Kaiser Permanente jobs in Atlanta, GA

The Mammography Technologist will perform a variety of screening, diagnostic in a safe and efficient manner; review and transmit images and reports to appropriate physicians. Essential Responsibilities: Patient Care: Performs a variety of mammography procedures. Documents patient assessment and history. Provides patient education. Applies the professions code of ethics in all aspects of practice and is competent in all relative skills for a Mammographer. Complies with all governing regulations. Escalates all unusual (not typical) situations to the supervisor in a timely manner. Troubleshoots and manages equipment concerns to include engaging service vendor. Stocks and cleans exam rooms/work areas. Other duties as assigned. Basic Qualifications: Experience Minimum one (1) year as a Mammographer. Education High School Diploma or General Education Development (GED) required. License, Certification, Registration American Registry of Radiologic Technologists Certificate - Mammography Technologist Radiologic Technologist Certification Basic Life Support required at hire Additional Requirements: Demonstrated collaborative/team oriented work style. Demonstrated strong clinical knowledge base and judgment, preferably in ambulatory care setting. Ability to analyze, integrate, and use quantitative data/information in making business decisions and problem solving. Understanding of the Kaiser Permanentes core values and service model. Demonstration of good judgment, organizational skills and professionalism. General knowledge of EH&S, OSHA, MQSA, ACR, Radiation Safety and Protection. General knowledge of policies and procedures for the delivery of healthcare services. Computer Skills; Microsoft Office. Registration in multiple disciplines. Complete a Customer Service Assessment. Customer service aptitude demonstrated through Customer Service Assessment. Ability to complete patient documentation (written/electronic) to effectively communicate with the interpreting physician. Ability to work effectively within the role independently and with other team members. Understands and uses correct exposure factors, compression and angulation to produce quality images. ARRT Pocket card Documentation of 40 hours of mammography if training done after 4/28/1999 or if mammography training was done before 4/28/1999, (2) signed and filled out Attestation forms for mammography Proof of 200 Mammograms done in last 2 years, needs to be on the facilities letterhead with signature of certifying official Proof of 15 mammography specific, (Category A) continuing education units completed within the last 36 months New **Section I ACR form (2-sided copy that needs to be completed) **Please note that a separate request will be made for this form when needed. Preferred Qualifications: Two (2) years as a Radiologic tech.

Kaiser Permanente nurses are guided by an integrated nursing model that places patients and families in the center. The Staff Registered Nurse (RN) III practices professional nursing as defined by the Georgia Registered Professional Nurse Practice Act and by organizational policies, procedures, and guidelines. Provides nursing care for patients, members, and families to promote or restore health and to prevent illness and injury. Collaborates with members of the Health Care Team (HCT) and leaders to ensure the delivery of high quality, safe, effective, and efficient care. Essential Responsibilities: Utilizes the nursing process to assess patient health status, determine nursing diagnosis, establish nursing goals, and develop, implement, and evaluate the nursing plan of care. Completes POE and addresses care gaps during the patient encounter. Accurately documents patient data, actions, interventions, and response to treatment according to established policies and guidelines. Assists with procedures and monitors patients response during and after the procedure. Actively participates, as a member of the healthcare team, to engage patients, families, and caregivers in the coordination of patient care. Leads the nursing response to medical emergencies. Monitors electronic messaging and emails (department InBasket) related to patient or provider requests and manages the messages or triages them to physician, associate practitioner, or others as needed. Initiates and monitors IV therapy, administration of medications, and other nursing procedures as prescribed by the physician or associate practitioner, and documents accordingly. Assesses patient and family health education needs, provides health teaching and counseling, and evaluates effectiveness of the education process. Conducts outgoing telephone calls to patients requiring follow-up care and preventative outreach. Participates in quality improvement activities and/or initiatives. Participates in departmental orientation, training, and competency validation of new staff (after completion of validator training). Leads departmental or regional performance improvement initiatives (access, quality, service, people). Autonomously perform procedures under provider supervision and evaluate patients response during and after the procedure. Serves as a preceptor, resource, and mentor for new members of the healthcare team and nursing students. Provide at least one (1) training in-service each year. Seeks and completes formal continuing education relevant to clinical discipline. Utilizes advanced skills to provide patient care, education, and consultation. Autonomously perform procedures under physician supervision, such as cardiac stress tests, RN sonography, conscious sedation, or chemotherapy infusions. May perform other duties as assigned. Basic Qualifications: Experience Minimum three (3) years of current RN clinical experience. Minimum two (2) years of clinical experience in area of specialty. Education Associates degree in nursing. High School Diploma or General Education Development (GED) required. License, Certification, Registration Registered Professional Nurse License (Georgia) required at hire Advanced Cardiac Life Support required at hire Basic Life Support required at hire Additional Requirements: N/A. Preferred Qualifications: Specialty Certification at time of hire or within 1 (one) year preferred. Bachelors (BSN) degree.

