Molina Healthcare jobs in Columbus, OH - 195 jobs

*Candidates must live in one of the following regions: Delaware, Franklin, Madison, Pickaway, Union Lorain, Medina, Wayne, Stark, Summit, Portage, Cuyahoga, Lake, Geauga, Trumbull, Mahoning, Columbiana Fulton, Lucas, Ottawa, Wood Butler, Hamilton, Warren, Clinton, Clermont Clark, Greene, Montgomery JOB DESCRIPTION Job Summary Provides support for care management/care coordination long-term services and supports specific activities and collaborates with multidisciplinary team coordinating integrated delivery of member care across the continuum for members with high-need potential. Strives to ensure member progress toward desired outcomes and contributes to overarching strategy to provide quality and cost-effective member care. Essential Job Duties • Completes comprehensive member assessments within regulated timelines, including in-person home visits as required. • Facilitates comprehensive waiver enrollment and disenrollment processes. • Develops and implements care plans, including a waiver service plan in collaboration with members, caregivers, physicians and/or other appropriate health care professionals and member support network to address the member needs and goals. • Performs ongoing monitoring of care plan to evaluate effectiveness, document interventions and goal achievement, and suggest changes accordingly. • Promotes integration of services for members including behavioral health care and long-term services and supports (LTSS) and home and community resources to enhance continuity of care. • Assesses for medical necessity and authorizes all appropriate waiver services. • Evaluates covered benefits and advises appropriately regarding funding sources. • Facilitates interdisciplinary care team (ICT) meetings for approval or denial of services and informal ICT collaboration. • Uses motivational interviewing and Molina clinical guideposts to educate, support and motivate change during member contacts. • Assesses for barriers to care and provides care coordination and assistance to members to address psycho/social, financial, and medical obstacles concerns. • Identifies critical incidents and develops prevention plans to assure member health and welfare. • May provide consultation, resources and recommendations to peers as needed. • Care manager RNs may be assigned complex member cases and medication regimens. • Care manager RNs may conduct medication reconciliation as needed. • 25-40% estimated local travel may be required (based upon state/contractual requirements). Required Qualifications • At least 2 years experience in health care, including at least 1 year experience in care management, managed care, and/or experience in a medical or behavioral health setting, and at least 1 year of experience working with persons with disabilities, chronic conditions, substance abuse disorders, and long-term services and supports (LTSS), or equivalent combination of relevant education and experience. • Registered Nurse (RN). License must be active and unrestricted in state of practice. • Valid and unrestricted driver's license, reliable transportation, and adequate auto insurance for job related travel requirements, unless otherwise required by law. • Ability to operate proactively and demonstrate detail-oriented work. • Demonstrated knowledge of community resources. • Ability to work within a variety of settings and adjust style as needed - working with diverse populations and various personalities and personal situations. • Ability to work independently, with minimal supervision and demonstrate self-motivation. • Responsiveness in all forms of communication, and ability to remain calm in high-pressure situations. • Ability to develop and maintain professional relationships. • Excellent time-management and prioritization skills, and ability to focus on multiple projects simultaneously and adapt to change. • Excellent problem-solving and critical-thinking skills. • Strong verbal and written communication skills. • Microsoft Office suite/applicable software program(s) proficiency. • In some states, must have at least one year of experience working directly with individuals with substance use disorders. Preferred Qualifications • Certified Case Manager (CCM). • Experience working with populations that receive waiver services. To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V #PJNurse3 #LI-AC1 Pay Range: $26.41 - $51.49 / HOURLY *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

McKesson is seeking dynamic & engaging individuals to fill multiple Material Handler roles in our distribution center located in Groveport ,OH This will be a contract role with a potential opportunity to expand into a permanent position based on business needs and performance. If we gained your interest in learning more about McKesson, we encourage you to apply by clicking I'M INTERESTED below. If you are passionate about inspiring, motivating, and assisting our team, this opportunity could further enhance our journey and we want to hear from you. Day to day we will be servicing our customers in receiving the medical supplies needed to improve their quality of life. From day one, you will be able to create a positive culture for the entire DC, that reinforces our McKesson values. Job Description Performing the physical tasks involved in the shipping, receiving, storing, and distributing medical products Pulls and fills orders. Working with RF Scanning equipment to maintain records of merchandise shipped, as well as examine, stock, and distribute materials in inventory and on manufacturing lines. Preparing goods for final shipment. Will use power equipment including, but not limited to forklift, hand tools, and other devices operated in a