Kaiser Permanente jobs in Washington, DC - 340 jobs
Customer and Channel Partner Experience (CCPE) Consultant IV
Kaiser Permanente 4.7
Kaiser Permanente job in Silver Spring, MD
Overview: This is a non-clinical position. Customer and Channel Partner Experience (CCPE) is a multimillion-dollar initiative led by the National Health Plan in partnership with KPIT to improve the experience and make it easy for our business employers, brokers, general agents and consultants to do business with KP. We do this by deploying next generation digital experiences, improving our service and support models to be simple, fast, and personalized, and developing capabilities to show up as a single national health plan. As a result, this work improves brokers- willingness to sell KP and drives growth and retention for KP.
Job Summary:
Serves as a consultant to ensure the alignment, buy-in, and coordination of diverse stakeholders to drive the implementation of successful business initiatives and projects. Provides insight and supports the development and implementation of business initiatives, systems, and/or processes to a desired future state. Contributes to business strategy and supports organizational alignment and prioritization of business initiatives. Manages complex projects or project components, participates in and may lead change management activities, and performs data analyses in support of business initiatives. Supports vendor management as required. Monitors compliance of work activities by ensuring business plans and team members adhere to relevant policies and procedures.
Essential Responsibilities:
* Promotes learning in others by proactively providing and/or developing information, resources, advice, and expertise with coworkers and members; builds relationships with cross-functional/external stakeholders and customers. Listens to, seeks, and addresses performance feedback; proactively provides actionable feedback to others and to managers. Pursues self-development; creates and executes plans to capitalize on strengths and develop weaknesses; leads by influencing others through technical explanations and examples and provides options and recommendations. Adopts new responsibilities; adapts to and learns from change, challenges, and feedback; demonstrates flexibility in approaches to work; champions change and helps others adapt to new tasks and processes. Facilitates team collaboration to support a business outcome.
* Completes work assignments autonomously and supports business-specific projects by applying expertise in subject area and business knowledge to generate creative solutions; encourages team members to adapt to and follow all procedures and policies. Collaborates cross-functionally and/or externally to achieve effective business decisions; provides recommendations and solves complex problems; escalates high-priority issues or risks, as appropriate; monitors progress and results. Supports the development of work plans to meet business priorities and deadlines; identifies resources to accomplish priorities and deadlines. Identifies, speaks up, and capitalizes on improvement opportunities across teams; uses influence to guide others and engages stakeholders to achieve appropriate solutions.
* Serves as a consultant to ensure the alignment, buy-in, and coordination of diverse stakeholders to drive the implementation of successful business initiatives and projects across one or more functional tracks or workstreams by identifying and ensuring representation and inclusion of appropriate stakeholders; building rapport and partnerships with stakeholder teams, third party vendors, and senior management; working with stakeholders to develop goals and set the prioritization of deliverables; discussing involvement of business processes (e.g. project change management, communication) and facilitating decisions necessary for the delivery of business initiatives; communicating tough issues to stakeholders while maintaining an independent perspective; and making formal presentations and providing reports to various senior level audiences.
* Develops requirements for complex business, process, or system solutions within assigned business domain(s) by interfacing stakeholders and cross-functional teams as appropriate; leveraging multiple business requirements gathering methodologies to identify business, functional, and non-functional requirements; developing and documenting comprehensive business cases to assess the costs, benefits, and ROI of proposed solutions; and leading team members in the development process as appropriate.
* Provides insight and supports the development and implementation of business initiatives, systems, and/or processes to a desired future state by maintaining a comprehensive understanding of how current processes impact business operations across multiple domains; mapping current state against future state processes; identifying the operational impact of requirements on upstream and downstream solution components; providing options and recommendations to management and business stakeholders on how to integrate solutions and deliverables with current systems and business processes across regions or domains; and identifying and validating value gaps and opportunities for process enhancements or efficiencies.
* Contributes to business strategy and supports organizational alignment and prioritization of business initiatives by defining, developing, and evaluating performance metrics, standards, and methods to establish business success; collaborating with multiple stakeholders, often with competing/conflicting objectives, to ensure cohesive and reachable metrics; refining strategic plans and performance metrics as appropriate; and managing assigned initiatives or portfolio to ensure delivery of measurable results and alignment with strategic objectives.
* Serves as a advocate of continuous learning and professional development by keeping abreast of industry practices, standards, and benchmarks; attending and participating in roadshows, conferences, and speaking events; contributing to the ongoing enhancement and innovation of consulting practices, standards, and methods across KP; serving as an advocate to ensure continuous learning and improvement is championed as a people strategy; providing training and guidance to stakeholders as appropriate; and providing ongoing coaching to build a continuous improvement mindset and build capabilities that drive results.
* Manages complex projects or project components by coordinating stakeholder contacts; recommending or assigning team resources based on project needs and team member strengths; consulting in the development, analysis, and management of project plans; coordinating project schedules and resource forecasts; proactively monitoring and identifying project or business initiative risks, issues, and trigger events; developing mitigation plans and strategies; and resolving or escalating risks or issues as appropriate.
* Participates in and may lead change management activities associated with business initiatives by engaging stakeholders to obtain support and buy in for changes; partnering with management, project champions, and business owners to communicate and align improvement initiatives with business objectives; identifying appropriate change management method and approach; and ensuring stakeholders embrace a change management mindset, understand intent and purpose, and foster a culture of change.
* Performs data analyses to support business initiatives by identifying appropriate data analysis tools and approach to assess business performance; determining suitable data gathering and analysis methods (e.g., process observation, hard data, etc.); defining data requirements and obtaining customer agreements, including customer requirements as appropriate; conducting analyses and performing experimental tests to evaluate the effectiveness of business solutions; and identifying and alleviating risks through data-driven analysis.
* Supports vendor management as required by assisting with reviews of vendor performance levels; ensuring service level agreements are met; managing vendor invoices; and partnering with Procurement and/or Legal to develop service level and/or scope of work agreements as appropriate.
* Monitors compliance of work activities by ensuring business plans and team members adhere to KP, departmental, and/or business line policies and procedures.
$50k-68k yearly est. 6d ago
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Clinical Audiologist Washington, DC Capitol Hill Medical Center On Call
Kaiser Permanente 4.7
Kaiser Permanente job in Washington, DC
To assess, diagnose, and treat patients with hearing, balance and related disorders. Essential Responsibilities: + Evaluates patients audiologic function, interprets findings, and reviews test results with patient or responsible adult. Basic Qualifications:
Experience
+ N/A
Education
+ Current employees: Masters degree AND a minimum four (4) years of experience in audiology required OR an Au.D.
+ New hires: Au.D.
License, Certification, Registration
+ Audiologist License (District of Columbia)
+ PECOS Enrollment within 3 months of hire
+ Basic Life Support from American Heart Association
+ National Provider Identifier
Additional Requirements:
+ N/A
Preferred Qualifications:
+ Minimum one (1) year of experience in vestibular testing (videonystagmography (VNG) or electronystagmography (ENG)).
+ Minimum one (1) year of experience in behavioral pediatric assessment (infants and toddlers).
+ Minimum one (1) year of experience in Auditory Evoked Potential testing (all ages).
COMPANY: KAISER
TITLE: Clinical Audiologist Washington, DC Capitol Hill Medical Center On Call
LOCATION: Washington D.C., District of Columbia
REQNUMBER: 1371908
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.
$160k-313k yearly est. 60d+ ago
Remote Cloud & GenAI Operations Leader
Humana Inc. 4.8
Washington, DC job
A leading health services provider in Washington is looking for an experienced leader to enhance cloud operations and innovate with AI. This role involves directing cloud service providers, optimizing costs, and implementing AI-driven solutions for better healthcare delivery. The ideal candidate will have a robust background in infrastructure operations and hands-on experience in AI/ML development, along with excellent problem-solving skills. This is a full-time position with competitive benefits and a salary range of $142,300 - $195,700 per year.
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$142.3k-195.7k yearly 1d ago
Director of Workforce Capacity Strategy
Humana Inc. 4.8
Washington, DC job
A healthcare solutions provider is seeking a Director of Workforce Capacity Planning to lead workforce strategy across various operations. The role involves establishing forecasting methodologies, partnering with finance for budgeting, and developing a high-performing team. Candidates must have a Bachelor's degree, 8+ years in workforce management, and strong analytical skills. Located in Washington, D.C., this position offers a competitive salary range of $168,000 - $231,000 yearly, along with numerous benefits aimed at employee wellness.