The Mammography Procedural Tech II is responsible for ensuring the department remains in compliance with MQSA regulations (QA/QC). The Mammography Procedural Techn II provides daily oversight of department, training/orientation, and general leadership. The Mammography Procedural Tech II will perform a variety of screening, diagnostic, and biopsy procedures in a safe and efficient manner; review and transmit images and reports to appropriate physicians. Essential Responsibilities: Patient Care: Performs a variety of mammography procedures. Documents patient assessment and history. Provides patient education. Applies the professions code of ethics in all aspects of practice and is competent in all relative skills for a Mammographer. Complies with all governing regulations. Escalates all unusual (not typical) situations to the supervisor in a timely manner. Troubleshoots and manages equipment concerns to include engaging service vendor. Stocks and cleans exam rooms/work areas. Other duties as assigned. QA/QC: Works closely with supervisor to govern department QA/QC review (MSDS, Equipment cleanliness, Viewing/Reading Station cleanliness, Daily room cleaning checklist, Eyewash checklist, Drug box inventory, Emergency box checklist, Electrical Safety, Physicist surveys). Department Oversight: Partners with supervisor to manage clinical, quality, and professional department operations. Prepares department for daily workload by determining staff assignments & coordinating lunch schedules. Monitors appropriate usage and ordering of medical and office supplies. Manages member concerns on an ongoing basis and in the supervisors absence. Site Coordinator for student technologist. Monitors learning experience daily, fills out evaluations weekly, and completes competency forms as needed. Assists with the design and implementation of Diagnostic Imaging processes/procedures/policies. Assists supervisor with interviews, staffing, staff meetings, and special projects. Preceptor of all new technologists, providing training on equipment and patient care services. Perform at least 1 training in-service annually. Prebiopsy Set Up: prepares equipment, supplies and patient for biopsy procedure. PostOp: Assists in transport of patient to recovery, cleans exam room, restocks supplies. Basic Qualifications: Experience Minimum three (3) years as a mammographer. Education High School Diploma or General Education Development (GED) required. License, Certification, Registration Basic Life Support required at hire from American Heart Association American Registry of Radiologic Technologists Certificate - Mammography Technologist Radiologic Technologist Certification from American Registry of Radiologic Technologists Additional Requirements: Demonstrated collaborative/team oriented work style. Demonstrated strong clinical knowledge base and judgment, preferably in ambulatory care setting. Ability to analyze, integrate, and use quantitative data/information in making business decisions and problem solving. Understanding of the Kaiser Permanentes core values and service model. Demonstration of good judgment, organizational skills and professionalism. Knowledge of EH&S, OSHA, MQSA, ACR, Radiation Safety and Protection. General knowledge of policies and procedures for the delivery of healthcare services. Computer Skills; Microsoft Office. Registration in multiple disciplines. Customer service aptitude demonstrated through Customer Service Assessment. Complete a Customer Service Assessment. Graduate of accredited diagnostic imaging program. Preferred Qualifications: Bachelors Degree or four (4) years of experience in a directly related field.

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.

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.

Provides support for provider claims adjudication activities including responding to providers to address claim issues, and researching, investigating and ensuring appropriate resolution of claims. * Provides support for resolution of provider claims issues, including claims paid incorrectly; analyzes systems and collaborates with respective operational areas/provider billing to facilitate resolution. * Collaborates with the member enrollment, provider information management, benefits configuration and claims processing teams to appropriately address provider claim issues. * Responds to incoming calls from providers regarding claims inquiries - provides excellent customer service, support and issue resolution; documents all calls and interactions. * Assists in reviews of state and federal complaints related to claims. * Collaborates with other internal departments to determine appropriate resolution of claims issues. * Researches claims tracers, adjustments, and resubmissions of claims. * Adjudicates or readjudicates high volumes of claims in a timely manner. * Manages defect reduction by identifying and communicating claims error issues and potential solutions to leadership. * Meets claims department quality and production standards. * Supports claims department initiatives to improve overall claims function efficiency. * Completes basic claims projects as assigned. Required Qualifications * At least 2 years of experience in a clerical role in a claims, and/or customer service setting, including experience in provider claims investigation/research/resolution/reimbursement methodology analysis within a managed care organization, or equivalent combination of relevant education and experience. * Research and data analysis skills. * Organizational skills and attention to detail. * Time-management skills, and ability to manage simultaneous projects and tasks to meet internal deadlines. * Customer service experience. * Effective verbal and written communication skills. * Microsoft Office suite and applicable software programs proficiency. To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V Pay Range: $21.16 - $38.37 / HOURLY * Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. 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.

The Director, Clinical Data Acquisition for Risk Adjustment, is responsible for the implementation, monitoring, and oversight of all chart collection for Risk Adjustment, RADV, or Risk Adjustment-like projects, and other state specific audit projects and deliverables related to accurate billing and coding. This role also works with the Health Plan Risk/Quality leaders to strategically plan for supplemental data source (SDS) acquisition from providers as well as Electronic Medical Record (EMR) access. This position oversees management of training for all CDA team members as well as company Risk Adjustment retrieval and data completeness training, onboarding for CDA team members, vendor management for chart collection vendors, Supplemental data, and chart collection research. Job Duties * Plans and/or implements operational processes for Risk Adjustment operations that meet state and federal reporting requirements/rules and are aligned with effective practices as identified in the healthcare quality improvement literature and within Molina plans. * Develops and implements targeted collection of clinical data acquisition related to performance reporting and improvement, including member and provider outreach. * Serves as operations subject matter expert and lead for Molina Risk Adjustment, using a defined roadmap, timeline and key performance indicators. * Collaborates with the national intervention collaborative analytics and strategic teams to deliver value for both prospective and retrospective risk programs. * Communicates with the Molina Plan Senior Leadership Team, including the Plan President, Chief Medical Officer, national Risk Adjustment teams and strategic teams about key deliverables, timelines, barriers and escalated issues that need immediate attention. * Presents concise summaries, key takeaways and action steps about Molina Risk Adjustment processes, strategy and progress to national, regional and plan meetings. * Demonstrates ability to lead and influence cross-functional teams that oversee implementation of Risk Adjustment projects. * Possesses a strong knowledge in Risk Adjustment and RADV to implement effective operations that drive change. * Functions as key lead for clinical chart review/abstraction and team management. This includes qualitative analysis, reporting and development of program materials, templates or policies. Maintains productivity reporting, management and coaching. * Maintains advanced ability to collaborate and Manage production vendor relationships, including oversight, data driven KPI measurement and performance mitigation strategies. Job Qualifications REQUIRED EDUCATION: Bachelor's Degree in a clinical field, Public Health, Healthcare, or equivalent. REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES: * 8+ years' experience in managed healthcare, including at least 4 years in health plan Risk Adjustment or clinical data acquisition/chart retrieval roles * Operational knowledge and experience with Excel and Visio (flow chart equivalent). PREFERRED EXPERIENCE: * 10+ years' experience with member/ provider (Risk Adjustment) outreach and/or clinical intervention or improvement studies (development, implementation, evaluation) * 3-5 years Supervisory experience. * Project management and team building experience. * Experience developing performance measures that support business objectives. PREFERRED LICENSE, CERTIFICATION, ASSOCIATION: * Certified Professional in Health Quality (CPHQ) * Nursing License (RN may be preferred for specific roles) * Certified Risk Adjustment Coder (CRC) To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V. Pay Range: $107,028 - $250,446 / ANNUAL * 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.

