Kaiser Permanente jobs in Alpharetta, GA - 428 jobs

Performs a variety of standard radiographic procedures in a safe and efficient manner; reviews and transmits films and reports to appropriate physicians. Performs reception and clerical duties within the Radiology Department and prepares required departmental reports. Essential Responsibilities: Prepares patient for radiographic procedures by accurately assessing patients needs and providing patient education. Performs radiographic and/or fluoroscopic procedures. Practices accurate and timely completion of scheduled and unscheduled work to maximize productivity. Demonstrates skills for IV placement and injection of contrast materials. Operates computer and radiographic equipment for image production and documentation of images. Performs quality control measures for the purpose of ensuring optimal quality images. Enters and properly completes all patient information including exam charges and supplies into the Radiology Information System (RIS) and/or other KP application. Prepares films for interpretation by the radiologist in an accurate and timely manner. Exhibits flexibility and adaptability to unique needs of the department and respond appropriately. Communicates abnormal situations to proper sources in a way that facilitates resolution and/or tracking. Actively engages other health care providers (radiologist, ordering practitioners) to ensure quality, continuity and appropriateness of care. Follows department procedures/processes/policies. Practices safety measures in radiography by adhering to all governing regulations. Follows universal precautions, infection control guidelines and sterile technique. Complies with all governing regulations. Stocks and cleans exam rooms/work areas. Takes rotational call for after hours facilities and is responsible for coverage if unable to take call. May be responsible for clinical instruction of student technologist. Other duties as assigned. Applies the professions code of ethics in all aspects of practice. Basic Qualifications: Experience One (1) year as a Radiological Technologist. Education N/A License, Certification, Registration Radiologic Technologist Certification Basic Life Support Additional Requirements: General knowledge of EH&S, OSHA, DHR, Radiation Safety and Protection. General knowledge of exam protocols. Basic PC (keyboarding & navigation) skills. Preferred Qualifications: Two (2) years experience as a Radiologic Technologist.

Ultrasound Technologist -performs diagnostic sonographic examinations utilizing ultrasonic equipment to locate, evaluate and record critical functional, pathological, and anatomical data. Schedules and coordinates tests, records test results, and prepares and maintains operational logs. Essential Responsibilities: Performs Ultrasound Examinations. Documents patient assessment and history. Provides patient education. Operates computer and ultrasound equipment for image production and documentation. Practices accurate and timely completion of scheduled and unscheduled work to maximize productivity. Performs quality control measures for the purpose of ensuring optimal images. Enters and properly completes all patient information including exam charges and supplies into the Radiology Information System (RIS). Prepares films for interpretation by the radiologist in an accurate and timely manner. Exhibits flexibility and adaptability to unique needs of the department and respond appropriately. Communicate abnormal situations to proper sources in a way that facilitates resolution and/or tracking. Actively engages other health care providers (radiologist, surgeons, specialist, and mammographers) to ensure quality, continuity and appropriateness of care. Follows department procedures/processes/policies. Practices safety measures in radiography by adhering to all governing regulations. Follows universal precautions, infection control guidelines and sterile technique. Complies with all governing regulations. Stocks and cleans exam rooms/work areas. Other duties as assigned. Applies the professions code of ethics in all aspects of practice. Basic Qualifications: Experience Minimum one (1) year experience in Ultrasonography a minimum (will only accept new graduates from KPGA affiliated ultrasound program educational institutions). Education Graduate of AMA approved Ultrasonography Program. High School Diploma or General Education Development (GED) required. License, Certification, Registration Registered Diagnostic Medical Sonographer Certificate Basic Life Support Additional Requirements: Basic PC (keyboarding & navigation) skills. Preferred Qualifications: Minimum two (2) years experience in Ultrasonography preferred. Customer service aptitude demonstrated through Customer Service Assessment.

Overview: This is a non-clinical position. Customer and Channel Partner Experience (CCPE) is a multimillion-dollar initiative led by the National Health Plan in partnership with KPIT to improve the experience and make it easy for our business employers, brokers, general agents and consultants to do business with KP. We do this by deploying next generation digital experiences, improving our service and support models to be simple, fast, and personalized, and developing capabilities to show up as a single national health plan. As a result, this work improves brokers- willingness to sell KP and drives growth and retention for KP. Job Summary: Serves as a consultant to ensure the alignment, buy-in, and coordination of diverse stakeholders to drive the implementation of successful business initiatives and projects. Provides insight and supports the development and implementation of business initiatives, systems, and/or processes to a desired future state. Contributes to business strategy and supports organizational alignment and prioritization of business initiatives. Manages complex projects or project components, participates in and may lead change management activities, and performs data analyses in support of business initiatives. Supports vendor management as required. Monitors compliance of work activities by ensuring business plans and team members adhere to relevant policies and procedures. Essential Responsibilities: * Promotes learning in others by proactively providing and/or developing information, resources, advice, and expertise with coworkers and members; builds relationships with cross-functional/external stakeholders and customers. Listens to, seeks, and addresses performance feedback; proactively provides actionable feedback to others and to managers. Pursues self-development; creates and executes plans to capitalize on strengths and develop weaknesses; leads by influencing others through technical explanations and examples and provides options and recommendations. Adopts new responsibilities; adapts to and learns from change, challenges, and feedback; demonstrates flexibility in approaches to work; champions change and helps others adapt to new tasks and processes. Facilitates team collaboration to support a business outcome. * Completes work assignments autonomously and supports business-specific projects by applying expertise in subject area and business knowledge to generate creative solutions; encourages team members to adapt to and follow all procedures and policies. Collaborates cross-functionally and/or externally to achieve effective business decisions; provides recommendations and solves complex problems; escalates high-priority issues or risks, as appropriate; monitors progress and results. Supports the development of work plans to meet business priorities and deadlines; identifies resources to accomplish priorities and deadlines. Identifies, speaks up, and capitalizes on improvement opportunities across teams; uses influence to guide others and engages stakeholders to achieve appropriate solutions. * Serves as a consultant to ensure the alignment, buy-in, and coordination of diverse stakeholders to drive the implementation of successful business initiatives and projects across one or more functional tracks or workstreams by identifying and ensuring representation and inclusion of appropriate stakeholders; building rapport and partnerships with stakeholder teams, third party vendors, and senior management; working with stakeholders to develop goals and set the prioritization of deliverables; discussing involvement of business processes (e.g. project change management, communication) and facilitating decisions necessary for the delivery of business initiatives; communicating tough issues to stakeholders while maintaining an independent perspective; and making formal presentations and providing reports to various senior level audiences. * Develops requirements for complex business, process, or system solutions within assigned business domain(s) by interfacing stakeholders and cross-functional teams as appropriate; leveraging multiple business requirements gathering methodologies to identify business, functional, and non-functional requirements; developing and documenting comprehensive business cases to assess the costs, benefits, and ROI of proposed solutions; and leading team members in the development process as appropriate. * Provides insight and supports the development and implementation of business initiatives, systems, and/or processes to a desired future state by maintaining a comprehensive understanding of how current processes impact business operations across multiple domains; mapping current state against future state processes; identifying the operational impact of requirements on upstream and downstream solution components; providing options and recommendations to management and business stakeholders on how to integrate solutions and deliverables with current systems and business processes across regions or domains; and identifying and validating value gaps and opportunities for process enhancements or efficiencies. * Contributes to business strategy and supports organizational alignment and prioritization of business initiatives by defining, developing, and evaluating performance metrics, standards, and methods to establish business success; collaborating with multiple stakeholders, often with competing/conflicting objectives, to ensure cohesive and reachable metrics; refining strategic plans and performance metrics as appropriate; and managing assigned initiatives or portfolio to ensure delivery of measurable results and alignment with strategic objectives. * Serves as a advocate of continuous learning and professional development by keeping abreast of industry practices, standards, and benchmarks; attending and participating in roadshows, conferences, and speaking events; contributing to the ongoing enhancement and innovation of consulting practices, standards, and methods across KP; serving as an advocate to ensure continuous learning and improvement is championed as a people strategy; providing training and guidance to stakeholders as appropriate; and providing ongoing coaching to build a continuous improvement mindset and build capabilities that drive results. * Manages complex projects or project components by coordinating stakeholder contacts; recommending or assigning team resources based on project needs and team member strengths; consulting in the development, analysis, and management of project plans; coordinating project schedules and resource forecasts; proactively monitoring and identifying project or business initiative risks, issues, and trigger events; developing mitigation plans and strategies; and resolving or escalating risks or issues as appropriate. * Participates in and may lead change management activities associated with business initiatives by engaging stakeholders to obtain support and buy in for changes; partnering with management, project champions, and business owners to communicate and align improvement initiatives with business objectives; identifying appropriate change management method and approach; and ensuring stakeholders embrace a change management mindset, understand intent and purpose, and foster a culture of change. * Performs data analyses to support business initiatives by identifying appropriate data analysis tools and approach to assess business performance; determining suitable data gathering and analysis methods (e.g., process observation, hard data, etc.); defining data requirements and obtaining customer agreements, including customer requirements as appropriate; conducting analyses and performing experimental tests to evaluate the effectiveness of business solutions; and identifying and alleviating risks through data-driven analysis. * Supports vendor management as required by assisting with reviews of vendor performance levels; ensuring service level agreements are met; managing vendor invoices; and partnering with Procurement and/or Legal to develop service level and/or scope of work agreements as appropriate. * Monitors compliance of work activities by ensuring business plans and team members adhere to KP, departmental, and/or business line policies and procedures.