warehouse environment while maintaining the highest level of productivity and accuracy. Standing and engaging in repetitive movement throughout the entire shift. Extensive walking and mandatory overtime as needed is required. Passion around working for a leading healthcare distribution company focused on distributing pharmaceuticals to more than 40,000 customers ranging from retail chains, independent retail pharmacies, hospitals, health systems, and other healthcare facilities. If you like the sound of these job tasks and perks, then starting your career as a Material Handler is right for you! Keep Your Edge - Stay mentally sharp throughout your shift picking, checking, or packing orders as you strategically get the job done. Stay Fit -Get your workout in as you bend, twist, lift up to 50lbs, and walk extensive miles per shift. Take advantage of possible on the job training to operate power equipment and get certified! Our Distribution Centers is climate controlled and utilizes state of the art systems & equipment. Stay comfortable while working in a fast-paced team-oriented environment! Qualifications 1+ year experience working with Warehouse Equipment (Power Industrial Equipment, Forklift, Cherry Picker, Pallet Jack, etc.). The ability to read, write, speak and understand English in order to work independently and to communicate about, understand and follow job and safety-related instructions and rules. Critical Skills: Working knowledge of Material Handling issues. Work experience in a fast-paced, distribution or warehouse environment or stock room strongly preferred; picking/packing, sorting, loading/unloading, scanning, quality inspection or various other warehouse functions. The ability to work the hours listed above, in addition to overtime. * Overtime in most Distribution Centers is mandatory and typically occurs M-W due to our real-time commitments to our customers. Strong reading, addition and subtraction skills needed to manage order specific documentation. Additional Information All your information will be kept confidential according to EEO guidelines. #PDN

McKesson is an impact-driven, Fortune 10 company that touches virtually every aspect of healthcare. We are known for delivering insights, products, and services that make quality care more accessible and affordable. Here, we focus on the health, happiness, and well-being of you and those we serve - we care. What you do at McKesson matters. We foster a culture where you can grow, make an impact, and are empowered to bring new ideas. Together, we thrive as we shape the future of health for patients, our communities, and our people. If you want to be part of tomorrow's health today, we want to hear from you. Pay: $29.37-$36.71/hr Schedule: Mon 3:45 AM-12:15 PM; Tue-Fri 6:00 AM-2:30 PM Training: Mon-Fri, 8:00 AM-4:30 PM What You'll Do Maintain and repair electronic and mechanical systems (conveyors, A-Frames, printers, compressors, strappers, automated equipment). Troubleshoot electrical issues to reduce downtime. Read and interpret electrical schematics. Support all facility maintenance functions and learn new systems. Train team members and work with vendors/contractors. Requirements 3+ years of related maintenance experience. Strong electrical and mechanical troubleshooting skills (relay logic, microprocessor controls, power feeders, transformers, generators, PLCs). 2+ years in mechanical/HVAC or electrical work. Ability to problem-solve during regular and on‑call hours. Flexible schedule, including weekends/holidays. Preferred NEC knowledge, light electrical construction. Experience with Windows XP/7 and work order systems. Understanding of LOTO and OSHA. Leadership and communication skills. Technical degree or trade certification. Why Join Competitive pay and benefits. Growth and advancement opportunities. Training and certifications. Career Level - IC - Operations Support - O3 #MckessonRPO We are proud to offer a competitive compensation package at McKesson as part of our Total Rewards. This is determined by several factors, including performance, experience and skills, equity, regular job market evaluations, and geographical markets. The pay range shown below is aligned with McKesson's pay philosophy, and pay will always be compliant with any applicable regulations. In addition to base pay, other compensation, such as an annual bonus or long-term incentive opportunities may be offered. For more information regarding benefits at McKesson, please click here. Our Base Pay Range for this position $22.28 - $37.14 McKesson has become aware of online recruiting-related scams in which individuals who are not affiliated with or authorized by McKesson are using McKesson's (or affiliated entities, like CoverMyMeds or RxCrossroads) name in fraudulent emails, job postings or social media messages. In light of these scams, please bear the following in mind: McKesson Talent Advisors will never solicit money or credit card information in connection with a McKesson job application. McKesson Talent Advisors do not communicate with candidates via online chatrooms or using email accounts such as Gmail or Hotmail. Note that McKesson does rely on a virtual assistant (Gia) for certain recruiting-related communications with candidates. McKesson job postings are posted on our career site: careers.mckesson.com. McKesson is an Equal Opportunity Employer McKesson provides equal employment opportunities to applicants and employees, without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status, disability, age, genetic information, or any other legally protected category. For additional information on McKesson's full Equal Employment Opportunity policies, visit our Equal Employment Opportunity page. Join us at McKesson!