JOB DESCRIPTION Job SummaryLeads and supervises a team supporting non-clinical healthcare services activities for care management, care review, utilization management, transitions of care, behavioral health, long-term services and supports (LTSS), and/or other program specific service support - ensuring members reach desired outcomes through integrated delivery of care across the continuum. Contributes to overarching strategy to provide quality and cost-effective member care. Essential Job Duties * Supervises healthcare services operations support team members within Molina's clinical/healthcare services function, which may include care review, care management, and/or correspondence processing, etc. * Researches and analyzes the workflow of the department, and offers suggestions for improvement and/or changes to leadership; assists with the implementation of changes. * Conducts employee and team productivity/quality assurance checks and documents results for accuracy and time compliance. * Provides regular verbal and written feedback to staff regarding performance and opportunities for improvement. * Assists in the development and implementation of internal desktop processes and procedures. * Establishes and maintains positive and effective work relationships with coworkers, clients, members, providers, and customers. Required Qualifications• At least 5 years of operations or administrative experience in health care, preferably within a managed care setting, or equivalent combination of relevant education and experience. * Strong analytic and problem-solving abilities. * Strong organizational and time-management skills. * Ability to multi-task and meet project deadlines. * Attention to detail. * Ability to build relationships and collaborate cross-functionally. * Excellent verbal and written communication skills. * Microsoft Office suite/applicable software program(s) proficiency. Preferred Qualifications * Supervisory/leadership experience. To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V Pay Range: $77,969 - $106,214 / ANNUAL * Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. 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.

Molina Health Plan Provider Network Contracting jobs are responsible for the network strategy and development with respect to adequacy, financial performance and operational performance, in alignment with Molina Healthcare's overall mission, core values, and strategic plan and in compliance with all relevant federal, state and local regulations. Responsible for accurate and timely maintenance of critical provider information on all claims and provider databases. Synchronizes data among multiple claims systems when available, and the application of business rules as they apply to each database. Validate data to be housed on provider databases and ensure adherence to business and system requirements of customers as it pertains to contracting, network management and credentialing. **Job Duties** This role supports negotiations with assigned contracts and letters of agreements with non-complex provider community that result in high quality, cost effective and marketable providers. Maintains tracking system and publish reports according to departmental procedures. - Sends out contracts/applications to prospective providers upon request of Director or Manager and/or Provider Contracting and/or Provider Relations team members. - Receives calls from prospective providers and answers questions regarding contracting process, policies and procedures. - Forwards requested information/documentation to prospective providers in a timely manner. - Maintains database of all contracts and specific applications sent to prospective new providers. - Completes and updates Provider Information Forms for each new contract. - Ensures accuracy and completeness of provider demographic information and coordinates communication of such information to Provider Configuration team. - Sends out new provider welcome packets to providers who have contracted with the plan. - Utilizes Plan's system to track and follow up with Providers who have not responded to Contracts and/or Applications sent as directed by management. - Formats and distributes Provider network resources (e.g. electronic specialist directory). **Job Qualifications** **REQUIRED EDUCATION** : High School Diploma or equivalent GED **REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES** : 1 year customer service, provider service, contracting or claims experience in the healthcare industry. **PREFERRED EDUCATION** : Associate's Degree or Bachelor's Degree in a related field or an equivalent combination of education and experience **PREFERRED EXPERIENCE** : Managed Care experience To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V. Pay Range: $21.16 - $42.2 / HOURLY *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

Kaiser Permanente nurses are guided by an integrated nursing model that places patients and families in the center. The Staff Registered Nurse (RN) III practices professional nursing as defined by the Georgia Registered Professional Nurse Practice Act and by organizational policies, procedures, and guidelines. Provides nursing care for patients, members, and families to promote or restore health and to prevent illness and injury. Collaborates with members of the Health Care Team (HCT) and leaders to ensure the delivery of high quality, safe, effective, and efficient care. Essential Responsibilities: Utilizes the nursing process to assess patient health status, determine nursing diagnosis, establish nursing goals, and develop, implement, and evaluate the nursing plan of care. Completes POE and addresses care gaps during the patient encounter. Accurately documents patient data, actions, interventions, and response to treatment according to established policies and guidelines. Assists with procedures and monitors patients response during and after the procedure. Actively participates, as a member of the healthcare team, to engage patients, families, and caregivers in the coordination of patient care. Leads the nursing response to medical emergencies. Monitors electronic messaging and emails (department InBasket) related to patient or provider requests and manages the messages or triages them to physician, associate practitioner, or others as needed. Initiates and monitors IV therapy, administration of medications, and other nursing procedures as prescribed by the physician or associate practitioner, and documents accordingly. Assesses patient and family health education needs, provides health teaching and counseling, and evaluates effectiveness of the education process. Conducts outgoing telephone calls to patients requiring follow-up care and preventative outreach. Participates in quality improvement activities and/or initiatives. Participates in departmental orientation, training, and competency validation of new staff (after completion of validator training). Leads departmental or regional performance improvement initiatives (access, quality, service, people). Autonomously perform procedures under provider supervision and evaluate patients response during and after the procedure. Serves as a preceptor, resource, and mentor for new members of the healthcare team and nursing students. Provide at least one (1) training in-service each year. Seeks and completes formal continuing education relevant to clinical discipline. Utilizes advanced skills to provide patient care, education, and consultation. Autonomously perform procedures under physician supervision, such as cardiac stress tests, RN sonography, conscious sedation, or chemotherapy infusions. May perform other duties as assigned. Basic Qualifications: Experience Minimum three (3) years of current RN clinical experience. Minimum two (2) years of clinical experience in area of specialty. Education Associates degree in nursing. High School Diploma or General Education Development (GED) required. License, Certification, Registration Registered Professional Nurse License (Georgia) required at hire Basic Life Support required at hire Additional Requirements: N/A. Preferred Qualifications: Specialty Certification at time of hire or within 1 (one) year preferred. Bachelors (BSN) degree. Notes: Townpark (Kennesaw) primary location. May float based on needs to Gwinnett (Duluth) and Southwood (Jonesboro).