Provides support for provider claims adjudication activities including responding to providers to address claim issues, and researching, investigating and ensuring appropriate resolution of claims. - Provides support for resolution of provider claims issues, including claims paid incorrectly; analyzes systems and collaborates with respective operational areas/provider billing to facilitate resolution. - Collaborates with the member enrollment, provider information management, benefits configuration and claims processing teams to appropriately address provider claim issues. - Responds to incoming calls from providers regarding claims inquiries - provides excellent customer service, support and issue resolution; documents all calls and interactions. - Assists in reviews of state and federal complaints related to claims. - Collaborates with other internal departments to determine appropriate resolution of claims issues. - Researches claims tracers, adjustments, and resubmissions of claims. - Adjudicates or readjudicates high volumes of claims in a timely manner. - Manages defect reduction by identifying and communicating claims error issues and potential solutions to leadership. - Meets claims department quality and production standards. - Supports claims department initiatives to improve overall claims function efficiency. - Completes basic claims projects as assigned. **Required Qualifications** - At least 2 years of experience in a clerical role in a claims, and/or customer service setting, including experience in provider claims investigation/research/resolution/reimbursement methodology analysis within a managed care organization, or equivalent combination of relevant education and experience. - Research and data analysis skills. - Organizational skills and attention to detail. -Time-management skills, and ability to manage simultaneous projects and tasks to meet internal deadlines. - Customer service experience. - Effective verbal and written communication skills. - Microsoft Office suite and applicable software programs proficiency. To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V Pay Range: $21.65 - $38.37 / HOURLY *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

Provides support for coordination of benefits review activities that directly impact medical expenses and premium reimbursement. Responsible for primarily coordinating benefits with other carriers responsible for payment. Facilitates administrative support, data entry, and accurate maintenance of other insurance records. Job Duties * Provides telephone, administrative and data entry support for the coordination of benefits (COB) team. * Phones or utilizes other insurance company portals to validate state, vendor, and internal COB leads. * Updates the other insurance table on the claims transactional system and COB tracking database. * Review of claims identified for overpayment recovery. Job Qualifications REQUIRED QUALIFICATIONS: * At least 1 year of administrative support experience, or equivalent combination of relevant education and experience. * Strong organizational and time management skills; ability to manage simultaneous projects and tasks to meet internal deadlines. * Strong verbal and written communication skills. * Ability to work cross-collaboratively across a highly matrixed organization and establish and maintain effective relationships with internal and external stakeholders. * Microsoft Office suite proficiency. PREFERRED QUALIFICATIONS: * Health care experience To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V. Pay Range: $21.65 - $31.71 / HOURLY * Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. About Us Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance. If you are seeking a meaningful opportunity in a team-oriented environment, come be a part of a highly engaged workforce dedicated to our mission. Bring your passion and talents and together we can make a difference in the lives of others. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.

Become a part of our caring community and help us put health first Job Functions Working within an interdisciplinary care team, the Care Navigator is responsible for proactively engaging patients identified as high-risk and implementing targeted interventions to address social needs and increase access to care. The Care Navigator will provide guidance and oversight of care coordination efforts to other members of the team, and handle clinical escalations as indicated. This role requires an understanding of how socio-economic stressors can impact ability to engage in healthcare and subsequent health outcomes. Experience will ideally include prior work with patients with behavioral health diagnoses, as well as in navigating local community-based resources and benefit applications. This role has a mobile presence, involving travel to patients' homes, treatment facilities and community-based settings, and assigned clinics to facilitate and foster connections. Duties and Responsibilities * Conduct Transitions of Care Management for a subset of the patient population, including ER and hospital follow ups * Provide triage guidance and supportive consultation to other team members, handling escalated complex cases * Develop care plans leveraging 5Ms Geriatric best practice framework * Develop a wholistic view of patient needs related to Social Determinants of Health * Identify existing barriers to engagement with necessary resources and supports * Provide education around maintenance of chronic health conditions, as well as available options for behavioral care and social support * Serve as liaison between the patient and the direct care providers, assisting in navigating both internal and external systems * Initiate care planning and subsequent action steps for high-risk members, coordinating with interdisciplinary team * Supporting patients' self-determination, motivate patients to meet the health goals they have identified * Refer patient to necessary services and supports * This field may include but is not limited to: assistance with transportation, food insecurity, navigation of and application for benefits including, Medicaid, HCBS, working to reduce costs associated with prescription medications, organizing schedules of follow up appointments, alleviating social isolation * Lead Interdisciplinary Team Meetings when indicated * Assess patient's family system, and conduct family meetings with patient and family when needed * Participate in creation and facilitation of team training content * Conduct group psychoeducation and support groups within the Center * Perform all other duties and responsibilities as required * Participate in and lead interdisciplinary review of and coordination around complex patients * Maintain patient confidentiality in accordance with HIPAA * Document patient encounters in medical record system in a timely manner * Follow general policies related to fire safety, infection control and attendance Use your skills to make an impact Required Qualifications * Master's Degree in Social Work * Minimum of 4 years of experience working in healthcare services and navigating community-based resources Preferred Qualifications * Licensed Master Social Worker * Familiarity with state Medicaid guidelines and application processes preferred * Experience working with patients with behavioral health conditions and substance use disorders preferred * Prior experience conducting home visits and knowledge of field safety practices preferred Skills/Abilities/Competencies Required * Advanced clinical acumen * Ability to multi-task in a fast-paced work environment * Flexibility to fluidly transition and adjust in an evolving role * Excellent organizational skills * Advanced oral and written communication skills * Strong interpersonal and relationship building skills * Compassion and desire to advocate for patient needs * Critical thinking and problem-solving capabilities Working Conditions This role has a mobile presence, involving travel to patients' homes, treatment facilities and community-based settings, and assigned clinics to facilitate connections. Location: Must reside in Atlanta, GA metro Hours: Must be able to work a 40 hour work week, Monday through Friday 8:00 AM to 5:00 PM, over-time may be requested to meet business needs. Tuberculosis (TB) screening: This role is considered member facing and is part of Humana's Tuberculosis (TB) screening program. If selected for this role, you will be required to be screened for TB. Benefits Health benefits effective day 1 Paid time off, holidays, volunteer time and jury duty pay Recognition pay 401(k) retirement savings plan with employer match Tuition assistance Scholarships for eligible dependents 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. About Us About CenterWell Senior Primary Care: CenterWell Senior Primary Care provides proactive, preventive care to seniors, including wellness visits, physical exams, chronic condition management, screenings, minor injury treatment and more. Our unique care model focuses on personalized experiences, taking time to listen, learn and address the factors that impact patient well-being. Our integrated care teams, which include physicians, nurses, behavioral health specialists and more, spend up to 50 percent more time with patients, providing compassionate, personalized care that brings better health outcomes. We go beyond physical health by also addressing other factors that can impact a patient's well-being. 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.