McKesson is an impact-driven, Fortune 10 company that touches virtually every aspect of healthcare. We are known for delivering insights, products, and services that make quality care more accessible and affordable. Here, we focus on the health, happiness, and well-being of you and those we serve - we care. What you do at McKesson matters. We foster a culture where you can grow, make an impact, and are empowered to bring new ideas. Together, we thrive as we shape the future of health for patients, our communities, and our people. If you want to be part of tomorrow's health today, we want to hear from you. Lead Counsel, Practice Management McKesson Oncology & Multispecialty Position Summary McKesson's General Counsel Organization (GCO) seeks an accomplished and highly experienced healthcare attorney to serve as Lead Counsel for its practice management business within the Oncology & Multispecialty business of McKesson. Primary assignment will be to support The US Oncology Network ("The Network"), one of the nation's largest and most influential physician practice management organizations, focused on the recently acquired CORE Ventures business of The Network. The Network comprises over 45 physician practices with more than 1,400 physicians, caring for an estimated 15% of cancer patients in the United States each year. CORE Ventures is the exclusive management services organization (MSO) for Florida Cancer Specialists & Research Institute, an oncology practice with over 270 physicians and 90 locations across Florida. As Lead Counsel, you will provide strategic legal leadership and expert counsel across all aspects of The Network's operations, supporting business growth, regulatory compliance, and operational excellence in a complex and rapidly evolving healthcare environment, with a focus on supporting the CORE Ventures MSO. You will report to the Managing Chief Counsel, Practice Management, and collaborate with executive leadership, business stakeholders, and cross-functional teams to advance McKesson's mission of improving cancer care and driving innovation in oncology practice management. Key Responsibilities * Serve as a principal legal advisor for CORE Ventures and The US Oncology Network, providing sophisticated, solutions-oriented guidance on a broad range of legal, regulatory, and business matters affecting oncology practice management. * Lead and oversee the negotiation, drafting, and review of complex commercial transactions, including strategic partnerships, physician practice arrangements, technology agreements, and data governance initiatives. * Advise on healthcare regulatory issues (Anti-Kickback Statute, Stark Law, False Claims Act, CMS regulations, state laws), fraud and abuse, privacy, compliance, and licensure matters affecting oncology physician practices. * Develop and implement risk mitigation strategies, ensuring adherence to evolving regulatory requirements and industry best practices in oncology and specialty care. * Collaborate with operations, technology, compliance, and business teams to support growth initiatives, improve performance, and enhance data-driven decision-making for The Network. * Provide leadership and mentorship to attorneys and legal professionals within the Practice Management legal team, fostering a culture of excellence, inclusion, and continuous development. * Engage with senior executives and external stakeholders, representing McKesson, The Network and CORE Ventures in high-stakes negotiations, regulatory matters, and strategic projects. * Proactively identify emerging legal risks and opportunities, and offer pragmatic, business-oriented solutions to complex challenges in oncology practice management. * Coordinate with subject matter experts in litigation, labor and employment, IP, data privacy, security, and healthcare fraud and abuse laws as needed. Qualifications * Juris Doctor (JD) degree from an accredited law school; member in good standing of a state bar. * Minimum 7+ years of relevant legal experience, with significant expertise in healthcare law, physician practice management, and complex commercial transactions. Large law firm and in-house experience preferred. * Demonstrated leadership in managing legal matters and advising senior business executives in a dynamic, fast-paced environment. * Deep knowledge of healthcare regulatory frameworks, including federal and state laws governing oncology physician practices, fraud and abuse, privacy, and compliance. * Exceptional commercial contract drafting, negotiation, and strategic problem-solving skills. * Outstanding interpersonal, communication, and influencing skills, with the ability to build trust and credibility across diverse teams and stakeholders. * Strong business acumen, organizational savvy, and the ability to balance legal risk with business objectives. * Flexibility and willingness to work on a broad variety of legal matters, often under pressure and with competing priorities. Must be authorized to work in the US. Sponsorship is not available for this position. Location: Preference to candidates located near McKesson GCO hubs at The Woodlands, TX; Dallas-Fort Worth, TX; Atlanta, GA; and Washington, DC or CORE Ventures offices in southwest Florida (Tampa, St. Petersburg, Ft. Myers); with flexibility to work from home and come into the office only as required for meetings and events We are proud to offer a competitive