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Humana jobs in Towson, MD - 465 jobs

  • Remote Cloud & GenAI Operations Leader

    Humana Inc. 4.8company rating

    Humana Inc. job in Washington, DC

    A leading health services provider in Washington is looking for an experienced leader to enhance cloud operations and innovate with AI. This role involves directing cloud service providers, optimizing costs, and implementing AI-driven solutions for better healthcare delivery. The ideal candidate will have a robust background in infrastructure operations and hands-on experience in AI/ML development, along with excellent problem-solving skills. This is a full-time position with competitive benefits and a salary range of $142,300 - $195,700 per year. #J-18808-Ljbffr
    $142.3k-195.7k yearly 2d ago
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  • Medicaid & Medicare Program Management Lead

    Humana Inc. 4.8company rating

    Humana Inc. job in Washington, DC

    A leading healthcare company is seeking a Project Management Lead in Washington, D.C. The ideal candidate should have at least 2 years of project leadership experience and a Bachelor's degree. Responsibilities include overseeing all aspects of projects, developing project plans and timelines, and ensuring effective communication with stakeholders. This position offers a remote work option with occasional travel, and a competitive salary range of $115,200 - $158,400 per year, along with comprehensive benefits. #J-18808-Ljbffr
    $115.2k-158.4k yearly 1d ago
  • Actuary - Financial Planning and Analysis

    Humana Inc. 4.8company rating

    Humana Inc. job in Washington, DC

    Become a part of our caring community and help us put health first Join Humana's Financial Planning & Analysis team, part of the CFO team, which drives aggregate financial results and insights across primarily Individual Medicare Advantage (MA). This team serves as a central hub for financial strategy and analysis, with connections to enterprise-wide and total Insurance perspectives. The Actuary Analytics/Forecasting role offers flexibility in responsibilities, significant exposure to senior leadership, and strong potential for upward mobility. We seek candidates who are willing to think creatively, challenge assumptions, voice opinions on key drivers and ranges, and contribute to a culture of continuous improvement and healthy debate. The Actuary, Analytics/Forecasting analyzes and forecasts financial, economic, and other data to provide accurate and timely information for strategic and operational decisions. Establishes metrics, provides data analyses, and works directly to support business intelligence. Evaluates industry, economic, financial, and market trends to forecast the organization's short, medium and long-term financial and competitive position. The Actuary, Analytics/Forecasting works on problems of diverse scope and complexity ranging from moderate to substantial. The Actuary, Analytics/Forecasting ensures data integrity by developing and executing necessary processes and controls around the flow of data. Collaborates with stakeholders to understand business needs/issues, troubleshoots problems, conducts root cause analysis, and develops cost effective resolutions for data anomalies. Advises executives to develop functional strategies (often segment specific) on matters of significance. Exercises independent judgment and decision making on complex issues regarding job duties and related tasks, and works under minimal supervision, Uses independent judgment requiring analysis of variable factors and determining the best course of action. Use your skills to make an impact Required Qualifications Bachelor's Degree FSA or ASA plus relevant advanced degree, recent and relevant work experience, and/or other relevant professional designations. MAAA Strong communication skills Experience in more than two functions (e.g., modeling, pricing, rate filing, reporting & analysis, reserving or trending) Preferred Qualifications Medicare Advantage pricing and forecasting experience Experience working with aggregate financials across insurance products or enterprise-level financial planning Demonstrated ability to challenge existing assumptions and propose creative solutions Additional Information Humana is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sexual orientation, gender identity, national origin, age, disability, or veteran status. For more information on Humana careers, please visit Humana Careers (******************************** Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required. Scheduled Weekly Hours 40 Pay Range The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc. $129,300 - $177,800 per year This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance. Description of Benefits Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. Application Deadline 01-30-2026 About us Humana Inc. (NYSE: HUM) is committed to putting health first - for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large. Equal Opportunity Employer It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment. Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our *************************************************************************** #J-18808-Ljbffr
    $129.3k-177.8k yearly 3d ago
  • Director, Healthcare Systems Strategy & Analysis

    Humana Inc. 4.8company rating

    Humana Inc. job in Washington, DC

    A leading healthcare organization is seeking a passionate Director of Business Systems Analysis to enhance provider experiences through innovative solutions. The role requires extensive experience in business systems analysis and leadership, with a focus on healthcare technology. The ideal candidate will manage cross-functional teams, oversee the implementation of scalable IT solutions, and drive continuous improvement initiatives. A Master's degree and a strong background in Agile methodologies are essential for this position. Join us in our mission to make health a priority for all. #J-18808-Ljbffr
    $108k-131k yearly est. 5d ago
  • Store Operations Lead - Pharmacy & Front End

    Walgreens 4.4company rating

    Washington, DC job

    A leading retail pharmacy in Washington, D.C. seeks a dedicated supervisor to oversee customer service associates and manage store operations. The role involves ensuring excellent service, analyzing performance data, and leading team members in achieving company goals. Ideal candidates should possess strong leadership and communication skills, along with a Bachelor's degree or equivalent experience. The position offers a competitive salary range of $45,000 - $71,550 depending on qualifications. Flexibility for schedules is expected. #J-18808-Ljbffr
    $45k-71.6k yearly 3d ago
  • Market VP, Professional Practice and Pharmacy Compliance