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

Please note, this position is designated as flexible, which means the selected candidate will be required to report to the assigned office in CA, CO, GA, HI, MD, OR, or WA 3 days per week. Provide product management leadership to enable capabilities that motivate patients to actively participate in their health care journey by providing easy access to health data, facilitating self-care management, and promoting shared decision-making with providers. Job Summary: This senior director role is primarily responsible for directing team(s) in defining product strategy and vision, overseeing product roadmaps from ideation to launch across multiple functional areas, and driving and approving decisions on new products or enhancements to bring to market. This includes reviewing and selecting business cases for new products, improvements to existing products, and/or business ventures; defining, overseeing, and avoiding technical debt; providing direction and oversight to product team(s) and influencing diverse stakeholder groups across the organization throughout the product management life cycle, and building and leveraging partnerships with operations teams and market stakeholders to support product adoption. This role is also responsible for directing internal and external discovery for new and existing products; overseeing end-to-end prototyping and validation with end users; ensuring learnings are funneled to product roadmaps; overseeing the ongoing tracking of outcomes, financials, and key performance indicators; and directing and overseeing product teams to ensure the resolution of complex or high impact user problems. Essential Responsibilities: * Oversees the operation of multiple units and departments by identifying customer and operational needs; analyzing resources, costs, and forecasts and incorporating them into business plans; engaging strategic, cross-functional business units to champion and drive support for business plans and priorities; translating business strategy into actionable business requirements; obtaining and distributing resources; setting standards and measuring progress; anticipating and removing obstacles that impact performance; addressing performance gaps and implementing contingency plans accordingly; ensuring products and/or services meet customer requirements and expectations while aligning with organizational strategies; serving as a subject-matter expert and trusted source to executive leadership; and providing influence and consultation in the development of the larger organizational or business strategy. * Models and drives continuous learning and maintains a highly skilled and engaged workforce by aligning cross-functional resource plans with business objectives; overseeing the recruitment, selection, and development of talent; motivating and empowering teams; building organizational capacity and grooming high potentials for growth opportunities and advancement; staying current with industry trends, benchmarks, and best practices; providing guidance and leadership when difficult decisions need to be made; and ensuring performance management guidelines and expectations drive business needs. * Directs team(s) in defining product strategy and vision, and oversees product roadmaps from ideation to launch across multiple functional areas by driving and approving decisions on new products or enhancements to bring to market; reviewing the evaluation of potential business process changes, system impacts, and flow concepts to determine the viability of implementing desired enhancements; ensuring the provision of an end-to-end holistic view of how specific business processes and internal system configurations impact the user experience; reviewing and selecting business cases for new products, improvements to existing products, and/or business ventures; defining, overseeing, and avoiding technical debt as appropriate; managing product and operational budgets; ensuring documentation clearly communicates customer/stakeholder needs to the product team; and partnering with team members to clarify features and requirements as necessary. * Provides direction and oversight to product team(s) and influences diverse stakeholder groups across the organization throughout the product management life cycle by driving the resolution of inter-squad, cross-product and external dependencies, roadblocks and constraints; building and leveraging partnerships with operations teams and market stakeholders to support product adoption; overseeing the development of strategic training efforts to build readiness for production support and operational readiness teams; leading feature demos for executive stakeholders; providing advanced product expertise, peer training, and consultation as appropriate; ensuring adherence to enterprise compliance standards; and managing technology risks as appropriate. * Directs the internal and external discovery for new and existing products by leveraging partnerships with key stakeholders to identify business needs; ensuring the identification and selection of best in class marketplace innovation; overseeing prototyping and validation with end users with support from UX design and research, engineering, and other stakeholders as appropriate; and ensuring learnings are funneled to the product roadmap. * Oversees the ongoing tracking of outcomes, financials, and key performance indicators by reviewing KPIs and performance metrics (e.g., speed, quality, etc.); reviewing key metrics and verifying KPI alignment; and directing the development and maintenance of ad hoc reports, status updates, and presentation decks for key stakeholders and executive leadership. * Directs and oversees product team members to ensure the resolution of user problems for complex and high impact issues by ensuring the work backlog is prioritized and balanced across new development, non-functional requirements, and technical work (e.g., maintenance, support, technical debt, etc.); and overseeing competitive and user research/testing, experimentation, and design thinking initiatives.

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

Leads and supervises a team of pharmacy call center representatives and operations staff responsible to ensure that members have access to medically necessary prescription drugs. Contributes to overarching pharmacy strategy for optimization of medication related health care outcomes, and quality cost-effective member care. **Essential Job Duties** - Hires, trains, develops, and supervises a team of pharmacy service representatives supporting processes involved with Medicare Stars and Pharmacy quality operations. - Ensures that average phone call handle time, average speed to answer, and average hold time are compliant with Centers for Medicare and Medicaid Services (CMS) regulations. - Ensures that adequate staffing coverage is present at all times of operation. - Assists pharmacy leadership with monitoring and oversight of Molina's contracted Pharmacy Benefit Manager (PBM) for pharmacy contractually delegated functions. - Responsible for key performance indicators (KPI) reporting to department leadership on a monthly basis. - Participates, researches, and validates materials for both internal and external program audits. - Acts as liaison to internal and external customers to ensure prompt resolution of identified issues. - Assists pharmacy leadership in the collection and tabulation of data for reporting purposes and maintains files of confidential information submitted for review. - Assures that activities and processes are compliant with CMS, National Committee of Quality Assurance (NCQA) guidelines, and Molina policies and procedures. - Participates in the daily workload of the department, performing Representative duties as needed. - Facilitates interviews with pharmacy service representative job applicants, and provides hiring recommendations to leadership. - Provides coaching for pharmacy representatives, and helps identify and provide for training needs in collaboration with pharmacy leadership. - Communicates effectively with practitioners and pharmacists. - Collaborates with and keeps pharmacy leadership apprised of operational issues, including staffing resources, program and system needs. - Assists with development of and maintenance of pharmacy policies and procedures - Participates in the development of programs designed to enhance preferential or required targeted drugs or supplies. **Required Qualifications** - At least 5 years of experience in health care, preferably within a health-related call center environment, or equivalent combination of relevant education and experience. - Knowledge of prescription drug products, dosage forms and usage. - Experience designing, implementing, monitoring, and evaluating metrics that measure call center agent productivity. - Working knowledge of medical/pharmacy terminology - Excellent verbal and written communication skills. - Microsoft Office suite, and applicable software program(s) proficiency. **Preferred Qualifications** - Supervisory/leadership experience. - Certified Pharmacy Technician (CPhT) and/or state pharmacy technician license (state specific if state required). If licensed, license must be active and unrestricted in state of practice. - Call center experience. - Managed care experience. To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V Pay Range: $55,706.51 - $80,464.96 / ANNUAL *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