Become a part of our caring community and help us put health first As a therapist at CenterWell Home Health, you'll play a vital role in helping patients regain strength, mobility and independence-all from the comfort of their homes. By delivering personalized care that focuses on rehabilitation and functional improvement, you'll empower individuals to overcome physical limitations, perform everyday activities with confidence and enjoy a better quality of life. As a Home Health Physical Therapist Assistant, you will: * Administer the physical therapy treatment plan as developed by the Physical Therapist. * Administer non-complex active and passive manual therapeutic exercises, therapeutic massage, traction heat, light, cold, water, and electrical modalities to patients. * Accurately documents daily, weekly, or monthly records of clients'. Submits clinical paperwork to the office on time each week. * Attend educational meetings and coordinates and contributes to department in-services. * Notify physical therapist or Executive Director of any equipment failures, lack of supplies, staff or client changes, and any other departmental * Schedule clients and performs varied office tasks. * Apply concepts of infection control and universal precautions in performing patient care activities. * Accept clinical assignments that are consistent with education and competence to care for patients. * Promote compliance with all fiscal intermediaries and/or other third-party payors, through education, coaching, and other assistance as necessary. Use your skills to make an impact Required Experience/Skills: * Associate degree in Physical Therapy from an American Physical Therapy Association. * Current state license to practice Physical Therapy. * Valid driver's license, auto insurance and reliable transportation. * Proof of current CPR certification. * Minimum two years experience as a Physical Therapy Assistant, * Comprehensive knowledge of the physical, emotional, social, and biological changes that occur in the geriatric population. * Self-directed, enthusiastic, and accepts constructive feedback. * Demonstrates good verbal and written communication and organization skills. * Communicates and demonstrates a professional image/attitude for patients, families, clients, coworkers, and others. * Meets mandatory continuing education requirements of CenterWell Home Health and licensing board. Maintains clinical competency in Physical Therapy practice and theory. * Ability to work a flexible schedule and travel locally. * Able to maintain confidentiality. * Maintains current licensure certifications and meets mandatory continuing education requirements. * Must read, write, and speak fluent English. * Must have good and regular attendance. * Performs other related duties as assigned. Pay Range * $37.00 - $52.00 - pay per visit/unit * $58,400 - $80,000 per year base pay Scheduled Weekly Hours 40 Pay Range The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc. $64,000 - $87,500 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.

**Become a part of our caring community and help us put health first** Humana is a publicly traded, Fortune 100 health benefits company with a long history of successful innovation and reinvention. It has transformed itself from the largest US nursing home company in the 60's, to the largest US hospital corporation in the 80's, to a leading health benefits company beginning in the 90's. Today, Humana is a leader in consumer-focused health solutions and is one of the largest health benefits organizations in the country. Consumer Segment Team Identifying and delivering new avenues of growth is a critical company priority. The Consumer Segment team is an entrepreneurial, multi-functional team within Humana's Medicare and Medicaid business unit. The team is focused on driving industry leading membership growth, retention and health outcomes by identifying new consumer insights, developing growth strategies, and activating them across the enterprise to serve the unique needs of prioritized segments. Humana is seeking an experienced team member with meaningful strategy consulting or healthcare strategy experience to join this team. As Strategy Advancement Advisor, you will support development and implementation of consumer segment strategies that drive growth and retention while optimizing member experience and outcomes. You'll collaborate with teammates and cross-functional partners to frame up business questions, conduct analyses, and recommend solutions. You will help answer key strategic business questions that arise during the annual product/sales cycle across multiple domains, including product design, plan footprint, marketing and sales performance, membership analytics, customer/provider satisfaction and more. You will proactively identify new consumer insights and create business cases to support new pilots and initiatives to address critical unmet consumer needs. **Key Responsibilities Include** : + Managing analysis and/or work streams within high-profile, high-impact strategy projects + Conducting industry, market, competitor, and financial analysis and deliverables that clearly frame objectives, issues/challenges, and articulate compelling, insightful findings, conclusions, and recommendations + Conducting interviews, working sessions, and report-outs with associates and leaders across the company + Own development and presentation of key deliverables for leadership and cross-functional partners + Innovate new pilots and member experiences to drive growth and improved retention + Support business case development for key initiatives **Use your skills to make an impact** **Required Qualifications** + 7+ years of full-time relevant strategic work experience, ideally post-MBA + Strategy management consulting experience + Experience leading broad initiatives with cross-functional collaboration + Strong problem-solving skills and the ability to perform complex qualitative and quantitative analysis + Experience leveraging consumer insights to design and implement new products/services/solutions + Proficiency in verbal/written communication to senior and executive leadership + Proficient in delivering engaging and informative presentations to diverse audiences **Preferred Qualifications** + MBA, MPH, PhD, or graduate degree in a management field + Prior healthcare industry experience, preferably in the managed care or provider sector Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required. **Scheduled Weekly Hours** 40 **Pay Range** The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc. $115,200 - $158,400 per year This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance. **Description of Benefits** Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. Application Deadline: 12-18-2025 **About us** Humana Inc. (NYSE: HUM) is committed to putting health first - for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large. **Equal Opportunity Employer** It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment. Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our ***************************************************************************