    Humana Inc. 4.8company rating

    Humana Inc. job in Washington, DC

    Become a part of our caring community and help us put health first The Market Vice President of Pharmacy Professional Practice will be responsible for pharmacy practice related compliance of CenterWell Pharmacy, encompassing Traditional, Specialty, and Community pharmacies throughout the United States. The Market Vice President makes certain the pharmacy and its operations comply with all applicable federal, state and local laws and regulations, as well as ensuring internal policies and procedures meet or exceed industry standards, , and are followed and communicated timely to all affected employees. The Market Vice President will work collaboratively with operational, legal, compliance, and engineering stakeholders to accomplish business initiatives while ensuring pharmacy practice compliance. The Market Vice President will serve as a subject matter expert in pharmacy practice compliance with extensive knowledge in regulations of Boards of Pharmacy, DEA, FDA, and other applicable healthcare and pharmacy regulatory agencies. The Market Vice President will report directly to the SVP of CenterWell Pharmacy/CenterWell Specialty Pharmacy and will lead a team consisting of Pharmacists-In-Charge, Directors, and Professionals to ensure pharmacy practice compliance. This position can be located anywhere within the lower 48 states and does not require relocation, however travel to pharmacies, industry conferences, and internal meetings is required. Key Responsibilities Ensures pharmacy practice compliance with all federal, state, local, and Board of Pharmacy regulations. Provides guidance and strategy on responses to regulatory agency inquiries (Boards of Pharmacy) Ensures all pharmacies are appropriately licensed and registered with Boards of Pharmacy, DEA, and other applicable regulatory agencies. Ensures all pharmacy associates are appropriately licensed and registered in their respective jurisdictions to perform required tasks of the pharmacy. Oversees pharmacy policy and ensures all policies and procedures are appropriate and reviewed regularly Oversees team that is responsible for Prescription Drug Monitoring Reporting and related compliance Oversees pharmacy accreditation (ACHC, NABP, URAC) ensuring that required accreditations are obtained and maintained. Oversees team responsible for pharmacy associate professional development (ex. obtaining pharmacy technician licenses, providing continuing education, etc.) Oversees team responsible for pharmacy management system user access Establishes guidelines to comply with the policies and procedures, applicable statutes, and regulations and implement corrective action plans, when needed. Sets and ensures consistent application of additional internal standards to help a company stand out in the industry Verifies legality and compliance of pharmacy practice related items Responsible for oversight of training and education programs and conducts audits to monitor compliance Influences and collaborates with operational peers related to intradepartmental coordination, development and implementation of strategic plans, and business outcomes, weighing risk and compliance with business operations Develops and implements strategic plans for the scope of management that are aligned with the Segment or Business strategy Functions as a key leader on the Pharmacy Leadership team, with the ability to be a strategic thought-partner and to synthesize and communicate complex ideas Providing strategic leadership to a high-performing team of Pharmacy professionals; grow the team by recruiting, hiring, developing, and retaining high-caliber talent Required Qualifications Bachelor's degree in Pharmacy or PharmD. Min 5 years' experience leading pharmacy practice/compliance for a large pharmacy Active pharmacist license for the state of employment Extensive experience in Pharmacy, particularly home delivery pharmacy or managed care environment 5 or more years of management/people leadership experience Deep knowledge of pharmacy practice regulatory compliance requirements (BOP, DEA, FDA, etc.) Working knowledge of privacy and HIPAA regulations and USP guidance Experience in providing guidance for clinical operational aspects of pharmacy Ability to manage clinical decision-making aspects within the pharmacy Ability to participate in federal prescription programs Working knowledge of Medicare Part B and Part D Coverage Determinations (chapters 6 and 18) Must be passionate about contributing to an organization focused on continuously improving consumer experiences Use your skills to make an impact Preferred Qualifications Master's degree Additional Information Travel While this is a remote position, occasional travel to Humana's offices for training or meetings may be required. Scheduled Weekly Hours 40 Pay Range The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc. $223,800 - $313,100 per year This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance. Description of Benefits Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. Application Deadline: 02-28-2026 About us About CenterWell Pharmacy: CenterWell Pharmacy provides convenient, safe, reliable pharmacy services and is committed to excellence and quality. Through our home delivery and over-the-counter fulfillment services, specialty, and retail pharmacy locations, we provide customers simple, integrated solutions every time. We care for patients with chronic and complex illnesses, as well as offer personalized clinical and educational services to improve health outcomes and drive superior medication adherence. About CenterWell, a Humana company: CenterWell creates experiences that put patients at the center. As the nation's largest provider of senior-focused primary care, one of the largest providers of home health services, and fourth largest pharmacy benefit manager, CenterWell is focused on whole-person health by addressing the physical, emotional and social wellness of our patients. As part of Humana Inc. (NYSE: HUM), CenterWell offers stability, industry-leading benefits, and opportunities to grow yourself and your career. We proudly employ more than 30,000 clinicians who are committed to putting health first - for our teammates, patients, communities and company. By providing flexible scheduling options, clinical certifications, leadership development programs and career coaching, we allow employees to invest in their personal and professional well-being, all from day one. Equal Opportunity Employer It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment. Centerwell, a wholly owned subsidiary of Humana, complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our full accessibility rights information and language options ************************************************************* #J-18808-Ljbffr
    $96k-120k yearly est. 2d ago
  • Remote Cloud Data Architect Lead for AI-Driven Pipelines

    Humana Inc. 4.8company rating

    Humana Inc. job in Annapolis, MD

    A leading healthcare service provider is seeking a Lead Application Architect to provide architectural leadership in designing advanced cloud applications. This role entails developing specifications, optimizing system performance, and leading teams through complex technical projects. Ideal candidates will have a Bachelor's degree in Computer Science, extensive experience in cloud application development, and a strong background in data engineering. The position emphasizes leadership, innovation, and collaboration to enhance consumer experiences. #J-18808-Ljbffr
    $88k-111k yearly est. 5d ago
  • Actuarial Principal - Financial Planning and Analysis

    Humana Inc. 4.8company rating

    Humana Inc. job in Annapolis, MD

    Become a part of our caring community and help us put health first Join Humana's Financial Planning & Analysis team, part of the CFO team, which drives aggregate financial results and insights across primarily Individual Medicare Advantage (MA). This team serves as a central hub for financial strategy and analysis, with connections to enterprise-wide and total Insurance perspectives. The Actuarial Analytics/Forecasting Principal role offers flexibility in responsibilities, significant exposure to senior leadership, and strong potential for upward mobility. We seek candidates who are willing to think creatively, challenge assumptions, voice opinions on key drivers and ranges, and contribute to a culture of continuous improvement and healthy debate. The Actuarial Analytics/Forecasting Principal 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 Actuarial Analytics/Forecasting Principal provides strategic advice and guidance to functional team(s). Highly skilled with broad, advanced technical experience. The Actuarial Analytics/Forecasting Principal 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. Works with senior executives to develop and drive segment or enterprise‑wide functional strategies. Advises one or more areas, programs, or functions and provides recommendations to senior executives on matters of significance, and as an advanced subject matter expert competent to work at very high levels in multiple knowledge and functional areas across the enterprise. Use your skills to make an impact Required Qualifications Bachelor's degree, in some instances a Master's or Doctorate's degree 10 or more years of technical experience 2-5 years of project/people leadership FSA or ASA plus relevant advanced degree, recent and relevant work experience, and/or other relevant professional designations MAAA Strong communication skills Experience in more than two functions (e.g., modeling, pricing, rate filing, reporting & analysis, reserving or trending) Must be passionate about contributing to an organization focused on continuously improving consumer experiences Preferred Qualifications Medicare Advantage pricing and forecasting experience Experience working with aggregate financials across insurance products or enterprise‑level financial planning Demonstrated ability to challenge existing assumptions and propose creative solutions Additional Information Humana is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sexual orientation, gender identity, national origin, age, disability, or veteran status. For more information on Humana careers, please visit Humana Careers (******************************** Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required. Scheduled Weekly Hours 40 Pay Range The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc. $156,600 - $215,400 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: 01-30-2026 About us Humana Inc. (NYSE: HUM) is committed to putting health first - for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large. Equal Opportunity Employer It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment. Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our *************************************************************************** #J-18808-Ljbffr
    $156.6k-215.4k yearly 3d ago
  • Senior Learning Design Professional