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$168k-231k yearly 4d ago
Market VP, Professional Practice and Pharmacy Compliance
Humana Inc. 4.8
Washington, DC job
Become a part of our caring community and help us put health first
The Market Vice President of Pharmacy Professional Practice will be responsible for pharmacy practice related compliance of CenterWell Pharmacy, encompassing Traditional, Specialty, and Community pharmacies throughout the United States. The Market Vice President makes certain the pharmacy and its operations comply with all applicable federal, state and local laws and regulations, as well as ensuring internal policies and procedures meet or exceed industry standards, , and are followed and communicated timely to all affected employees. The Market Vice President will work collaboratively with operational, legal, compliance, and engineering stakeholders to accomplish business initiatives while ensuring pharmacy practice compliance.
The Market Vice President will serve as a subject matter expert in pharmacy practice compliance with extensive knowledge in regulations of Boards of Pharmacy, DEA, FDA, and other applicable healthcare and pharmacy regulatory agencies. The Market Vice President will report directly to the SVP of CenterWell Pharmacy/CenterWell Specialty Pharmacy and will lead a team consisting of Pharmacists-In-Charge, Directors, and Professionals to ensure pharmacy practice compliance. This position can be located anywhere within the lower 48 states and does not require relocation, however travel to pharmacies, industry conferences, and internal meetings is required.
Key Responsibilities
Ensures pharmacy practice compliance with all federal, state, local, and Board of Pharmacy regulations.
Provides guidance and strategy on responses to regulatory agency inquiries (Boards of Pharmacy)
Ensures all pharmacies are appropriately licensed and registered with Boards of Pharmacy, DEA, and other applicable regulatory agencies.
Ensures all pharmacy associates are appropriately licensed and registered in their respective jurisdictions to perform required tasks of the pharmacy. Oversees pharmacy policy and ensures all policies and procedures are appropriate and reviewed regularly
Oversees team that is responsible for Prescription Drug Monitoring Reporting and related compliance
Oversees pharmacy accreditation (ACHC, NABP, URAC) ensuring that required accreditations are obtained and maintained.
Oversees team responsible for pharmacy associate professional development (ex. obtaining pharmacy technician licenses, providing continuing education, etc.)
Oversees team responsible for pharmacy management system user access
Establishes guidelines to comply with the policies and procedures, applicable statutes, and regulations and implement corrective action plans, when needed.
Sets and ensures consistent application of additional internal standards to help a company stand out in the industry
Verifies legality and compliance of pharmacy practice related items
Responsible for oversight of training and education programs and conducts audits to monitor compliance
Influences and collaborates with operational peers related to intradepartmental coordination, development and implementation of strategic plans, and business outcomes, weighing risk and compliance with business operations
Develops and implements strategic plans for the scope of management that are aligned with the Segment or Business strategy
Functions as a key leader on the Pharmacy Leadership team, with the ability to be a strategic thought-partner and to synthesize and communicate complex ideas
Providing strategic leadership to a high-performing team of Pharmacy professionals; grow the team by recruiting, hiring, developing, and retaining high-caliber talent
Required Qualifications
Bachelor's degree in Pharmacy or PharmD.
Min 5 years' experience leading pharmacy practice/compliance for a large pharmacy
Active pharmacist license for the state of employment
Extensive experience in Pharmacy, particularly home delivery pharmacy or managed care environment
5 or more years of management/people leadership experience
Deep knowledge of pharmacy practice regulatory compliance requirements (BOP, DEA, FDA, etc.)
Working knowledge of privacy and HIPAA regulations and USP guidance
Experience in providing guidance for clinical operational aspects of pharmacy
Ability to manage clinical decision-making aspects within the pharmacy
Ability to participate in federal prescription programs
Working knowledge of Medicare Part B and Part D Coverage Determinations (chapters 6 and 18)
Must be passionate about contributing to an organization focused on continuously improving consumer experiences
Use your skills to make an impact Preferred Qualifications
Master's degree
Additional Information
Travel
While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.
Scheduled Weekly Hours
40
Pay Range
The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.
$223,800 - $313,100 per year
This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.
Description of Benefits
Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.
Application Deadline: 02-28-2026
About us
About CenterWell Pharmacy: CenterWell Pharmacy provides convenient, safe, reliable pharmacy services and is committed to excellence and quality. Through our home delivery and over-the-counter fulfillment services, specialty, and retail pharmacy locations, we provide customers simple, integrated solutions every time. We care for patients with chronic and complex illnesses, as well as offer personalized clinical and educational services to improve health outcomes and drive superior medication adherence.
About CenterWell, a Humana company: CenterWell creates experiences that put patients at the center. As the nation's largest provider of senior-focused primary care, one of the largest providers of home health services, and fourth largest pharmacy benefit manager, CenterWell is focused on whole-person health by addressing the physical, emotional and social wellness of our patients. As part of Humana Inc. (NYSE: HUM), CenterWell offers stability, industry-leading benefits, and opportunities to grow yourself and your career. We proudly employ more than 30,000 clinicians who are committed to putting health first - for our teammates, patients, communities and company. By providing flexible scheduling options, clinical certifications, leadership development programs and career coaching, we allow employees to invest in their personal and professional well-being, all from day one.
Equal Opportunity Employer
It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.
Centerwell, a wholly owned subsidiary of Humana, complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our full accessibility rights information and language options *************************************************************
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$96k-120k yearly est. 1d ago
Actuarial Principal - Financial Planning and Analysis
Humana Inc. 4.8
Annapolis, MD job
Become a part of our caring community and help us put health first
Join Humana's Financial Planning & Analysis team, part of the CFO team, which drives aggregate financial results and insights across primarily Individual Medicare Advantage (MA). This team serves as a central hub for financial strategy and analysis, with connections to enterprise-wide and total Insurance perspectives. The Actuarial Analytics/Forecasting Principal role offers flexibility in responsibilities, significant exposure to senior leadership, and strong potential for upward mobility.
We seek candidates who are willing to think creatively, challenge assumptions, voice opinions on key drivers and ranges, and contribute to a culture of continuous improvement and healthy debate.
The Actuarial Analytics/Forecasting Principal analyzes and forecasts financial, economic, and other data to provide accurate and timely information for strategic and operational decisions. Establishes metrics, provides data analyses, and works directly to support business intelligence. Evaluates industry, economic, financial, and market trends to forecast the organization's short, medium, and long‑term financial and competitive position. The Actuarial Analytics/Forecasting Principal provides strategic advice and guidance to functional team(s). Highly skilled with broad, advanced technical experience.
The Actuarial Analytics/Forecasting Principal ensures data integrity by developing and executing necessary processes and controls around the flow of data. Collaborates with stakeholders to understand business needs/issues, troubleshoots problems, conducts root cause analysis, and develops cost‑effective resolutions for data anomalies. Works with senior executives to develop and drive segment or enterprise‑wide functional strategies. Advises one or more areas, programs, or functions and provides recommendations to senior executives on matters of significance, and as an advanced subject matter expert competent to work at very high levels in multiple knowledge and functional areas across the enterprise.
Use your skills to make an impact Required Qualifications
Bachelor's degree, in some instances a Master's or Doctorate's degree
10 or more years of technical experience
2-5 years of project/people leadership
FSA or ASA plus relevant advanced degree, recent and relevant work experience, and/or other relevant professional designations
MAAA
Strong communication skills
Experience in more than two functions (e.g., modeling, pricing, rate filing, reporting & analysis, reserving or trending)
Must be passionate about contributing to an organization focused on continuously improving consumer experiences
Preferred Qualifications
Medicare Advantage pricing and forecasting experience
Experience working with aggregate financials across insurance products or enterprise‑level financial planning
Demonstrated ability to challenge existing assumptions and propose creative solutions
Additional Information
Humana is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sexual orientation, gender identity, national origin, age, disability, or veteran status.
For more information on Humana careers, please visit Humana Careers (********************************
Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.
Scheduled Weekly Hours
40
Pay Range
The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.
$156,600 - $215,400 per year
This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.
Description of Benefits
Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole‑person well‑being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short‑term and long‑term disability, life insurance and many other opportunities.
Application Deadline: 01-30-2026
About us
Humana Inc. (NYSE: HUM) is committed to putting health first - for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large.
Equal Opportunity Employer
It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.
Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our ***************************************************************************
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$156.6k-215.4k yearly 2d ago
Fraud and Waste Investigator
Humana 4.8
Washington, DC job
**Become a part of our caring community and help us put health first** The Fraud and Waste Professional 2 conducts investigations of allegations of fraudulent and abusive practices. The Fraud and Waste Professional 2 work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action.
**Where You Come In**
The Fraud and Waste Professional 2 coordinates investigation with internal and external entities including compliance, internal business partners, and law enforcement. Assembles evidence and documentation to support successful adjudication, where appropriate. Prepares complex investigative and audit reports. Understands department, segment, and organizational strategy and operating objectives, including their linkages to related areas. Makes decisions regarding own work methods, occasionally in ambiguous situations, and requires minimal direction and receives guidance where needed. Follows established guidelines/procedures.