Responsible for working collaboratively with physician partners to optimize quality and efficiency of care for hospitalized members by carrying out daily utilization and quality review, monitoring for inefficiencies and opportunities to improve care, developing a safe discharge plan to include recommending alternative levels and sites of care when appropriate. The activities will include daily review of hospital care by chart review and discussion with attending physician, admission and concurrent review for inpatient admissions, meetings with patient and families to develop discharge planning, identification of patients for ambulatory case management, communication with case managers, home care reviewers, social workers, members and providers, quality improvement reviews, and education of the member/family, provider and hospital staff. Achieves desired utilization and quality outcomes and promotes high customer satisfaction to the population served. Essential Responsibilities: + Plans, develops, assesses and evaluates care provided to members. Collaborates with physicians, other members of the multidisciplinary health care team and patient/family in the development, implementation and documentation of appropriate, individualized plans of care to ensure continuity, quality and appropriate resource use. Reviews, monitors, evaluates and coordinates the patients hospital stay to assure that all appropriate and essential services are delivered timely and efficiently. Communicates via huddles with hospitalist partner multiple times throughout the day. + Reviews all new inpatient admissions within 24 hours and begins the discharge planning process immediately. Assesses high risk patients in need of post-hospital care planning. Develops and coordinates the implementation of a discharge plan to meet each patients identified needs; communicates the plan to physicians, patient, family/caregivers, staff and appropriate community agencies to enhance the effect of a seamless transition from one level of care to another across the continuum. Ensures that the appropriate level of care is being delivered in the most appropriate setting. Recommends alternative levels of care and ensures compliance with federal, state and local requirements. + Performs psychosocial assessments on all patients that meet the high risk indicators for discharge planning. Comprehensively assesses patients goals as well as their biophysical, psychosocial, environmental, economic/financial, and discharge planning needs. Provides patients with education to assist with their discharge and help them cope with psychological problems related to acute and chronic illness. Refers patients to the ambulatory case managers, care managers and/or social workers as appropriate. Documents all admissions and discharges in the patients Kaiser Permanente electronic medical record. Makes post discharge follow-up calls to all patients who are not referred to an ambulatory case/care management program. + Attends scheduled rounds 2 times/week with the Physician Director of Resource Stewardship to discuss clinical course and discharge planning for assigned patients identifying any real or potential delays in care or quality of care issues. + Acts as a liaison between inpatient facility and referral facilities/agencies and provides case management to patients referred, serving as an advocate for patients and families. Coordinates transfer of patients to appropriate facilities; maintains and provides required documentation. Builds highly effective working relationships with physicians, SNF staff, vendors, and other departments within the health plan. Basic Qualifications: Experience + Minimum two (2) years of RN experience in patient care delivery or completion of Masters degree in Case Management Program in lieu of minimum years of experience. Education + Associates Degree Nursing. License, Certification, Registration + Registered Professional Nurse License (Georgia) Additional Requirements: + Demonstrated advanced communication and interpersonal skills with all levels of internal & external customers, including but not limited to medical staff, patients and families, clinical personnel, support and technical staff, outside agencies, and members of the community. + Ability to collaborate effectively with multidisciplinary healthcare team. + Excellent time management skills with the ability to work successfully in a fast-paced environment. Must be self-directed, and have the ability to tolerate frequent interruptions and a demanding work load. + Functional knowledge of computers. + Experience with managed health care delivery including Medicare. + Experience in a payer environment highly desirable. + Knowledge of funding, resources, services, clinical standards, and outcomes is preferred. + Knowledge of the Nurse Practice Act, TJC, DMHC, CMS, NCQA, HIPPA, ERISA, EMTALA & all other applicable federal/state/local laws & regulations. + Demonstrated strong communication and customer service skills, problem-solving, critical thinking, & clinical judgment abilities. + Fundamental word processing & computer navigation skills & the ability to interpret & use analytic data in day to day operations. + Knowledge of healthcare benefits associated with various business lines. Preferred Qualifications: + Minimum five (5) years of clinical nursing experience in a hospital setting. + Minimum five (5) years of professional practice experience in an acute care setting. + Minimum two (2) years of experience in utilization review, case management, and discharge planning preferred. + Bachelors Degree in Nursing, Health Care or Masters degree in Case Management. + Complex Case Management Certification preferred. COMPANY: KAISER TITLE: Inpatient Case Manager, Gwinnett Medical Offices, Part Time LOCATION: Duluth, Georgia REQNUMBER: 1398148 External hires must pass a background check/drug screen. Qualified applicants with arrest and/or conviction records will be considered for employment in a manner consistent with Federal, state and local laws, including but not limited to the San Francisco Fair Chance Ordinance. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, protected veteran, or disability status.

Become a part of our caring community and help us put health first The Clinical Manager, Home Health Nursing enables patients to stay in their homes by providing health and personal services; supporting patients and their families. The Clinical Manager, Home Health Nursing works within specific guidelines and procedures; applies advanced technical knowledge to solve moderately complex problems; receives assignments in the form of objectives and determines approach, resources, schedules and goals. Work Schedule: Full-time/40 Hours Position Type: On-site Branch Location: Marietta, GA This is not a remote or work-from-home position. This position requires you to sit on-site at our Marietta, GA branch location. The RN Clinical Manager coordinates and oversees all direct care patient services provided by clinical personnel. This role is a focused on both home health clinical quality assurance and home health clinical operations initiatives. * Develops, plans, implements, analyzes, and organizes clinical operations for a specific location managed. * Conducts/delegates the assessment and reassessment of patients, including updating of care plans and interpreting patient needs, while adhering to Company, physician, and/or health facility procedures/policies. * Manages the assignment of caregivers. * Responsible for and oversees the delivery of care to all patients served by the location. Receives case referrals. Reviews available patient information related to the case, including disciplines required, to determine home health or hospice needs. Accountable to ensure patients meet admission criteria and make the decision to admit patients to service. Assigns appropriate clinicians to a case, as needed. * Instructs and guides clinicians to promote more effective performance and delivery of quality home care services and is available at all times during operating hours to assist clinicians as appropriate. * Assists clinicians in establishing immediate and long-term therapeutic goals, in setting priorities, and in developing patient Plan of Care (POC). * Monitors cases to ensure documentation is following compliance with regulatory agencies and requirements of third-party payers. Ensures final audits/billing are completed timely and in compliance with Medicare regulations. * Coordinates communication between team members/attending physicians/caregivers to ensure the appropriateness of care and outcome planning. * Works in conjunction with the Branch Director and Company Finance Department to establish location's revenue and budget goals. * Participates in sales and marketing initiatives. * Supervises all clinical employees assigned to a specific location. Responsible for the overall direction, coordination, and evaluation of the location. Carries out supervisory responsibilities in accordance with Company policies and procedures. * Handles necessary employee corrective action and discipline issues fairly and objectively, in consultation with the Human Resources Department and the Executive Director/Director of Operations. * Participates in the interviewing, hiring, training, and development of direct care clinicians. Evaluates their performance relative to job goals and requirements. Coaches staff and recommend in-service education programs, when needed. Ensures adherence to internal policies and standards. * Assesses staff education needs based on own the review of clinical documentation in addition to feedback and recommendations by Utilization Review staff. Upon completion of the assessment, creates and conducts regular staff education as needed. * Analyzes situations, identifies problems, identifies and evaluates alternative courses of action through the utilization of Performance Improvement principles. * Responsible for review of the appropriate number of Case Managers and clinical staff documentation to include starts-of-care, resumption-of-cares, and re-certifications, for appropriateness of care, delivery, and documentation requirements. * Responsible for the QA/PI activities. Works with Utilization Review staff relative to data tracking for performance review and outcomes of care analysis to determine efficiency, the efficacy of case management system as well as any other systems and process. Competently performs patient care assignments and staff management activities. * Provides direct patient care on an infrequent basis and only in times of emergency. * Acts as Branch Director in his/her absence. * Interprets Company standards and Company policies and procedures to ensure compliance with external regulatory authorities and ensures that caregiver clinical documentation meets internal standards. Use your skills to make an impact Required Experience/Skills: * Graduate of an accredited School of Nursing. * Current state license as a Registered Nurse. * Proof of current CPR. * Valid driver's license, auto insurance and reliable transportation. * Two years as a Registered Nurse with at least one-year of management experience in a home care, hospice or equivalent environment. * Home health experience is preferred. At a minimum, home care experience is required. * Management and people leadership experience, preferred. * OASIS experience, preferred. OASIS certification (HCS-O, COQS, and/or COS-C), preferred. * Homecare Homebase (HCHB) experience is highly preferred. * CMS PDGM billing knowledge and/or experience, preferred. Additional Information * Normal Hours of Operation: M-F / 8a-5p (ET) * On-Call Expectation: Yes, rotating on-call shift. * Branch Size: 370+ Census (4.0 STAR rating) * Annual Bonus Eligible: Yes, eligible for the annual incentive bonus which has pay-outs both quarterly and annually. Scheduled Weekly Hours 40 Pay Range The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc. $77,200 - $106,200 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 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.

