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.
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$142.3k-195.7k yearly 1d ago
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Director of Workforce Capacity Strategy
Humana Inc. 4.8
Humana Inc. job in Washington, DC
A healthcare solutions provider is seeking a Director of Workforce Capacity Planning to lead workforce strategy across various operations. The role involves establishing forecasting methodologies, partnering with finance for budgeting, and developing a high-performing team. Candidates must have a Bachelor's degree, 8+ years in workforce management, and strong analytical skills. Located in Washington, D.C., this position offers a competitive salary range of $168,000 - $231,000 yearly, along with numerous benefits aimed at employee wellness.
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$168k-231k yearly 4d ago
Actuary - Financial Planning and Analysis
Humana Inc. 4.8
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 ***************************************************************************
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$129.3k-177.8k yearly 2d ago
Market VP, Professional Practice and Pharmacy Compliance
Humana Inc. 4.8
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 *************************************************************
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$96k-120k yearly est. 1d ago
Fraud and Waste Investigator
Humana 4.8
Humana job in Washington, DC
**Become a part of our caring community and help us put health first** The Fraud and Waste Professional 2 conducts investigations of allegations of fraudulent and abusive practices. The Fraud and Waste Professional 2 work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action.
**Where You Come In**
The Fraud and Waste Professional 2 coordinates investigation with internal and external entities including compliance, internal business partners, and law enforcement. Assembles evidence and documentation to support successful adjudication, where appropriate. Prepares complex investigative and audit reports. Understands department, segment, and organizational strategy and operating objectives, including their linkages to related areas. Makes decisions regarding own work methods, occasionally in ambiguous situations, and requires minimal direction and receives guidance where needed. Follows established guidelines/procedures.
**What Humana Offers**
We are fortunate to offer a remote opportunity for this job. Our Fortune 100 Company values associate engagement & your well-being. We also provide excellent professional development & continued education
**Use your skills to make an impact**
**WORK STYLE:** Remote anywhere in US, work at home. While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.
**WORK HOURS:** Monday-Friday, 8 hours/day, 5 days/week, ideally, associates will work on EST (regardless of their home time zone). Must start between 6AM-9AM (in the employee's time zone), some flexibility might be possible, depending on business needs.
**Required Qualifications - What it takes to Succeed**
+ Bachelor's degree or equivalent work experience
+ Minimum 2 years of investigative and/or claims experience
+ Knowledge of healthcare payment methodologies
+ Strong organizational, interpersonal, and communication skills
+ Inquisitive nature with ability to analyze data to metrics
+ Computer literate (MS Word, Excel, Access)
+ Strong personal and professional ethics
+ Ability to travel up to 5%, to attend trainings and meetings, as required
**Preferred Qualifications**
+ Bilingual in Spanish
+ Bachelor's degree and/or additional degrees and/or certifications (MBA, J.D., MSN, Clinical Certifications, CPC, CCS, CFE, AHFI).
+ Understanding of healthcare industry, claims processing and investigative process development.
+ Experience in a corporate environment and understanding of business operations
**Additional Information**
**Work at Home Requirements**
- At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is suggested
- Satellite, cellular and microwave connection can be used only if approved by leadership
- Associates who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense.
- Humana will provide Home or Hybrid Home/Office associates with telephone equipment appropriate to meet the business requirements for their position/job.
- Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information
**Interview Format**
As part of our hiring process for this opportunity, we will be using an exciting interviewing technology called Hire Vue (formerly Modern Hire) to enhance our hiring and decision-making ability. Hire Vue (formerly Modern Hire allows us to quickly connect and gain valuable information from you pertaining to your relevant skills and experience at a time that is best for your schedule.
If you are selected to move forward from your application prescreen, you will receive correspondence inviting you to participate in a pre-recorded Voice Interview and/or an SMS Text Messaging interview. If participating in a pre-recorded interview, you will respond to a set of interview questions via your phone. You should anticipate this interview to take approximately 10-15 minutes.
If participating in a SMS Text interview, you will be asked a series of questions to which you will be using your cell phone or computer to answer the questions provided. Expect this type of interview to last anywhere from 5-10 minutes. Your recorded interview(s) via text and/or pre-recorded voice will be reviewed and you will subsequently be informed if you will be moving forward to next round of interviews.
Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.
**Scheduled Weekly Hours**
40
**Pay Range**
The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.
$65,000 - $88,600 per year
This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.
**Description of Benefits**
Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.
Application Deadline: 01-22-2026
**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 ***************************************************************************
$65k-88.6k yearly 4d ago
Principal, Value Architecture and Intelligence
Humana 4.8
Humana job in Washington, DC
**Become a part of our caring community and help us put health first** Humana's Transformation Program team is a high-performing team that works closely with senior leaders to help chart the course for the company's future. Transformation is critical to our core strategy: delivering great healthcare to seniors, providing a differentiated healthcare experience, and growing our reach and impact with members and patients. As a member of the Transformation team, you will support the complex and coordinated effort required to execute the enterprise strategy: accelerating our long-term vision by identifying opportunities, designing solutions, and implementing initiatives to fundamentally change the member, patient, provider, and associate experiences.
The Transformation team is modeled after top-tier management consultancies. Team members work on fast-faced and high-visibility projects aligned with the enterprise's most important Transformation topics. Every day in the role is different, but activities often include developing industry analysis, building high-level financial/business models, conducting informational interviews, managing complex projects with numerous stakeholders, and synthesizing recommendations into executive-level deliverables that drive real-world results. Work assignments require a combination of strategic thinking, quantitative analysis, workstream management, cross-team collaboration, and storytelling. Team members can align with one of the enterprise's lines of business, supporting functions, or key Transformation capabilities to become a trusted thought partner for the Transformation agenda.
**Key Responsibilities:**
**Translate clinical, operational, and growth ideas into clear financial cases and scenario ranges**
**Work with senior leaders to sequence initiatives, surface interdependencies, and ensure resources flow to the highest opportunities**
**Design the framework that connects key performance indicators to the P&L and keeps leaders informed of near real-time progress**
**Partner with analytics, technology and FP&A teams to deliver dashboards and tools executives use, not just read**
**Package complex analysis into crisp narratives that secure sponsorship, funding, and enterprise adoption**
**Guide a team of analysts and collaborate with finance, clinical, and technology partners to move initiatives from concept to booked impact**
**Use your skills to make an impact**
**Required Qualifications:**
**8+ years in transformation, corporate finance, strategy consulting, or advanced analytics**
**Fluency in financial modeling and scenario analysis (Excel plus SQL/Python or similar)**
**Comfort navigating senior-executive conversations and cross-functional workshops**
**Strong storytelling skills, able to distill complex data into decisive recommendations**
**Bachelor's degree required; MBA, MHA, or MS Analytics preferred**
**Preferred Qualifications**
**Additional Information**
Preferred working locations are Louisville, KY and Arlington, VA (Washington, DC metro area), with consideration for Chicago, IL, New York, NY, and alternative hub sites on a case-by-case basis. The Transformation team operates on a hybrid work arrangement (in office expectation of 3 days per week).
**Scheduled Weekly Hours**
40
**Pay Range**
The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.
$168,000 - $231,000 per year
This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.
**Description of Benefits**
Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.
**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 ***************************************************************************
$168k-231k yearly 60d+ ago
Actuarial Principal - Financial Planning and Analysis
Humana Inc. 4.8
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 ***************************************************************************
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$156.6k-215.4k yearly 2d ago
Senior Digital Designer
Humana 4.8
Humana job in Washington, DC
**Become a part of our caring community and help us put health first** The Senior Digital Designer responsible for creating, executing, developing, and maintaining digital design elements across multiple platforms. The Senior Digital Designer work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors.
The Senior Digital Designer collaborate closely with cross-functional teams to conceptualize, design, and produce digital content, graphics, animations, and user interfaces that align with organizational goals and enhance the user experience. Utilize common frameworks to build and develop interactive and responsive digital solutions that ensure compatibility, efficiency, and maximum value for the end-user. Support various business objectives, including product development, advertising, marketing, media, and communications. Begins to influence department's strategy. Makes decisions on moderately complex to complex issues regarding technical approach for project components, and work is performed without direction. Exercises considerable latitude in determining objectives and approaches to assignments.
**Use your skills to make an impact**
Typically requires Bachelor's degree or equivalent and 5+ years of technical 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: 02-22-2026
**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 ***************************************************************************
$94.9k-130.5k yearly 5d ago
Social Worker - Field Care Coordinator - DC, MD, VA - Optum at Home
Unitedhealth Group Inc. 4.6
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.