    Humana 4.8company rating

    Humana job in Washington, DC

    **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. IFG is a subsidiary of Humana The Senior Learning Design Professional uses instructional design, cognitive psychology and adult learning theory to determine the appropriate solution to a knowledge or performance gap. The Senior Learning Design Professional work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors. **Position Overview** The Senior Learning Design Professional leads the design and development of engaging, effective learning experiences that drive performance improvement for Medicare Advantage sales agents and agency partners. This role requires deep expertise in instructional design, eLearning development, and adult learning principles, combined with the ability to translate complex Medicare regulations and sales strategies into accessible, actionable training content. **Key Responsibilities** **Learning Solution Design & Development** + Analyze learning needsthrough stakeholder consultation, performance data analysis,and needsassessments to determineappropriate learninginterventions. + Design and develop multi-modal learning solutions including eLearning modules, instructor-led training materials(slide decks, facilitator guides), performance support tools(meeting-in-a-box, job aids), microlearning assets, and mobile learning experiences that reflect diverse representation and are accessible to all learners. + Write clear, measurable learningobjectives,and design performance assessments thatvalidatelearning transfer and business impact. + Create storyboards, scripts, and interactive eLearning courses using industry-standard authoring tools (Articulate Storyline, Rise,Vyond, Cornerstone). + Develop visual assets and multimedia content that enhance learner engagement and knowledge retention while meeting WCAG 2.1 AA accessibility standards. + Ensure all learning content meets compliance requirements for Medicare Advantage andmaintains CMS regulatory alignment. + Design content that accommodates multiple carriers' products, policies, and processes (Humana plus 10+ other insurance carriers). + Write authentic and valid knowledge assessments. **Learning Facilitation** + Facilitate engaging virtual instructor-led sales skills and leadership training as well as ad hoc team building exercises. **Stakeholder Partnership & Consultation** + Partner with subject matter experts, compliance leaders, sales managers, and agency principals to gather content requirements andvalidateaccuracy. + Conduct consultative needs analysis todeterminewhether learning solutions are necessary or if alternative performance interventions are moreappropriate. + Present design concepts and prototypes to stakeholders, incorporating feedback whilemaintaininginstructional integrity. + Educate stakeholders on adult learning principles andevidence-based instructional strategies. **Quality Assurance & Continuous Improvement** + With our organizationeffectivenessprogressional, track and analyze training program effectiveness through learner satisfaction surveys, knowledge assessments,completion rates,and performance metrics. + Conduct regular content audits to ensure materialsremaincurrent with Medicare regulations, product updates, and industry changes. + Implement iterative improvements based on learner feedback, performance data, and evolving business needs. + Maintain content version control and documentation in SharePoint andourlearning management system(Cornerstone). **Learning Technology & Innovation** + Leverage Cornerstone LMS capabilities to deliver personalized learning paths and track learner progress. + Utilize collaboration tools (Microsoft Teams, SharePoint, Zoom, Lucid Chart, PowerPoint) tofacilitatecontent review processes and knowledge sharing. + Explore and recommend emerging learning technologies. + Contribute to learning design standards, templates, and best practices documentation. **Use your skills to make an impact** **Required Qualifications** **Education & Experience** + Bachelor's degree in Instructional Design, Education, Psychology, Communications, or related field + 5+ years of learning design and eLearning development experience + Demonstrated experience designing learning solutions for complex,highlyregulated subject matter + Portfolioshowcasingdiverse learning deliverables (eLearning, blended learning, performance support) **Technical Skills** + **Expert** **proficiency** **in eLearning authoring tools:** Articulate Storyline 360, Rise 360, Vyond + **Strong** **proficiency** **in:** Learning Management Systems (Cornerstone preferred),Microsoft Office Suite (PowerPoint, Word, Excel), Microsoft Teams, SharePoint + **Working knowledge of** **:** SCORM/xAPIstandards, basic HTML/CSS + **Audio/visual production skills:** Audio editing (Adobe Audition), video editing (AdobeAfterEffects,Adobe Premiere), graphic design (Adobe Creative Suite basics) + **General tech-savviness:** Comfortable learning new platforms quickly, troubleshooting technical issues, and adapting to evolving technology landscape **Knowledge & Competencies** + Deep understanding of adult learning principles, instructional design models (LLAMA,SAM, Backwards Design, Kirkpatricklevels of evaluation,Cathy Moore'sAction Mapping, Bloom's Taxonomy), and evidence-based learning strategies + Ability to translate complex, technical subject matter (like Medicare Advantage plan structures, CMS regulations, sales methodologies) into clear, engaging learning content + Well-versed in psychometrics + Engagingfacilitator in virtual environments + **Business acumen:** Data-driven decision-making mindset; ability to connect learning solutions to business outcomes and ROI + Strong project management skills with ability to manage multiple concurrent projects and meet deadlines + Exceptional written and verbal communication skills + Collaborative mindset with ability to navigate competing stakeholder priorities + Experience with accessibility standards (WCAG, Section 508) + Familiarity with learning analytics and data visualization tools (Power BI) **Preferred Qualifications** + Master's degree in Instructional Design, Learning and Performance, Education, or related field + Experience in healthcare, insurance, or other highly regulated industry + Knowledge of Medicare Advantage products, sales processes, or insurance compliance **Additional Information** **Virtual Pre-Screen** As part of our hiring process for this opportunity, we will be using an exciting interviewing technology called HireVue to enhance our hiring and decision-making ability. HireVue allows us to quickly connect and gain valuable information from you pertaining to your relevant skills and experience at a time that is best for your schedule. If you are selected for a first round interview, you will receive an email correspondence (please be sure to check your spam or junk folders often to ensure communication isn't missed) inviting you to participate in a HireVue interview. In this interview, you will listen to a set of interview questions over your phone or text and you will provide recorded responses to each question. You should anticipate this interview to take about 15 to 30 minutes. Your recorded interview will be reviewed and you will subsequently be informed if you will be moving forward to next round of interviews. Alert: Humana values personal identity protection. Please be aware that applicants selected for leader review may be asked to provide their social security number, if it is not already on file. When required, an email will be sent from ******************** with instructions on how to add the information into your official application on Humana's secure website. **Work-At-Home Requirements** At minimum, a download speed of 25 mbps and an upload speed of 10 mbps is recommended; wireless, wired cable or DSL connection is suggested Satellite, cellular and microwave connection can be used only if approved by leadership Associates who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense. Humana will provide Home or Hybrid Home/Office associates with telephone equipment appropriate to meet the business requirements for their position/job. Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information Any Humana associate who speaks with a member in a language other than English must take a language proficiency assessment, provided by an outside vendor, to ensure competency. Applicants will be required to take the Interagency Language Rating (ILR) test as provided by the Federal Government. **Team Culture & Working Environment** **About IFG** **and Our Team** Innovative Financial Group (IFG) is a subsidiary of Humana that operates as a field marketing organization (FMO), selling Medicare Advantage and supplemental insurance products from 10+ carriers-not just Humana. Our learning design team supports IFG's call center agents and agency partners, creating training that helps them navigate multiple carriers' products, regulations, and sales processes. We're a newly formed team building IFG University from the ground up-we've selected Cornerstone as our LMS, we're designing our content strategy based on comprehensive stakeholder research, and we're establishing processes that will scale. This is a unique opportunity to shape the foundation of a learning function and make a lasting impact. **What We Value** + **Collaboration over silos:** We break down barriers between Marketing, Training, Communications, and Learning Design. + **Learner-centricity:** We design back from what agents need, notwhat'seasiest for us. + **Data-informed decisions:** We measure what matters and continuously improve. + **Intellectual curiosity:** We embrace complex subject matter and find ways to make it accessibleanddigestible. + **Inclusive leadership:** We create space for diverse perspectives and challenge assumptions respectfully. + **Agility:** We move quickly, learn from experiments, and adapt based on feedback. + **Friendly and Fun:** Weinteract with others in a positive way and know that learning should be enjoyable! **Work Model** + **Remote work with up to 10% travel** for team meetings, training delivery, or stakeholder sessions + Collaborative team culture with regular synchronization and knowledge sharing + Opportunities for professional development and skill building + Supportive leadership committed to your growth and success **Our Commitment to Inclusion & Accessibility** Every member of our team is responsible for creating learning experiences that reflect diverse representation and are inclusive and accessible to all learners. This includes: + Designing content that features diverse learner personas and scenarios. + Ensuring all digital learning materials meet WCAG 2.1 AA accessibility standards (screen reader compatibility, captions, color contrast, keyboard navigation). + Using inclusive language,interrogating biases,and avoiding assumptionsabout learners' backgrounds, abilities, or experiences. + Creating multiple pathways for learners todemonstrateknowledge and accommodate differentabilitiesandlearning preferences. + Continuously seeking feedback from diverse learner populations to improve inclusivity. Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required. **Scheduled Weekly Hours** 40 **Pay Range** The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc. $71,100 - $97,800 per year This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance. **Description of Benefits** Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. Application Deadline: 01-15-2026 **About us** Humana Inc. (NYSE: HUM) is committed to putting health first - for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large. **Equal Opportunity Employer** It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment. Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our ***************************************************************************
    $71.1k-97.8k yearly Easy Apply 3d ago
  • Social Worker - Field Care Coordinator - DC, MD, VA - Optum at Home