**What Humana Offers**
We are fortunate to offer a remote opportunity for this job. Our Fortune 100 Company values associate engagement & your well-being. We also provide excellent professional development & continued education
**Use your skills to make an impact**
**WORK STYLE:** Remote anywhere in US, work at home. While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.
**WORK HOURS:** Monday-Friday, 8 hours/day, 5 days/week, ideally, associates will work on EST (regardless of their home time zone). Must start between 6AM-9AM (in the employee's time zone), some flexibility might be possible, depending on business needs.
**Required Qualifications - What it takes to Succeed**
+ Bachelor's degree or equivalent work experience
+ Minimum 2 years of investigative and/or claims experience
+ Knowledge of healthcare payment methodologies
+ Strong organizational, interpersonal, and communication skills
+ Inquisitive nature with ability to analyze data to metrics
+ Computer literate (MS Word, Excel, Access)
+ Strong personal and professional ethics
+ Ability to travel up to 5%, to attend trainings and meetings, as required
**Preferred Qualifications**
+ Bilingual in Spanish
+ Bachelor's degree and/or additional degrees and/or certifications (MBA, J.D., MSN, Clinical Certifications, CPC, CCS, CFE, AHFI).
+ Understanding of healthcare industry, claims processing and investigative process development.
+ Experience in a corporate environment and understanding of business operations
**Additional Information**
**Work at Home Requirements**
- At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is suggested
- Satellite, cellular and microwave connection can be used only if approved by leadership
- Associates who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense.
- Humana will provide Home or Hybrid Home/Office associates with telephone equipment appropriate to meet the business requirements for their position/job.
- Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information
**Interview Format**
As part of our hiring process for this opportunity, we will be using an exciting interviewing technology called Hire Vue (formerly Modern Hire) to enhance our hiring and decision-making ability. Hire Vue (formerly Modern Hire allows us to quickly connect and gain valuable information from you pertaining to your relevant skills and experience at a time that is best for your schedule.
If you are selected to move forward from your application prescreen, you will receive correspondence inviting you to participate in a pre-recorded Voice Interview and/or an SMS Text Messaging interview. If participating in a pre-recorded interview, you will respond to a set of interview questions via your phone. You should anticipate this interview to take approximately 10-15 minutes.
If participating in a SMS Text interview, you will be asked a series of questions to which you will be using your cell phone or computer to answer the questions provided. Expect this type of interview to last anywhere from 5-10 minutes. Your recorded interview(s) via text and/or pre-recorded voice will be reviewed and you will subsequently be informed if you will be moving forward to next round of interviews.
Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.
**Scheduled Weekly Hours**
40
**Pay Range**
The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.
$65,000 - $88,600 per year
This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.
**Description of Benefits**
Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.
Application Deadline: 01-22-2026
**About us**
Humana Inc. (NYSE: HUM) is committed to putting health first - for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large.
**Equal Opportunity Employer**
It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.
Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our ***************************************************************************
$65k-88.6k yearly 4d ago
Business Intelligence Lead - Digital VOC
Humana 4.8
Washington, DC job
**Become a part of our caring community and help us put health first** The Digital Voice of Customer (VoC) Program Leader & Insights Champion will own and advance the end-to-end VoC strategy across Digital CW, ensuring measurement approaches align with customer experience goals and business priorities. This position is responsible for vendor management (Qualtrics), cross-functional stakeholder collaboration, and driving everyday self-service and adoption of VoC insights throughout the organization. The ideal candidate will develop diverse VoC touchpoints, analyze structured and unstructured data, present findings through effective storytelling, and serve as a thought leader to educate and empower teams for data-driven decision-making.
**Key Responsibilities** :
+ Develop, execute, and continuously refine the comprehensive VoC Program strategy for Digital CW, ensuring alignment with enterprise customer experience objectives and business priorities.
+ Manage and cultivate the vendor relationship with Qualtrics, representing the interests of Digital CW and collaborating with the Humana Digital lead.
+ Partner with stakeholders across UX, Product, Business Intelligence, Operations, and other lines of business to strategize, design, and implement optimal VoC touchpoints-including expansion beyond digital channels-to capture actionable customer insights.
+ Champion the incorporation of VoC metrics into everyday business practices, fostering a pull-driven, self-service engagement model across the enterprise.
+ Analyze structured and unstructured data to identify trends, friction points, opportunities for improvement, and root causes impacting user experiences.
+ Synthesize and communicate insights through compelling storytelling to influence cross-functional teams and drive user-backed optimizations.
+ Stay current with industry trends, emerging tools, and best practices to enhance VoC program effectiveness and operational efficiency.
+ Serve as a thought leader, educating stakeholders and promoting a culture of data-driven decision-making.
**Use your skills to make an impact**
**Required Qualifications**
+ Bachelor's degree and 8 or more years of technical experience in data analysis OR Master's degree and 4 years of experience
+ 2 or more years of project leadership experience
**Preferred Qualifications**
+ Demonstrated experience leading VOC or customer experience programs in a digital environment
+ Strong vendor management skills, preferably with Qualtrics or similar platforms
+ Knowledge of current trends and tools in customer experience measurement and analytics
+ Advanced experience in analysis and synthesis of quantitative and qualitative data
+ Excellent communication, presentation, and storytelling skills to inform and influence senior and executive leadership
+ Experience aggregating data across multiple sources (e.g., primary research, secondary research, operational data)
+ Working knowledge of primary research techniques (e.g., basic survey design)
+ Advanced Degree in a quantitative discipline, such as **Business, Marketing, Analytics** , Mathematics, Statistics, Computer Science, or related field
+ Passion for contributing to an organization focused on continuously improving consumer experiences
+ Experience analyzing data to solve a wide variety of business problems and create data visualizations that drive strategic direction
+ Advanced experience working with big and complex data sets within large organizations
+ Proven ability to work with cross-functional teams and translate requirements between business, project management and technical projects or programs
+ Proficiency in understanding Healthcare related data
+ Experience creating analytics solutions for various healthcare sectors
+ Advanced in SQL, SAS and other data systems
+ Experience with tools such as Tableau and Qlik for creating data visualizations
+ Expertise in data mining, forecasting, simulation, and/or predictive modeling
Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.
**Scheduled Weekly Hours**
40
**Pay Range**
The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.
$117,600 - $161,700 per year
This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.
**Description of Benefits**
Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.
Application Deadline: 04-17-2026
**About us**
Humana Inc. (NYSE: HUM) is committed to putting health first - for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large.
**Equal Opportunity Employer**
It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.
Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our ***************************************************************************
$117.6k-161.7k yearly 4d ago
Administrative Assistant III
Scripps 4.3
Washington, DC job
Are you ready to be the organizational backbone that keeps leadership running smoothly? The E.W. Scripps Company is seeking an experienced Administrative Assistant 3 to provide high-level support to our executive team. In this pivotal role, you'll handle confidential matters, manage complex projects, and ensure seamless operations that directly contribute to our company's success. Your expertise in advanced administrative functions will make you an indispensable partner to senior leadership.
WHAT YOU'LL DO:
Schedule and maintain calendar of appointments, meetings and travel itineraries, coordinate related arrangements, and arrange for meeting rooms.
Anticipate and prepare materials needed by the manager for conferences, correspondence, appointments, meetings, telephone calls, etc.
Prepare and complete expense reports, book travel arrangements, and coordinate meetings to ensure seamless business operations.
Prepare advanced business presentation documents and spreadsheets.
Prepare recurring reports independently for signature.
Prepare and distribute minutes from meetings.
Establish and maintain a variety of files and records.
Perform other duties as assigned.
WHAT YOU'LL NEED:
Associates degree in related discipline or equivalent years of experience preferred
Generally, 5+ years of experience in related area of responsibility
Specialized training/certification may be required
WHAT YOU'LL BRING:
Proficiency with various software programs including Microsoft Outlook, Word, Excel, and PowerPoint for Windows.
Above average knowledge of general office practice and business etiquette.
Ability to balance multiple priorities and to work under tight deadlines while providing consistent and professional service.
Ability to perform administrative duties with speed and accuracy without immediate and constant supervision.
Good knowledge of business correspondence composition.
Strong interpersonal and communication skills and the ability to maintain good working relationships with all co-workers.
Strong organizational skills including attention to detail and follow through.
Maintain complete confidentiality, possess a professional demeanor, and exercise discretion at all times.
Be able to work overtime as needed, often with little notice.
WHERE YOU'LL LIVE, WORK AND PLAY:
Washington, D.C. offers an unparalleled blend of history, culture, and career opportunities. As the nation's capital, you'll be surrounded by iconic landmarks like the White House, Capitol Building, and Smithsonian museums. The city boasts world-class dining, vibrant neighborhoods from Georgetown to Dupont Circle, and extensive public transportation making commuting a breeze.