compensation package at McKesson as part of our Total Rewards. This is determined by several factors, including performance, experience and skills, equity, regular job market evaluations, and geographical markets. The pay range shown below is aligned with McKesson's pay philosophy, and pay will always be compliant with any applicable regulations. In addition to base pay, other compensation, such as an annual bonus or long-term incentive opportunities may be offered. For more information regarding benefits at McKesson, please click here. Our Base Pay Range for this position $157,500 - $262,500 McKesson is an Equal Opportunity Employer McKesson provides equal employment opportunities to applicants and employees and is committed to a diverse and inclusive environment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status, disability, age or genetic information. For additional information on McKesson's full Equal Employment Opportunity policies, visit our Equal Employment Opportunity page. Join us at McKesson!

McKesson is an impact-driven, Fortune 10 company that touches virtually every aspect of healthcare. We are known for delivering insights, products, and services that make quality care more accessible and affordable. Here, we focus on the health, happiness, and well-being of you and those we serve - we care. What you do at McKesson matters. We foster a culture where you can grow, make an impact, and are empowered to bring new ideas. Together, we thrive as we shape the future of health for patients, our communities, and our people. If you want to be part of tomorrow's health today, we want to hear from you. About The Team CoverMyMeds' (CMM) Hub Solutions Product Team is looking for a Director, Product Management with responsibility for our FRM and "front-end" HUB products. The Hub Solutions product team is a dynamic group of 25 product managers focused on providing best in class solutions to biopharma to help patients get the medicine they need to live healthier lives. Our products directly support patients navigating the complexity of getting on specialty therapies. The other side of the HUB Product Org oversees our "full HUB" products where we provide end to end solutions for biopharma patient services What You'll Do As a Director, Product Management you will report directly to the VP of HUB Products, and your responsibilities will include: Own the product strategy and roadmap for the following products: * Front End HUB Services (internally called AMP package A) - this includes data connections with 3rd party HUBS to provide e-enrollment and PA status information from the CMM PA portal * Services currently in pilot including "Digital Destination" whereby a HUB can provide information back to providers on the CMM portal * Non-dispensing pharmacies that support the HUB product portfolio * Field Reimbursement Services where we deploy Field Reimbursement Managers on behalf of biopharma to support patient access needs in the physician office * Clinical Adherence including a nursing cage manager product and a digital adherence solution in development * Engage directly with engineering partners on product delivery * Own the P&L of these products (~$130M total revenue) * Partner with the HUB product teams in launch and commercialization to coordinate new sales with the commercial team and program launches. * Lead of a team of 8 product managers including two senior managers * Provides industry expertise, understanding competitive intelligence and liaising with CSBD and analytics teams to gather insights and inform product strategy * Regularly interacts with senior management or executive levels on matters concerning several functional areas, divisions, and/or customers Skills You'll Need * Degree or equivalent experience. Typically requires 10+ years of professional experience and 5+ years of diversified leadership, planning, communication, organization, and people skills * Product management including backlog management and experience partnering with software development teams * Product Development Lifecycle including experience brining new products to market * Strong financial acumen including P&L and financial management experience * Strategic thinking and execution * People leadership Preferred Skills * Change Management and adaptability * Stakeholder Management and exceptional collaboration skills * Pharma Manufacturer Patient Services / Market Access Expertise * Specialty Pharmacy Expertise We are proud to offer a competitive compensation package at McKesson as part of our Total Rewards. This is determined by several factors, including performance, experience and skills, equity, regular job market evaluations, and geographical markets. The pay range shown below is aligned with McKesson's pay philosophy, and pay will always be compliant with any applicable regulations. In addition to base pay, other compensation, such as an annual bonus or long-term incentive opportunities may be offered. For more information regarding benefits at McKesson, please click here. Our Base Pay Range for this position $133,500 - $222,500 McKesson has become aware of online recruiting-related scams in which individuals who are not affiliated with or authorized by McKesson are using McKesson's (or affiliated entities, like CoverMyMeds or RxCrossroads) name in fraudulent emails, job postings or social media messages. In light of these