Sr. Program Delivery Professional, G&A
Humana job in Salt Lake City, UT
**Become a part of our caring community and help us put health first** Join Humana's In Home Well-being Assessment (IHWA) team and play a critical role in ensuring exceptional member experience and compliance with CMS standards. As a Senior Program Delivery Professional, you will manage complex grievance and complaint processes, oversee vendor relationships, and support quality initiatives that directly impact Medicare members.
**Key Responsibilities:**
+ Lead daily management of grievance and complaint queues in PPCM, ensuring timely resolution per CMS SLAs.
+ Coordinate with internal teams and external vendors to uphold best practices and contractual obligations.
+ Manage additional feedback from Stars vendors (~150 pieces weekly) as IHWA expands responsibilities in 2025-2026.
+ Support highly regulated processes, including Privacy concerns, Quality of Care issues, and MRA delete management.
+ Analyze feedback trends, communicate findings, and influence strategy for continuous improvement.
**Environment: Remote role. Operating heavily in the Patient/Provider Compliant and Management System (PPCM), managing Grievance & Appeals (G&A). Candidates must be comfortable with queue based work.**
**Use your skills to make an impact**
**Required Qualifications**
+ Bachelor's degree or equivalent years of experience
+ 5+ years in member/provider grievance management
+ Strong knowledge of Microsoft Office (Word, Excel, Access)
+ Excellent communication, both oral and written
+ Must be passionate about contributing to an organization focused on continuously improving consumer experiences
**Preferred Qualifications**
+ Master's Degree in Business Administration or a related field
+ PMP certification 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.
$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: 12-11-2025
**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 ***************************************************************************
Associate Actuary
Humana job in Salt Lake City, UT
**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 ***************************************************************************
Pharmacist - Sign-On Bonus Available
Salt Lake City, UT job
Join Our Team at Walgreens as a Pharmacist! Why Walgreens - For You, For Your Family, For Your Future At Walgreens, pharmacists are medication experts and trusted healthcare providers reshaping the future of patient-focused care. With industry-leading resources, career advancement opportunities, and a strong commitment to work-life balance, we invest in you so you can invest in your patients.
For You - Competitive Pay & Flexible Scheduling
Competitive pay - Competitive wage offered based on geography and other business-related factors
Paid Time Off (PTO) - Available after three months of service (subject to state law) because work-life balance matters
Flexible scheduling - Flexible scheduling options to fit your lifestyle
For Your Family - Comprehensive Health & Wellness Benefits
Comprehensive benefits package including medical, prescription drug, dental, vision, disability and life insurance for qualifying team members. Plus free flu shots for all team members and other voluntary benefits
365 Get Healthy Here & Life365 Employee Assistance Program (EAP) - Mental health support and wellness programs
Family-forming support - Walgreens provides financial support for fertility treatments, including medical procedures and prescription medications. Eligible team members can also receive reimbursement for qualified adoption and surrogacy-related expenses
For Your Future - Growth, Education & Exclusive Perks
Opportunities for growth - Many pharmacists advance quickly into leadership roles in pharmacy operations, retail management, multi-site leadership, and corporate support functions
Walgreens University - Free training, certifications, and leadership development, plus tuition discounts at 30+ universities
Employee discounts - 25% off Walgreens brands and 15% off national brands, plus exclusive savings on electronics, travel, and more
401(k) with company match - Contribute to your retirement, and Walgreens provides matching contributions after one year and 1,000 hours of service. Additionally, Walgreens matches qualifying student loan payments as if they were 401(k) contributions
What You'll Do
Provide compassionate, expert-level pharmacy consulting services to patients
Educate and consult patients on medication usage, side effects, and cost-effective options
Deliver clinical healthcare services, including immunizations, diagnostic testing, and medication therapy management
Ensure medication safety through accurate compounding, dispensing, and regulatory compliance
Mentor and train pharmacy team members in a collaborative and supportive environment
Who You Are
Patient-focused & service-driven - You're committed to making healthcare personal
A collaborative team leader - You support, inspire, and uplift those around you
A lifelong learner - You stay ahead of industry advancements and professional growth
A problem-solver - You navigate challenges, from insurance claims to medication management, with ease
Apply Today & Build Your Future with Walgreens!
This is more than just a job-it's a career with purpose. See below for more details!
About Us
Founded in 1901, Walgreens (****************** proudly serves more than 9 million customers and patients each day across its approximately 8,000 stores throughout the U.S. and Puerto Rico. Walgreens has approximately 211,000 team members, including roughly 85,000 healthcare service providers, and is committed to being the first choice for pharmacy, retail and health services, building trusted relationships that create healthier futures for customers, patients, team members and communities.
Basic Qualifications
BS in Pharmacy or Pharmacist Degree from an accredited educational institution.
Current pharmacist licensure in the states within the district.
Experience performing prescription dispensing activities that demonstrate a strong working knowledge of applicable state and federal controlled substance laws.
Certified Immunizer or willing to become an immunizer within 90 days of hire.
Preferred Qualifications
At least 1 year experience as a pharmacist in a retail setting including prescription filling and verification, records and legal compliance, pharmacy operations, pharmacy software and technology systems and insurance.
We will consider employment of qualified applicants with arrest and conviction records.
An Equal Opportunity Employer, including disability/veterans.
The Salary below is being provided to promote pay transparency and equal employment opportunities at Walgreens. The actual hourly salary within this range that you will be offered will depend on a variety of factors including geography, skills and abilities, education, experience and other relevant factors. This role will remain open until filled. To review benefits, please click here jobs.walgreens.com/benefits. If you are applying on a job board or unable to click on the link, please copy and paste this URL into your browser jobs.walgreens.com/benefits
Salary Range: Pharmacist Hourly $69.05-$75.95
Adjudicator, Provider Claims
Salt Lake City, UT job
Provides support for provider claims adjudication activities including responding to providers to address claim issues, and researching, investigating and ensuring appropriate resolution of claims. - Provides support for resolution of provider claims issues, including claims paid incorrectly; analyzes systems and collaborates with respective operational areas/provider billing to facilitate resolution.
- Collaborates with the member enrollment, provider information management, benefits configuration and claims processing teams to appropriately address provider claim issues.
- Responds to incoming calls from providers regarding claims inquiries - provides excellent customer service, support and issue resolution; documents all calls and interactions.
- Assists in reviews of state and federal complaints related to claims.
- Collaborates with other internal departments to determine appropriate resolution of claims issues.
- Researches claims tracers, adjustments, and resubmissions of claims.