Beyond the monuments, D.C. offers abundant green spaces including Rock Creek Park and the National Mall for outdoor recreation. The city's thriving arts scene includes Kennedy Center performances, countless galleries, and festivals year-round. With nearby access to Virginia wine country, Chesapeake Bay, and the Blue Ridge Mountains, weekend adventures are always within reach. D.C.'s diverse professional community and networking opportunities make it an ideal place to advance your career while enjoying big-city amenities.
#LI-SM2
#LI-Hybrid
COMPENSATION RANGE:Hourly: $28.84 - 31.25
Pursuant to state and local salary transparency laws, the salary range posted is specific to candidates who will perform this work in District of Columbia.
ADDITIONAL BENEFITS:
A career path to grow your professional experiences
Full medical, dental and vision benefits, as well as certain other health and wellness benefits
Retirement savings plan with company match
Other key company benefits include disability accident insurance, hospital indemnity, critical illness, life insurance, AD&D, ID protection, pet discount program, and employee assistance program. More details about timing and conditions of benefits eligibility and other plan terms and conditions will be provided upon hire.
If you are a current Scripps employee, please do not apply on this site. Please access our internal career site at Worklife > My Info > View Open Positions at Scripps.
SCRIPPS' COMMITMENT TO A CULTURE THAT CREATES CONNECTION:
At Scripps, we are committed to a culture that reflects the audiences and communities we serve. We are intentional about creating an environment where employees, our audiences and other stakeholders feel valued and inspired to reach their full potential and create connections. To successfully deliver on this commitment, we must understand and reflect the values and perspectives those around us embody. That process begins by looking inward to build and celebrate a respectful workplace where everyone feels a sense of belonging and connection. By continuing to cultivate an environment where all employees have a fair chance to succeed, are included, valued, and seen, we will strengthen the connections that drive positive business impact and align with our core purpose.
ABOUT SCRIPPS:
The E.W. Scripps Company (NASDAQ: SSP) is a diversified media company focused on creating a better-informed world. As one of the nation's largest local TV broadcasters, Scripps serves communities with quality, objective local journalism and operates a portfolio of more than 60 stations in 40+ markets. Scripps reaches households across the U.S. with national news outlets Scripps News and Court TV and popular entertainment brands ION, Bounce, Defy TV, Grit, ION Mystery and Laff. Scripps is the nation's largest holder of broadcast spectrum. Scripps is the longtime steward of the Scripps National Spelling Bee. Founded in 1878, Scripps' long-time motto is: “Give light and the people will find their own way.”
As an equal employment opportunity employer, The E.W. Scripps Company and its affiliates do not discriminate in its employment decisions on the basis of race, sex, sexual orientation, transgender status, gender, color, religion, age, genetic information, medical condition, disability, marital status, citizenship or national origin, and military membership or veteran status, or on any other basis which would be in violation of any applicable federal, state or local law. Furthermore, the company will make reasonable accommodations for qualified individuals with known disabilities unless doing so would result in an undue hardship for the company.
$28.8-31.3 hourly Auto-Apply 31d ago
Laboratory Student Intern - Central PA and Western MD Hospitals
UPMC 4.3
Annapolis, MD job
Kickstart Your Lab Career This Summer! Spending your summer in Central Pennsylvania or Western Maryland? Studying science and want real, hands-on lab experience? Curious what it's like to work inside a hospital clinical laboratory? If that sounds like you, the UPMC Lab Internship Program could be the perfect fit. Spend 10 weeks working inside one of our hospital-based clinical labs across Central PA and Western MD - learning from experienced Medical Laboratory Scientists, getting exposure to real testing environments, and building the foundation for a future career with UPMC.
About the Lab Internship Program
UPMC's 10-week Lab Internship Program gives science students the opportunity to put what they've learned in the classroom into practice. This is a full-time, paid, hands-on experience designed for students who are serious about exploring lab careers. During the internship, you will:
+ Work side-by-side with experienced clinical laboratory professionals
+ Gain exposure to high-volume, high-acuity lab environments
+ Learn how lab teams support real-time patient care
+ Build confidence performing hands-on, detail-oriented lab tasks
+ Grow your resume while exploring career pathways within UPMC
+ Network with lab leadership and learn about future lab career opportunities
If you're interested in becoming a Medical Laboratory Scientist, MLT, or pursuing any clinical lab profession, this experience will help you sharpen your skills and see what a real hospital lab environment looks like day-to-day.
Where You'll Be Working - Central PA & Western MD Locations
(You'll select your top 3 locations when you apply.)
+ UPMC Altoona
+ UPMC Harrisburg
+ UPMC Lititz
+ UPMC Memorial
+ UPMC Hanover
+ UPMC West Shore
+ UPMC Western Maryland
+ UPMC Community Osteopathic
Required Documents to Upload When You Apply
+ Resume
+ Transcript (non-editable official/unofficial transcripts including university name & student name)
Program Recruitment Expectations
+ Applications open December 29th, 2025
+ Program runs June 1st, 2026, through August 7th 2026
+ Preferred graduation dates: Fall 2026, Spring 2027, or Summer 2027
+ Full-time availability is required with limited time off during the 10-week program
Qualifications
+ High school diploma or equivalent
+ Current enrollment in an Associate or Bachelor of Science program from an accredited college/university
+ Accepted majors include: biological, chemical, physical, or clinical laboratory science
+ Completion of at least two semesters in your degree program
Licensure / Clearances
+ Additional clearances may be required based on location
+ Detailed instructions will be provided during onboarding
$26k-31k yearly est. 21d ago
Actuarial Services Bachelor's Intern
Kaiser Permanente 4.7
Kaiser Permanente job in Hyattsville, MD
2026 Summer Intern Department Details: The actuarial department at Kaiser Permanente plays a crucial role in managing financial risk and ensuring the organization's financial stability. Actuaries at Kaiser Permanente are responsible for a variety of tasks, including pricing, reserving, forecasting, and regulatory compliance.
Internship Projects:
This internship will focus on forecasting for Kaiser Permanente's Mid-Atlantic region. Project work will involve data analysis, financial modeling, and cross-functional collaboration to ensure sustainable and affordable healthcare for KP's Mid-Atlantic membership.
Target Majors:
Math/Statistics; Actuarial Science
Target Skillset:
Microsoft Office (especially Excel) and Microsoft Windows
Job Summary:
Lay the groundwork for a dynamic future with an industry leader. At Kaiser Permanente, youll forge lasting relationships with colleagues across the organization while enjoying the opportunity to grow your experience and hone your expertise on assignments that have real impact. Our interns have worked on everything from analyzing financial software and developing new marketing strategies, to designing mobile apps and helping clinicians improve care delivery. We want you to get the most out of your time here and will give you projects that challenge you to think freely, question thoroughly, and explore deeply.
Essential Responsibilities:
* Contributing to a designated project or initiative to meet a KP business objective.
* Report development and analytics.
* Project management - planning, execution, and measurement.
* Learning new applications needed to complete assignments or support the execution of business objectives.
* Job shadowing in other functional areas.
* Performing additional duties as required.
Overview: The Change Management Consultant serves as a strategic catalyst for transformation within Marketing, shaping and executing a holistic, multi-channel change management and engagement strategy that accelerates adoption, fosters resilience, and strengthens organizational culture. This role orchestrates experiences that inspire alignment, empower employees, and embed change as a driver of growth. By leveraging data-driven insights and innovative engagement approaches, the consultant ensures that every initiative is not only implemented but embraced, creating a seamless transition from current state to future vision. Through compelling narratives, transparent communication, and targeted interventions, this role transforms disruption into opportunity, enabling teams to thrive in dynamic environments and positioning Marketing as a model for agility and collaboration
Job Summary:
Serves as a lead consultant to ensure the alignment, buy-in, and coordination of diverse stakeholders to drive the implementation of strategic business initiatives and projects/programs across multiple functional tracks or workstreams. Drives business strategy, organizational alignment, and prioritization of business initiatives. Leads the work of project/program team members. Provides expertise and drives the development and implementation of business initiatives, systems, and/or processes to a desired future state. Manages complex, cross-functional projects/programs, and serves as an expert in the proactive monitoring and identification of client, project, program, and/or business risks. Designs, leads, and serves as an expert for change management plans associated with business initiatives. Leads assessment of strategic performance metrics to support business initiatives. Participates in vendor management as required. Monitors compliance of work activities by ensuring business plans and team members adhere to relevant policies and procedures.
Essential Responsibilities:
* Promotes learning in others by communicating information and providing advice to drive projects forward; builds relationships with cross-functional stakeholders. Listens, responds to, seeks, and addresses performance feedback; provides actionable feedback to others, including upward feedback to leadership and mentors junior team members. Practices self-leadership; creates and executes plans to capitalize on strengths and improve opportunity areas; influences team members within assigned team or unit. Adapts to competing demands and new responsibilities; adapts to and learns from change, challenges, and feedback. Models team collaboration within and across teams.