scams, please bear the following in mind: McKesson Talent Advisors will never solicit money or credit card information in connection with a McKesson job application. McKesson Talent Advisors do not communicate with candidates via online chatrooms or using email accounts such as Gmail or Hotmail. Note that McKesson does rely on a virtual assistant (Gia) for certain recruiting-related communications with candidates. McKesson job postings are posted on our career site: careers.mckesson.com. McKesson is an Equal Opportunity Employer McKesson provides equal employment opportunities to applicants and employees, without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status, disability, age, genetic information, or any other legally protected category. For additional information on McKesson's full Equal Employment Opportunity policies, visit our Equal Employment Opportunity page. Join us at McKesson!

McKesson is an impact-driven, Fortune 10 company that touches virtually every aspect of healthcare. We are known for delivering insights, products, and services that make quality care more accessible and affordable. Here, we focus on the health, happiness, and well-being of you and those we serve - we care. What you do at McKesson matters. We foster a culture where you can grow, make an impact, and are empowered to bring new ideas. Together, we thrive as we shape the future of health for patients, our communities, and our people. If you want to be part of tomorrow's health today, we want to hear from you. CoverMyMeds, a subsidiary of McKesson Corporation, is a leading healthcare technology company dedicated to helping patients get the medications they need to live healthier lives. Our solutions streamline the prior authorization process and integrate seamlessly with electronic health records and pharmacy systems, saving time for healthcare providers and improving outcomes for patients. Headquartered in Columbus, Ohio, we are committed to innovation, collaboration, and making a meaningful impact in healthcare. Role Overview We're seeking a seasoned Senior Database Administrator with deep expertise in Oracle and PostgreSQL to manage and optimize our critical database systems across on-prem and cloud environments (especially Azure). This role ensures high availability, performance, and security of our data infrastructure while collaborating across teams to drive continuous improvement. Key Responsibilities Monitor and maintain Oracle and PostgreSQL databases (on-prem and cloud). Administer Azure PostgreSQL environments. Implement schema updates, backup/recovery strategies, and security protocols. Optimize performance through query tuning and capacity planning. Develop and maintain disaster recovery and business continuity plans. Document configurations and changes accurately. Evaluate and integrate new database technologies and tools. Minimum Qualifications Degree or equivalent and typically requires 7+ years of relevant experience Education: Bachelor's degree in Computer Science, Information Systems, or related field (or equivalent experience). Critical Skills: 7+ years of experience in database administration. 5+ years managing large-scale Oracle and PostgreSQL environments (cloud and on-prem). Proficient in Linux/Unix system administration and shell scripting. Strong understanding of database best practices, performance tuning, and security. Preferred Skills Oracle DBA (OCP) certification. Experience with Ansible, Terraform, Docker, Kubernetes. Familiarity with Azure and/or Google Cloud Platform. Scripting in Python or Bash. We are proud to offer a competitive compensation package at McKesson as part of our Total Rewards. This is determined by several factors, including performance, experience and skills, equity, regular job market evaluations, and geographical markets. The pay range shown below is aligned with McKesson's pay philosophy, and pay will always be compliant with any applicable regulations. In addition to base pay, other compensation, such as an annual bonus or long-term incentive opportunities may be offered. For more information regarding benefits at McKesson, please click here. Our Base Pay Range for this position $109,900 - $183,100 McKesson has become aware of online recruiting-related scams in which individuals who are not affiliated with or authorized by McKesson are using McKesson's (or affiliated entities, like CoverMyMeds or RxCrossroads) name in fraudulent emails, job postings or social media messages. In light of these scams, please bear the following in mind: McKesson Talent Advisors will never solicit money or credit card information in connection with a McKesson job application. McKesson Talent Advisors do not communicate with candidates via online chatrooms or using email accounts such as Gmail or Hotmail. Note that McKesson does rely on a virtual assistant (Gia) for certain recruiting-related communications with candidates. McKesson job postings are posted on our career site: careers.mckesson.com. McKesson is an Equal Opportunity Employer McKesson provides equal employment opportunities to applicants and employees, without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status, disability, age, genetic information, or any other legally protected category. For additional information on McKesson's full Equal Employment Opportunity policies, visit our Equal Employment Opportunity page. Join us at McKesson!