    Unitedhealth Group 4.6company rating

    Washington, DC job

    *** $5,000 Sign-on Bonus for External Candidates *** Optum Home & Community Care, part of the UnitedHealth Group family of businesses, is creating something new in health care. We are uniting industry-leading solutions to build an integrated care model that holistically addresses an individual's physical, mental and social needs - helping patients access and navigate care anytime and anywhere. As a team member of our Optum At Home product, together with an interdisciplinary care team we help patients navigate the health care system, and connect them to key support services. This preventive care can help patients stay well at home. We're connecting care to create a seamless health journey for patients across care settings. Join us to start **Caring. Connecting. Growing together.** The Optum at Home program is a longitudinal, integrated care delivery program that coordinates the delivery and provision of clinical care of members in their place of residence. The DSNP program combines clinicians providing intensive interventions customized to the needs of each individual, in collaboration with the Interdisciplinary Care Team, which includes the clinician, the member's Primary Care Provider and other providers, and other professionals. This position is open to candidates who live in DC, MD, or VA **This is a field-based position in the greater Washington D.C. area, expect to spend about 50-75% of your time in the field visiting our members in their homes or in long-term care facilities in the local area.** **You'll need to be flexible, adaptable and, above all, patient in all types of situations.** **Standard Hours: Monday - Friday normal daytime business hours (no on-call, no weekends and no holidays required).** **Primary Responsibilities:** + Assess, plan and implement care management interventions that are individualized for each member and directed toward the most appropriate, least restrictive level of care + Develop and implement care plan interventions throughout the continuum of care as a single point of contact + Communicate with all stakeholders the required health-related information to ensure quality coordinated care and services are provided expeditiously to all members + Advocate for members and families as needed to ensure the member's needs and choices are fully represented and supported by the health care team + Identify appropriate interventions and resources to meet gaps (e.g., psychosocial, transportation, long-term care) based on specific consumer needs from both the health care and psychosocial / socioeconomic dimensions of care + Document the plan of care in appropriate EHR systems and enter data per specified + Maintain consumer engagement by establishing rapport, demonstrating empathy, and building a trusting relationship + Collaborate with primary providers or multidisciplinary team to align or integrate goals to plan of care and drive consistent coordination of care + Provide ongoing support for advanced care planning + Reassess plan of care at appropriate intervals based on initial objectives, significant change of condition, or achievement of goals + Understand and operate effectively/efficiently within legal/regulatory requirements + Utilize evidence-based guidelines (e.g., medical necessity guidelines, practice standard) + Make outbound calls and receive inbound calls to assess members' current health status + Identify gaps or barriers in treatment plans + Provide member education to assist with self-management + Make referrals to outside sources + Provide a complete continuum of quality care through close communication with members via in-person or on-phone interaction + Support members with condition education, and connections to resources such as Home Health Aides or Meals on Wheels You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. **Required Qualifications:** + Master's degree in social work or another related clinical field + Active and unrestricted LICSW or LGSW license in Washington D.C. or ability to obtain Washington, D.C. License within 90 days of hire + 2+ years of experience in long-term care, home health, hospice, public health or assisted living + 2+ years of experience working with MS Word, Excel and Outlook + 1+ years of experience with using an Electronic Medical Record + 1+ years of clinical case management experience + Valid Driver's License and access to reliable transportation + Ability to work in a field-based capacity in Washington, D.C. + Reside within 50 miles of Washington, D.C **Preferred Qualifications:** + Certified Case Management (CCM) + 1+ years of experience working with geriatric population + 1+ years of LTSS (Long Term Services and Supports) + Experience with arranging community resources + Field-based work experience going into member homes + HCBS (Home and Community Based Services) experience + Background in managing populations with complex medical or behavioral needs Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $60,200 to $107,400 annually based on full-time employment. We comply with all minimum wage laws as applicable. _At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission._ _UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations._ _UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment._ _vjm_
    $60.2k-107.4k yearly 6d ago
  • Per Diem Clinical Staff Pharmacist

    Unitedhealth Group 4.6company rating

    Baltimore, MD job

    **Explore opportunities with CPS,** part of the Optum family of businesses. We're dedicated to crafting and delivering innovative hospital and pharmacy solutions for better patient outcomes across the entire continuum of care. With CPS, you'll work alongside our team of more than 2,500 pharmacy professionals, technology experts, and industry leaders to drive superior financial, clinical, and operational performance for health systems nationwide. Ready to help shape the future of pharmacy and hospital solutions? Join us and discover the meaning behind **Caring. Connecting. Growing together.** As a per diem **Clinical Staff Pharmacist** you will have the opportunity to apply your clinical expertise by evaluating and interpreting medication orders, compounding, and dispensing prescriptions in accordance with legal and professional standards. You will play a critical role in identifying, preventing, and resolving medication-related issues to ensure safe, effective, and individualized patient care. Through the application of evidence-based protocols, you will promote clinically sound and cost-effective drug therapy, contributing to improved patient outcomes and advancing the standard of pharmaceutical care. **Schedule** : This position can work up to 19 hours per week, and will provide coverage "as needed". This position will work Mondays Fridays and Weekends and holidays **About the Facility** : Mt. Washington Pediatric Hospital is a 102-bed non-profit children's hospital that treats more than 8,000 patients each year on an inpatient, outpatient, and day treatment basis set in the scenic neighborhood of Mt. Washington in Baltimore that provides long-term care for children with complex health problems. MWPH accreditations include the Commission on Accreditation of Rehabilitation Facilities and The Joint Commission. **About the Pharmacy:** The pharmacy is open Monday-Friday from 7:00 am-7:00 pm, Saturday/Sunday from 8:00 am-4:30 pm. You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. **Required Qualifications:** + ACPE-accredited pharmacy degree (PharmD preferred) + Active applicable state pharmacist license in good standing + 1+ years of recent pharmacist experience, (hospital setting preferred) + Skilled with pharmacy systems and Microsoft Office Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $43.22 to $77.21 per hour based on full-time employment. We comply with all minimum wage laws as applicable. _At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission._ _UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations._ _UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment._
    $44k-65k yearly est. 60d+ ago
  • Occupational Therapist Assistant, Home Health