- Adjudicates or readjudicates high volumes of claims in a timely manner.
- Manages defect reduction by identifying and communicating claims error issues and potential solutions to leadership.
- Meets claims department quality and production standards.
- Supports claims department initiatives to improve overall claims function efficiency.
- Completes basic claims projects as assigned.
**Required Qualifications**
- At least 2 years of experience in a clerical role in a claims, and/or customer service setting, including experience in provider claims investigation/research/resolution/reimbursement methodology analysis within a managed care organization, or equivalent combination of relevant education and experience.
- Research and data analysis skills.
- Organizational skills and attention to detail.
-Time-management skills, and ability to manage simultaneous projects and tasks to meet internal deadlines.
- Customer service experience.
- Effective verbal and written communication skills.
- Microsoft Office suite and applicable software programs proficiency.
To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V
Pay Range: $21.16 - $38.37 / HOURLY
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
Pharmacist - Relocation Assistance Available
Heber, UT job
Join Our Team at Walgreens as a Pharmacist! Why Walgreens - For You, For Your Family, For Your Future At Walgreens, pharmacists are medication experts and trusted healthcare providers reshaping the future of patient-focused care. With industry-leading resources, career advancement opportunities, and a strong commitment to work-life balance, we invest in you so you can invest in your patients.
For You - Competitive Pay & Flexible Scheduling
Competitive pay - Competitive wage offered based on geography and other business-related factors
Paid Time Off (PTO) - Available after three months of service (subject to state law) because work-life balance matters
Flexible scheduling - Flexible scheduling options to fit your lifestyle
For Your Family - Comprehensive Health & Wellness Benefits
Comprehensive benefits package including medical, prescription drug, dental, vision, disability and life insurance for qualifying team members. Plus free flu shots for all team members and other voluntary benefits
365 Get Healthy Here & Life365 Employee Assistance Program (EAP) - Mental health support and wellness programs
Family-forming support - Walgreens provides financial support for fertility treatments, including medical procedures and prescription medications. Eligible team members can also receive reimbursement for qualified adoption and surrogacy-related expenses
For Your Future - Growth, Education & Exclusive Perks
Opportunities for growth - Many pharmacists advance quickly into leadership roles in pharmacy operations, retail management, multi-site leadership, and corporate support functions
Walgreens University - Free training, certifications, and leadership development, plus tuition discounts at 30+ universities
Employee discounts - 25% off Walgreens brands and 15% off national brands, plus exclusive savings on electronics, travel, and more
401(k) with company match - Contribute to your retirement, and Walgreens provides matching contributions after one year and 1,000 hours of service. Additionally, Walgreens matches qualifying student loan payments as if they were 401(k) contributions
What You'll Do
Provide compassionate, expert-level pharmacy consulting services to patients
Educate and consult patients on medication usage, side effects, and cost-effective options
Deliver clinical healthcare services, including immunizations, diagnostic testing, and medication therapy management
Ensure medication safety through accurate compounding, dispensing, and regulatory compliance
Mentor and train pharmacy team members in a collaborative and supportive environment
Who You Are
Patient-focused & service-driven - You're committed to making healthcare personal
A collaborative team leader - You support, inspire, and uplift those around you
A lifelong learner - You stay ahead of industry advancements and professional growth
A problem-solver - You navigate challenges, from insurance claims to medication management, with ease
Apply Today & Build Your Future with Walgreens!
This is more than just a job-it's a career with purpose. See below for more details!
About Us
Founded in 1901, Walgreens (****************** proudly serves more than 9 million customers and patients each day across its approximately 8,000 stores throughout the U.S. and Puerto Rico. Walgreens has approximately 211,000 team members, including roughly 85,000 healthcare service providers, and is committed to being the first choice for pharmacy, retail and health services, building trusted relationships that create healthier futures for customers, patients, team members and communities.
Basic Qualifications
BS in Pharmacy or Pharmacist Degree from an accredited educational institution.
Current pharmacist licensure in the states within the district.
Experience performing prescription dispensing activities that demonstrate a strong working knowledge of applicable state and federal controlled substance laws.
Certified Immunizer or willing to become an immunizer within 90 days of hire.
Preferred Qualifications
At least 1 year experience as a pharmacist in a retail setting including prescription filling and verification, records and legal compliance, pharmacy operations, pharmacy software and technology systems and insurance.
We will consider employment of qualified applicants with arrest and conviction records.
An Equal Opportunity Employer, including disability/veterans.
The Salary below is being provided to promote pay transparency and equal employment opportunities at Walgreens. The actual hourly salary within this range that you will be offered will depend on a variety of factors including geography, skills and abilities, education, experience and other relevant factors. This role will remain open until filled. To review benefits, please click here jobs.walgreens.com/benefits. If you are applying on a job board or unable to click on the link, please copy and paste this URL into your browser jobs.walgreens.com/benefits
Salary Range: Pharmacist Hourly $69.05-$75.95
Associate Specialist, Appeals & Grievances
Salt Lake City, UT job
Provides entry level support for claims activities including reviewing and resolving member and provider complaints, and communicating resolution to members or authorized representatives in accordance with the standards and requirements established by the Centers for Medicare and Medicaid Services (CMS).
**Essential Job Duties**
- Enters denials and requests for appeals into information system and prepares documentation for further review.
- Researches claims issues utilizing systems and other available resources.
- Assures timeliness and appropriateness of appeals according to state, federal and Molina guidelines.
- Requests and obtains medical records, notes, and/or detailed bills as appropriate to assist with research.
- Determines appropriate language for letters and prepares responses to member appeals and grievances.
- Elevates appropriate appeals to the next level for review.
- Generates and mails denial letters.
- Provides support for interdepartmental issues to help coordinate problem-solving in an efficient and timely manner.
- Creates and/or maintains appeals and grievances related statistics and reporting.
- Collaborates with provider and member services to resolve balance bill issues and other member/provider complaints.
**Required Qualifications**
- At least 1 year of experience in claims, and/or 1 year of customer/provider service experience in a health care setting, or equivalent combination of relevant education and experience.
- Customer service experience.
- Organizational and time management skills; ability to manage simultaneous projects and tasks to meet internal deadlines.
- Effective verbal and written communication skills.
- Microsoft Office suite/applicable software program(s) proficiency.
**Preferred Qualifications**
- Customer/provider experience in a managed care organization (Medicaid, Medicare, Marketplace and/or other government-sponsored program), or medical office/hospital setting experience.
- Completion of a health care related vocational program (i.e., certified coder, billing, or medical assistant).