Become a part of our caring community and help us put health first The Patient Services Coordinator-LPN is directly responsible for scheduling visits and communicating with field staff, patients, physicians, etc. to maintain proper care coordination and continuity of care. The role also assists with day-to-day office and staff management * Manages schedules for all patients. Edits schedule for agents calling in sick, ensuring patients are reassigned timely. Updates agent unavailability in worker console. * Initiates infection control forms as needed, sends the HRD the completed "Employee Infection Report" to upload in the worker console. * Serves as back up during the lunch hour and other busy times including receiving calls from the field staff and assisting with weekly case conferences. Refers clinical questions to Branch Director as necessary. * Maintains the client hospitalization log, including entering coordination notes, and sending electronic log to all office, field, and sales staff. * Completes requested schedule as task appears on the action screen. Ensures staff are scheduled for skilled nurse/injection visits unless an aide supervisory visit is scheduled in conjunction with the injection visit. * Completes requested schedules for all add-ons and applicable orders: * Schedules discharge visit / OASIS Collection or recert visit following case conference when task appears on action screen. * Schedules TIF OASIS collection visits and deletes remaining schedule. * Reschedules declined or missed (if appropriate) visits. * Processes reassigned and rescheduled visits. * Ensures supervisory visits are scheduled. * Runs all scheduling reports including Agent Summary Report and Missed Visits Done on Paper Report. * Prepares weekly Agent Schedules. Performs initial review of weekly schedule for productivity / geographic issues and forwards schedule to Branch Director for approval prior to distribution to staff. * Verifies visit paper notes in scheduling console as needed. * Assists with internal transfer of patients between branch offices. * If clinical, receives lab reports and assesses for normality, fax a copy of lab to doctor, make a copy for the Case Manager, and route to Medical Records Department. Initiate Employee / Patient Infection Reports as necessary. * If clinical, may be required to perform patient visits and / or participate in on-call rotation. Use your skills to make an impact Required Experience/Skills: * Be a Licensed Professional Nurse or a Licensed Vocational Nurse licensed in the state in which he / she practices * Have at least 1 year of home health experience. * Prior packet review / QI experience preferred. * Coding certification is preferred. * Must possess a valid state driver's license and automobile liability insurance. * Must be currently licensed in the State of employment if applicable. * Must possess excellent communication skills, the ability to interact well with a diverse group of individuals, strong organizational skills, and the ability to manage and prioritize multiple assignments. 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. $48,900 - $66,200 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.

The Chief Operating Officer (COO) is accountable for the strategy and performance of a large complex regional delivery system. The delivery system includes primary care, specialties, advanced care centers, clinical decision support units, urgent care, laboratory operations, pharmacy operations, and imaging in settings that run 24/7 and deal with patients of greater complexity and acuity than a typical outpatient ambulatory setting. The COO also leads the operations and development of strategic hospital partnerships that enable Kaiser Permanente to deliver an integrated health experience to patients receiving care in the internal and external delivery system. The individual oversees strategy, personnel, utilization, facilities, patient care experience, capital projects and P&L. Working in full partnership with the Executive Medical Director of TSPMG is accountable for the quality, utilization and cost performance of the delivery system, and, ultimately the improvement of member health and achievement of strategic goals. The COO has responsibility for the health plan operations of the Kaiser Permanente Georgia regional delivery system, including- 3,000 employees. Also has shared accountability for Labor Management Partnership. The COO must work closely with TSPMG and Labor to establish mutual performance expectations based on leading local competitive and national benchmarks. These market leading performance expectations will drive strategy and requirements of operational areas including medical office operations, external provider affiliations and relations, quality and service initiatives and provider contracting. Consistently supports compliance and the Principles of Responsibilities (Kaiser Permanente's Code of Conduct) by maintaining the privacy and confidentiality of information, protecting the assets of the organization, acting with ethics and integrity, reporting non-compliance, and adhering to applicable federal, state, and local laws and regulations, accreditation and licenser requirements (if applicable), and Kaiser Permanente's policies and procedures. Essential Responsibilities: + In partnership with physician partners, develop and execute strategies to position Kaiser Permanente as the preeminent health system in the region. Set the national bar for quality outcomes, service and affordability while ensuring long-term financial viability of the region. Makes decisions and takes actions not only to optimize performance at the micro service or site level but also considers and understands how certain investments impact total performance across the delivery system (cost, quality, service, access). + Working in full partnership with the TSPMG Executive Medical Director and other physician leaders, accountable for the operations of the delivery system - including design, budget, oversight of operations and performance. - Clinical quality, access, member experience, affordability and profit/loss. + Ensure access to services exceeds member expectations - location, hours of operations, wait times and convenience. + Optimize capacity and productivity to continuously improve affordability. + Implements processes and standards that result in the highest quality outcomes. + Ensure 24/7 access to appointments, advice and emergency/urgent services + Ensure continuum of care and care without delay performance through oversight of provider contracting and monitoring the quality, affordability, access and services provided by outside providers + Seamless integration of ancillary and support services to ensure an exceptional member experience + Ensure optimal delivery of pharmaceutical services in retail sales and clinical management + Develop and implement capital plans and budgets + Directs the activities of Quality and Regulatory leaders to ensure compliance with applicable requirements, including federal, state and local laws and regulations pertaining to licensure, quality improvement/assurance, fire inspection, emergency preparedness, and other safety measures. + In partnership with TSPMG physician leaders is responsible for overseeing contracting and performance services provided by contracted hospitals, physicians and other outside service providers to optimize care without delay and utilization performance. + Leadership and Management: + Directs and manages multitude of simultaneous work streams and projects. Leads with a true sense of urgency with the ability to engage the workforce to do the right thing every time for the member, patient and customer. + Establishes clear lines of responsibility and accountability for service area and hospital operations, and ancillary services throughout the Region. Ensures collaboration and sense of urgency around performance improvement. + Ensure that service area operations connect seamlessly with market and health plan administration in order to create an exceptional experience for our members. + Create constructive relationships with Georgia labor partners to effectively operationalize the spirit and intent of the Labor Management Partnership. Include a focus on harnessing the power of Unit Based Teams (UBTs). + Expertly engage management and employees in improving productivity and performance through two-way communication opportunities, transparency of actions and by expecting innovation and problem solving. + Medical Group Relationship: + Build strong, collaborative partnerships between TSPMG and KFHP functional areas to deliver market performance and outcomes. + Ensure that Health Plan accountabilities are upheld through appropriate oversight of certain Medical Group activities and delegated responsibilities. Basic Qualifications: Experience + Minimum eight (8) years of senior leadership experience in an integrated delivery system, inclusive of a broad range of responsibilities. Education + Bachelors degree required. License, Certification, Registration + N/A Additional Requirements: + Accomplishments in the transformation of complex operations, strategy, market development, operations and finance. + In depth knowledge and experience in delivery system operations, facility planning, clinical service line and business development. + Successful experience working in partnership with physician leaders in the provision of care, management of operations, and strategy development. + Experience leading in a union environment. + Proven ability to make performance-based business and strategic decisions. + Strong analytic and problem-solving skills. + Decisive action-oriented leader. Preferred Qualifications: + Masters degree in business or healthcare strongly preferred. COMPANY: KAISER TITLE: VP, COO Georgia Region LOCATION: Atlanta, Georgia REQNUMBER: 1368030 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.