* Conducts or oversees business-specific projects by applying deep expertise in subject area; promotes adherence to all procedures and policies. Partners internally and externally to make effective business decisions; determines and carries out processes and methodologies; solves complex problems; escalates high-priority issues or risks, as appropriate; monitors progress and results. Develops work plans to meet business priorities and deadlines; coordinates and delegates resources to accomplish organizational goals. Recognizes and capitalizes on improvement opportunities; evaluates recommendations made; influences the completion of project tasks by others.
* Serves as a lead consultant to ensure the alignment, buy-in, and coordination of diverse stakeholders to drive the implementation of strategic business initiatives and projects/programs across multiple functional tracks or workstreams by identifying and ensuring representation and inclusion of appropriate stakeholders; building rapport and partnerships with key stakeholder teams, third party vendors, and executive management; working with stakeholders to develop goals and set the prioritization of deliverables; developing a menu of solutions for complex, competing, or ambiguous requests; discussing involvement of business processes (e.g. change management, communication) and facilitating decisions necessary for the delivery of business initiatives; communicating and resolving tough issues with stakeholders while maintaining an independent perspective; and making formal presentations and providing reports to executive level audiences.
* Drives business strategy, organizational alignment, and prioritization of business initiatives by working closely with senior executives to facilitate the development, refinement, and articulation of the business strategy; defining, developing, and evaluating performance metrics, standards, and methods to establish business success; leading the development of strategic roadmaps for solution development and deployment; collaborating with senior cross-functional stakeholders, often with competing/conflicting objectives to ensure cohesive and reachable metrics; refining strategic plans and performance metrics as appropriate; and managing complex initiatives or portfolio to ensure delivery of measurable results and alignment with strategic objectives.
* Leads the work of project/program team members by requesting and coordinating internal and/ or external resources based on the alignment of team member skills and project/program demands; delivering and promoting strategic vision and objectives to team members; and delivering performance feedback to team members supervisors and leadership as appropriate.
* Develops requirements, or leads a team of consultants in the development of requirements for large-scale, complex, or specialized business, process, or system solutions across business domain(s) by partnering with stakeholders and cross-functional teams as appropriate; leveraging multiple business requirements gathering methodologies to identify business, functional, and non-functional requirements; and leading and overseeing the development and documentation of comprehensive business cases to assess the costs, benefits, and ROI of proposed solutions.
* Provides expertise and drives the development and implementation of business initiatives, systems, and/or processes to a desired future state by maintaining a comprehensive understanding of how current processes impact business operations across multiple domains; mapping current state against future state processes; leveraging stakeholder partnerships to identify the operational needs and impact of requirements on upstream and downstream solution components; providing options and recommendations to executive management and business stakeholders on how to integrate solutions and deliverables with current systems and business processes across regions and domains; identifying and validating value gaps and opportunities for process enhancements or efficiencies; and leading the establishment of appropriate governance and workgroup infrastructures to accomplish strategic outcomes.
* Manages complex, cross-functional projects and/or programs by coordinating stakeholders; recommending or assigning team resources based on project needs and team member strengths; consulting in the development, analysis, and management of project/program plans; collaborating on the coordination of project/program scope, schedules, and resource forecasts; proactively monitoring and identifying project/program/business initiative risks, issues, and trigger events; developing mitigation plans and strategies; and resolving or escalating risks or issues as appropriate.
* Serves as an expert in the proactive monitoring and identification of client, project, program, and/or business risks, issues, and trigger events by leading the development of mitigation plans and strategies; and resolving or escalating risks or issues as appropriate.
* Designs, leads, and serves as an expert for change management plans associated with business initiatives by engaging stakeholders to obtain support and buy in for changes; partnering with executive management, project/program champions, and business owners to communicate and align improvement initiatives with business objectives; identifying appropriate change management method and approach; and ensuring stakeholders embrace a change management mindset, understand intent and purpose, and foster a culture of change.
* Leads the assessment of strategic performance metrics to support business initiatives by building partnerships with data analytic teams to ensure the translation of business requirements into analytic specifications; identifying appropriate data analysis tools and approach to assess business performance; determining suitable data gathering and analysis methods (e.g., process observation, hard data, etc.); defining data requirements and obtaining customer agreements, including customer requirements as appropriate; conducting advanced statistical analyses and/or testing to evaluate the effectiveness of business solutions; and identifying and alleviating risks through data-driven analysis.
* Serves as a lead advocate for continuous learning and professional development by keeping abreast of cutting edge industry practices, standards, and benchmarks; attending and presenting at roadshows, conferences, training seminars, and/or speaking events as appropriate; leading the ongoing enhancement and innovation of consulting practices, standards, and methods across KP; serving as an advocate to ensure continuous learning and improvement is championed as a people strategy; providing training and guidance to stakeholders as appropriate; and providing ongoing coaching to build a continuous improvement mindset and build capabilities that drive results.
* Participates in vendor management as required by reviewing vendor performance levels; ensuring service level agreements are met; managing vendor invoices; and partnering with Procurement and/or Legal to develop service level and/or scope of work agreements as appropriate.
* Monitors compliance of work activities by ensuring business plans and team members adhere to KP, departmental, and/or business line policies and procedures.
$82k-131k yearly est. 6d ago
Utilization Management Appeals Nurse
Humana 4.8
Washington, DC job
**Become a part of our caring community and help us put health first** The Utilization Management Nurse 2 utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action.
Humana is seeking a Part C Grievance & Appeals (G&A) Nurse who will assist in preparation of cases prior to review by the Humana G&A Medicare Medical Directors. The Nurse reviews the medical documentation, researching claims, benefits, as well as prior determinations pertinent to the appeal and provides a written summary of findings using a template for each case. The associate will be working and collaborating with Humana CIT teams, Vendors, G&A specialists, and Humana Medical Directors on submitted G&A cases. The G&A Nurse will participate in initiatives which result in improved member outcomes, operational efficiencies, and process improvement opportunities.
+ Case preparation of Medicare and/or Duals line of businessinvolving expedited, pre-service and post serviceappeals
+ Apply and implement Medicare, Medicaid,MCG, claims policy and evidence of coverage guidelines for reviews
+ Perform outreach to providers and/or members
+ Utilize multiple systems such as MHK, CGX, MRM, SRO
**Use your skills to make an impact**
**Required Qualifications**
+ Licensed Registered Nurse (RN) in the (appropriate state) with no disciplinary action
+ 3 or more years of clinical experience preferably in an acute care, skilled or rehabilitation clinical setting or broad clinical nursing experience
+ Comprehensive knowledge of Microsoft Word, Outlook and Excel
+ Strong organizational and effective time management skills
+ Ability to work independently under general instructions and with a team
**Preferred Qualifications**
+ Bachelor's degree (BSN)
+ Appeal Review Experience
+ Knowledge of MHK
+ Previous Medicare/Medicaid Experience
+ Previous experience in utilization management
+ Previous claims experience
**Work-At-Home Requirements**
To ensure Home or Hybrid Home/Office associates' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office associates must meet the following criteria:
+ At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is suggested
+ Satellite, cellular and microwave connection can be used only if approved by leadership
+ Associates who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense
+ Humana will provide Home or Hybrid Home/Office associates with telephone equipment appropriate to meet the business requirements for their position/job
+ Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information
**Additional Information**
+ Hours are Monday-Friday 9am-6pm EST with a weekend rotation (Your 8-hour shift will fall within this timeframe)
+ Candidate's must also commit to working on the holidays as needed
+ This is a remote position, but all candidates must work in the Eastern Standard Time Zone (EST)
Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.
**Scheduled Weekly Hours**
40
**Pay Range**
The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.
$71,100 - $97,800 per year
This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.
**Description of Benefits**
Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.
Application Deadline: 01-21-2026
**About us**
Humana Inc. (NYSE: HUM) is committed to putting health first - for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large.
**Equal Opportunity Employer**
It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.
Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our ***************************************************************************
$71.1k-97.8k yearly 3d ago
Payroll Manager
Planned Parenthood Federation of America Inc. 4.4
Washington, DC job
Planned Parenthood is the nation's leading provider and advocate of high-quality, affordable sexual and reproductive health care for all people, as well as the nation's largest provider of sex education. Planned Parenthood organizations serve all people with care and compassion, with respect, and without judgment, striving to create equitable access to health care. Through health centers, programs in schools and communities, and online resources, Planned Parenthood is a trusted source of reliable education and information that allows people to make informed health decisions. We do all this because we care passionately about helping people lead healthier lives.
Planned Parenthood Federation of America (PPFA) is a 501(c)(3) charitable organization that supports the independently incorporated Planned Parenthood affiliates, which operate non-profit health centers across the U.S. PPFA also works to educate the public on and advocate for issues of sexual and reproductive health. Formed as the advocacy and political arm of Planned Parenthood Federation of America, Planned Parenthood Action Fund is a separate non-profit membership organization tax-exempt under section 501(c)(4). The Action Fund engages in educational, advocacy, and limited electoral activity, including grassroots organizing, legislative advocacy, and voter education in furtherance of the Planned Parenthood mission.