To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
Pay Range: $21.16 - $34.88 / HOURLY
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
Medical Director - IP Claims Management
Humana job in Salt Lake City, UT
**Become a part of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement to make determinations whether requested services, requested level of care, and/or requested site of service should be authorized. All work occurs within a context of regulatory compliance, and work is assisted by diverse resources, which may include national clinical guidelines, CMS and state policies and determinations, clinical reference materials, internal teaching conferences, and other reference sources. Medical Directors will learn Medicare, Medicare Advantage, and Medicaid requirements and will understand how to operationalize this knowledge in their daily work.
The Medical Director's work includes computer-based review of moderately complex to complex clinical scenarios, review of all submitted clinical records, prioritization of daily work, communication of decisions to internal associates, and possible participation in care management. May occasionally participate in discussions with external physicians by phone to gather additional clinical information or discuss determinations which may require conflict resolution skills. Some roles include an overview of coding practices and clinical documentation, dispute, grievance, and appeals processes, and outpatient services and equipment, within their scope.
The Medical Director may speak with contracted external physicians, physician groups, facilities, or community groups to support regional market priorities, which may include an understanding of Humana processes, as well as a focus on collaborative business relationships, value-based care, population health, or disease or care management. Medical Directors support Humana values throughout all activities.
**Use your skills to make an impact**
**Responsibilities**
The Medical Director provides medical interpretation and determinations whether services provided by other healthcare professionals are in agreement with national guidelines, CMS and state Medicaid requirements, Humana policies, clinical standards, and (in some cases) contracts. The ideal candidate supports and collaborates with other team members, other departments, and Humana colleagues. After completion of mentored training, daily work is performed with minimal direction. Enjoys working in a structured environment with expectations for consistency in thinking and authorship. Exercises independence in meeting departmental expectations and meets compliance timelines. Supports the assigned work with respect to market-wide objectives and community relations as directed.
**Required Qualifications**
+ MD or DO degree
+ 5+ years of direct clinical patient care experience post residency or fellowship, which preferably includes some experience in an inpatient environment and/or related to care of a Medicare type population (disabled or >65 years of age).
+ Current and ongoing Board Certification an approved ABMS Medical Specialty
+ A current and unrestricted license in at least one jurisdiction and willing to obtain additional license(s), if required.
+ No current sanction from Federal or State Governmental organizations, and able to pass credentialing requirements.
+ Excellent verbal and written communication skills.
+ Evidence of analytic and interpretation skills, with prior experience participating in teams focusing on quality management, utilization management, case management, discharge planning and/or home health or post-acute services such as inpatient rehabilitation.
**Preferred Qualifications**
+ Knowledge of the managed care industry including Medicare Advantage, Managed Medicaid and/or Commercial products, or other medical management organizations, hospitals/ Integrated Delivery Systems, health insurance, other healthcare providers, clinical group practice management.
+ Utilization management experience in a medical management review organization, such as Medicare Advantage, managed Medicaid, or Commercial health insurance.
+ Experience with national guidelines such as MCG or InterQual
+ Internal Medicine, Family Practice, Geriatrics, Hospitalist, Emergency Medicine clinical specialists
+ Advanced degree such as an MBA, MHA, MPH
+ Exposure to Public Health, Population Health, analytics, and use of business metrics.
+ Experience working with Case managers or Care managers on complex case management, including familiarity with social determinants of health.
+ The curiosity to learn, the flexibility to adapt and the courage to innovate
**Additional Information**
Typically reports to a Lead Medical Director, depending on the line of business. The Medical Director conducts Utilization Management or clinical validation of the care received by members in an assigned line of business, member population, or condition type. May also engage in dispute, grievance, and appeals reviews. May participate on project teams or organizational committees.
\#physiciancareers
Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.
**Scheduled Weekly Hours**
40
**Pay Range**
The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.
$223,800 - $313,100 per year
This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.
**Description of Benefits**
Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.
Application Deadline: 01-01-2026
**About us**
Humana Inc. (NYSE: HUM) is committed to putting health first - for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large.
**Equal Opportunity Employer**
It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.
Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our ***************************************************************************
Supervisor, Healthcare Services Operations Support
Layton, UT job
JOB DESCRIPTION Job SummaryLeads and supervises a team supporting non-clinical healthcare services activities for care management, care review, utilization management, transitions of care, behavioral health, long-term services and supports (LTSS), and/or other program specific service support - ensuring members reach desired outcomes through integrated delivery of care across the continuum. Contributes to overarching strategy to provide quality and cost-effective member care.
Essential Job Duties
- Supervises healthcare services operations support team members within Molina's clinical/healthcare services function, which may include care review, care management, and/or correspondence processing, etc.
- Researches and analyzes the workflow of the department, and offers suggestions for improvement and/or changes to leadership; assists with the implementation of changes.
- Conducts employee and team productivity/quality assurance checks and documents results for accuracy and time compliance.
- Provides regular verbal and written feedback to staff regarding performance and opportunities for improvement.
- Assists in the development and implementation of internal desktop processes and procedures.
- Establishes and maintains positive and effective work relationships with coworkers, clients, members, providers, and customers.
Required Qualifications- At least 5 years of operations or administrative experience in health care, preferably within a managed care setting, or equivalent combination of relevant education and experience.
- Strong analytic and problem-solving abilities.
- Strong organizational and time-management skills.
- Ability to multi-task and meet project deadlines.
- Attention to detail.
- Ability to build relationships and collaborate cross-functionally.
- Excellent verbal and written communication skills.
- Microsoft Office suite/applicable software program(s) proficiency.
Preferred Qualifications
- Supervisory/leadership experience.
To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V
Pay Range: $77,969 - $106,214 / ANNUAL
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
Strategy Advancement Advisor
Humana job in Salt Lake City, UT
**Become a part of our caring community and help us put health first** Humana is a publicly traded, Fortune 100 health benefits 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.
Consumer Segment Team
Identifying and delivering new avenues of growth is a critical company priority. The Consumer Segment team is an entrepreneurial, multi-functional team within Humana's Medicare and Medicaid business unit. The team is focused on driving industry leading membership growth, retention and health outcomes by identifying new consumer insights, developing growth strategies, and activating them across the enterprise to serve the unique needs of prioritized segments.