**Become a part of our caring community and help us put health first** The Senior Digital Designer responsible for creating, executing, developing, and maintaining digital design elements across multiple platforms. The Senior Digital Designer work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors. The Senior Digital Designer collaborate closely with cross-functional teams to conceptualize, design, and produce digital content, graphics, animations, and user interfaces that align with organizational goals and enhance the user experience. Utilize common frameworks to build and develop interactive and responsive digital solutions that ensure compatibility, efficiency, and maximum value for the end-user. Support various business objectives, including product development, advertising, marketing, media, and communications. Begins to influence department's strategy. Makes decisions on moderately complex to complex issues regarding technical approach for project components, and work is performed without direction. Exercises considerable latitude in determining objectives and approaches to assignments. **Use your skills to make an impact** Typically requires Bachelor's degree or equivalent and 5+ years of technical experience Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required. **Scheduled Weekly Hours** 40 **Pay Range** The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc. $94,900 - $130,500 per year This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance. **Description of Benefits** Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. Application Deadline: 02-22-2026 **About us** Humana Inc. (NYSE: HUM) is committed to putting health first - for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large. **Equal Opportunity Employer** It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment. Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our ***************************************************************************

McKesson is an impact-driven, Fortune 10 company that touches virtually every aspect of healthcare. We are known for delivering insights, products, and services that make quality care more accessible and affordable. Here, we focus on the health, happiness, and well-being of you and those we serve - we care. What you do at McKesson matters. We foster a culture where you can grow, make an impact, and are empowered to bring new ideas. Together, we thrive as we shape the future of health for patients, our communities, and our people. If you want to be part of tomorrow's health today, we want to hear from you. Strategic Client Executives help providers overcome one of the biggest headaches in healthcare. You will develop and oversee relationships with our Provider clients, which include some of the nation's most prestigious medical centers and eHR organizations. This position is responsible for having an in-depth knowledge of ePA and will develop targeted strategies to both grow our network and meet clients' needs. What You'll Do You will retain and develop some of our fastest-growing accounts, with a focus on creating tailored solutions for individual clients. You will ensure full adoption of our provider solutions, with an eye towards long-term account retention. Leverage relationships with assigned accounts to deliver on utilization initiatives Manage complex problems and requests by coordinating the development of solutions through collaboration with internal partners. Lead business reviews, webinars, and training sessions Develop strategies to find and capitalize on retention and expansion opportunities utilizing a value-based selling approach Foster loyal, long-term relationships with decision-makers Travel to clients as needed (about 20%) About You You love working with people - both colleagues and clients - in a fast-paced, entrepreneurial environment. You have a healthy mix of left-brain (detail-oriented and analytical) and right-brain (charismatic and collaborative). You take a data-driven approach to understanding your clients, and are always up-to-date on trends affecting their accounts. You are results-oriented, self-motivated, and have a high level of initiative. Bachelor's degree required At least 4 years of client-facing experience, with record of results in launching, growing, and retaining client accounts Healthcare experience a plus Great communicator one-on-one, in writing, and in formal presentations, at any level, from hospital staff to executives Top-notch strategic acumen, problem-solving, and analytical ability About Us CoverMyMeds is one of the fastest growing healthcare technology companies in the US. We help prescribers and pharmacies submit Prior Authorization requests for any drug and nearly all health plans - 100% free - to get millions of patients on their medications every single year. Our team of highly-productive healthcare enthusiasts with a passion for helping others is the best thing about working here. On-site chef and paid benefits? Yeah, we have those too. But don't take our word for it. We've been named to Glassdoor's top 50 places to work in the nation, Inc. 500's list three times, were awarded one of the top places to work by