Kaiser Permanente strives to offer a market competitive total rewards package and is committed to pay equity and transparency. The posted pay range is based on possible base salaries for the role and does not reflect the full value of our total rewards package. Actual base pay determined at offer will be based on labor market data and a candidate's years of relevant work experience, education, certifications, skills, and geographic location. Salary range in other locations will be lower. Overview: The new National Health Plan Enablement & Integration team's objective is to deliver immediate outcomes for the organization, while laying the groundwork necessary for Kaiser Permanente's long-term, sustainable performance. This team will drive enterprise health plan process improvement and the implementation of business methodologies and best practices, with the outcome of operational effectiveness and high-reliability systems. Collaboration with KP's markets and health plan teams is central to the approach towards modernization of health plan capabilities. The Managerial Consultant V will support strategy and cross-functional, multi-year operation plan, performance management, and operational model & process standardization. Job Summary: Serves as a lead consultant to ensure the alignment, buy-in, and coordination of diverse stakeholders to drive the implementation of strategic business initiatives and projects/programs across multiple functional tracks or workstreams. Drives business strategy, organizational alignment, and prioritization of business initiatives. Leads the work of project/program team members. Provides expertise and drives the development and implementation of business initiatives, systems, and/or processes to a desired future state. Manages complex, cross-functional projects/programs, and serves as an expert in the proactive monitoring and identification of client, project, program, and/or business risks. Designs, leads, and serves as an expert for change management plans associated with business initiatives. Leads assessment of strategic performance metrics to support business initiatives. Participates in vendor management as required. Monitors compliance of work activities by ensuring business plans and team members adhere to relevant policies and procedures. Essential Responsibilities: * Promotes learning in others by communicating information and providing advice to drive projects forward; builds relationships with cross-functional stakeholders. Listens, responds to, seeks, and addresses performance feedback; provides actionable feedback to others, including upward feedback to leadership and mentors junior team members. Practices self-leadership; creates and executes plans to capitalize on strengths and improve opportunity areas; influences team members within assigned team or unit. Adapts to competing demands and new responsibilities; adapts to and learns from change, challenges, and feedback. Models team collaboration within and across teams. * Conducts or oversees business-specific projects by applying deep expertise in subject area; promotes adherence to all procedures and policies. Partners internally and externally to make effective business decisions; determines and carries out processes and methodologies; solves complex problems; escalates high-priority issues or risks, as appropriate; monitors progress and results. Develops work plans to meet business priorities and deadlines; coordinates and delegates resources to accomplish organizational goals. Recognizes and capitalizes on improvement opportunities; evaluates recommendations made; influences the completion of project tasks by others. * Serves as a lead consultant to ensure the alignment, buy-in, and coordination of diverse stakeholders to drive the implementation of strategic business initiatives and projects/programs across multiple functional tracks or workstreams by identifying and ensuring representation and inclusion of appropriate stakeholders; building rapport and partnerships with key stakeholder teams, third party vendors, and executive management; working with stakeholders to develop goals and set the prioritization of deliverables; developing a menu of solutions for complex, competing, or ambiguous requests; discussing involvement of business processes (e.g. change management, communication) and facilitating decisions necessary for the delivery of business initiatives; communicating and resolving tough issues with stakeholders while maintaining an independent perspective; and making formal presentations and providing reports to executive level audiences. * Drives business strategy, organizational alignment, and prioritization of business initiatives by working closely with senior executives to facilitate the development, refinement, and articulation of the business strategy; defining, developing, and evaluating performance metrics, standards, and methods to establish business success; leading the development of strategic roadmaps for solution development and deployment; collaborating with senior cross-functional stakeholders, often with competing/conflicting objectives to ensure cohesive and reachable metrics; refining strategic plans and performance metrics as appropriate; and managing complex initiatives or portfolio to ensure delivery of measurable results and alignment with strategic objectives. * Leads the work of project/program team members by requesting and coordinating internal and/ or external resources based on the alignment of team member skills and project/program demands; delivering and promoting strategic vision and objectives to team members; and delivering performance feedback to team members supervisors and leadership as appropriate. * Develops requirements, or leads a team of consultants in the development of requirements for large-scale, complex, or specialized business, process, or system solutions across business domain(s) by partnering with stakeholders and cross-functional teams as appropriate; leveraging multiple business requirements gathering methodologies to identify business, functional, and non-functional requirements; and leading and overseeing the development and documentation of comprehensive business cases to assess the costs, benefits, and ROI of proposed solutions. * Provides expertise and drives the development and implementation of business initiatives, systems, and/or processes to a desired future state by maintaining a comprehensive understanding of how current processes impact business operations across multiple domains; mapping current state against future state processes; leveraging stakeholder partnerships to identify the operational needs and impact of requirements on upstream and downstream solution components; providing options and recommendations to executive management and business stakeholders on how to integrate solutions and deliverables with current systems and business processes across regions and domains; identifying and validating value gaps and opportunities for process enhancements or efficiencies; and leading the establishment of appropriate governance and workgroup infrastructures to accomplish strategic outcomes. * Manages complex, cross-functional projects and/or programs by coordinating stakeholders; recommending or assigning team resources based on project needs and team member strengths; consulting in the development, analysis, and management of project/program plans; collaborating on the coordination of project/program scope, schedules, and resource forecasts; proactively monitoring and identifying project/program/business initiative risks, issues, and trigger events; developing mitigation plans and strategies; and resolving or escalating risks or issues as appropriate. * Serves as an expert in the proactive monitoring and identification of client, project, program, and/or business risks, issues, and trigger events by leading the development of mitigation plans and strategies; and resolving or escalating risks or issues as appropriate. * Designs, leads, and serves as an expert for change management plans associated with business initiatives by engaging stakeholders to obtain support and buy in for changes; partnering with executive management, project/program champions, and business owners to communicate and align improvement initiatives with business objectives; identifying appropriate change management method and approach; and ensuring stakeholders embrace a change management mindset, understand intent and purpose, and foster a culture of change. * Leads the assessment of strategic performance metrics to support business initiatives by building partnerships with data analytic teams to ensure the translation of business requirements into analytic specifications; identifying appropriate data analysis tools and approach to assess business performance; determining suitable data gathering and analysis methods (e.g., process observation, hard data, etc.); defining data requirements and obtaining customer agreements, including customer requirements as appropriate; conducting advanced statistical analyses and/or testing to evaluate the effectiveness of business solutions; and identifying and alleviating risks through data-driven analysis. * Serves as a lead advocate for continuous learning and professional development by keeping abreast of cutting edge industry practices, standards, and benchmarks; attending and presenting at roadshows, conferences, training seminars, and/or speaking events as appropriate; leading the ongoing enhancement and innovation of consulting practices, standards, and methods across KP; serving as an advocate to ensure continuous learning and improvement is championed as a people strategy; providing training and guidance to stakeholders as appropriate; and providing ongoing coaching to build a continuous improvement mindset and build capabilities that drive results. * Participates in vendor management as required by reviewing vendor performance levels; ensuring service level agreements are met; managing vendor invoices; and partnering with Procurement and/or Legal to develop service level and/or scope of work agreements as appropriate. * Monitors compliance of work activities by ensuring business plans and team members adhere to KP, departmental, and/or business line policies and procedures.