    Humana Inc. 4.8company rating

    Humana Inc. job in Annapolis, MD

    Become a part of our caring community and help us put health first As a therapist at CenterWell Home Health, you'll play a vital role in helping patients regain strength, mobility and independence-all from the comfort of their homes. By delivering personalized care that focuses on rehabilitation and functional improvement, you'll empower individuals to overcome physical limitations, perform everyday activities with confidence and enjoy a better quality of life. As a Home Health Occupational Therapist Assistant, you will: * Provide therapy services planned, delegated and supervised by the qualified Occupational Therapist in accordance with the patient's Plan of Treatment. * Assist in the implementation of vocational/education programs and activities established by registered Occupational Therapist designed to restore, reinforce, and enhance task performances, diminish or correct pathology, and to promote/maintain health and self-sufficiency. * Design/adapt equipment and working and/or living environment. Fabricate devices to assist and improve function and independence and participation in the program and/or community where possible. * Provide therapeutic treatment and instruction to patients as directed by the qualified Occupational Therapist and in accordance with physician orders to improve/restore strength, coordination, range-of-motion and function or teach compensation measures. * Report information and observations to Occupational Therapist and/or Clinical supervisor, document observed information in patient records and prepares clinical notes. Assist with preparation of progress reports. Maintain and submit documentation as required by the Company and/or facility. * Instruct patients and family members regarding home programs as well as care and use of adaptive equipment. * Participate in care coordination and discharge planning activities and act as a resource to other health care personnel in meeting patient's needs. * Design community reintegration activities, as appropriate, to assist the client in the physical reconditioning effort, and/or the psychological adjustment and coordinate the plan with members of the interdisciplinary team. Use your skills to make an impact Required Experience/Skills: * Current and unrestricted OTA licensure * Minimum of six months occupational therapist assistant experience preferred * Home Health experience a plus * Current CPR certification * Good organizational and communication skills * A valid driver's license, auto insurance, and reliable transportation are required. Pay Range * $41.00 - $57.00 - pay per visit/unit * $64,200 - $88,000 per year base pay Scheduled Weekly Hours 40 Pay Range The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc. $70,400 - $96,300 per year Description of Benefits Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. About Us About CenterWell Home Health: CenterWell Home Health specializes in personalized, comprehensive home care for patients managing a chronic condition or recovering from injury, illness, surgery or hospitalization. Our care teams include nurses, physical therapists, occupational therapists, speech-language pathologists, home health aides, and medical social workers - all working together to help patients rehabilitate, recover and regain their independence so they can live healthier and happier lives. About CenterWell, a Humana company: CenterWell creates experiences that put patients at the center. As the nation's largest provider of senior-focused primary care, one of the largest providers of home health services, and fourth largest pharmacy benefit manager, CenterWell is focused on whole-person health by addressing the physical, emotional and social wellness of our patients. As part of Humana Inc. (NYSE: HUM), CenterWell offers stability, industry-leading benefits, and opportunities to grow yourself and your career. We proudly employ more than 30,000 clinicians who are committed to putting health first - for our teammates, patients, communities and company. By providing flexible scheduling options, clinical certifications, leadership development programs and career coaching, we allow employees to invest in their personal and professional well-being, all from day one. Equal Opportunity Employer It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.
    $70.4k-96.3k yearly 60d+ ago
  • Inventory Specialist

    Walgreens 4.4company rating

    Upper Marlboro, MD job

    + Responsible for executing, monitoring, and training inventory best practices and standard operating procedures for the entire store, including both front end and pharmacy. Supports pharmacy inventory management activities, including receiving, counting, ordering, and facilitating returns. Champions On-Shelf Availability and is responsible for receiving, counting, pricing, returns, and all in-store inventory processes. Validates and ensures accuracy of planograms. + Responsible for reviewing and coordinating the proper use of reports and system applications, which have an impact on the accuracy of front end and pharmacy on-hand balances and pricing. + Responsible for executing and maintaining front end and pharmacy asset protection techniques, and filing claims for warehouse and vendor overages (merchandise received, but not billed), shortages (merchandise billed, but not received), order errors or damaged goods including prescription drugs. + In designated stores, as required, opens and closes the store in the absence of store management, including all required systems start-ups, required cash handling and cashier responsibilities, and ensuring the floor and stock room are ready for the business day. **Customer Experience** + Engages customers by greeting them and offering assistance with products and services. In designated stores, when serving as the leader on duty, resolves customer issues and answers questions to ensure a positive customer experience. + Models and shares customer service best practices with all team members to deliver a distinctive and delightful customer experience, including interpersonal habits (e.g., greeting, eye contact, courtesy, etc.) and Walgreens service traits (e.g., offering help proactively, identifying needs, servicing until satisfied, etc.). **Operations** + Executes and coaches team members on warehouse and vendor inventory management processes including but not limited to creating, reviewing, and receiving orders. + Scans in all deliveries while the vendor is still in the store, including common carrier deliveries. Focuses on One Box receiving. Takes the appropriate action marking delivery as received if the product was physically delivered, contacting vendor for past undelivered scheduled receipts, and opening tickets as needed to correct inaccurate orders. + Under the supervision of the pharmacist-in-charge, verifies all pharmacy shipments are posted for products physically received at the store. Completes or verifies postings of all pharmacy warehouse orders, ABC prescription and OTC orders daily, secondary vendor orders, flu and dropship orders performing any necessary tote audits, and accurately reporting any shortages or damaged product. + Completes On-Shelf Availability (OSA) end-to-end process including warehouse and direct store delivery (DSD) for planogrammed departments, executing disposals, call-ins, and vendor returns before expiration, completes scan outs/ scan outs returns on all subscribed departments including vendor/ DSD departments and pharmacy scan outs. + Under the supervision of the pharmacist-in-charge,completes pharmacy inventory activities including but not limited to pharmacy recalls following Pharmacy Hazardous Waste Policy, vendor returns, non-controlled, and damaged salvage returns. Facilitates excess inventory returns or interstore pharmacy transfers where applicable for non-returnable ABC overstock. Verifies posting of all pharmacy/ prescription claims. + Completes execution of all pricing activities including price changes, markdowns, and markdowns deletes. Responsible for basic department pricing, including daily price changes, accurate pricing with correct signage, and reliable and timely completion of any additional regulatory pricing tasks. + Responsible for supporting front end and pharmacy ordering by ordering expense items. Monitors pharmacy manual orders to identify excess orders. Maintains consigned inventory and orders as required. + Ensures all designated pull & quarantine item on-hands are updated and placed in the designated holding area. + Maintains accurate inventory counts. Maintains the accuracy of on-hand quantities including but not limited to basic departments, stockroom, overstock locations. + Under the supervision of the pharmacist-in-charge, maintains accurate inventory counts and accuracy of on-hand quantities in pharmacy and completes pharmacy smart counts. + Ensures the store maintains inventory compliance with state and local laws regarding regulated products (e.g., alcoholic beverages and tobacco products). + Assists in the maintenance of inventory records, including receiving and posting of all products (in the front-end)) received at the store in all inventory systems. Organizes files and retains all invoices/receipts/return authorizations necessary for all inventory activities. + Helps to prepare for physical inventory and supports the physical inventory day activities, including but not limited to preparing sales floor, stockroom, and pharmacy for inventory and auditing the third party team on the day of inventory. + Supports keeping all counters and shelves clean and well merchandised. + Knowledgeable of all store systems and equipment. + Assists and coaches store team on all package delivery activities, including scanning in and out of packages, completing all daily inventory functions and, package returns at Walgreens. Supports execution of Pickup Program. + In designated stores, when serving as the leader on duty, responsible and accountable for registering all related sales on assigned point-of-sale system (POS), including records of scanning errors, price verifications, items not on file, price modifications, and voids. Completes product returns, order voids, customer refunds, cash drops to safe, and provides change as requested for point of sale. + Complies with all company policies and procedures; maintains respectful relationships with coworkers. + Completes any additional activities and other tasks as assigned. **Training & Personal Development** + Attends company-based trainings for continuous development and completes all e-learning modules including safety training requirements. + Obtains and maintains a valid pharmacy license/certification as required by the state. **Communications** + Serves as a liaison between management and non-management team members by coaching and developing other capabilities with inventory systems. When serving as the leader on duty, communicates assigned tasks to team members and reports disciplinary issues and customer complaints to management. **Job ID:** 1739850BR **Title:** Inventory Specialist **Company Indicator:** Walgreens **Employment Type:** Full-time **Job Function:** Retail **Full Store Address:** 9530 CRAIN HWY,UPPER MARLBORO,MD,20772 **Full District Office Address:** 9530 CRAIN HWY,UPPER MARLBORO,MD,20772-05424-19492-S **External Basic Qualifications:** + Six months of prior work experience with Walgreens (internal candidates) or one year of prior retail work experience (external candidates). + Must be fluent in reading, writing, and speaking English (except in Puerto Rico). + Must have a willingness to work a flexible schedule, including evening and weekend hours. + "Achieving expectations" rating on last performance review and no written disciplinary actions in the previous 12 months (internal candidates only). + Demonstrated attention to detail and ability to multi task and manage execution. + Experience in identifying operational issues and recommending and implementing strategies to resolve problems. **Preferred Qualifications:** + Prefer previous experience as a shift lead, pharmacy technician, designated hitter, or customer service associate. + Prefer to have prior work experience with Walgreens, with an evaluation on file. We will consider employment of qualified applicants with arrest and conviction records. **An Equal Opportunity Employer, including disability/veterans.** The actual compensation that you will be offered will depend on a variety of factors including geography, skills and abilities, education, experience and other relevant factors. This role will remain open until filled. To review benefits, please click here jobs.walgreens.com/benefits . If you are applying on a job board or unable to click on the link, please copy and paste this URL into your browser jobs.walgreens.com/benefits **Shift:** **Store:** 19492-UPPER MARLBORO MD **Pay Type:** Hourly **Start Rate:** 17 **Max Rate:** 20
    $26k-31k yearly est. 4d ago
  • Insurance Product Compliance Lead