Humana is seeking an experienced team member with meaningful strategy consulting or healthcare strategy experience to join this team. As Strategy Advancement Advisor, you will support development and implementation of consumer segment strategies that drive growth and retention while optimizing member experience and outcomes. You'll collaborate with teammates and cross-functional partners to frame up business questions, conduct analyses, and recommend solutions. You will own segment specific strategies including Hispanic and Age-Ins, and also help answer key strategic business questions that arise during the annual product/sales cycle across multiple domains, including product design, plan footprint, marketing and sales performance, membership analytics, customer/provider satisfaction and more. You will proactively identify new consumer insights and create business cases to support new pilots and initiatives to address critical unmet consumer needs.
**Key Responsibilities Include** :
+ Managing analysis and/or work streams within high-profile, high-impact strategy projects
+ Conducting industry, market, competitor, and financial analysis and deliverables that clearly frame objectives, issues/challenges, and articulate compelling, insightful findings, conclusions, and recommendations
+ Conducting interviews, working sessions, and report-outs with associates and leaders across the company
+ Own development and presentation of key deliverables for leadership and cross-functional partners
+ Innovate new pilots and member experiences to drive growth and improved retention
+ Support business case development for key initiatives
**Use your skills to make an impact**
**Required Qualifications**
+ 7+ years of full-time relevant strategic work experience, ideally post-MBA
+ Strategy management consulting experience
+ Experience leading broad initiatives with cross-functional collaboration
+ Strong problem-solving skills and the ability to perform complex qualitative and quantitative analysis
+ Experience leveraging consumer insights to design and implement new products/services/solutions
+ Proficiency in verbal/written communication to senior and executive leadership
+ Proficient in delivering engaging and informative presentations to diverse audiences
**Preferred Qualifications**
+ MBA, MPH, PhD, or graduate degree in a management field
+ Prior healthcare industry experience, preferably in the managed care or provider sector
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 ***************************************************************************
VP, Chief Financial Officer Humana Military
Humana job in Salt Lake City, UT
**Become a part of our caring community and help us put health first** The VP, CFO provides executive leadership to Humana Military. The position will be responsible for all corporate driven Budgeting, Forecasting and Reporting, GL Accounting for Humana Military, Contract Accounting, Government Cost Accounting and Proposal Pricing. FP&A efforts include updating and maintaining budgeting and reporting systems and improving the communication and process flow of the annual cycles. The role will also include ensuring monthly GL accounting activities are performed in a timely and accurate manner (including revenue and expense recognition. Will include oversight of the contract accounting function (including Health Care cash flow reconciliation and enrollment fee balancing). Also includes development of Humana Military's Disclosure Statement and annual Forward Pricing Rate Proposals - in addition to ensuring that daily Federal Acquisition Regulation project accounting is compliant (purchase requisition accounting and labor accounting practices).
The VP, Chief Financial Officer for Humana Military (HM) has accountabilities for all day-to-day activities resulting in all financial data and reporting to be current, accurate and complete. This position supplies the tactical processes needed to fulfill HM'S strategic imperatives including:
+ Develops a strategy to drive both membership and earnings growth, creating achievable short-term goals to gain traction while supporting the long-term strategic ambitions of HMHGB
+ Supports contracting efforts with oversight and influence on negotiations and change order requests
+ Leads Proposal Pricing strategies for REAs and significant Change Orders
+ Negotiate directly with Major Subcontractors and Contracting Officers for items with significant financial impacts
+ Leads financial analytics team to support TRICARE growth ambitions
+ Engage with the HM leadership team to enable pricing and membership decisions aligned to growth and sustainability
+ Financial execution of TRICARE business to ensure flawless financial data and support key business initiatives
+ Partners with the President of Humana Military and HM Executive Leadership to deliver results and present insights on budgeting, forecasting, and variances.
+ Prepares and presents monthly, quarterly, and annual financial results and projections to include KPI and balanced scorecard reports.
+ Provides financial pictures of the HM business to include annual revenue, number of members served, discount impacts and total contract value.
+ Provides financial pictures of the businesses in support of segment ambitions around ROIC targets, Pre-tax targets, and Admin improvement targets.
+ Drives the financial evaluation of any future RFPs and is a key stakeholder in HM contracting life cycle.
+ Must be able to understand complexities and knowledge of vendors within government contracts
+ Must have deep knowledge of Federal Acquisition Regulations and Cost Accounting Standards to understand the complexities of federal government contracting business
+ Must understand the importance of Disclosure Statements and compliance with Cost Accounting Standards in operating a federal contract
+ Responsible for establishing relationships with operational executives and the development of operational and capital budgets for HM. Establishes processes for a timely review of actual performance against approved budgets.
+ Maintains relationship with segment actuaries in determining key financial indicators around membership forecasts (current year and year next), Pricing decisions and underwriting targets (current year and year next), Early identification of trend issues, and partnership with operations on solution ideation.
+ Ensures appropriate internal controls and safeguards of company assets are in place and working
+ Provides oversight of the Financial Planning and Analysis functions and all financial and statistical reporting needs of Government LOBs
+ Ensures accuracy, thoroughness, and integrity throughout financial organization
**Use your skills to make an impact**
**Required Qualifications**
+ Our Government Contract Requires US Citizenship for this position
+ DoD Contract Experience
+ FAR and CAS extended knowledge
+ 15 years of progressive financial experience
+ 4-year Business Degree
+ Progressive leadership experience
+ Ability to analyze and summarize reporting data and communicate results to all levels of the organization including the EC
+ Ability to create labor saving processes through automation
+ In-depth knowledge of Microsoft Excel and PowerApps
+ Excellent written, oral communication, and interpersonal skills
**Preferred Qualifications**
+ Healthcare/Insurance industry experience
+ Knowledge of financial systems and reporting tool
+ Master's Degree
+ Location preference is District of Columbia or Louisville, KY
Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.
**Scheduled Weekly Hours**
40
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 ***************************************************************************
Vendor Management Lead
Humana job in Salt Lake City, UT
**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 Salt Lake City, UT
**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 ***************************************************************************
Medicare Sales Field Agent - Salt Lake City, UT
Humana job in Salt Lake City, UT
Become a part of our caring community and help us put health first With over 10 million sales interactions annually, Humana understands that while great products are important, it's the quality of our service that truly defines us. We know that when our members and prospects have delightful and memorable experiences, it strengthens their connection with us and enables us to put their Health First. After all, a health services company that has multiple ways to improve the lives of its customers is uniquely positioned to put those customers at the center of everything it does.
The MarketPoint Career Channel Team is looking for skilled Medicare Field Sales Agents. This is a field-based role, and candidates must live in the designated territory to effectively serve their local community. As part of a collaborative team of 8-12 Medicare Sales Agents, you'll work under the guidance of a Senior Manager and Regional Director who are committed to your success. Together, you'll help bring Humana's strategy to life: Deliver on the fundamentals, differentiate through exceptional service, and grow by expanding our reach and impact.