Planned Parenthood Federation of America (PPFA) and Planned Parenthood Action Fund (PPAF) seek an experienced and detail-oriented Payroll Manager. This job reports to the Assistant Controller in the Finance Department of the Office of the Chief Financial Officer of PPFA. The Finance Department provides confidence to all stakeholders in the fiscal and fiduciary responsibility of Planned Parenthood Federation of America (PPFA), and Planned Parenthood Action Fund (PPAF) and its related entities (collectively the Organizations) with a commitment to customer service, sound controls, compliance monitoring, and timely, accurate, and complete reporting, analysis and decision support to further the Federation's mission.
Purpose:
* The Payroll Manager is responsible for overseeing and managing the Organization's payroll functions, ensuring pay is processed on time, accurately, and in compliance with government regulations.
* They will analyze and interpret payroll data, understanding trends, analyzing variances, and exercising critical thinking as they collaborate with the Finance leadership team.
Engagement:
* Works with staff in other departments as well as the People, Culture & Equity department to coordinate the payroll process and produce work that is on time and meets performance goals.
* Collaborate with IT on optimization of payroll systems.
* Collaborate with all Finance teams to provide accurate, real-time data to our stakeholders, enabling them to make strategic decisions.
* Collaborating with Payroll Specialists and consultants as needed to lead a successful year-end.
* Collaborate with Benefits to ensure a smooth annual open enrollment period
* Assist Assistant Controller with the annual 401K audit
Delivery:
* Oversee and manage the end-to-end payroll process for all employees, ensuring timely and accurate payroll disbursements.
* Supervise Payroll Specialists
* Ensure compliance with federal, state, and local payroll, wage, and hour laws and best practices, including registration with the states.
* Handle complex payroll tasks, including review of off-cycle payments, retroactive adjustments, and garnishments.
* Troubleshoot and resolve payroll system issues promptly.
* Ensure a high level of customer service and satisfaction by addressing and resolving payroll-related concerns promptly in collaboration with the Payroll Specialist.
* Provide information for annual financial statement audit
* Provide training in a live or virtual format for new hires and PPFA Intranet on payroll system
* Perform other duties as assigned.
Knowledge, Skills and Abilities (KSAs):
* Bachelor's degree in Accounting, Finance, Human Resources, or a related field preferred.
* CPP (Certified Payroll Professional) or FPC (Fundamental Payroll Certification)
* Minimum of 5-7 years of experience in payroll management, with at least 3 years in a supervisory role.
* Extensive knowledge of federal, state, and local payroll tax regulations.
* Proven experience with state registrations and filings.
* Proficient in UKG or other payroll software and Microsoft Excel.
* Excellent organizational skills and attention to detail.
* Exceptional communication and interpersonal skills.
* Ability to handle confidential information with discretion and professionalism.
* Ability to work collaboratively and flexibly with a dynamic, fast-moving team, completing multiple tasks with poise, accuracy, and confidence.
* Strong organizational, analytical, and problem-solving skills
* Strong oral and written communication skills
* High proficiency in Google products
* Flexibility and ability to adapt to quickly changing priorities and ambiguous situations
* Commitment to PPFA's mission and diversity, equity, and inclusion, particularly surrounding race equity
* A deep commitment to Planned Parenthood's mission of promoting Sexual and Reproductive Health.
$92,000 - $100,000 a year
Travel: 5-10% domestic
Planned Parenthood Federation of America participates in the E-Verify program. Planned Parenthood Federation of America is an equal employment opportunity employer and is committed to maintaining a non-discriminatory work environment, and does not discriminate against any employee or applicant for employment on the basis of race, color, religion, sex, national origin, age, disability, veteran status, marital status, sexual orientation, gender identity, or any other characteristic protected by applicable law. Planned Parenthood is committed to creating a dynamic work environment that values diversity and inclusion, respect and integrity, customer focus, and innovation.
$92k-100k yearly 37d ago
Managerial Consultant V, National Health Plan Enablement & Integration
Kaiser Permanente 4.7
Kaiser Permanente job in Silver Spring, MD
Kaiser Permanente strives to offer a market competitive total rewards package and is committed to pay equity and transparency. The posted pay range is based on possible base salaries for the role and does not reflect the full value of our total rewards package. Actual base pay determined at offer will be based on labor market data and a candidate's years of relevant work experience, education, certifications, skills, and geographic location. Salary range in other locations will be lower.
Overview: The new National Health Plan Enablement & Integration team's objective is to deliver immediate outcomes for the organization, while laying the groundwork necessary for Kaiser Permanente's long-term, sustainable performance. This team will drive enterprise health plan process improvement and the implementation of business methodologies and best practices, with the outcome of operational effectiveness and high-reliability systems. Collaboration with KP's markets and health plan teams is central to the approach towards modernization of health plan capabilities. The Managerial Consultant V will support strategy and cross-functional, multi-year operation plan, performance management, and operational model & process standardization.
Job Summary:
Serves as a lead consultant to ensure the alignment, buy-in, and coordination of diverse stakeholders to drive the implementation of strategic business initiatives and projects/programs across multiple functional tracks or workstreams. Drives business strategy, organizational alignment, and prioritization of business initiatives. Leads the work of project/program team members. Provides expertise and drives the development and implementation of business initiatives, systems, and/or processes to a desired future state. Manages complex, cross-functional projects/programs, and serves as an expert in the proactive monitoring and identification of client, project, program, and/or business risks. Designs, leads, and serves as an expert for change management plans associated with business initiatives. Leads assessment of strategic performance metrics to support business initiatives. Participates in vendor management as required. Monitors compliance of work activities by ensuring business plans and team members adhere to relevant policies and procedures.
Essential Responsibilities:
* Promotes learning in others by communicating information and providing advice to drive projects forward; builds relationships with cross-functional stakeholders. Listens, responds to, seeks, and addresses performance feedback; provides actionable feedback to others, including upward feedback to leadership and mentors junior team members. Practices self-leadership; creates and executes plans to capitalize on strengths and improve opportunity areas; influences team members within assigned team or unit. Adapts to competing demands and new responsibilities; adapts to and learns from change, challenges, and feedback. Models team collaboration within and across teams.
* Conducts or oversees business-specific projects by applying deep expertise in subject area; promotes adherence to all procedures and policies. Partners internally and externally to make effective business decisions; determines and carries out processes and methodologies; solves complex problems; escalates high-priority issues or risks, as appropriate; monitors progress and results. Develops work plans to meet business priorities and deadlines; coordinates and delegates resources to accomplish organizational goals. Recognizes and capitalizes on improvement opportunities; evaluates recommendations made; influences the completion of project tasks by others.
* Serves as a lead consultant to ensure the alignment, buy-in, and coordination of diverse stakeholders to drive the implementation of strategic business initiatives and projects/programs across multiple functional tracks or workstreams by identifying and ensuring representation and inclusion of appropriate stakeholders; building rapport and partnerships with key stakeholder teams, third party vendors, and executive management; working with stakeholders to develop goals and set the prioritization of deliverables; developing a menu of solutions for complex, competing, or ambiguous requests; discussing involvement of business processes (e.g. change management, communication) and facilitating decisions necessary for the delivery of business initiatives; communicating and resolving tough issues with stakeholders while maintaining an independent perspective; and making formal presentations and providing reports to executive level audiences.
* Drives business strategy, organizational alignment, and prioritization of business initiatives by working closely with senior executives to facilitate the development, refinement, and articulation of the business strategy; defining, developing, and evaluating performance metrics, standards, and methods to establish business success; leading the development of strategic roadmaps for solution development and deployment; collaborating with senior cross-functional stakeholders, often with competing/conflicting objectives to ensure cohesive and reachable metrics; refining strategic plans and performance metrics as appropriate; and managing complex initiatives or portfolio to ensure delivery of measurable results and alignment with strategic objectives.
* Leads the work of project/program team members by requesting and coordinating internal and/ or external resources based on the alignment of team member skills and project/program demands; delivering and promoting strategic vision and objectives to team members; and delivering performance feedback to team members supervisors and leadership as appropriate.
* Develops requirements, or leads a team of consultants in the development of requirements for large-scale, complex, or specialized business, process, or system solutions across business domain(s) by partnering with stakeholders and cross-functional teams as appropriate; leveraging multiple business requirements gathering methodologies to identify business, functional, and non-functional requirements; and leading and overseeing the development and documentation of comprehensive business cases to assess the costs, benefits, and ROI of proposed solutions.