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$60.2k-107.4k yearly 10d ago
Community Management Intern
Walgreens 4.4
Washington, DC job
Job Objectives * Learn to provide an extraordinary customer experience in retail store setting. * Completes product returns, order voids, customer refunds, cash drops to the safe, and provides change as requested to cash registers. * Models and delivers a distinctive and delightful customer experience.
Job Responsibilities/Tasks
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
* Learn from store, pharmacy, district manager, competitors and customers/patients
* Engage in a kick-off and day of service activity
* Responsible and accountable for registering all related sales on assigned cash register, including records of scanning errors, price verifications, items not on file, price modifications, and voids.
* Assists manager or assistant store manager in reviewing order exceptions on order release day and assists in reverse logistics (e.g., 1506, returns, empty package).
* Learns to analyze inventory trends and supervises inventory management, including ordering items, keeping stock, and liquidating stock and leveraging company resources to avoid outs and overstock.
* Assists manager or assistant store manager in evaluating and developing displays, including promotional, seasonal, super structures, and sale merchandise. Completes resets and revisions.
* Engage in weekly meetings with store manager or pharmacy manager
* Responsible for basic department pricing and making daily price changes; ensures proper signage is displayed at the store to support accurate pricing of products. Ensures any additional pricing tasks related to local regulations and/or regulatory compliance programs are completed accurately and within the required time frame.
* Assists with exterior and interior maintenance by ensuring clean, neat, orderly store condition and appearance, including requesting store or system repairs as required in manager absence, or as requested by manager.
* Assists with separation of food items (e.g., raw foods from pre-cooked) and product placement as specified by policies/procedures (e.g., raw and frozen meats on bottom shelves). For consumable items, assists in stock rotation, using the first in, first out method and restock outs.
* Has working knowledge of store systems and store equipment.
* Receives exposure to the analysis of financial & performance data for the store, pharmacy and clinic and to the analysis of asset protection data and action plans to reduce loss.
* Ensures compliance with state and local laws regarding regulated products (e.g., alcoholic beverages and tobacco products).
* Work as a group to complete the Intern Team Challenge and present to area, district and store leaders
* Complies with all company policies and procedures; maintains respectful relationships with coworkers.
* Complete evaluation of internship program upon completion.
* Completes special assignments and other tasks as assigned.
Training & Personal Development
* Attends training and completes E-learnings and special assignments requested by Manager.
* Shadow district leader for the specified time
Communications
* Reports customer complaints to management.
* Assists Store Manager in planning and attending community events.
Basic Qualifications
* Should be a Student beginning or completing Senior year towards a Bachelor's degree
* Must be fluent in reading, writing, and speaking English. (Except in Puerto Rico)
* Willingness to work flexible schedule, including evening and weekend hours.
Preferred Qualifications
* Prefer the knowledge of store inventory control.
We will consider employment of qualified applicants with arrest and conviction records.
An Equal Opportunity Employer, including disability/veterans.
This information is being provided to promote pay transparency and equal employment opportunities at Walgreens. The current salary range for this position is $17.00 per hour - $19.50 per hour. The actual hourly salary within this range that you will be offered will depend on a variety of factors including geography, skills and abilities, education, experience and other relevant factors. This role will remain open until filled. To review benefits, please click here jobs.walgreens.com/benefits. If you are applying on a job board or unable to click on the link, please copy and paste this URL into your browser jobs.walgreens.com/benefits
$17-19.5 hourly 60d ago
Speech Therapist Home Health
Humana Inc. 4.8
Humana Inc. job in Bowie, 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 Speech Therapist, you will:
* Evaluate, direct and provide speech/language pathology service to patients in the home or facility
* Participate in the development and periodic review of the Plan of Treatment and Plan of Care.
* Utilize professional skills and judgment in assessing and treating disorders of speech, voice, language, hearing and swallowing to prevent, identify, evaluate and minimize the effects of such disorders and conditions.
* Administer and interpret diagnostic tests and applications of therapeutic treatments including audio logic screening.
* Observe, record and report changes in the patient's condition and response to treatment to supervisor and/or the physician.