What You'll Do in This FIELD Based Role:
Deliver: Build trust and educate individuals on Humana's Medicare Advantage plans and additional offerings like Life, Dental, Vision, and Prescription coverage.
Differentiate: Create meaningful, face-to-face connections through grassroots marketing, community events, and in-home visits-providing a personalized experience that sets Humana apart.
Grow: Drive self-generated sales, meet performance goals, and expand Humana's presence in the market by becoming a valued resource in your community.
You'll engage with customers in the FIELD through a mix of in-person, virtual, and phone interactions. Face-to-face visits in prospective members' homes are a key part of this role.
Why Join Humana?
People-first culture that supports your personal and professional growth.
Inclusive and diverse environment that values multilingual talent and cultural understanding.
Autonomy and flexibility to manage your schedule and success.
Purpose-driven mission to help people achieve their best health-and transform healthcare along the way.
Benefits include:
Medical, Dental, Vision, and a variety of other supplemental insurances
Paid Time Off (PTO) and Paid Holidays
401(k) retirement savings plan with a competitive match
Tuition reimbursement and/or scholarships for qualifying dependent children
And much more!
Use your skills to make an impact
Required Qualifications
Active Health Insurance License or ability to obtain.
Must reside in the designated local territory to effectively serve the community.
Comfortable with daily face-to-face interactions in prospective members' homes and engaging with the community through service, organizations, volunteer work, or local events.
Valid state driver's license and proof of personal vehicle liability insurance meeting at least 25/25/10 coverage limits (or higher, based on state requirements).
Preferred Qualifications
Active Life and Variable Annuity Insurance License.
Prior experience selling Medicare products.
Experience in public speaking or delivering presentations to groups.
Associate's or Bachelor's degree.
Experience using Microsoft Office tools such as Teams, Excel, Word, and PowerPoint.
Bilingual in English and Spanish, with the ability to speak, read, and write fluently in both languages.
Additional Information
This position is in scope of Humana's Driving Safety and Vehicle Management Program and therefore subject to driver license validation and MVR review.
Any Humana associate who speaks with a member in a language other than English must take a language proficiency assessment, provided by an outside vendor, to ensure competency. Applicants will be required to take the Interagency Language Rating (ILR) test as provided by the Federal Government.
Alert: Humana values personal identity protection. Please be aware that applicants selected for leader review may be asked to provide their social security number, if it is not already on file. When required, an email will be sent from ******************** with instructions on how to add the information into your official application on Humana's secure website.
Schedule: Meeting with members requires appointments and/or event times that may vary on nights and weekends. Flexibility is essential to your success.
Training: The first five weeks of employment and attendance is mandatory.
Interview Format:
As part of our hiring process for this opportunity, we are using an interviewing technology called HireVue to enhance our hiring and decision-making ability. HireVue allows us to quickly connect and gain valuable information from you pertaining to your relevant skills and experience at a time that is best for your schedule.
If you are selected to move forward in the process, you will receive a text message inviting you to participate in a HireVue prescreen. In this prescreen, you will receive a set of questions via text and given the opportunity to respond to each question. You should anticipate this prescreen taking about 15 minutes. Your responses will be reviewed and if selected to move forward, you will be contacted with additional details involving the next step in the process.
Pay Range
The range below reflects a good faith estimate of total compensation for full time (40 hours per week) employment at the time of posting. This compensation package includes both base pay and commission with guarantee. The pay range may be higher or lower based on geographic location. Actual earnings will vary based on individual performance, with the base salary and commission structure aligned to company policies and applicable pay transparency requirements.
$80,000 - $125,000 per year
#medicaresalesrep
Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.
Scheduled Weekly Hours
40
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.
Auto-ApplyAssociate Vice President, Medicaid Data Strategy & Enablement
Humana job in Salt Lake City, UT
**Become a part of our caring community and help us put health first** The Associate Vice President (AVP), Medicaid Data Strategy & Enablement, is responsible for leading the strategic development and execution of technology solutions that advance Medicaid business objectives. This executive role acts as a vital liaison between business operations and Information Technology (IT), ensuring that all solutions-including IT-developed applications, Business Managed Solutions (BMS), and Robotic Process Automation (RPA)-are properly designed, implemented, and governed. The AVP oversees a dedicated Data Visualization and Business Intelligence (BI) Reporting team, transforming Medicaid data into actionable insights to support informed decision-making, regulatory compliance, and operational excellence.
**Key Responsibilities:**
**Technology Solution Delivery & Partnership**
+ Collaborate with IT teams and business stakeholders to identify, prioritize, and deliver technology solutions that directly support Medicaid strategic objectives.
+ Oversee the lifecycle management of Business Managed Solutions (BMS) and Robotic Process Automation (RPA) initiatives, ensuring consistency with enterprise architecture, data security, and regulatory compliance.
+ Define and implement governance principles for distinguishing between BMS and enterprise IT assets, and ensure appropriate documentation and transition when necessary.
**Enterprise Medicaid Data Strategy**
+ Develop, communicate, and execute a comprehensive Medicaid data strategy that aligns with both enterprise-wide and state-specific requirements, including compliance with all relevant regulations.
+ Assess the need for Medicaid-specific data domains, and establish processes for the consistent use of verified and trusted data sources in all reporting and analytics for both state and enterprise use cases.
**Data Governance & Stewardship**
+ Establish clear Medicaid data ownership and stewardship roles to ensure accountability, particularly during new state program implementations and for management of historical claims data.
+ Create and lead a Medicaid Data Governance Council, providing oversight for data quality, access, and usage standards.
+ Identify and resolve gaps in data ownership, including those related to files received from external entities and vendors.
**Data Culture & Literacy**
+ Champion a culture within Medicaid operations that recognizes data as a strategic asset critical to organizational success.
+ Act as a facilitator and translator between business and technical teams, ensuring all cross-domain data needs are clearly understood and addressed.
+ Lead programs and training initiatives to improve data literacy and analytical skills across all Medicaid teams.
**AI/ML Readiness & Innovation**
+ Expand data governance frameworks to include principles of AI ethics, fairness, transparency, and ongoing model monitoring for Medicaid use cases.
+ Develop a clear roadmap for AI/ML applications in Medicaid, including processes for evaluation, implementation, and compliance with evolving state and federal requirements.
+ Partner with enterprise AI teams to advocate for and address Medicaid-specific needs and priorities.