* Provides expertise and drives the development and implementation of business initiatives, systems, and/or processes to a desired future state by maintaining a comprehensive understanding of how current processes impact business operations across multiple domains; mapping current state against future state processes; leveraging stakeholder partnerships to identify the operational needs and impact of requirements on upstream and downstream solution components; providing options and recommendations to executive management and business stakeholders on how to integrate solutions and deliverables with current systems and business processes across regions and domains; identifying and validating value gaps and opportunities for process enhancements or efficiencies; and leading the establishment of appropriate governance and workgroup infrastructures to accomplish strategic outcomes.
* Manages complex, cross-functional projects and/or programs by coordinating stakeholders; recommending or assigning team resources based on project needs and team member strengths; consulting in the development, analysis, and management of project/program plans; collaborating on the coordination of project/program scope, schedules, and resource forecasts; proactively monitoring and identifying project/program/business initiative risks, issues, and trigger events; developing mitigation plans and strategies; and resolving or escalating risks or issues as appropriate.
* Serves as an expert in the proactive monitoring and identification of client, project, program, and/or business risks, issues, and trigger events by leading the development of mitigation plans and strategies; and resolving or escalating risks or issues as appropriate.
* Designs, leads, and serves as an expert for change management plans associated with business initiatives by engaging stakeholders to obtain support and buy in for changes; partnering with executive management, project/program champions, and business owners to communicate and align improvement initiatives with business objectives; identifying appropriate change management method and approach; and ensuring stakeholders embrace a change management mindset, understand intent and purpose, and foster a culture of change.
* Leads the assessment of strategic performance metrics to support business initiatives by building partnerships with data analytic teams to ensure the translation of business requirements into analytic specifications; identifying appropriate data analysis tools and approach to assess business performance; determining suitable data gathering and analysis methods (e.g., process observation, hard data, etc.); defining data requirements and obtaining customer agreements, including customer requirements as appropriate; conducting advanced statistical analyses and/or testing to evaluate the effectiveness of business solutions; and identifying and alleviating risks through data-driven analysis.
* Serves as a lead advocate for continuous learning and professional development by keeping abreast of cutting edge industry practices, standards, and benchmarks; attending and presenting at roadshows, conferences, training seminars, and/or speaking events as appropriate; leading the ongoing enhancement and innovation of consulting practices, standards, and methods across KP; serving as an advocate to ensure continuous learning and improvement is championed as a people strategy; providing training and guidance to stakeholders as appropriate; and providing ongoing coaching to build a continuous improvement mindset and build capabilities that drive results.
* Participates in vendor management as required by reviewing vendor performance levels; ensuring service level agreements are met; managing vendor invoices; and partnering with Procurement and/or Legal to develop service level and/or scope of work agreements as appropriate.
* Monitors compliance of work activities by ensuring business plans and team members adhere to KP, departmental, and/or business line policies and procedures.
$96k-119k yearly est. 6d ago
Manager, Provider Relations HP (Washington Healthplan)
Molina Healthcare 4.4
Washington, DC job
***This role will support Providers in the state of Washington****
Molina Health Plan Network Provider Relations jobs are responsible for network development, network adequacy and provider training and education, in alignment with Molina Healthcare's overall mission, core values, and strategic plan and in compliance with all relevant federal, state and local regulations. Provider Relations staff are the primary point of contact between Molina Healthcare and contracted provider network. In partnership with Director, manages and coordinates the Provider Services activities for the state health plan. Works with direct management, corporate, and staff to develop and implement standardized provider servicing and relationship management plans.
Job Duties
Manages the Plan's Provider Relations functions and team members. Responsible for the daily operations of the department working collaboratively with other operational departments and functional business unit stakeholders to lead or support various Provider Services functions with an emphasis on contracting, education, outreach and resolving provider inquiries.
• In conjunction with the Director, Provider Network Management & Operations, develops health plan-specific provider contracting strategies, identifying specialties and geographic locations on which to concentrate resources for purposes of establishing a sufficient network of Participating Providers to serve the health care needs of the Plan's patients or members.
• Oversees and leads the functions of the external provider representatives, including developing and/or presenting policies and procedures, training materials, and reports to meet internal/external standards.
• Manages and directs the Provider Service staff including hiring, training and evaluating performance.
• Assists with ongoing provider network development and the education of contracted network providers regarding plan procedures and claim payment policies.
• Develops and implements tracking tools to ensure timely issue resolution and compliance with all applicable standards.
• Oversees appropriate and timely intervention/communication when providers have issues or complaints (e.g., problems with claims and encounter data, eligibility, reimbursement, and provider website).
• Serves as a resource to support Plan's initiatives and help ensure regulatory requirements and strategic goals are realized.
• Ensures appropriate cross-departmental communication of Provider Service's initiatives and contracted network provider issues.
• Designs and implements programs to build and nurture positive relationships between contracted providers, ancillary providers, hospital facilities and Plan.
• Develops and implements strategies to increase provider engagement in HEDIS and quality initiatives.
• Engages contracted network providers regarding cost control initiatives, Medical Care Ratio (MCR), non-emergent utilization, and CAHPS to positively influence future trends.
• Develops and implements strategies to reduce member access grievances with contracted providers.
• Oversees the IHH program and ensures IHH program alignment with department requirements, provider education and oversight, and general management of the IHH program
• Approximately 10-20% travel, mostly daytime, thoughout the state of Washington
Job Qualifications
REQUIRED EDUCATION:
Bachelor's Degree in Health or Business related field or equivalent experience.
REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES:
• 5-7 years experience servicing individual and groups of physicians, hospitals, integrated delivery systems, and ancillary providers with Medicaid and/or Medicare products
• 5+ years previous managed healthcare experience.
• Previous experience with community agencies and providers.
• Experience demonstrating working familiarity with various managed healthcare provider compensation methodologies, primarily across Medicare or Medicaid lines of business, including but not limited to: fee-for service, value-based contracts, capitation and delegation models, and various forms of risk, ASO, agreements, etc.
• Experience with preparing and presenting formal presentations.
• 2+ years in a direct or matrix leadership position
• Min. 2 years experience managing/supervising employees.
PREFERRED EDUCATION:
Master's Degree in Health or Business related field
PREFERRED EXPERIENCE:
• 5-7 years managed healthcare administration experience.
• Specific experience in provider services, operations, and/or contract negotiations in a Medicare and Medicaid managed healthcare setting, ideally with different provider types (e.g., physician, groups and hospitals).
To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
$82k-125k yearly est. Auto-Apply 15d ago
Surgical First Assistant, Part-time, Tysons
Kaiser Permanente 4.7
Kaiser Permanente job in McLean, VA
Under direct and immediate supervision of a surgeon will perform the role of 1st assistant during surgical procedures. Essential Responsibilities: + Positions the patient in accordance with the surgeons instruction. + Uses standard and specialized equipment to aid in patient positioning.
+ Provides the surgeon with appropriate visualization of the operative site using retractors, sponges, digital manipulation, and other techniques according to standards.
+ Utilizes appropriate technique to assist surgeon with temporary or permanent hemostasis by providing aid in exposure, hemostasis, and other technical functions that will help the surgeon carry out a safe operation with optimal results for the patient.
+ Performs duties as a surgical technician in all surgical specialties practicing in the ambulatory surgery center.
+ Utilizes appropriate techniques to assist with closure of body planes, i.e., sutures and staples.
+ Selects and applies appropriate wound dressings.
+ Assists with patient transport to and from OR, including from gurney to bed.
+ Participates in monitoring quality of care according to professional standards and established criteria.
+ Performs other related duties as indicated.
Basic Qualifications:
Experience
+ Minimum one (1) year of continuous, documented experience of surgical technologist practice AND eligible for certification as a CSTFA or SA-C).
Education
+ High School Diploma or General Education Development (GED) required.
License, Certification, Registration
+ Surgical Technologist License (Virginia) OR Surgical First Assistant Certificate from National Board of Surgical Technology and Surgical Assisting OR Surgical Assistant Certificate within 12 months of hire from National Surgical Assistant Association
+ Surgical Technologist License (Virginia)
+ Basic Life Support required at hire
Additional Requirements:
+ Clinical competence required by attending staff development programs.
Preferred Qualifications:
+ Graduate of a First Assistant Program preferred.
COMPANY: KAISER
TITLE: Surgical First Assistant, Part-time, Tysons
LOCATION: McLean, Virginia
REQNUMBER: 1387814
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.
$48k-62k yearly est. 60d+ ago
Billing Analyst II
Planned Parenthood of Washington Dc 4.4
Washington, DC job
Support PPMW's Revenue Cycle activities by assuming a senior role within the medical billing team. Oversee complex billing processes, conduct team training, and ensuring accurate and timely reimbursement for medical services. Oversee and assist in performing all billing and collection functions, including payment posting, A/R follow up, credit review, and grant billing. Provide feedback as appropriate, to improve affiliate performance and increase reimbursement. Active participant in meetings. Complete revenue cycle special projects as assigned.