* Provide instruction and training to patients in use of alternative communication systems when appropriate.
* Provide counsel and instruction to patients, families and healthcare staff.
* Maintain and submit documentation as required by the Company and/or facility. Prepare and submit timely written reports of evaluations, visits, summaries, care plans, care coordination activities and progress reports as required by Company policy.
* Participate in care coordination activities and discharge planning.
* Maintain the highest standards of professional conduct in relation to information that is confidential in nature. Share information only when the recipient's right to access is clearly established and the sharing of such information is clearly in the best interests of the patient.
* Attend, participate in and/or conduct internal staff development programs, obtain continuing education as required by Company policy, regulation.
Use your skills to make an impact
Required Experience/Skills:
* Meet the education and experience requirements for Certification of Clinical Competence in Speech Language Pathology or Audiology granted by ASHA
* Minimum of six months experience as a speech therapist / speech language pathologist
* Home Health experience a plus
* Current and unrestricted license
* Current CPR certification
* Good organizational and communication skills
* A valid driver's license, auto insurance, and reliable transportation are required.
Pay Range
* $54.00 - $75.00 - pay per visit/unit
* $84,900 - $116,800 per year base pay
Scheduled Weekly Hours
1
Pay Range
The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.
$93,900 - $129,300 per year
Description of Benefits
Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers benefits for limited term, variable schedule and per diem associates which are designed to support whole-person well-being. Among these benefits, Humana provides paid time off, 401(k) retirement savings plan, employee assistance program, business travel and accident.
About Us
About CenterWell Home Health: CenterWell Home Health specializes in personalized, comprehensive home care for patients managing a chronic condition or recovering from injury, illness, surgery or hospitalization. Our care teams include nurses, physical therapists, occupational therapists, speech-language pathologists, home health aides, and medical social workers - all working together to help patients rehabilitate, recover and regain their independence so they can live healthier and happier lives.
About CenterWell, a Humana company: CenterWell creates experiences that put patients at the center. As the nation's largest provider of senior-focused primary care, one of the largest providers of home health services, and fourth largest pharmacy benefit manager, CenterWell is focused on whole-person health by addressing the physical, emotional and social wellness of our patients. As part of Humana Inc. (NYSE: HUM), CenterWell offers stability, industry-leading benefits, and opportunities to grow yourself and your career. We proudly employ more than 30,000 clinicians who are committed to putting health first - for our teammates, patients, communities and company. By providing flexible scheduling options, clinical certifications, leadership development programs and career coaching, we allow employees to invest in their personal and professional well-being, all from day one.
Equal Opportunity Employer
It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.
$93.9k-129.3k yearly 6d ago
Business Intelligence Lead - Digital VOC
Humana 4.8
Humana job in Washington, DC
**Become a part of our caring community and help us put health first** The Digital Voice of Customer (VoC) Program Leader & Insights Champion will own and advance the end-to-end VoC strategy across Digital CW, ensuring measurement approaches align with customer experience goals and business priorities. This position is responsible for vendor management (Qualtrics), cross-functional stakeholder collaboration, and driving everyday self-service and adoption of VoC insights throughout the organization. The ideal candidate will develop diverse VoC touchpoints, analyze structured and unstructured data, present findings through effective storytelling, and serve as a thought leader to educate and empower teams for data-driven decision-making.
**Key Responsibilities** :
+ Develop, execute, and continuously refine the comprehensive VoC Program strategy for Digital CW, ensuring alignment with enterprise customer experience objectives and business priorities.
+ Manage and cultivate the vendor relationship with Qualtrics, representing the interests of Digital CW and collaborating with the Humana Digital lead.
+ Partner with stakeholders across UX, Product, Business Intelligence, Operations, and other lines of business to strategize, design, and implement optimal VoC touchpoints-including expansion beyond digital channels-to capture actionable customer insights.
+ Champion the incorporation of VoC metrics into everyday business practices, fostering a pull-driven, self-service engagement model across the enterprise.
+ Analyze structured and unstructured data to identify trends, friction points, opportunities for improvement, and root causes impacting user experiences.
+ Synthesize and communicate insights through compelling storytelling to influence cross-functional teams and drive user-backed optimizations.
+ Stay current with industry trends, emerging tools, and best practices to enhance VoC program effectiveness and operational efficiency.