    Humana Inc. 4.8company rating

    Humana Inc. job in Washington, DC

    Become a part of our caring community and help us put health first The Insurance Product Compliance Lead researches, analyzes, assesses risk and consults on rules, regulations and sub-regulatory guidance that apply to Insurance Products (i.e., Medicare Advantage, Part D, Group Specialty, and Individual Specialty), licensure or corporate structure. The Insurance Product Compliance Lead works on problems of diverse scope and complexity ranging from moderate to substantial. The Insurance Product Compliance Lead partners with internal stakeholders and serves as Humana liaison while drafting, filing and negotiating approval with state and federal regulators for service area expansions; product-specific documents, contracts, licenses, member communications or marketing materials, all while safeguarding Humana's brand. Supports implementation and maintenance of compliant insurance products in collaboration with responsible business owners. 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 Experience with Medicare Advantage and/or Medicaid Comprehensive knowledge of Microsoft Office applications: Word, Excel, PowerPoint, Adobe and Visio Ability to summarize complex information and tailor communication based on audience (i.e., contracts, federal and state regulations) Ability to work independently while maintaining focus and managing deliverables to meet critical internal and external deadlines Must be passionate about contributing to an organization focused on continuously improving consumer experiences Ability to affect change in a highly matrixed organization, leveraging data and facts to influence decision-makers Preferred Qualifications Experience in working with State Agencies Understanding of State and Federal Regulations Experience with Medicare Advantage plan and benefit offerings Experience specific to Dual Eligible members and healthcare plans for MA DSNP product offerings Knowledge of Humana's internal policies, procedures and systems Prior project management or product management experience Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required. Scheduled Weekly Hours 40 Pay Range The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc. $94,900 - $130,500 per year This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance. Description of Benefits Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. Application Deadline: 01-15-2026 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 *************************************************************************** #J-18808-Ljbffr
    $94.9k-130.5k yearly 5d ago
  • Business Intelligence Lead

    Humana 4.8company rating

    Humana job in Washington, DC

    **Become a part of our caring community and help us put health first** We're seeking a Business Intelligence Lead to join our team. This role is ideal for a strategic thinker and hands-on thought leader who thrives at the intersection of data, business strategy, and cross-functional collaboration. You'll be responsible for transforming raw data into actionable insights that directly influence executive decision-making and drive enterprise-wide initiatives. **What You'll Do:** + **Lead Strategic BI Initiatives:** Design, develop, and deliver business intelligence tools and analyses that support key organizational priorities across sales, operations, and customer experience. + **Partner with Senior Leadership:** Serve as a trusted advisor to executives and business leaders, translating complex data into clear, actionable insights that inform strategic decisions. + **Drive Analytical Excellence:** Perform deep-dive analyses to uncover trends, relationships, and opportunities to inform decision-making. + **Ensure Data Quality and Governance:** Collaborate with data engineering and governance teams to ensure BI solutions are scalable, reliable, and aligned with enterprise standards. **What We're Looking For** + Proven experience in business intelligence, analytics, and/or strategy advancement, ideally in a lead or senior role. + Expertise in BI tools (e.g., Power BI, Tableau, etc), SQL, and modern data platforms (e.g., Snowflake, DataBricks, etc). + Strong business acumen and the ability to communicate complex data concepts to executive leadership and non-technical stakeholders. + Demonstrated success in leading cross-functional projects and influencing strategic outcomes. + A passion for uncovering insights and driving measurable impact through data. **Why Join Us** + Work directly with senior executives on high-visibility initiatives. + Be part of a team that values depth of thought, precision, and innovation. + Help shape the future of data-driven decision-making in a dynamic and evolving organization. **Use your skills to make an impact** **Required Qualifications** + Bachelor's degree and 8 or more years of technical experience in business intelligence, analytics, and/or strategy advancement, ideally in a lead or senior role. + Expertise in BI tools (e.g., Power BI, Tableau, etc), SQL, and modern data platforms (e.g., Snowflake, DataBricks, etc). + 2 or more years of project leadership experience + Advanced experience working with big and complex data sets within large organizations + Experience analyzing data to solve a wide variety of business problems and create data visualizations that drive strategic direction + Proven ability to work with cross-functional teams and translate requirements between business, project management and technical projects or programs **Preferred Qualifications** + Advanced Degree in a quantitative discipline, such as Mathematics, Economics, Finance, Statistics, Computer Science, Engineering or related field + Advanced in SQL, SAS and other data systems + Expertise in data mining, forecasting, simulation, and/or predictive modeling + Experience creating analytics solutions for various healthcare sectors Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required. **Scheduled Weekly Hours** 40 **Pay Range** The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc. $117,600 - $161,700 per year This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance. **Description of Benefits** Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. Application Deadline: 01-16-2026 **About us** Humana Inc. (NYSE: HUM) is committed to putting health first - for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large. **Equal Opportunity Employer** It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment. Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our ***************************************************************************
    $117.6k-161.7k yearly 5d ago
  • Pharmacy Technician

    Unitedhealth Group 4.6company rating

    Washington, DC job

    **Explore opportunities with CPS,** part of the Optum family of businesses. We're dedicated to crafting and delivering innovative hospital and pharmacy solutions for better patient outcomes across the entire continuum of care. With CPS, you'll work alongside our team of more than 2,500 pharmacy professionals, technology experts, and industry leaders to drive superior financial, clinical, and operational performance for health systems nationwide. Ready to help shape the future of pharmacy and hospital solutions? Join us and discover the meaning behind **Caring. Connecting. Growing together.** The Pharmacy Technician will assist in various pharmacy activities under the supervision of a licensed pharmacist. Your responsibilities will include preparing, delivering, and restocking medications; performing order entry; procuring drugs; billing. You will carry out your job duties according to written procedures and guidelines based on pharmacy standards and regulatory requirements. **Schedule:** This position is scheduled to work 40 hours a week primarily daytime hours. **About the Facility:** The Psychiatric Institute of Washington provides comprehensive behavioral healthcare for children, adolescents, adults, and senior adults suffering from mental health and addictive illnesses. We are a 152-bed short-term, acute care hospital offering inpatient, partial and intensive outpatient hospitalization, as well as specialized treatment programs for chemical dependency. Founded in 1967, PIW combines the rich traditions of its past with the behavioral health options of the present. We have an excellent reputation as an innovative hospital with caring, dedicated staff, experienced in the delivery of behavioral healthcare. **About the Pharmacy:** The Pharmacy is open Monday through Friday 8:00 am-9:00 pm, and Saturday/Sunday 8:00 am-12:00 pm. You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. **Required Qualifications:** + High school diploma or equivalent + Active Washington D.C. Pharmacy Technician license in good standing + 3+ years of work experience as a Pharmacy Technician **Preferred Qualifications:** + Experience working with Pyxis or Omnicell Automated dispensing systems **Preferred Knowledge/Skills:** + Medication packaging including blister packing + Experience with computer systems including but not limited to Microsoft office suite and Ocra + Ability to work independently without oversight Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $16.00 to $27.69 per hour based on full-time employment. We comply with all minimum wage laws as applicable. _At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission._ _UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations._ _UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment._
    $16-27.7 hourly 60d+ ago
  • Photo Specialist