The Biomedical Technician is responsible for providing preventative maintenance and repair services on clinical and diagnostic medical equipment and instrumentation used in the medical centers throughout the Georgia Region. Essential Responsibilities: + Completes operational, electrical safety, and preventative maintenance checks on clinical and diagnostic equipment as scheduled, using the appropriate test equipment. Tags the equipment and records each preventative maintenance check. + Responds to service requests for repairs on clinical and diagnostic equipment. Replaces components, performs repairs, calibrates as necessary, and checks for proper operation. Records all service performed in the automated Maintenance Management System (MMS). + Maintains a current inventory of all biomedical equipment. Posts new equipment into the MMS system, performs initial safety and performance testing, ensures compliance with HIPAA requirements, and coordinates training with Clinical Education staff. + Responds to manufacturer recalls and hazard alerts. Takes appropriate corrective action. Communicates the action plan to the appropriate management and clinical staff, and documents the resolution. + Assists with the transfer or removal of biomedical equipment. Coordinates disposals with Materials Management and Accounting. + Performs miscellaneous duties including, but not limited to: ordering and stocking spare parts and supplies; safeguarding tools and test equipment; keeping work areas neat, clean and safe; and participating in selected committees. Basic Qualifications: Experience + Minimum two (2) years of experience as a Biomedical Technician in the healthcare environment or industry. Education + Associates degree in biomedical instrument repair and maintenance. License, Certification, Registration + Driver's License (Georgia) Additional Requirements: + Computer literate. + Knowledgeable regarding electronics, pneumatics, optics, and plumbing principles. + Good time management and problem solving skills. + Good communication and customer service skills. + Must be able to work in a Labor/Management Partnership environment. Preferred Qualifications: + Minimum three (3) years of work experience in a healthcare environment preferred. + Certification in medical instrumentation by AAMI, or similar organization is also preferred. + Bachelors degree in biomedical repair and maintenance, OR four (4) years of experience in a directly related field. COMPANY: KAISER TITLE: Biomedical Technician LOCATION: Jonesboro, Georgia REQNUMBER: 1384400 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 Learning Facilitation Professional conducts or facilitates training courses for organization employees or external audiences. The Learning Facilitation Professional work assignments are often straightforward and of moderate complexity. The Learning Facilitation Professional plans, coordinates, and implements all aspects of training programs for participants throughout the organization, including but not limited to instructor-led and virtual instructor-led training. Selects appropriate materials. Creates an environment that is conducive to learning and exchanging information, engages the learner, and produces the desired outcomes. Monitors training personnel records to ensure that employees have met all company training requirements for company, quality, and regulatory compliance. Analyzes course evaluations in order to judge effectiveness of training sessions and to implement suggestions for improvements. Evaluates the relevance of online resources to complement the facilitated experience in the fields as appropriate. Understands own work area professional concepts/standards, regulations, strategies and operating standards. Makes decisions regarding own work approach/priorities, and follows direction. Work is managed and often guided by precedent and/or documented procedures/regulations/professional standards with some interpretation. Use your skills to make an impact Required Qualifications * Bachelor's degree * Less than 3 years of training or learning development experience * Proficiency in Microsoft Office applications including Outlook, PowerPoint, Microsoft Project * Must be passionate about contributing to an organization focused on continuously improving consumer experiences Preferred Qualifications * Experience using a wide variety of training tools to effectively facilitate to a wide audience. * Experience managing projects or processes Additional Information This role is considered patient 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. As part of our hiring process for this opportunity, we will be using an interviewing technology called Modern Hire to enhance our hiring and decision-making ability. Modern Hire allows us to quickly connect and gain valuable information from you pertaining to your relevant skills and experience at a time that is best for your schedule. Alert Humana values personal identity protection. Please be aware that applicants may be asked to provide their Social Security Number, if it is not already on file. When required, an email will be sent from ******************** with instructions on how to add the information into your official application on Humana's secure website. #LI-MD1 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. $48,900 - $66,200 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 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.