Modern Healthcare and three times won best places to work in Columbus, Ohio. These requirements represent the knowledge, skills, and abilities necessary to perform this job successfully. Reasonable accommodation can be made to enable individuals with disabilities to perform essential functions. We are proud to offer a competitive compensation package at McKesson as part of our Total Rewards. This is determined by several factors, including performance, experience and skills, equity, regular job market evaluations, and geographical markets. The pay range shown below is aligned with McKesson's pay philosophy, and pay will always be compliant with any applicable regulations. In addition to base pay, other compensation, such as an annual bonus or long-term incentive opportunities may be offered. For more information regarding benefits at McKesson, please click here. Our Base Pay Range for this position $79,400 - $132,300 McKesson is an Equal Opportunity Employer McKesson provides equal employment opportunities to applicants and employees and is committed to a diverse and inclusive environment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status, disability, age or genetic information. For additional information on McKesson's full Equal Employment Opportunity policies, visit our Equal Employment Opportunity page. Join us at McKesson!

**Become a part of our caring community and help us put health first** As a Rx Clinical Programs Pharmacy Technician Representative 2 you will support Pharmacists and patients by executing programs developed to improve overall health outcomes with a focus on prescription drugs, and medication therapy and helps drive the strategy on comprehensive medication reviews. As a Rx Clinical Programs Pharmacy Technician Representative 2 you will perform varied activities and moderately complex administrative/operational/customer support assignments. Performs computations. Typically works on semi-routine assignments. In this role as a Rx Clinical Programs Pharmacy Technician Representative 2 you will assist in driving prescription drug optimization in cases where patients are taking multiple medications. Through effective communication, helps drive health awareness with patients through Rx Education and targeted quarterly campaigns. Assists Pharmacists by placing and retrieving calls to confirm patients are taking drugs and provides counseling. Decisions are typically focus on interpretation of area/department policy and methods for completing assignments. Works within defined parameters to identify work expectations and quality standards, but has some latitude over prioritization/timing, and works under minimal direction. Follows standard policies/practices that allow for some opportunity for interpretation/deviation and/or independent discretion. In this role, you will: + Make outbound and take inbound calls + Communicate with Humana members + Collect medication history information + Prepare members for a comprehensive medication review **Use your skills to make an impact** Additional Job Description ****PLEASE MAKE SURE YOU ATTACH YOUR RESUME TO YOUR APPLICATION (PDF OR WORD FORMAT) **** **_*Earn a $1,500 hiring sign on bonus!_** * (50% payable at hire and 50% payable at 180 days; you must be employed until that date to be eligible to receive the payment!) + Applicable to external candidates only **Required Qualifications** + **Resident State Pharmacy Technician License** **OR** **National Pharmacy Technician Certification** + High School Diploma or equivalent + Excellent communication skills both written and verbal + Applied knowledge of insurance processing, customer service or call center processes and practices + High speed hardwired internet and phone, minimum speed 20Mbps + Must have a designated work area with a door that locks **Schedule:** Must have the flexibility to work any hours between 8:00am-7:00pm EST and holidays/weekends and overtime as needed. + **You must be on time, dressed appropriately, with your camera ON during 2+ weeks of training and for other meetings required by leadership** . Attendance is vital for success, time off during your 180-day appraisal period is not permitted. Exception: Should a Humana-observed holiday occur during training or within the 180-day appraisal period, you will have the holiday off (paid). **Preferred Qualifications** + Associate's degree or equivalent work experience + Experience in mail order and/or retail pharmacy setting + Ability to speak both English and Spanish fluently + Previous call center experience in a pharmacy setting + Strong communication and telephonic skills + Ability to solve problems and encourage others in collaborative problem solving + Self-directed, but also able to work well in a group + A positive, proactive attitude, energetic, highly motivated and a self-starter + Work ethic that is focused, accurate and highly productive **Referral Bonus Information** Associates may receive a bonus for the referral of external candidates to this requisition, provided that all other eligibility requirements are met. 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. $40,000 - $52,300 per year **Description of Benefits** Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. **About us** 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 ***************************************************************************

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