    Walgreens 4.4company rating

    Washington, DC job

    * Provides customers with courteous, friendly, fast, and efficient photo service and information. * Models and delivers a distinctive and delightful customer experience. * Assists in other store functions, as requested (e.g. assisting customers at register, maintaining other departments). Customer Experience * Engages customers and patients by greeting them and offering assistance with products and services. Resolves customer issues and answers questions to ensure a positive customer experience. * Models and shares customer service best practices with all team members to deliver a distinctive and delightful customer experience, including interpersonal habits (e.g., greeting, eye contact, courtesy, etc.) and Walgreens service traits (e.g., offering help proactively, identifying needs, servicing until satisfied, etc.). Operations * Provides customers with courteous, friendly, fast, and efficient service in the photo area, including digital passport photo service and suggestive sell of promotional photo products. * Recommends items for sale to customer and recommends trade-up and/or companion items. * Registers customer purchases on assigned cash register, collects cash and distributes change as requested; processes voids, returns, rain checks, refunds, and exchanges as needed. * Keeps counters and shelves clean and well merchandised, takes inventory, and maintains records. Checks in and prices merchandise as required or as directed by store manager or communicated by the shift leader. * Implements Company asset protection procedures to identify and minimize profit loss. * Ensures compliance with state and local laws regarding regulated products (e.g., alcoholic beverages and tobacco products). * Constructs and maintains displays, including promotional, seasonal, super structures, and sale merchandise. Completes resets and revisions as directed. * Has working knowledge of store systems and store equipment. * Assumes web pick-up responsibilities (monitors orders in Picture Care Plus, fills orders (pick items), delivers orders to customers as they arrive at store). * Assists with exterior and interior maintenance by ensuring clean, neat, orderly store condition and appearance. * Complies with all company policies and procedures; maintains respectful relationships with coworkers. * Completes special assignments and other tasks as assigned. Training & Personal Development * Attends training and completes PPLs requested by Manager or assigned by corporate. Basic Qualifications * Must be fluent in reading, writing, and speaking English. (Except in Puerto Rico) * Requires willingness to work flexible schedule, including evenings and weekend hours. Preferred Qualifications * Prefer six months of experience in a retail environment. * Prefer to have prior work experience with Walgreens. We will consider employment of qualified applicants with arrest and conviction records. An Equal Opportunity Employer, including disability/veterans. The actual compensation that you will be offered will depend on a variety of factors including geography, skills and abilities, education, experience and other relevant factors. This role will remain open until filled. To review benefits, please click here jobs.walgreens.com/benefits. If you are applying on a job board or unable to click on the link, please copy and paste this URL into your browser jobs.walgreens.com/benefits Salary Range: $15 - $17.5 / Hourly
    $15-17.5 hourly 19d ago
  • Beauty and Wellness Consultant

    Walgreens 4.4company rating

    Chester, MD job

    **Job Objectives** Maximizes sales and brand awareness by providing exceptional customer care to all customers in a friendly, efficient, and professional manner; gives impartial, personalized, expertise and advice regardless of brand and budget. Demonstrates a passion for beauty and wellness and provides inspirational beauty knowledge and know-how. Provides customers with solutions for their beauty and wellness needs, including mini-makeovers and skincare consultations, with an emphasis on the customers' total look. Models and delivers a distinctive and delightful customer experience. Oversees and maintains overall beauty department standards. **Job Responsibilities/Tasks** **Customer Experience** + Engages customers by greeting them and offering assistance with products and services. Resolves customer issues and answers questions to ensure a positive customer experience. + Models and shares customer care best practices by proactively offering assistance, asking questions to determine customers' needs, and informing customers of options. + Greets, listens, and engages customers to identify their needs, making them aware of appropriate products and services, and providing warm transfers to other areas of the store when necessary + Provides expertise in product demonstrations and consultations utilizing tools such as the Skin Hydrometer and tablet. + Leads and delivers in-store events to promote brand awareness and loyalty of Owned Brands and total Beauty, Wellness and Personal Care. + Builds relationships with customers; provides authentic closure of customer interaction and builds and fosters relationships. + Engages with omni-channel solutions to enhance customer engagement/experience. + Locates products in other stores or online if unavailable in the store. **Operations** + Achieves or exceeds predetermined sales goals by assisting customers in the purchase of products and by modeling exceptional customer care. + Reviews beauty business on a regular basis to understand performance within store and district in partnership with store leadership. + Consistently focuses on link-selling and up-selling with customers by showing them sale items and complimentary offerings. + Uses testers and sampling to demonstrate product application and leverage items from beauty promotional programs. + Ensures testers are stocked and maintained in compliance with hygiene standards; maintains a clean and organized department. + Implements company asset protection procedures to identify and minimize profit loss. + Processes sales for customers and/or employee purchases on cash register. + Participates in meetings and conference calls concerning programs and promotions, new items, brand launches, sales goals, and modeling exceptional customer care. + Has working knowledge of store systems and store equipment. + Ensures compliance with state and local laws regarding regulated products (e.g., alcoholic beverages and tobacco products). + Complies with all company policies and procedures; maintains respectful relationships with coworkers. + Completes special assignments as assigned. **Training & Personal Development** + Seeks self-development by monitoring own performance, setting high personal standards, maintaining awareness of beauty and wellness trends, learning from others, and improving job performance. + Maintains knowledge of competition, new product/brand launches, and overall industry trends + Attends and participates in meetings, seminars, and other knowledge and business-driving opportunities; educates store team on new beauty updates, information, and learnings from training. + Attends training and completes e-learning modules requested by Manager or assigned by Corporate. + Maintains professional appearance and image in compliance with company guidelines at all times. + Models and shares behavior with other Beauty and Wellness Consultants; provides training and assistance to new Beauty and Wellness Consultants. + Works collaboratively with Store Leadership to review goals and maintain product knowledge. **About Walgreens** Founded in 1901, Walgreens ( ***************** ) proudly serves more than 9 million customers and patients each day across its approximately 8,000 stores throughout the U.S. and Puerto Rico. Walgreens has approximately 211,000 team members, including roughly 85,000 healthcare service providers, and is committed to being the first choice for pharmacy, retail and health services, building trusted relationships that create healthier futures for customers, patients, team members and communities. **Job ID:** 1720129BR **Title:** Beauty and Wellness Consultant **Company Indicator:** Walgreens **Employment Type:** Full-time **Job Function:** Retail **Full Store Address:** 1802 MAIN ST,CHESTER,MD,21619 **Full District Office Address:** 1802 MAIN ST,CHESTER,MD,21619-02604-11283-S **External Basic Qualifications:** + High School Diploma/GED and at least one year of experience working in a retail sales environment that required meeting a defined sales goal OR at least one year of experience proactively selling beauty or cosmetic products and providing customer care + Experience in developing ways to accomplish goals with little or no supervision, depending on oneself to complete objectives and determining when escalation of issues is necessary + Knowledge of products and brands in order to engage and meet the needs of the customer. + Experience building and maintaining relationships within a team. + Basic level PC/tablet skills. + Requires willingness to work flexible schedule including evenings, weekends, and holidays. + Must be fluent in reading, writing and speaking English. (Except in Puerto Rico) **Preferred Qualifications:** + Licensure in Cosmetology or as an Esthetician as granted by appropriate state licensing authority. + Experience establishing & maintaining relationships with individuals at all levels of the organization, in the business community & with vendors. + Experience demonstrating makeup application and providing makeovers to customers. + Experiencing selling Prestige brands. + Degree from Beauty School. + Experience with another retailer in the form of an Externship. We will consider employment of qualified applicants with arrest and conviction records. An Equal Opportunity Employer, including disability/veterans. The actual compensation that you will be offered will depend on a variety of factors including geography, skills and abilities, education, experience and other relevant factors. This role will remain open until filled. To review benefits, please click here jobs.walgreens.com/benefits . If you are applying on a job board or unable to click on the link, please copy and paste this URL into your browser jobs.walgreens.com/benefits **Shift:** **Store:** 11283-CHESTER MD **Pay Type:** Hourly **Start Rate:** 16 **Max Rate:** 21
    $26k-31k yearly est. 44d ago
  • Manager, Provider Relations HP (Washington Healthplan)