**Governance for Business Managed Solutions**
+ Ensure all Medicaid teams understand and consistently apply corporate policies regarding BMS, including documentation, security, and compliance protocols.
+ Define, communicate, and enforce criteria for determining when a solution qualifies as a BMS versus an enterprise IT asset.
**Strategic Partnership with Medicaid Data Integration Team**
+ Collaborate to co-develop the strategic roadmap for the Medicaid Data Integration team, focusing on scalability, interoperability, and future-state architecture.
+ Lead prioritization of integration use cases, and oversee the migration of data from legacy systems to enterprise data platforms or the Medicaid data lake, ensuring data integrity and accessibility.
**Data Visualization & Business Intelligence Reporting**
+ Direct and mentor the team responsible for Medicaid-focused data visualization and BI reporting, ensuring high standards of accuracy, timeliness, and relevance.
+ Oversee the delivery of reports and dashboards that support operational, regulatory, and strategic decision-making for Medicaid programs.
+ Drive the adoption of enterprise BI tools and reporting standards, ensuring consistency and alignment with organizational best practices.
+ Collaborate with internal and external stakeholders to define and monitor key performance indicators (KPIs) and reporting requirements.
+ Promote self-service analytics capabilities, while maintaining robust data governance and integrity controls.
**Use your skills to make an impact**
**Required Qualifications**
+ Bachelor's Degree of Business Administration, Computer Science or a related field
+ 6 or more years of management experience
+ Experience leading and establishing data governance and executing on a data strategy
+ Experience working for a Health Plan organization
+ Experience overseeing the lifecycle management of Business Managed Solutions (BMS) and Robotic Process Automation (RPA) initiatives within an organization
+ Experience problem solving and consultation within complex environments
+ Experience facilitating cross-functional teams' efforts
+ Must be passionate about contributing to an organization focused on continuously improving consumer experiences
+ Must be able to work EST hours
+ Ability to travel to Louisville, KY 15%-20% of the time
**Preferred Qualifications**
+ Master's Degree
+ Experience developing and executing a comprehensive data strategy specific to Medicaid
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.
$172,200 - $236,900 per year
This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.
**Description of Benefits**
Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.
Application Deadline: 12-10-2025
**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 ***************************************************************************
Nurse Auditor 2
Humana job in Salt Lake City, UT
**Become a part of our caring community and help us put health first** The Nurse Auditor 2 performs clinical audit/validation processes to ensure that medical record documentation and coding for services rendered is complete, compliant, and accurate to support optimal reimbursement. The Nurse Auditor 2's work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action.
The **Nurse Auditor 2** validates and interprets medical documentation to ensure capture of all relevant coding. Applies clinical and coding experience to conduct reviews of provider codes and billing. Makes decisions of clinical appropriateness based on submitted provider information. Understands department, segment, and organizational strategy and operating objectives, including their linkages to related areas. Makes decisions regarding own work methods, occasionally in ambiguous situations, and requires minimal direction and receives guidance where needed. Follows established guidelines/procedures.
**Use your skills to make an impact**
**WORK STYLE:** Remote, work at home. While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.
**WORK HOURS:** Typical business hours are Monday-Friday, 8 hours/day, 5 days/week. Associates are expected to start each day between 6AM and 9AM EST, regardless of their home time zone.
**Required Qualifications**
+ Must have current U.S. RN (Registered Nurse) license, in the state of residence, without any restrictions
+ Associate must reside in the continental US
+ Minimum of 1 year of clinical experience reading and interpreting medical records and claims and/or working disputes and trending results
+ Comprehensive understanding of CMS regulations and knowledge of medical coding and billing
+ MS Office proficiency (Word, Excel, Teams, Outlook)
+ Demonstrated ability to exercise solid judgment and discretion in handling and disseminating information
+ Ability to work independently, make decisions and manage workload
+ Customer-service focused and exhibit professionalism, flexibility, dependability, desire to learn, commitment to excellence and commitment to profession
+ Excellent writing, editing, interpersonal, planning, teamwork, and communications skills
**Preferred Qualifications**
+ Lab/Genetic clinical claim experience
+ CPT coding experience or certification
+ Prospective payment methodologies, auditing experience
**Additional Information**
**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
**Interview Format**
As part of our hiring process for this opportunity, we will be using an exciting interviewing technology called Hire Vue (formerly Modern Hire) to enhance our hiring and decision-making ability. Hire Vue (formerly Modern Hire allows us to quickly connect and gain valuable information from you pertaining to your relevant skills and experience at a time that is best for your schedule.
If you are selected to move forward from your application prescreen, you will receive correspondence inviting you to participate in a pre-recorded Voice Interview and/or an SMS Text Messaging interview. If participating in a pre-recorded interview, you will respond to a set of interview questions via your phone. You should anticipate this interview to take approximately 10-15 minutes.
If participating in a SMS Text interview, you will be asked a series of questions to which you will be using your cell phone or computer to answer the questions provided. Expect this type of interview to last anywhere from 5-10 minutes. Your recorded interview(s) via text and/or pre-recorded voice will be reviewed and you will subsequently be informed if you will be moving forward to next round of interviews.
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: 12-18-2025
**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 ***************************************************************************
Maintenance Technician Assistant
West Jordan, UT job
Supports the maintenance team by assisting with routine maintenance, repairs, and the upkeep of equipment and facility systems to ensure efficient, reliable and smooth operations. This role primarily focuses on ensuring equipment reliability, performing preventive maintenance, and driving continuous improvements across facility operations. This role is ideal for someone eager to learn technical skills in mechanical, electrical, and general maintenance trades.
Job Responsibilities
* Operates and maintains fulfillment equipment to ensure smooth daily operations.
* Performs routine preventive maintenance on material-handling systems per guidelines.
* Assists with mechanical, electrical, and hydraulic troubleshooting and minor repairs.
* Escalates complex issues to seasoned colleagues (such as maintenance technicians, senior maintenance technicians), and supervisor as needed.
* Clears jams, removes obstructions, and conducts general equipment upkeep.
* Supports equipment repairs and part replacements under technician supervision.
* Performs facility maintenance tasks, including lighting, minor construction, and plumbing.
* Maintains accurate maintenance records and adheres to safety and cleanliness protocols.
About Walgreens
Founded in 1901, Walgreens (****************** proudly serves nearly 9 million customers and patients each day across its approximately 8,500 stores throughout the U.S. and Puerto Rico. Walgreens has approximately 220,000 team members, including nearly 90,000 healthcare service providers, and is committed to being the first choice for pharmacy, retail and health services, building trusted relationships that create healthier futures for customers, patients, team members and communities.