**(Sales) Compliance Analyst** Molina Healthcare's Medicare Compliance team supports sales operations for the Molina Medicare product lines. It is a centralized corporate function supporting compliance activities. **KNOWLEDGE/SKILLS/ABILITIES** is primarily responsible for Sales Oversight. · Provide regulatory expertise to the Sales Organization: both State and Federal · Have working knowledge of federal and state guidelines pertaining to Sales and Marketing. · Perform internal Sales/Marketing Compliance Reporting. · Perform internal Sales/Marketing monitoring. · Detailed oriented to conduct thorough Sales allegations investigations. · Recommend applicable corrective action(s) when applicable to business partners. · Process improvement driven. · Create, update, and retire P&Ps, Standard Operating Procedures and Training documents. · Lead regularly scheduled Sales & Compliance leadership meetings. · Interpret and analyze Medicare, Medicaid, and MMP Required Sales & Marketing Reporting Technical Specifications. · Create and maintain monthly and quarterly Sales Complaint Key Performance Indicator (KPI) reports. · Review and interpret internal Sales dashboards for outliers and deeper dive research. · Manage compliance Sales Allegations, Secret Shops, and recommend corrective action plans for deficiencies found. · Responds to legislative inquiries/ Sales complaints (state insurance regulators, Congressional, etc.). · Leads projects to achieve Sales compliance objectives. · Interprets and analyzes state and federal regulatory manuals and revisions. · Interpret and analyze federal and state rules and requirements for proposed & final rules for Sales Oversight. · Interact with Molina external customers, via verbal and written communication. · Ability to work independently and set priorities. **Experience** · 2-4 years' related compliance work experience · Exceptional communication skills, including presentation capabilities, both written and verbal. · Excellent interpersonal communication and oral and written communication skills. · High level Interaction with Leadership. · Sales Allegation Investigations · Policy & Procedures Pay Range: $80,168 - $116,835 / ANNUAL *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

In addition to the responsibilities listed below, this position is also responsible for ensuring timely and accurate laboratory reporting in the section they manage; managing day-to-day operations of the clinical laboratory in a labor management partnership environment, including both credentialed and non-credentialed personnel; maintaining competency in laboratory testing and performing bench work as appropriate; and managing quality assurance, safety, compliance, regulatory, and accreditation standards and activities. Essential Responsibilities: * Provides developmental opportunities for others; builds collaborative, cross-functional relationships. Solicits and acts on performance feedback; works closely with employees to set goals and provide open feedback and coaching to drive performance improvement. Pursues professional growth; develops and provides training and development to talent for growth opportunities; supports execution of performance management guidelines and expectations. Leads, adapts, implements, and stays up to date with organizational change, challenges, feedback, best practices, processes, and industry trends. Fosters open dialogue amongst team members, engages, motivates, and promotes collaboration within and across teams. Delegates tasks and decisions as appropriate; provides appropriate support, guidance, and scope; encourages development and consideration of options in decision making. * Manages designated work unit or team by translating business plans into tactical action items; oversees the completion of work assignments and identifies opportunities for improvement; ensures all policies and procedures are followed. Aligns team efforts; builds accountability for and measuring progress in achieving results; determines and ensures processes and methodologies are implemented; resolves escalated issues as appropriate; sets standards and measures progress. Fosters the development of work plans to meet business priorities and deadlines; obtains and distributes resources. Removes obstacles that impact performance; identifies and addresses improvement opportunities; guides performance and develops contingency plans accordingly; influences teams to execute in alignment with operational objectives. * Maintains testing and training standards by: ensuring alignment between the departments strategic initiatives and the development and implementation of technical and/or non-technical training materials while allocating training resources; evaluating relevant personnel competency on an ongoing basis; and anticipating future training needs, planning regular, in-service, and competency training programs, and completing own training. * Maintains compliance and accreditation by: influencing and implementing policies and work instructions in alignment with applicable regulations, license requirements, accreditation standards, and inspection checklists pertaining to laboratories and facilities where testing is performed; routinely assessing adherence to all requirements related to the recruitment, processing, testing, storage, and distribution of materials and samples; identifying and implementing appropriate corrective and preventive actions for addressing technical and/or non-technical deficiencies in regulatory/accreditation inspection processes; supervising the renewal process for personnel licensure; and reviewing teams updates to technical and/or non-technical documentation. * Serves as a link between medical laboratory services and other services by: planning for the alignment of current practices with regulatory/accreditation changes and issues, inspection citations, current events, and trends relevant to services, quality, and training; leading cross-functional teams to proactively evaluate and improve technical and/or non-technical quality management systems; networking and collaborating across internal teams locally to coordinate and align lab operations, quality, and utilization; communicating with external vendors, local/state public health and safety organizations, and other health care providers; and driving alignment with local and national standards and regulations, and utilization of technology and initiatives. * Ensures medical laboratory operations and improves processes by: managing efficient operations, quality, service, patient safety, member/customer satisfaction, and cost effectiveness through evaluation and standardization of technical and/or non-technical services and processes; implementing innovative work plan processes to improve systems across the continuum of care; participating in the evaluation and implementation of new testing methodologies, processes, and technology that have the potential to improve service, quality, and/or efficiency; ensuring the resolution of onsite facilities issues of varying complexity with internal and external vendors; collaborating with employees to cultivate teamwork and a progressive work environment; managing personnel during periods of varying work load; monitoring the use of inventory and maintenance systems, building the supplies inventory, and estimating usage and costs; and managing ongoing technical and/or non-technical project management, including local, regional, and national initiatives, and status reports. * Manages service quality by: reviewing applicable policies and procedures for audit and process improvement projects; recommending, establishing, and implementing corrective actions, preventive actions, and process improvements based on internal and external quality audits of technical and/or non-technical processes; developing plans for correcting deviations from expected quality control results; analyzing the effectiveness of strategies used to ensure that tests are performed properly and results are verified before being shared; proactively anticipating and resolving potential barriers that may prevent specimens from being collected and processed according to established time and quality standards; resolving proficiency testing concerns; and driving the application of strategies to resolve problems of varying complexity related to pre-analytical (collection, processing, etc.), analytical, or post-analytical testing, as applicable.