The Manager of the IT Service Desk is responsible for leading technical support operations within a fast-paced, dynamic environment. This position oversees a team of 10-15 Service Desk technicians, ensuring efficient resolution or appropriate escalation of hardware/software, desktop device, and end-user application issues. Key responsibilities of this role include managing critical escalations, driving timely resolutions, and minimizing any potential business impact. Strong leadership and operational expertise are essential to meet defined KPI targets while adapting to evolving business needs. Flexibility with scheduling is essential, including the potential to work nights, weekends, and some holidays as required. Job Summary: In addition to the responsibilities listed below, this position is responsible for managing the Service Desk technical support line in a fast paced, dynamic environment, and performing initial troubleshooting on client/server, networking, hardware/software, desktop devices, and end-user applications. This includes managing the major Incident process as it relates to all components of High and Critical escalation. Some of the unique challenges this position will face include meeting the defined KPI targets as call volume increases. Essential Responsibilities: * Manages individuals and/or teams in designated work unit by translating business plans into tactical action items; ensuring all policies and procedures are followed; delegating tasks to meet goals and objectives; overseeing the completion of work assignments; aligning team efforts; building accountability for and measuring progress in achieving results; identifying and addressing improvement opportunities; removing obstacles that impact performance; and guiding performance and developing contingency plans accordingly. * Pursues professional growth and provides developmental opportunities for others by soliciting and acting on performance feedback; building collaborative, cross-functional relationships; training and developing talent for growth opportunities; delegating tasks and decisions; fostering open dialogue amongst team members; supporting execution of performance management guidelines and expectations; and working closely with employees to set goals and provide open feedback and coaching to drive performance improvement. * Manages recurring and escalated problems. * Manages troubleshooting efforts to identify and rectify problems. * Manages efforts to analyze and prioritize incoming requests and alerts. * Manages the service delivery process and outcomes for first, second, and third level support for products and applications by taking accountability for resolution of systems issues. * Follows and manages the development of standard operating procedures. * Reviews and approves resolution proposal to prevent issue recurrence. * Defines and manages key performance indicators (e.g., performance, availability, capacity) * Promotes and ensures compliance in the use of a knowledge repository for technical support. * Defines and manages procedures for incident escalation. * Manages execution of disaster recovery, and business continuity processes and events. * Manages after hours on call support. * Manages the process for tracking and documentation by reviewing and updating documents, as appropriate. * Manages analysis of incident data and trends to help prioritize efforts to improve system availability and performance. * Reviews and approves departmental and enterprise changes to the production environment, according to established change control processes.

**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: 12-18-2025 **About us** Humana Inc. (NYSE: HUM) is committed to putting health first - for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large. **Equal Opportunity Employer** It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment. Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our ***************************************************************************