+ Serve as a thought leader, educating stakeholders and promoting a culture of data-driven decision-making.
**Use your skills to make an impact**
**Required Qualifications**
+ Bachelor's degree and 8 or more years of technical experience in data analysis OR Master's degree and 4 years of experience
+ 2 or more years of project leadership experience
**Preferred Qualifications**
+ Demonstrated experience leading VOC or customer experience programs in a digital environment
+ Strong vendor management skills, preferably with Qualtrics or similar platforms
+ Knowledge of current trends and tools in customer experience measurement and analytics
+ Advanced experience in analysis and synthesis of quantitative and qualitative data
+ Excellent communication, presentation, and storytelling skills to inform and influence senior and executive leadership
+ Experience aggregating data across multiple sources (e.g., primary research, secondary research, operational data)
+ Working knowledge of primary research techniques (e.g., basic survey design)
+ Advanced Degree in a quantitative discipline, such as **Business, Marketing, Analytics** , Mathematics, Statistics, Computer Science, or related field
+ Passion for contributing to an organization focused on continuously improving consumer experiences
+ Experience analyzing data to solve a wide variety of business problems and create data visualizations that drive strategic direction
+ Advanced experience working with big and complex data sets within large organizations
+ Proven ability to work with cross-functional teams and translate requirements between business, project management and technical projects or programs
+ Proficiency in understanding Healthcare related data
+ Experience creating analytics solutions for various healthcare sectors
+ Advanced in SQL, SAS and other data systems
+ Experience with tools such as Tableau and Qlik for creating data visualizations
+ Expertise in data mining, forecasting, simulation, and/or predictive modeling
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: 04-17-2026
**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 4d ago
Occupational Therapist Assistant, Home Health
Humana Inc. 4.8
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 4.4
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.
Basic Qualifications
* Six months of prior work experience with Walgreens (internal candidates) or one year of prior retail work experience (external candidates).
* Must be fluent in reading, writing, and speaking English (except in Puerto Rico).
* Must have a willingness to work a flexible schedule, including evening and weekend hours.
* "Achieving expectations" rating on last performance review and no written disciplinary actions in the previous 12 months (internal candidates only).
* Demonstrated attention to detail and ability to multi task and manage execution.
* Experience in identifying operational issues and recommending and implementing strategies to resolve problems.
Preferred Qualifications
* Prefer previous experience as a shift lead, pharmacy technician, designated hitter, or customer service associate.
* Prefer to have prior work experience with Walgreens, with an evaluation on file.
We will consider employment of qualified applicants with arrest and conviction records.
An Equal Opportunity Employer, including disability/veterans.
The actual compensation that you will be offered will depend on a variety of factors including geography, skills and abilities, education, experience and other relevant factors. This role will remain open until filled. To review benefits, please click here jobs.walgreens.com/benefits. If you are applying on a job board or unable to click on the link, please copy and paste this URL into your browser jobs.walgreens.com/benefits
Salary Range: $17 - $20 / Hourly
$17-20 hourly 8d ago
Photo Specialist
Walgreens 4.4
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 23d ago
Pharmacy Technician / Pharm Tech Apprenticeship
Walgreens 4.4
Washington, DC job
Our pharmacy technician positions have undergone an exciting transformation, moving from a transaction-based environment to a much more patient-centric one. As a Walgreens Pharmacy Technician or Pharmacy Technician Apprentice, you'll be front and center - interacting with our customers and developing strong patient relationships. Pharmacy is the core of our business, and our pharmacy technicians enjoy all the tools and support - including the latest technology - to grow their careers and reach their goals.
Walgreens is proud to invest & champion an "earn while you learn" Pharmacy Technician Training Program recognized by ASHP & Department of Labor. This apprenticeship program gives you an entry point to a career in health care by guiding you in taking steps towards becoming a Pharmacy Technician Certification Board (PTCB) Certified Pharmacy Technician and helping you maintain the high level of skill required in the pharmacy care industry. Arming you with a nationally recognized, portable credential that will help you advance your career.
Whether you are new to working in pharmacies or are an experienced Pharmacy Technician Apply Now! Walgreens will train you to use your skills and talents to serve and care for our patients and customers. The courses, learning activities, and resources provided to you in our pharmacy technician training program are designed to give you foundational and advanced knowledge, skills, and on-the-job experiences you need to prepare to become a certified pharmacy technician.