Become a part of our caring community and help us put health first Make a meaningful impact every day as a CenterWell Home Health nurse. You'll provide personalized, one-on-one care that helps patients regain independence in the comfort of their homes. Working closely with a dedicated team of physicians and clinicians, you'll develop and manage care plans that support recovery and help patients get back to the life they love. .As a Home Health LPN, you will: * Provide professional nursing services under the direction of a RN in compliance with the state's Nurse Practice Act, any applicable licensure/certification requirement, applicable healthcare standards, governmental laws and regulations, and CenterWell Home Health policies and procedures. * Provide skilled nursing interventions in the treatment of the patient/clients illness, rehabilitative needs and preventative care. Utilize a holistic approach in the provision of problem specific therapeutic interventions, teaching and training activities in accordance with the plan of care. * Apply knowledge and skills in accordance with accepted standards of clinical practice to facilitate problem resolution and achieve individualized patient goals and outcomes. * Confer with the RN Supervisor regarding needed changes in the Plan of Treatment. Accept verbal orders from physician were permitted by state law/regulations/Nurse Practice Act and communicate these orders to the RN Supervisor. * Utilize a systematic, individualized goal/outcome driven approach in implementing the nursing plan of care. * Maintain contact with patients, physicians, clinical manager(s), other members of the healthcare team in a timely manner regarding patient/family needs and status changes. Participate in care coordination activities and discharge planning as appropriate. * 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 dearly in the best interests of the patient. * Appropriately communicate to ensure adherence to professional standards in the provision of and availability of supplies, materials and equipment needed to safely and effectively implement the plan of care. * Prepare, submit and maintain documentation as required by the Company and/or facility. Visit/shift notes documented on day services are rendered. Use your skills to make an impact Required Experience/Skills: * Graduate of an accredited Licensed Practical Nursing Program or accredited School of Vocational Nursing. * Current nursing license in the practicing state. * Valid drivers license, auto insurance and reliable transportation. * Current CPR certification. * Two years experience as an LPN/LVN in a clinical setting, preferably in a home health or hospice setting. Pay Range * $28.00 - $40.00 - pay per visit/unit * $44,600 - $61,400 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. $44,600 - $61,400 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.

In addition to the responsibilities listed below, this position is responsible for planning, designing, and building database systems that are stable, recoverable, and integrated with other available technology stacks for the purpose of efficient, secure data utilization. This includes understanding the interoperability between databases and other dependent technology stacks (performance scalability, stability, capacity planning, etc.), possessing familiarity with one dependent technology stack (e.g. windows admin, networking, storage, etc.), working with engineering teams to recommend alternate solutions, and consulting as a 2nd level technical expert on specific platforms. Some of the unique challenges this position will face include database considerations for a large, corporate enterprise and a high degree of complexity and non-uniformity. Essential Responsibilities: * Completes work assignments and supports business-specific projects by applying expertise in subject area; supporting the development of work plans to meet business priorities and deadlines; ensuring team follows all procedures and policies; coordinating and assigning resources to accomplish priorities and deadlines; collaborating cross-functionally to make effective business decisions; solving complex problems; escalating high priority issues or risks, as appropriate; and recognizing and capitalizing on improvement opportunities. * Practices self-development and promotes learning in others by proactively providing information, resources, advice, and expertise with coworkers and customers; building relationships with cross-functional stakeholders; influencing others through technical explanations and examples; adapting to competing demands and new responsibilities; listening and responding to, seeking, and addressing performance feedback; providing feedback to others and managers; creating and executing plans to capitalize on strengths and develop weaknesses; supporting team collaboration; and adapting to and learning from change, difficulties, and feedback. * As part of the IT Engineering job family, this position is responsible for leveraging DEVOPS, and both Waterfall and Agile practices, to design, develop, and deliver resilient, secure, multi-channel, high-volume, high-transaction, on/off-premise, cloud-based solutions. * Supports the review of team deliverables. * Provides some recommendations and input on options, risks, costs, and benefits for systems designs. * Collaborates with team members to develop project support plans, schedules, and assignments. * Translates business and functional requirements into technical specifications that support integrated and sustainable designs for designated infrastructure systems by partnering with Business Analysts to understand business needs and functional specifications. * Serves as a liaison with business partners, Solutions, and enterprise architects to define and understand target strategies. * Collaborates with counterparts in various IT Teams (e.g., database, operations, technical support) throughout system development and implementation. * Develops and modifies solutions by identifying technical solutions to business problems. * Provides consultation and technical advice on IT infrastructure planning, engineering, and architecture for assigned systems by assessing the implications of IT strategies on infrastructure capabilities. * Reviews and makes changes to technical specifications and documentation. * Collaborates with IT teams and key business partners to troubleshoot complex systems and provides solutions, as appropriate. * Evaluates existing systems to make recommendations on resources required to maintain service levels. * Evaluates new service options, identifies issues and impacts, and provides recommendations on feasibility and ROI. * Collaborates with architects and software engineers to ensure functional specifications are converted into flexible, scalable, and maintainable designs. * Verifies system designs adhere to company architecture standards. * Drives physical architecture design for new initiatives. * Leads the implementation of assigned enterprise infrastructure systems to ensure successful deployment and operation by developing and documenting detailed standards (e.g., guidelines, processes, procedures) for the introduction and maintenance of services.

Overview: The Change Management Consultant serves as a strategic catalyst for transformation within Marketing, shaping and executing a holistic, multi-channel change management and engagement strategy that accelerates adoption, fosters resilience, and strengthens organizational culture. This role orchestrates experiences that inspire alignment, empower employees, and embed change as a driver of growth. By leveraging data-driven insights and innovative engagement approaches, the consultant ensures that every initiative is not only implemented but embraced, creating a seamless transition from current state to future vision. Through compelling narratives, transparent communication, and targeted interventions, this role transforms disruption into opportunity, enabling teams to thrive in dynamic environments and positioning Marketing as a model for agility and collaboration Job Summary: Serves as a lead consultant to ensure the alignment, buy-in, and coordination of diverse stakeholders to drive the implementation of strategic business initiatives and projects/programs across multiple functional tracks or workstreams. Drives business strategy, organizational alignment, and prioritization of business initiatives. Leads the work of project/program team members. Provides expertise and drives the development and implementation of business initiatives, systems, and/or processes to a desired future state. Manages complex, cross-functional projects/programs, and serves as an expert in the proactive monitoring and identification of client, project, program, and/or business risks. Designs, leads, and serves as an expert for change management plans associated with business initiatives. Leads assessment of strategic performance metrics to support business initiatives. Participates in vendor management as required. Monitors compliance of work activities by ensuring business plans and team members adhere to relevant policies and procedures. Essential Responsibilities: * Promotes learning in others by communicating information and providing advice to drive projects forward; builds relationships with cross-functional stakeholders. Listens, responds to, seeks, and addresses performance feedback; provides actionable feedback to others, including upward feedback to leadership and mentors junior team members. Practices self-leadership; creates and executes plans to capitalize on strengths and improve opportunity areas; influences team members within assigned team or unit. Adapts to competing demands and new responsibilities; adapts to and learns from change, challenges, and feedback. Models team collaboration within and across teams. * Conducts or oversees business-specific projects by applying deep expertise in subject area; promotes adherence to all procedures and policies. Partners internally and externally to make effective business decisions; determines and carries out processes and methodologies; solves complex problems; escalates high-priority issues or risks, as appropriate; monitors progress and results. Develops work plans to meet business priorities and deadlines; coordinates and delegates resources to accomplish organizational goals. Recognizes and capitalizes on improvement opportunities; evaluates recommendations made; influences the completion of project tasks by others. * Serves as a lead consultant to ensure the alignment, buy-in, and coordination of diverse stakeholders to drive the implementation of strategic business initiatives and projects/programs across multiple functional tracks or workstreams by identifying and ensuring representation and inclusion of appropriate stakeholders; building rapport and partnerships with key stakeholder teams, third party vendors, and executive management; working with stakeholders to develop goals and set the prioritization of deliverables; developing a menu of solutions for complex, competing, or ambiguous requests; discussing involvement of business processes (e.g. change management, communication) and facilitating decisions necessary for the delivery of business initiatives; communicating and resolving tough issues with stakeholders while maintaining an independent perspective; and making formal presentations and providing reports to executive level audiences. * Drives business strategy, organizational alignment, and prioritization of business initiatives by working closely with senior executives to facilitate the development, refinement, and articulation of the business strategy; defining, developing, and evaluating performance metrics, standards, and methods to establish business success; leading the development of strategic roadmaps for solution development and deployment; collaborating with senior cross-functional stakeholders, often with competing/conflicting objectives to ensure cohesive and reachable metrics; refining strategic plans and performance metrics as appropriate; and managing complex initiatives or portfolio to ensure delivery of measurable results and alignment with strategic objectives. * Leads the work of project/program team members by requesting and coordinating internal and/ or external resources based on the alignment of team member skills and project/program demands; delivering and promoting strategic vision and objectives to team members; and delivering performance feedback to team members supervisors and leadership as appropriate. * Develops requirements, or leads a team of consultants in the development of requirements for large-scale, complex, or specialized business, process, or system solutions across business domain(s) by partnering with stakeholders and cross-functional teams as appropriate; leveraging multiple business requirements gathering methodologies to identify business, functional, and non-functional requirements; and leading and overseeing the development and documentation of comprehensive business cases to assess the costs, benefits, and ROI of proposed solutions. * Provides expertise and drives the development and implementation of business initiatives, systems, and/or processes to a desired future state by maintaining a comprehensive understanding of how current processes impact business operations across multiple domains; mapping current state against future state processes; leveraging stakeholder partnerships to identify the operational needs and impact of requirements on upstream and downstream solution components; providing options and recommendations to executive management and business stakeholders on how to integrate solutions and deliverables with current systems and business processes across regions and domains; identifying and validating value gaps and opportunities for process enhancements or efficiencies; and leading the establishment of appropriate governance and workgroup infrastructures to accomplish strategic outcomes. * Manages complex, cross-functional projects and/or programs by coordinating stakeholders; recommending or assigning team resources based on project needs and team member strengths; consulting in the development, analysis, and management of project/program plans; collaborating on the coordination of project/program scope, schedules, and resource forecasts; proactively monitoring and identifying project/program/business initiative risks, issues, and trigger events; developing mitigation plans and strategies; and resolving or escalating risks or issues as appropriate. * Serves as an expert in the proactive monitoring and identification of client, project, program, and/or business risks, issues, and trigger events by leading the development of mitigation plans and strategies; and resolving or escalating risks or issues as appropriate. * Designs, leads, and serves as an expert for change management plans associated with business initiatives by engaging stakeholders to obtain support and buy in for changes; partnering with executive management, project/program champions, and business owners to communicate and align improvement initiatives with business objectives; identifying appropriate change management method and approach; and ensuring stakeholders embrace a change management mindset, understand intent and purpose, and foster a culture of change. * Leads the assessment of strategic performance metrics to support business initiatives by building partnerships with data analytic teams to ensure the translation of business requirements into analytic specifications; identifying appropriate data analysis tools and approach to assess business performance; determining suitable data gathering and analysis methods (e.g., process observation, hard data, etc.); defining data requirements and obtaining customer agreements, including customer requirements as appropriate; conducting advanced statistical analyses and/or testing to evaluate the effectiveness of business solutions; and identifying and alleviating risks through data-driven analysis. * Serves as a lead advocate for continuous learning and professional development by keeping abreast of cutting edge industry practices, standards, and benchmarks; attending and presenting at roadshows, conferences, training seminars, and/or speaking events as appropriate; leading the ongoing enhancement and innovation of consulting practices, standards, and methods across KP; serving as an advocate to ensure continuous learning and improvement is championed as a people strategy; providing training and guidance to stakeholders as appropriate; and providing ongoing coaching to build a continuous improvement mindset and build capabilities that drive results. * Participates in vendor management as required by reviewing vendor performance levels; ensuring service level agreements are met; managing vendor invoices; and partnering with Procurement and/or Legal to develop service level and/or scope of work agreements as appropriate. * Monitors compliance of work activities by ensuring business plans and team members adhere to KP, departmental, and/or business line policies and procedures.