Basic Qualifications
* High School Diploma or GED.
* Basic troubleshooting and diagnostic skills with strong attention to detail.
* Ability to perform physical tasks, including lifting up to 50 lbs., standing for extended periods, climbing ladders, and working in various environments.
* Strong problem-solving skills and ability to follow safety protocols.
Preferred Qualifications
* Technical certification or coursework in electrical, mechanical, HVAC, or industrial maintenance.
* Previous experience in a maintenance or technical role (even as a trainee or apprentice).
* Basic understanding of electrical circuits, plumbing, HVAC systems, or mechanical systems.
* Familiarity with preventive maintenance procedures and basic troubleshooting.
* Ability to work independently and in a team.
* Good organizational skills and attention to detail.
We will consider employment of qualified applicants with arrest and conviction records.
Salary Range: $18.25 - $24.35 / Hourly
Director, General Accounting
Humana job in Salt Lake City, UT
**Become a part of our caring community and help us put health first** The Director, General Accounting performs general accounting activities, including the preparation, maintenance and reconciliation of ledger accounts and financial statements such as balance sheets, profit-and-loss statements and capital expenditure schedules. Conducts or assists in the documentation of accounting projects. The Director, General Accounting requires an in-depth understanding of how organization capabilities interrelate across the function or segment.
The Director, General Accounting prepares, records, analyzes and reports accounting transactions and ensures the integrity of accounting records for completeness, accuracy and compliance with accepted accounting policies and principles. Provides financial support, including forecasting, budgeting and analyzing variations from budget. Analyzes and prepares statutory accounts, financial statements and reports. Decisions are typically related to the implementation of new/updated programs or large-scale projects for the function and supporting technical/operational procedures and processes, and implements strategic plans, drives goals and objectives, and improves performance. Provides input into functions strategy.
**Use your skills to make an impact**
**Required Qualifications**
+ Master's Degree
+ 8 or more years of technical experience
+ 5 or more years of management experience
+ Progressive financial and accounting analysis experience
+ Progressive leadership and management experience
+ Must be passionate about contributing to an organization focused on continuously improving consumer experiences
**Preferred Qualifications**
+ Master's Degree in Business Administration
+ Certified Public Accountant license
+ Prior experience in public accounting and auditing
+ Strong technical accounting skills
+ Prior insurance operations or financial industry experience
+ Knowledge of relational databases such as Access and SQL Server
+ Certified Public Accountant license
**Additional Information**
Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.
**Scheduled Weekly Hours**
40
**Pay Range**
The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.
$168,000 - $231,000 per year
This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.
**Description of Benefits**
Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.
Application Deadline: 12-16-2025
**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 ***************************************************************************
Channel Development Lead
Humana job in Salt Lake City, UT
**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 Channel Development Lead defines the sales product strategy for single or multiple lines of business targeting specific markets and/or business segments. The Channel Development Lead works on problems of diverse scope and complexity ranging from moderate to substantial.
**Typical responsibilities include but are not limited to:**
+ develops key performance indicators to drive sales program effectiveness and to ensure cost efficiencies.
+ Provide data driven expertise and management reporting to improve sales performance and increase market share.
+ Develop go to market strategies and identify new business opportunities to increase overall sales portfolio.
+ Identify key areas of improvement through trend and utilization analysis. Collaborate closely with business leaders, marketing and finance to ensure effective, strategic, and competitive sales plans.
+ Advises executives to develop functional strategies (often segment specific) on matters of significance.
+ Exercises independent judgment and decision making on complex issues regarding job duties and related tasks and works under minimal supervision.
+ Uses independent judgment requiring analysis of variable factors and determining the best course of action.
**Use your skills to make an impact**
**Required Qualifications**
+ Bachelor's Degree or higher
+ 3 or more years of experience with intake and governance to involve managing requests, prioritizing work, and ensuring compliance with organizational standards
+ 2 or more years of project management/leadership experience
+ Comprehensive knowledge of Microsoft Word, Excel, PowerPoint, and Outlook
+ Experience collaborating with key stakeholders on strategic initiatives
+ Experience communicating with strategic level Leaders
+ Ability to manage multiple projects effectively
+ 10% travel may be required as business dictates
+ Must be passionate about contributing to an organization focused on continuously improving consumer experiences
**Preferred Qualifications**
+ PMP (Project Management Professional) Certification
+ Experience with Microsoft Planner
+ Strong financial acumen for budgeting, forecasting, and ROI analysis.
+ Excellent stakeholder management, communication, and negotiation skills.
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: 12-18-2025
**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 ***************************************************************************
Interoperability Lead Product Owner
Humana job in Salt Lake City, UT
**Become a part of our caring community and help us put health first** The Lead Interoperability Product Owner is responsible for conveying product vision and roadmap to an Agile delivery team by defining user stories and prioritizing product backlog. The Lead Product Owner works on problems of diverse scope and complexity ranging from moderate to substantial.
The Lead Interoperability Product Owner maximizes value of Interoperability products created by Agile team. Liaises with stakeholders and the development team ensuring the right product is being built, in the right order, within budget and by the deadline. Serves as the Agile team's primary contact for information, work prioritization, and decision-making.
Advises executives to develop functional strategies (often segment specific) on matters of significance. Exercises independent judgment and decision making on complex issues regarding job duties and related tasks, and works under minimal supervision, uses independent judgment requiring analysis of variable factors and determining the best course of action.
**Use your skills to make an impact**
**Job Responsibilities Include:**
+ Lead dedicated Scrum team(s) through all SAFe Agile Ceremonies such as: Daily Stand up, PI Planning, Sprint Planning, Backlog Refinement, Sprint Review, Sprint Retrospective, ART Synch, Scrum of Scrums, PO Synch, System Demo, Solution Demo, etc.
+ Lead your dedicated scrum team(s) through quarterly **on-site** PI Planning.
+ Create and refine user stories for the team and maintain a robust backlog ensuring adequate workload for dev team members.
+ Prioritize and assign work for development team members based on Humana's LPM (Lean Portfolio Management) strategy with a top-down value approach.
+ Manage technical relationships with external E.H.R. Partners, internal dependent technical partner teams, consuming business owners and own the end-to-end delivery of technical solutions ensuring all parties involved are aligned with the delivery and timelines of the same.
+ Manage internal communications with Interoperability Principal Product Managers, Lead Product Managers, IT Directors and AVPs, IT Solution Managers, Tech Leads, Solution Architects, Application Architects, Scrum Masters.
