax Accountant focuses on Federal and State Income, GAAP and Statutory Tax Accounting, Sales and Use, Property and Premium taxes. Maintains tax information and records, prepares tax returns and other required reports, and pay tax declarations so that compliance obligations are submitted accurately and on time. Prepares correspondence with external tax agencies (for example, auditors). Begins to influence department's strategy. Makes decisions on moderately complex to complex issues regarding technical approach for project components, and work is performed without direction. Exercises considerable latitude in determining objectives and approaches to assignments.
**Use your skills to make an impact**
**Required Qualifications**
+ Bachelor's degree: in accounting/finance
+ 4+ years of relevant tax experience
+ Experience with predicting liabilities for Federal and/or State tax
+ Excellent written and verbal communication skills
+ Strong organization skills - able to manage tax processes, develop work plans, meet deadlines and coordinate with others
+ Experience with computerized tax software and research programs
+ Knowledge of federal and state tax law and current developments
+ Strong Excel proficiency
**Preferred Qualifications**
+ Certified Public Accountant
+ Master's Degree in Business Administration or a related field
+ GAAP ASC 740 tax accounting experience or knowledge
+ Statutory SSAP 101 tax accounting experience or knowledge
+ Good working knowledge of OneSource Tax Provision software
**Additional Informa** **tion**
Preferred location is Louisville office/hybrid but would consider remote depending on skills/quals in Eastern or Central time zones.
Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.
**Scheduled Weekly Hours**
40
**Pay Range**
The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.
$78,400 - $107,800 per year
This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.
**Description of Benefits**
Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.
Application Deadline: 12-04-2025
**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 ***************************************************************************
Inventory Specialist
Sacramento, CA 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.
Six months of prior work experience with Walgreens (internal candidates) or one year of prior retail work experience (external candidates).
Must be fluent in reading, writing, and speaking English (except in Puerto Rico).
Must have a willingness to work a flexible schedule, including evening and weekend hours.
“Achieving expectations” rating on last performance review and no written disciplinary actions in the previous 12 months (internal candidates only).
Demonstrated attention to detail and ability to multi task and manage execution.
Experience in identifying operational issues and recommending and implementing strategies to resolve problems.
Prefer previous experience as a shift lead, pharmacy technician, designated hitter, or customer service associate.
Prefer to have prior work experience with Walgreens, with an evaluation on file.
We will consider employment of qualified applicants with arrest and conviction records.
An Equal Opportunity Employer, including disability/veterans.
The actual compensation that you will be offered will depend on a variety of factors including geography, skills and abilities, education, experience and other relevant factors. This role will remain open until filled. To review benefits, please click here jobs.walgreens.com/benefits. If you are applying on a job board or unable to click on the link, please copy and paste this URL into your browser jobs.walgreens.com/benefits
Senior Living Sales Manager
Roseville, CA job
Recognized by Newsweek in 2024 and 2025 as one of America's Greatest Workplaces for Diversity
Hungry for a sales role where your work will make a meaningful difference? Join our team! At Brookdale, you will find opportunities that recognize your success and help advance your career.
Our most successful sales managers can earn membership and bonus opportunities in our high-performance clubs: President's Club, Chairman's Club, and Chairman's Club Elite.
About the Sales Manager Position
As a Sales Manager at Brookdale, you will be a:
Guide for families and older adults - You'll be the boots on the ground both inside and outside our community, helping older adults navigate the sales journey from interest to move-in.
Team player - You'll work with local professionals and volunteers to generate professional referral leads from medical, financial, and legal professionals; religious leaders; and other local businesses and organizations.
Partner - You'll partner with leadership to develop and execute sales and marketing plans to meet or exceed community revenue and occupancy goals.
Brookdale supports our Sales associates through:
3-week on-boarding & orientation program featuring in-depth instruction in Brookdale's unique approach to sales, the systems to help you be successful, one-on-one coaching with your District Director, ongoing monthly continuing education for knowledge growth, and customized tools designed to help you best market your community for your unique geographic area.
Opportunity to apply for tuition reimbursement to support your professional sales and leadership skills development
Network of almost 675 communities in 41 states
This is a great opportunity for a strong sales leader looking to take the next step in their professional career or for an experienced Sales Manager looking to join a reputable mission and purpose-driven organization where you can make a contribution.
Qualifications & Skills
We'd love to talk if you have the following:
Bachelor's Degree in Marketing, Business, or related field preferred or equivalent combination of experience and education required
Valid driver's license
Minimum of 2 years relevant and recent sales experience. Senior Living experience preferred
Strong working knowledge of technology, proficiency in Microsoft office suite, and electronic documentation
Enriching lives...Together.