**Become a part of our caring community and help us put health first** With over 10 million sales interactions annually, Humana understands that while great products are important, it's the quality of our service that truly defines us. We know that when our members and prospects have delightful and memorable experiences, it strengthens their connection with us and enables us to put their Health First. After all, a health services company that has multiple ways to improve the lives of its customers is uniquely positioned to put those customers at the center of everything it does. Are you passionate about the Medicare population, looking for a role in management with the ability to directly impact your own income potential? If so, we are looking for licensed, highly motivated and self-driven individuals to join our team. Our Senior Manager, Medicare Sales, motivates and drives a team of Medicare Sales Field Agents who sell individual health plan products and educate beneficiaries on our services in a field setting. Our teams also sell Life, Annuity, Indemnity, Dental, Vision, Prescription plans, and more. Humana has an inclusive and diverse culture welcoming candidates with multilingual skill sets to service our consumers. **This role is** **field** **based, and you will be out and about in the field in the Raleigh** **Durham, NC.** **area working with your team and meeting members face to face. You must reside in Raleigh** **Durham, NC.** **area or be willing to relocate to the area.** In this **field** position, you will; coach, mentor, educate, motivate and train a team of sales individuals. The Senior Manager, Medicare Sales, must have a solid understanding of the market they serve, how to resolve operational problems and provide creative solutions to increase sales while following CMS guidelines. This role also involves cultivating, maintaining, and building relationships with Humana's customers, both internal and external business partners, along with the community we serve through telephonic, virtual, and face-to-face interactions with individuals and groups. Other responsibilities include developing marketing budgets, and looking for branding opportunities. **Use your skills to make an impact** **Required Qualifications** + **Must reside in the** **Raleigh** **Durham, NC.** **area or be willing to relocate** + **Active Health & Life Insurance Licenses** + 2 or more years of sales leadership experience + 6 or more years of experience working in the insurance industry + Must be able to travel up to 50% of the time + Ability to lead a team of sales associates and train them in successful sales techniques, educational presentation skills, utilizing technology tools as well as building relationships with communities and medical providers + Strong aptitude for technology with proficiency in MS Office products, various CRM platforms, and various iPhone app capabilities + Must be a strong leader, strong producer + Strong organizational, interpersonal, communication and presentation skills + Ability to adapt and overcome when necessary + Community Engagement/Grassroots experience in marketing Medicare plans in the community + Must be passionate about contributing to an organization focused on continuously improving consumer experiences + This role is part of Humana's Driver safety program and therefore requires an individual to have a valid state driver's license and proof of personal vehicle liability insurance with at least 100/300/100 limits **Preferred Qualifications** + Bachelor's Degree + Prior experience working in Medicare and the health solutions industry + Engaged with the community through service, organizations, activities and volunteerism + Project management background or certification a plus + Bilingual with the ability to speak, read and write without limitations or assistance **Humana Perks:** Full time associates enjoy: + Base salary with a competitive commission structure + Medical, Dental, Vision and a variety of other supplemental insurances + Paid time off (PTO) & Paid Holidays + 401(k) retirement savings plan + Tuition reimbursement and/or scholarships for qualifying dependent children. + And much more! **Social Security Task:** Alert: Humana values personal identity protection. Please be aware that applicants being considered for an interview will be asked to provide a social security number, if it is not already on file. When required, an email will be sent from ******************** with instructions to add the information into the application at Humana's secure website. **Virtual Pre-Screen:** As part of our hiring process for this opportunity, we will be using exciting virtual pre-screen technology called HireVue to enhance our hiring and decision-making ability. HireVue allows us to quickly connect and gain valuable information for you pertaining to your relevant skills and experience at a time that is best for your schedule. If you are selected for a virtual pre-screen, you will receive an email and text correspondence inviting you to participate in a HireVue interview. In this virtual pre-screen, you will receive a set of questions to answer. You should anticipate this virtual pre-screen to take about 10-15 minutes. \#MedicareSalesManager \#MedicareSalesReps Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required. **Scheduled Weekly Hours** 40 **Pay Range** The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc. $77,000 - $105,100 per year This job is eligible for a commission incentive plan. This incentive opportunity is based upon company and/or individual performance. **Description of Benefits** Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. Application Deadline: 01-30-2026 **About us** Humana Inc. (NYSE: HUM) is committed to putting health first - for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large. **Equal Opportunity Employer** It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment. Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our ***************************************************************************