+ Remove blockers and drive delivery of the technical solution for product initiatives.
+ Lead communications and drive discussions with other Humana teams to achieve product team goals such as Humana's PIRC (Protected Information Review Council) and Internal Business Leaders and stakeholders for consuming business teams such as Stars, MRA, Care Plus, Clinical and many more.
+ Ensure the alignment of delivery timelines meets our strategic goals for Interop Products and our partners' strategic goals.
+ Decompose High Level Architecture and apply that understanding to the work breakdown and strategy for development and consumption.
+ Stay apprised and understand Interoperability regulatory and compliance requirements from CMS distilling those into product technical requirements for development teams to deliver.
+ Ensure maximum value is delivered to the enterprise through the work of the team(s).
+ Function and acquire expertise across multiple Interoperability Product Areas, not just one.
+ Develop subject matter expertise and share your acquired knowledge base with others who need to learn.
**Required Qualifications:**
+ 5+ years' experience in SDLC (software development life cycle) within Healthcare Product solutions, or other equivalent experience
+ Experience or understanding of Industry Standard HL7 FHIR formatting.
+ Demonstrated ability to articulate ideas effectively in both written and oral forms, collaboration and team-building skills
+ Strong organizational skills; capable of handling multiple details simultaneously, with ability to move between strategic and tactical work in a dynamic environment with changing processes and priorities.
+ Strong intuition about user experience and what makes a product experience great. Ability to unpack complex, ambiguous problems and ship simple and user-friendly solutions.
**Preferred Qualifications:**
+ Bachelor's Degree or higher
+ Experience in Data Movement solutions such as APIs, SFTPs, and Streaming Services.
+ Experience in Data Storage environments such as relational, unstructured, no SQL, or graph databases.
+ Experience in monitoring and logging capabilities to increate transparency of data.
+ Querying experience in SQL or other analytics software knowledge to view / read data sets.
+ Experience with Healthcare Interoperability, Electronic Medical Records, and/or Electronic Notifications.
+ Familiarity with CMS Risk Adjustment and Quality Measure Reporting.
+ Experience in UAT (User Acceptance Testing) / PPV (Post Production Validation Testing) scenario creation and data gathering.
+ Progressive strategic and operational experience.
+ Strong performance orientation for delivering high quality technology products.
+ SAFe PO/PM certification.
+ Data Governance and/or Data Stewardship experience.
Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.
**Scheduled Weekly Hours**
40
**Pay Range**
The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.
$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: 12-14-2025
**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 ***************************************************************************
Pharmacist - Relocation Assistance Available
Saratoga Springs, UT job
Join Our Team at Walgreens as a Pharmacist! Why Walgreens - For You, For Your Family, For Your Future At Walgreens, pharmacists are medication experts and trusted healthcare providers reshaping the future of patient-focused care. With industry-leading resources, career advancement opportunities, and a strong commitment to work-life balance, we invest in you so you can invest in your patients.
For You - Competitive Pay & Flexible Scheduling
Competitive pay - Competitive wage offered based on geography and other business-related factors
Paid Time Off (PTO) - Available after three months of service (subject to state law) because work-life balance matters
Flexible scheduling - Flexible scheduling options to fit your lifestyle
For Your Family - Comprehensive Health & Wellness Benefits
Comprehensive benefits package including medical, prescription drug, dental, vision, disability and life insurance for qualifying team members. Plus free flu shots for all team members and other voluntary benefits
365 Get Healthy Here & Life365 Employee Assistance Program (EAP) - Mental health support and wellness programs
Family-forming support - Walgreens provides financial support for fertility treatments, including medical procedures and prescription medications. Eligible team members can also receive reimbursement for qualified adoption and surrogacy-related expenses
For Your Future - Growth, Education & Exclusive Perks
Opportunities for growth - Many pharmacists advance quickly into leadership roles in pharmacy operations, retail management, multi-site leadership, and corporate support functions
Walgreens University - Free training, certifications, and leadership development, plus tuition discounts at 30+ universities
Employee discounts - 25% off Walgreens brands and 15% off national brands, plus exclusive savings on electronics, travel, and more
401(k) with company match - Contribute to your retirement, and Walgreens provides matching contributions after one year and 1,000 hours of service. Additionally, Walgreens matches qualifying student loan payments as if they were 401(k) contributions
What You'll Do
Provide compassionate, expert-level pharmacy consulting services to patients
Educate and consult patients on medication usage, side effects, and cost-effective options
Deliver clinical healthcare services, including immunizations, diagnostic testing, and medication therapy management
Ensure medication safety through accurate compounding, dispensing, and regulatory compliance
Mentor and train pharmacy team members in a collaborative and supportive environment
Who You Are
Patient-focused & service-driven - You're committed to making healthcare personal
A collaborative team leader - You support, inspire, and uplift those around you
A lifelong learner - You stay ahead of industry advancements and professional growth
A problem-solver - You navigate challenges, from insurance claims to medication management, with ease
Apply Today & Build Your Future with Walgreens!
This is more than just a job-it's a career with purpose. See below for more details!
About Us
Founded in 1901, Walgreens (****************** proudly serves more than 9 million customers and patients each day across its approximately 8,000 stores throughout the U.S. and Puerto Rico. Walgreens has approximately 211,000 team members, including roughly 85,000 healthcare service providers, and is committed to being the first choice for pharmacy, retail and health services, building trusted relationships that create healthier futures for customers, patients, team members and communities.
Basic Qualifications
BS in Pharmacy or Pharmacist Degree from an accredited educational institution.
Current pharmacist licensure in the states within the district.
Experience performing prescription dispensing activities that demonstrate a strong working knowledge of applicable state and federal controlled substance laws.
Certified Immunizer or willing to become an immunizer within 90 days of hire.
Preferred Qualifications
At least 1 year experience as a pharmacist in a retail setting including prescription filling and verification, records and legal compliance, pharmacy operations, pharmacy software and technology systems and insurance.
We will consider employment of qualified applicants with arrest and conviction records.
An Equal Opportunity Employer, including disability/veterans.
The Salary below is being provided to promote pay transparency and equal employment opportunities at Walgreens. The actual hourly salary within this range that you will be offered will depend on a variety of factors including geography, skills and abilities, education, experience and other relevant factors. This role will remain open until filled. To review benefits, please click here jobs.walgreens.com/benefits. If you are applying on a job board or unable to click on the link, please copy and paste this URL into your browser jobs.walgreens.com/benefits
Salary Range: Pharmacist Hourly $69.05-$75.95