* In accordance with state and federal regulations, assists the pharmacist, under direct supervision, in the practice of pharmacy. Assists the pharmacist in the performance of other Pharmacy Department duties in accordance with Company policies and procedures.
* Responsible for using pharmacy systems to obtain patient and drug information and process prescriptions. If PTCB certified, assists with and coaches pharmacy technicians in the operation of pharmacy systems and cashiers in the operation of the pharmacy cash registers.
* Models and delivers a distinctive and delightful customer experience.
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.).
* Develops strong relationships with most valuable customers.
Operations
* Under the supervision by the pharmacist, assist in the practice of pharmacy, in accordance with state, federal, and company policy. Reviews and complies with the Walgreen Co. Pharmacy Code of Conduct.
* Performs duties as assigned by Pharmacy Manager, Staff Pharmacist and Store Manager including utilizing pharmacy systems to enter patient and drug information, ensuring information is entered correctly, filling prescriptions by retrieving, counting and pouring pharmaceutical drugs, verifying medicine is correct, and checking for possible interactions. Assists pharmacists in scheduling and maintaining work flow.
* Reports, immediately, prescription errors to pharmacist on duty and adheres to Company policies and procedures in relation to pharmacy errors and the Quality Improvement Program.
* Strictly adheres to the Walgreen Co. policy regarding Good Faith Dispensing during all applicable prescription dispensing activities.
* Responsible and accountable for registering all related sales on assigned cash register, collects and handles cash as required. Takes customer to OTC aisle when possible to assist in locating products.
* Handles telephone calls that do not require personal attention of the pharmacist, including those to physicians.
* Processes (corrects and resubmits) manual claims for third party program prescription services in a timely and efficient manner, and performs other clerical duties, as assigned by the Pharmacy Manager.
* Assists and supports Pharmacy Department on inventory management activities, such as, ordering, unpacking, checking and storing shipment of pharmaceuticals. Maintains knowledge of Company asset protection techniques, and files claims for warehouse overages (merchandise received, but not billed), shortages (merchandise billed, but not received), order errors or damaged goods involving Rx drugs.
* May assist pharmacist in administering clinical services including the collection and proper labeling of blood/urine samples from patients and other clinical services as required; assists pharmacy staff in coordination of clinical services, Walgreens healthcare clinics and external providers.
* Assists Pharmacy Manager and Staff Pharmacist in developing and maintaining good relationships with the local medical community, including physicians, nurses, and other health care providers, by medical provider detailing and outreach to health groups, retirement homes, nursing homes, and other forums for enhancing growth opportunities.
* Assists with exterior and interior maintenance by ensuring the Pharmacy Department is stocked with adequate supplies, clean, neat and orderly in 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
* Earns and maintains PTCB certification through the designated PTCB training program and/or state required certification/registration. Otherwise, earns PTCB certification as condition of promotion to senior technician.
* Attends training requested by Manager and acquires continuing education credits. Maintains knowledge and skill in healthcare and pharmacy, including latest news and developments.
Basic Qualifications
* Must be fluent in reading, writing, and speaking English. (Except in Puerto Rico)
* Requires willingness to work flexible schedule, including evening and weekend hours.
Preferred Qualifications
* Prefer six months of experience in a retail environment.
* Prefer to have prior work experience with Walgreens.
* Prefer good math skills so they can fill prescriptions accurately, including counting, measuring and weighing medications.
* Prefer good computer skills.
* Prefer the knowledge of store inventory control.
* Prefer PTCB certification.
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: $19.5 - $23 / Hourly
$19.5-23 hourly 42d ago
Medical Assistant - Part time 33 hour - Arlington VA
Cigna Group 4.6
Arlington, VA job
Evernorth Workplace Care offers health care delivery services along with population health and health coaching solutions, conducted in person or virtually. Our mission is to deliver proactive, personalized, and holistic patient care and coaching by acting on health data and insights to improve the overall health and wellness of our clients' employees, and those they care about most, by providing access to high quality, affordable services where they work and live.
Our Evernorth Workplace Care solution isn't a one-size-fits-all model. Using data-driven insights, we'll customize a solution that addresses your organization's most pressing needs-creating a more affordable, predictable, and simple health care experience.