Requirements
Handle high level billing tasks, including complex medical claims, appeals, and disputed charges.
Review and verify claim information for accuracy, completeness, and adherence to payers for reimbursement.
Utilize comprehensive understanding of claim denials to conduct appropriate claim follow-up on all open A/R to ensure prompt adjudication.
Ensure accuracy of billing data and compliance with local, state, and federal regulations, as well as payer -specific regulations.
Assist in the development and implementation of policies, procedures, and workflows to improve efficiency.
Work closely with coding, front office, clinical teams, and third-party vendors to resolve billing discrepancies and denials.
Creation of claim projects with insurance companies and follow through on projects to ensure resolution.
Provide guidance, mentorship, and supervision of reimbursement specialists.
Perform daily ERA, EOB, and patient payment posting.
Reconcile payments posted in Epic to banking deposit logs.
Submit invoices for participating grant programs.
Submit daily electronic and paper claim files, and correct all claim and charge review edits, warnings and errors; run statement files; and download ERAs/EOBs as needed.
Review and monitor clearinghouse claim errors and global payer rejections for possible system edits or payer updates.
Prioritize workflow for reimbursement specialists to ensure the revenue cycle team is completing all necessary tasks.
Daily review of billing work queues.
Credit balance review and processing
Insurance benefit verification.
Analyze payer denial trends and payer coding requirements to ensure payment of claims.
Ensure month-end activities are completed in a timely manner and that month-end reconciliation is accurately completed.
Ensure the affiliate's claim KPIs are satisfied.
Participate in Revenue Cycle Team meetings/conference calls, and provide the necessary reporting, feedback, and training required to improve processes.
Serve as an active agent on the billing line.
Attend PPMW and PPFA training as well as other assigned training to improve knowledge base and claim efficiency.
Follow up on denied claims with payers.
Patient statement processing.
Assistance with credentialing related inquiries and updates.
Complete special projects as needed.
Other responsibilities as assigned.
Qualifications:
Bachelors degree preferred, high school diploma or equivalent required
Three or more years' experience in medical billing and/or Accounts Receivable
Epic experience preferred.
Experience with patient billing and collections.
Access to secure, reliable Internet and utilities.
Salary Description $65,000 - $85,000
$65k-85k yearly 13d ago
Histology Laboratory Assistant
Kaiser Permanente 4.7
Kaiser Permanente job in Rockville, MD
Provides administrative assistance and logistical support to Histology Laboratory through a general understanding of Surgical Pathology Laboratory Operations and regulatory requirements. Essential Responsibilities: * Prepares cases to be grossed-in in the Histology laboratory, accessions cases, checks tissue-examination forms and specimens for completeness and accuracy, and labels specimen cassettes and slides with accession numbers according to varied specimen requirements.
* Assists processing of specimens for testing at the Regional Laboratory Histology Department.
* Follows established procedures for processing of patient samples. Determines the acceptability of specimens and acts on that information.
* Places orders for tests to be performed at reference laboratory (ex. Stone analysis, tick ID, flow specimens, send-out specimens for derm and hematopathology cases, etc.).
* Communicates with medical, clinical and technical staff at other laboratories and medical centers concerning specimen inquiries, problems, and investigations.
* Assists Histology in the assurance that all departmental copies of reports and necessary tissue blocks and slides are maintained in chronological/numerical order and according to appropriate storage requirements.
* Files and maintains microscope slides and paraffin blocks of surgical pathology cases.
* Follows instrument and equipment maintenance and troubleshooting procedures. Maintains records of actions. Attempts to troubleshoot malfunctioning instruments or equipment, referring major problems to the supervisor or designee.
* Prepares stains, performs and documents all QC on stains and reagents in accordance to regulatory requirements.
* Assists the pathologists in fine needle aspiration procedures. Prepares and maintains related reagents and stains.
* Performs duties in compliance with laboratory safety and infection control practices. Wears protective equipment as required.
* Recycles chemicals for re-use in the Histology Department and disposes of biohazardous waste according to company policies.
* Assists material handlers to maintain adequate inventory of clerical and laboratory supplies. Orders supplies for reference lab tests and maintains them by expiration date. Maintains a clean and orderly work area.
* Maintains confidentiality of patient information. Presents a professional appearance and manner to all patients and co-workers.
* Shuttles specimens, and papers between the Histology laboratory and pathology offices.
* Assists supervisor with the orientation and training of new employees.
* Performs other related duties as directed.
$31k-36k yearly est. 24d ago
Informaticist
Humana 4.8
Annapolis, MD job
**Become a part of our caring community and help us put health first** The Provider Analytics organization's vision is to improve member healthcare through innovative analytics and actionable insights, which empower members, and providers to drive higher quality, lower cost of care, and improved health outcomes. Provider Analytics develops and applies actionable analytics and insights, which are integral to business needs, to drive informed provider network strategy and is looking for an Informaticist 2 to join their team.
The Informaticist 2:
+ Designs and constructs models to estimate impact of contractual changes tied to ancillary and industry leading innovative care delivery models
+ Collates, models, interprets and analyzes data in order to identify, explain, and influence variances and trends
+ Explains variances and trends and enhances modeling techniques
+ Utilizes multiple data sources such as SQL, Power BI, Excel, etc., to create advanced analytics to facilitate contracting initiatives
+ Uses a consultative approach to collaborate effectively with the markets, and other customers, building productive cross-functional relationships
+ Extracts historical data, performs data mining, develops insights to drive provider contracting strategy and reimbursement terms for National Ancillary Contracting
+ Develops tools and automates processes to model financial implications of ancillary contracted rate changes, including changes in capitated arrangements
In addition to being a great place to work, Humana also offers industry leading benefits for all employees, starting your FIRST day of employment. Benefits include:
+ Medical Benefits
+ Dental Benefits
+ Vision Benefits
+ Health Savings Accounts
+ Flex Spending Accounts
+ Life Insurance
+ 401(k)
+ PTO including 9 paid holidays, one personal holiday, one day of volunteer time off, 23 days of annual PTO, parental leave, caregiving leave, and weekly well-being time
+ And more
**Use your skills to make an impact**
**Required Qualifications**
+ 3+ years of demonstrated healthcare analytical experience
+ 1+ years SQL experience
+ 1+ years' experience in data visualization (ie. Power BI, Tableau, etc.)
+ Experience in compiling, modeling, interpreting and analyzing data in order to identify, explain, influence variances and trends
+ Experience in managing data to support and influence decisions on day-to-day operations, strategic planning and specific business performance issues
+ Possess a working knowledge and understand department, segment and organizational strategy
**Preferred Qualifications**
+ Bachelor's Degree in analytics or related field
+ Advanced Degree
+ Understanding of healthcare membership, claims, and other data sources used to evaluate cost and other key financial and quality metrics
**Additional Information**
Work at Home/Remote Requirements
**Work-At-Home Requirements**
+ To ensure Home or Hybrid Home/Office associates' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office associates must meet the following criteria:
+ At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended to support Humana applications, per associate.
+ Wireless, Wired Cable or DSL connection is suggested.
+ Satellite, cellular and microwave connection can be used only if they provide an optimal connection for associates. The use of these methods must be approved by leadership. (See Wireless, Wired Cable or DSL Connection in Exceptions, Section 7.0 in this policy.)
+ Humana will not pay for or reimburse Home or Hybrid Home/Office associates for any portion of the cost of their self-provided internet service, with the exception of associates who live or work from Home in the state of California, Illinois, Montana, or South Dakota. Associates who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense.
+ Humana will provide Home or Hybrid Home/Office associates with telephone equipment appropriate to meet the business requirements for their position/job.
+ Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information
**Our Hiring Process**
As part of our hiring process, we will be using an exciting interviewing technology provided by HireVue, a third-party vendor. This technology provides our team of recruiters and hiring managers an enhanced method for decision-making.
If you are selected to move forward from your application prescreen, you will receive correspondence inviting you to participate in a pre-recorded Voice, Text Messaging, and/or Video Interview. If participating in a pre-recorded interview, you will respond to a set of interview questions via your phone or computer. You should anticipate this interview to take approximately 10-15 minutes. Your recorded interview(s) via text and/or pre-recorded voice will be reviewed and you will subsequently be informed if you will be moving forward to next round of interviews.
If you have additional questions regarding this role posting and are an Internal Candidate, please send them to the Ask A Recruiter persona by visiting go/Buzz and searching Ask A Recruiter! Please be sure to provide the requisition number so we may be able to research your request quicker.
\#LI-LM1
Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.
**Scheduled Weekly Hours**
40
**Pay Range**
The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.
$73,400 - $100,100 per year
This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.
**Description of Benefits**
Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.
Application Deadline: 01-21-2026
**About us**
Humana Inc. (NYSE: HUM) is committed to putting health first - for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large.
**Equal Opportunity Employer**
It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.
Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our ***************************************************************************