    Molina Healthcare 4.4company rating

    Washington, DC job

    ***This role will support Providers in the state of Washington**** Molina Health Plan Network Provider Relations jobs are responsible for network development, network adequacy and provider training and education, in alignment with Molina Healthcare's overall mission, core values, and strategic plan and in compliance with all relevant federal, state and local regulations. Provider Relations staff are the primary point of contact between Molina Healthcare and contracted provider network. In partnership with Director, manages and coordinates the Provider Services activities for the state health plan. Works with direct management, corporate, and staff to develop and implement standardized provider servicing and relationship management plans. Job Duties Manages the Plan's Provider Relations functions and team members. Responsible for the daily operations of the department working collaboratively with other operational departments and functional business unit stakeholders to lead or support various Provider Services functions with an emphasis on contracting, education, outreach and resolving provider inquiries. • In conjunction with the Director, Provider Network Management & Operations, develops health plan-specific provider contracting strategies, identifying specialties and geographic locations on which to concentrate resources for purposes of establishing a sufficient network of Participating Providers to serve the health care needs of the Plan's patients or members. • Oversees and leads the functions of the external provider representatives, including developing and/or presenting policies and procedures, training materials, and reports to meet internal/external standards. • Manages and directs the Provider Service staff including hiring, training and evaluating performance. • Assists with ongoing provider network development and the education of contracted network providers regarding plan procedures and claim payment policies. • Develops and implements tracking tools to ensure timely issue resolution and compliance with all applicable standards. • Oversees appropriate and timely intervention/communication when providers have issues or complaints (e.g., problems with claims and encounter data, eligibility, reimbursement, and provider website). • Serves as a resource to support Plan's initiatives and help ensure regulatory requirements and strategic goals are realized. • Ensures appropriate cross-departmental communication of Provider Service's initiatives and contracted network provider issues. • Designs and implements programs to build and nurture positive relationships between contracted providers, ancillary providers, hospital facilities and Plan. • Develops and implements strategies to increase provider engagement in HEDIS and quality initiatives. • Engages contracted network providers regarding cost control initiatives, Medical Care Ratio (MCR), non-emergent utilization, and CAHPS to positively influence future trends. • Develops and implements strategies to reduce member access grievances with contracted providers. • Oversees the IHH program and ensures IHH program alignment with department requirements, provider education and oversight, and general management of the IHH program • Approximately 10-20% travel, mostly daytime, thoughout the state of Washington Job Qualifications REQUIRED EDUCATION: Bachelor's Degree in Health or Business related field or equivalent experience. REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES: • 5-7 years experience servicing individual and groups of physicians, hospitals, integrated delivery systems, and ancillary providers with Medicaid and/or Medicare products • 5+ years previous managed healthcare experience. • Previous experience with community agencies and providers. • Experience demonstrating working familiarity with various managed healthcare provider compensation methodologies, primarily across Medicare or Medicaid lines of business, including but not limited to: fee-for service, value-based contracts, capitation and delegation models, and various forms of risk, ASO, agreements, etc. • Experience with preparing and presenting formal presentations. • 2+ years in a direct or matrix leadership position • Min. 2 years experience managing/supervising employees. PREFERRED EDUCATION: Master's Degree in Health or Business related field PREFERRED EXPERIENCE: • 5-7 years managed healthcare administration experience. • Specific experience in provider services, operations, and/or contract negotiations in a Medicare and Medicaid managed healthcare setting, ideally with different provider types (e.g., physician, groups and hospitals). To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
    $82k-125k yearly est. Auto-Apply 10d ago
  • Actuary - Financial Planning and Analysis

    Humana Inc. 4.8company rating

    Humana Inc. job in Annapolis, MD

    Become a part of our caring community and help us put health first Join Humana's Financial Planning & Analysis team, part of the CFO team, which drives aggregate financial results and insights across primarily Individual Medicare Advantage (MA). This team serves as a central hub for financial strategy and analysis, with connections to enterprise-wide and total Insurance perspectives. The Actuary Analytics/Forecasting role offers flexibility in responsibilities, significant exposure to senior leadership, and strong potential for upward mobility. We seek candidates who are willing to think creatively, challenge assumptions, voice opinions on key drivers and ranges, and contribute to a culture of continuous improvement and healthy debate. The Actuary, Analytics/Forecasting analyzes and forecasts financial, economic, and other data to provide accurate and timely information for strategic and operational decisions. Establishes metrics, provides data analyses, and works directly to support business intelligence. Evaluates industry, economic, financial, and market trends to forecast the organization's short, medium and long-term financial and competitive position. The Actuary, Analytics/Forecasting works on problems of diverse scope and complexity ranging from moderate to substantial. The Actuary, Analytics/Forecasting ensures data integrity by developing and executing necessary processes and controls around the flow of data. Collaborates with stakeholders to understand business needs/issues, troubleshoots problems, conducts root cause analysis, and develops cost effective resolutions for data anomalies. Advises executives to develop functional strategies (often segment specific) on matters of significance. Exercises independent judgment and decision making on complex issues regarding job duties and related tasks, and works under minimal supervision, Uses independent judgment requiring analysis of variable factors and determining the best course of action. Use your skills to make an impact Required Qualifications Bachelor's Degree FSA or ASA plus relevant advanced degree, recent and relevant work experience, and/or other relevant professional designations. MAAA Strong communication skills Experience in more than two functions (e.g., modeling, pricing, rate filing, reporting & analysis, reserving or trending) Preferred Qualifications Medicare Advantage pricing and forecasting experience Experience working with aggregate financials across insurance products or enterprise-level financial planning Demonstrated ability to challenge existing assumptions and propose creative solutions Additional Information Humana is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sexual orientation, gender identity, national origin, age, disability, or veteran status. For more information on Humana careers, please visit Humana Careers (******************************** Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required. Scheduled Weekly Hours 40 Pay Range The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc. $129,300 - $177,800 per year This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance. Description of Benefits Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. Application Deadline 01-30-2026 About us Humana Inc. (NYSE: HUM) is committed to putting health first - for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large. Equal Opportunity Employer It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment. Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our *************************************************************************** #J-18808-Ljbffr
    $129.3k-177.8k yearly 3d ago

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