Evernorth Workplace Care - Personalized Care Where You Are
Medical Assistant - Evernorth - Arlington VA
The experienced MA provides front and back-office assistance to the providers in the preparation for, examination and treatment of patients, and is a critical partner in our Worksite-based Health Centers.
Greet and check in patients at the health care centers by verifying coverage and eligibility and completing appropriate paperwork.
Obtains the patient history, takes vital signs, and assists with coordination of care.
Administers medications
Preparing the examination room
Cleans and sterilizes instrument per protocol
Answer telephone in compliance with departmental procedures. Ascertain the nature of call and route appropriately. If necessary, take accurate and legible messages.
Schedule appointments and verify membership according to various benefit coverage
Reviews preprinted instruction sheets with patients
Attends department Staff Meetings and In-service programs
Cross trains to new procedures and departments.
Assists in orienting new employees and temporary pool staff to job responsibilities.
What we expect from you:
Graduate of approved MA program OR on the job training with CCMA prior to hire
Current BCLS required
At least 1 or more years of front and back-office experience
Phlebotomy skills
Solid Computer skills including Electronic Health Records
Excellent customer service skills required
Team oriented
Strong time management skills
Responsible and reliable
Ability to work health center hours - 33 hours/week
Bonus points for:
CMA or RMA Certification
Phlebotomy Certification
EPIC experience
Customer-centric Focus
Dynamic personality
This role is based in the health center in Arlington VA.
This is a 33 hour per week role.
We offer benefit eligibility from the first day of employment, Paid Time Off, Short and Long-Term Disability, Life Insurance, 401k with company match, Continuing Education, Career Development and a variety of other perks.
If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.
About Evernorth Health Services
Evernorth Health Services, a division of The Cigna Group, creates pharmacy, care and benefit solutions to improve health and increase vitality. We relentlessly innovate to make the prediction, prevention and treatment of illness and disease more accessible to millions of people. Join us in driving growth and improving lives.
Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws.
If you require reasonable accommodation in completing the online application process, please email: ********************* for support. Do not email ********************* for an update on your application or to provide your resume as you will not receive a response.
The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State.
Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.
$30k-34k yearly est. Auto-Apply 2d ago
Informaticist
Humana 4.8
Humana job in Washington, DC
**Become a part of our caring community and help us put health first** The Provider Analytics organization's vision is to improve member healthcare through innovative analytics and actionable insights, which empower members, and providers to drive higher quality, lower cost of care, and improved health outcomes. Provider Analytics develops and applies actionable analytics and insights, which are integral to business needs, to drive informed provider network strategy and is looking for an Informaticist 2 to join their team.
The Informaticist 2:
+ Designs and constructs models to estimate impact of contractual changes tied to ancillary and industry leading innovative care delivery models
+ Collates, models, interprets and analyzes data in order to identify, explain, and influence variances and trends
+ Explains variances and trends and enhances modeling techniques
+ Utilizes multiple data sources such as SQL, Power BI, Excel, etc., to create advanced analytics to facilitate contracting initiatives
+ Uses a consultative approach to collaborate effectively with the markets, and other customers, building productive cross-functional relationships
+ Extracts historical data, performs data mining, develops insights to drive provider contracting strategy and reimbursement terms for National Ancillary Contracting
+ Develops tools and automates processes to model financial implications of ancillary contracted rate changes, including changes in capitated arrangements
In addition to being a great place to work, Humana also offers industry leading benefits for all employees, starting your FIRST day of employment. Benefits include:
+ Medical Benefits
+ Dental Benefits
+ Vision Benefits
+ Health Savings Accounts
+ Flex Spending Accounts
+ Life Insurance
+ 401(k)
+ PTO including 9 paid holidays, one personal holiday, one day of volunteer time off, 23 days of annual PTO, parental leave, caregiving leave, and weekly well-being time
+ And more
**Use your skills to make an impact**
**Required Qualifications**
+ 3+ years of demonstrated healthcare analytical experience
+ 1+ years SQL experience
+ 1+ years' experience in data visualization (ie. Power BI, Tableau, etc.)