Directs risk management programs by contributing to proactive planning and strategy for audits and analyses to evaluate risk management programs. Provides thought leadership on reporting and specialized data analysis for professional liability cases, risk management trends and issues, significant events, and near misses. Collaborates across organizations to manage processes for collecting and analyzing data from multiple reporting systems, sources, and emerging industry trends to identify opportunities to improve risk and threat management. Influences strategy, holds teams accountable, and directs the development and refinement of protocols for incident response. Provides proactive, strategic advice for the Board of Trustees and subsidiary governing boards, and to senior leadership and related entities to minimize risk and preserve corporate assets. Holds teams accountable for disseminating risk management-related information to providers, staff, and external partners across organizations. Contributes to the development of policies and procedures to maintain compliance with State and Federal laws, regulations, patient rights, and professional ethics. Essential Responsibilities: + Prepares individuals for growth opportunities and advancement; builds internal collaborative networks for self and others. Solicits and acts on performance feedback; drives collaboration to set goals and provide open feedback and coaching to foster performance improvement. Demonstrates continuous learning; oversees the recruitment, selection, and development of talent; ensures performance management guidelines and expectations to achieve business needs. Stays up to date with organizational best practices, processes, benchmarks, and industry trends; shares best practices within and across teams. Motivates and empowers teams; maintains a highly skilled and engaged workforce by aligning resource plans with business objectives. Provides guidance when difficult decisions need to be made; creates opportunities for expanded scope of decision making and impact. + Oversees the operation of multiple units within a department by identifying member and operational needs; ensures the management of work assignment completion; translates business strategy into actionable business requirements; ensures products and/or services meet member requirements and expectations while aligning with organizational strategies. Gains cross-functional support for business plans and priorities; assumes responsibility for decision making; sets standards, measures progress, and fosters resolution of escalated issues. Communicates goals and objectives; analyzes resources, costs, and forecasts and incorporates them into business plans; prioritizes and distributes resources. Removes obstacles that impact performance; guides performance and develops contingency plans accordingly; ensures teams accomplish business objectives. + Ensures compliance by: contributing to the development of policies and procedures to maintain compliance with State and Federal laws, regulations, patient rights, and professional ethics; driving a culture of compliance, holding teams accountable for compliance with, and contributing to Kaiser Permanentes policies and procedures and applicable federal and state laws and regulations as they relate to Risk Management; contributing to strategy and best practices for assisting other departments in complying with highly complex accreditation and regulatory risk management requirements (e.g., policies and procedures, legal claims manager), aligning regional and national initiatives; contributing to guidelines and holding teams accountable for preparation for and participation in regulatory audits and related projects (e.g., annual audits, accrediting bodies); and communicating to senior leadership and influencing adoption of regulatory compliance matters as they apply to risk management. + Directs Risk Management consulting by: providing proactive, strategic advice for the Board of Trustees and subsidiary governing boards, and to senior leadership and related entities to minimize risk and preserve corporate assets; influencing the development and implementation of plans for communications, outreach, and education as part of a comprehensive response plan to mitigate risk; providing expertise by serving as a member of risk management-related forums (e.g., Quality Council, Patient Safety Committee, Professional Liability Committee); and shaping goals and processes for comprehensive risk management consultation to clinical and administrative staff across organizations on all clinical and non-clinical risk management issues. + Directs documentation, analysis, and reporting by: influencing the design and management of sophisticated risk management data sources to align with strategic objectives; contributing to a standard documentation process across organizations; engaging with senior leadership to influence strategies for the design, development, and production of reports on scheduled cadence to senior leadership, Board committees, and regulators; providing thought leadership on reporting and specialized data analysis for professional liability cases, risk management trends and issues, significant events, and near misses; driving organization-wide processes for data and risk analyses with consideration for organizational goals; shaping standards for the utilization of reports and analyses in developing recommendations and action plans; shaping expectations for researching risk exposure data and prepare underwriting submissions in the areas of insured risks, including general and professional liability and contributing to guidelines for consulting on certificates of insurance, indemnification letters, and credentialing responses as they relate to insured risks, including general and professional liability programs; and holding teams accountable for determination, investigation, analysis, and resolution of potentially compensable events, compensable events, and regulatory investigations. + Directs Risk Management education and training by: setting standards for comprehensive, ongoing risk management-related training and education for providers, staff, and external audiences; driving a culture of continuous learning and holding teams accountable for integration of learning into work strategies; holding teams accountable for training evaluation and improvements aligned with organizational objectives and monitoring their sustainability; influencing strategic goals for risk management training and education across sphere of influence based on industry trends and organizational needs; and holding teams accountable for disseminating risk management-related information to providers, staff, and external partners across organizations. + Guides Risk Management incidents by: influencing strategy, holding teams accountable, and directing the development and refinement of protocols for incident response; contributing to organization-wide incident investigation practices; directing the development of escalation protocols and holding managers accountable for incident resolution and/or mitigation; influencing guidelines for root cause analysis, process improvements, and corrective actions, providing guidance and expertise as needed; and ensuring facilitation of organizational awareness and handling of highly impactful clinical risk issues. + Directs Risk Management programs by: influencing strategic direction and goals for comprehensive integrated, enterprise-wide risk reduction and prevention programs; contributing to proactive planning and strategy for audits and analyses to evaluate Risk Management programs; and shaping Health and Safety programs based on analyses, observations, industry best practices, and strategic organizational goals. + Directs threat monitoring and risk prevention by: collaborating across organizations to manage processes for collecting and analyzing data from multiple reporting systems, sources, and emerging industry trends to identify opportunities to improve risk and threat management; shaping strategy for analysis, validation, and interpretation of new and ongoing threats and risks, ensuring alignment with organizational goals and facilitating partnerships with other functions (e.g., Quality Management, Patient Safety, Operations, Customer Service Call Center, Member Services, EH&S, and Security); overseeing and shaping strategy for a comprehensive risk financing program through combined self insurance and insurance procurement to preserve corporate assets by reducing the impact of financial loss in the areas of property casualty, workers compensation, general liability, and professional liability; ensuring effectiveness and consistency of risk and threat response processes across organizations; strategically leading the review and analysis of high-level product safety risks; shaping general guidelines for preparation of initial processing and receipt of clinical / safety events; and driving risk management knowledge sharing across the organization to support the reduction of preventable errors in health care delivery. Minimum Qualifications: + Minimum two (2) years of experience managing operational or project budgets. + Minimum five (5) years of experience in a leadership role with direct reports. + Minimum six (6) years of experience using medical terminology. + Minimum four (4) years of program / project management experience. + Bachelors degree in Analysis, Research, Statistics, Health Care (e.g., Registered Nurse), Healthcare Administration, Health Care Management, Economics, Business, Homeland Security, or related field AND minimum eight (8) years of experience in risk management, quality program, claims management, patient safety, or directly related field OR Minimum eleven (11) years of experience in risk management, quality program, claims management, patient safety, or a directly related field. Additional Requirements: + Knowledge, Skills, and Abilities (KSAs): Systems Thinking; Change Management; Negotiation; Business Process Improvement; Loss Prevention; Risk Management; Compliance Management; Confidentiality; Applied Data Analysis; Business Relationship Management; Conflict Resolution; Relationship Building; Risk Assessment; Adaptability; Organizational Skills; Risk Identification; Patient Safety; Trusted Advisor; Legal Risk Management; Insurance Regulations, Policies, and Procedures; Insurance Contracts; Clinical Risk Assessment; Health Information Systems; Health Care Compliance; Internal Controls; Data Integration; Relational Database Management; Member Service; Microsoft Office; Personal Courage Preferred Qualifications: + Five (5) years of experience with risk management-related applications (e.g., event reporting software, case management software, patient safety database). + Four (4) years of Early Resolution or Mediation training/experience. + Seven (7) years of experience in risk management, quality program, claims management, patient safety, or a directly related field. + Five (5) years of experience with contracts, operational structure, policies, and/or procedures. + Five (5) years of experience in personal injury claims handling, processing, or administration. + Master's degree in health care administration, Business Administration, Nursing, or related field. + Professional in Healthcare Risk Management Certificate (CPHRM) COMPANY: KAISER TITLE: Director, Risk Management LOCATION: Atlanta, Georgia REQNUMBER: 1381670 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.