At Brookdale, relationships and integrity are the heart of our culture. Do you want to be a part of a welcoming and inclusive community where residents and associates thrive? Our cornerstones of passion, courage, partnership and trust drive everything we do and come to life every day. If this speaks to you, come join our award winning team
How to Apply
Apply online here or on our Career site, *************************************
Make Lives Better Including Your Own.
If you want to work in an environment where you can become your best possible self, join us! You'll earn more than a paycheck; you can find opportunities to grow your career through professional development, as well as ongoing programs catered to your overall health and wellness. Full suite of health insurance, life insurance and retirement plans are available and vary by employment status.
Part and Full Time Benefits Eligibility
Medical, Dental, Vision insurance
401(k)
Associate assistance program
Employee discounts
Referral program
Early access to earned wages for hourly associates (outside of CA)
Optional voluntary benefits including ID theft protection and pet insurance
Full Time Only Benefits Eligibility
Paid Time Off
Paid holidays
Company provided life insurance
Adoption benefit
Disability (short and long term)
Flexible Spending Accounts
Health Savings Account
Optional life and dependent life insurance
Optional voluntary benefits including accident, critical illness and hospital indemnity Insurance, and legal plan
Tuition reimbursement
Base pay in range will be determined by applicant's skills and experience. Role is also eligible for monthly and quarterly commission opportunities. Temporary associates are not benefits eligible but may participate in the company's 401(k) program.
Veterans, transitioning active duty military personnel, and military spouses are encouraged to apply.
To support our associates in their journey to become a U.S. citizen, Brookdale offers to advance fees for naturalization (Form N-400) application costs, up to $725, less applicable taxes and withholding, for qualified associates who have been with us for at least a year.
The application window is anticipated to close within 30 days of the date of the posting.
Responsibilities
#ZR-CT
Auto-ApplyPharmacy Technician Trainee, Full Time - Onsite Closed-Door Pharmacy
Roseville, CA job
In accordance with state and federal regulations, performs data entry and patient registration. Responsible for resolution of third party rejects and responding to high volume customer inquiries, working under direct supervision. Follows standard operating procedures and performs duties in accordance with Company policies and procedures. Responsible for using pharmacy systems to obtain patient and drug information. Duties may vary based on assigned department.
Job Responsibilities:
Using Walgreens prescription data entry procedures and guidelines, processes new patient registration by entering data into appropriate system. Handles patient prescription requests within HIPAA guidelines and enters refill orders for processing. Troubleshoots to obtain missing prescription information, and interprets medical abbreviations (SIG codes). Resolves all data entry related exceptions.
Handles correspondence to patients (inbound calls, chats, emails) and makes outbound calls to prescribers and patients as needed.
Resolves Third Party Rejects by reviewing, gathering information, making corrections and resubmitting for processing according to individual plan requirements. Makes telephone calls to insurers and others to obtain information, gain override approval or otherwise resolve the Third Party Rejects.
Provides assistance to Pharmacists, both those in the facility and those at other locations. Identifies and communicates issues to senior level staff as appropriate.
Must obtain active technician license or certification within the first 90 days, and maintain an active technician license or certification.
About Walgreens
Founded in 1901, Walgreens (****************** has a storied heritage of caring for communities for generations and proudly serves nearly 9 million customers and patients each day across its approximately 8,500 stores throughout the U.S. and Puerto Rico, and leading omni channel platforms. Walgreens has approximately 220,000 team members, including nearly 90,000 healthcare service providers, and is committed to being the first choice for retail pharmacy and health services, building trusted relationships that create healthier futures for customers, patients, team members and communities.
High School Diploma or GED.
Basic level PC skills (for example: start up and shut down computer, use mouse to point and click, start and close programs, switch between programs, save files, print documents and/or access information on-line).
Basic Search Engines skills to include opening a browser, typing in URLs in the correct location, using a search engine, bookmarking a site, navigating using back/forward/stop buttons, and filling out forms online.
Intermediate level keyboarding skills (at least 25 WPM, touch typing, formatting documents).
Communicate effectively in writing and verbally.
18 years of age or older
At least 1 year of pharmacy technician experience in a retail or call center environment.
At least 18 months as a pharmacy technician with a certificate/registration by state as granted by the State board for Pharmacy or nationally recognized certification agency.
Experience providing customer service to internal and external customers, including meeting quality standards for services, and evaluation of customer satisfaction.
Intermediate to advanced level keyboarding skills (at least 35 WPM, touch typing, formatting documents).
Fluency in Spanish and English.
We will consider employment of qualified applicants with arrest and conviction records.
#VHDEI