+ Experience in compiling, modeling, interpreting and analyzing data in order to identify, explain, influence variances and trends
+ Experience in managing data to support and influence decisions on day-to-day operations, strategic planning and specific business performance issues
+ Possess a working knowledge and understand department, segment and organizational strategy
**Preferred Qualifications**
+ Bachelor's Degree in analytics or related field
+ Advanced Degree
+ Understanding of healthcare membership, claims, and other data sources used to evaluate cost and other key financial and quality metrics
**Additional Information**
Work at Home/Remote Requirements
**Work-At-Home Requirements**
+ To ensure Home or Hybrid Home/Office associates' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office associates must meet the following criteria:
+ At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended to support Humana applications, per associate.
+ Wireless, Wired Cable or DSL connection is suggested.
+ Satellite, cellular and microwave connection can be used only if they provide an optimal connection for associates. The use of these methods must be approved by leadership. (See Wireless, Wired Cable or DSL Connection in Exceptions, Section 7.0 in this policy.)
+ Humana will not pay for or reimburse Home or Hybrid Home/Office associates for any portion of the cost of their self-provided internet service, with the exception of associates who live or work from Home in the state of California, Illinois, Montana, or South Dakota. 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
**Our Hiring Process**
As part of our hiring process, we will be using an exciting interviewing technology provided by HireVue, a third-party vendor. This technology provides our team of recruiters and hiring managers an enhanced method for decision-making.
If you are selected to move forward from your application prescreen, you will receive correspondence inviting you to participate in a pre-recorded Voice, Text Messaging, and/or Video Interview. If participating in a pre-recorded interview, you will respond to a set of interview questions via your phone or computer. You should anticipate this interview to take approximately 10-15 minutes. Your recorded interview(s) via text and/or pre-recorded voice will be reviewed and you will subsequently be informed if you will be moving forward to next round of interviews.
If you have additional questions regarding this role posting and are an Internal Candidate, please send them to the Ask A Recruiter persona by visiting go/Buzz and searching Ask A Recruiter! Please be sure to provide the requisition number so we may be able to research your request quicker.
\#LI-LM1
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.
$73,400 - $100,100 per year
This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.
**Description of Benefits**
Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.
Application Deadline: 01-21-2026
**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 ***************************************************************************
$73.4k-100.1k yearly 3d ago
Manager, Provider Relations HP (Washington Healthplan)
Molina Healthcare 4.4
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 14d ago
Home Infusion Nurse - Accredo - Woodbridge, VA
Cigna 4.6
Alexandria, VA job
Home Infusion Registered Nurse - Accredo Specialty Pharmacy Join Accredo Specialty Pharmacy, part of Evernorth Health Services, and bring your nursing expertise to patients where they feel most comfortable-their homes. As a Home Infusion Registered Nurse, you'll deliver life-changing care while building meaningful relationships and driving positive health outcomes.
Responsibilities:
* Provide safe and effective administration of specialty medications (including IV infusion) in patients' homes.
* Partner with pharmacists and care teams to ensure holistic patient well-being.
* Document assessments, treatments, and progress to maintain accurate patient records.
* Serve as the primary point of contact for patient updates and care coordination.
* Demonstrate autonomy in clinical decision-making to achieve optimal outcomes.
Required Qualifications:
* Active RN license in the state of practice.
* Minimum 2 years of RN experience.
* At least 1 year in critical care, acute care, or home healthcare.
* Proficiency in IV insertion and infusion techniques.
* Valid driver's license and ability to travel within a large geographic region.
* Availability for a 40-hour workweek, including evenings and weekends as needed.
Preferred Qualifications:
* Bachelor of Science in Nursing (BSN).
* Experience with specialty pharmacy or infusion therapy programs.
Benefits:
* Medical, Dental, Vision, and Life insurance
* 401k with strong company match
* Mileage reimbursement and/or company car
* 26 Paid Days Off (18 days PTO, plus 8 company holidays)
* Merit and Bonus eligibility
If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.
About Evernorth Health Services
Evernorth Health Services, a division of The Cigna Group, creates pharmacy, care and benefit solutions to improve health and increase vitality. We relentlessly innovate to make the prediction, prevention and treatment of illness and disease more accessible to millions of people. Join us in driving growth and improving lives.
Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws.
If you require reasonable accommodation in completing the online application process, please email: ********************* for support. Do not email ********************* for an update on your application or to provide your resume as you will not receive a response.
The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State.
Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.