Provides entry level support for claims activities including reviewing and resolving member and provider complaints, and communicating resolution to members or authorized representatives in accordance with the standards and requirements established by the Centers for Medicare and Medicaid Services (CMS). Essential Job Duties * Enters denials and requests for appeals into information system and prepares documentation for further review. * Researches claims issues utilizing systems and other available resources. * Assures timeliness and appropriateness of appeals according to state, federal and Molina guidelines. * Requests and obtains medical records, notes, and/or detailed bills as appropriate to assist with research. * Determines appropriate language for letters and prepares responses to member appeals and grievances. * Elevates appropriate appeals to the next level for review. * Generates and mails denial letters. * Provides support for interdepartmental issues to help coordinate problem-solving in an efficient and timely manner. * Creates and/or maintains appeals and grievances related statistics and reporting. * Collaborates with provider and member services to resolve balance bill issues and other member/provider complaints. Required Qualifications * At least 1 year of experience in claims, and/or 1 year of customer/provider service experience in a health care setting, or equivalent combination of relevant education and experience. * Customer service experience. * Organizational and time management skills; ability to manage simultaneous projects and tasks to meet internal deadlines. * Effective verbal and written communication skills. * Microsoft Office suite/applicable software program(s) proficiency. Preferred Qualifications * Customer/provider experience in a managed care organization (Medicaid, Medicare, Marketplace and/or other government-sponsored program), or medical office/hospital setting experience. * Completion of a health care related vocational program (i.e., certified coder, billing, or medical assistant). To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V. Pay Range: $21.65 - $34.88 / HOURLY * Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. About Us Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance. If you are seeking a meaningful opportunity in a team-oriented environment, come be a part of a highly engaged workforce dedicated to our mission. Bring your passion and talents and together we can make a difference in the lives of others. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.

McKesson is an impact-driven, Fortune 10 company that touches virtually every aspect of healthcare. We are known for delivering insights, products, and services that make quality care more accessible and affordable. Here, we focus on the health, happiness, and well-being of you and those we serve - we care. What you do at McKesson matters. We foster a culture where you can grow, make an impact, and are empowered to bring new ideas. Together, we thrive as we shape the future of health for patients, our communities, and our people. If you want to be part of tomorrow's health today, we want to hear from you. Position Summary The CoverMyMeds Pricing team is looking for a Sr. Analyst to play a critical role in shaping pricing strategies that drive profitability, market competitiveness, and customer value. In this highly visible role, you'll collaborate with cross-functional teams to design and optimize pricing models, provide actionable insights to inform leadership decisions, and help drive the evolution of our pricing approach. Your work will directly support commercial success and contribute to the long-term growth of the organization. What You'll Do Translate market dynamics, competitor trends, and customer feedback into strategic pricing models and insights Lead the design of scenario-based pricing models to accommodate various contracting, regulatory, or risk-sharing frameworks Serve as a thought partner in commercial deal structuring, evaluating pricing trade-offs, ROI scenarios, and innovative pricing mechanisms (e.g., outcomes-based, subscription, tiered) Contribute to long-term pricing strategy, including value-based pricing, price optimization, and payer/provider engagement models Analyze customer and product data to uncover trends and inform optimization opportunities Operate effectively in an evolving environment, applying first-principles thinking where precedent does not exist Serve as a resource to colleagues by sharing best practices in pricing science and optimization techniques Work independently with minimal direction, proactively identifying pricing opportunities and leading initiatives from concept to implementation Collaborate cross-functionally with Product, Finance, CSBD, Commercial, and Legal teams to evaluate pricing opportunities and influence go-to-market strategy Qualifications Bachelor's degree in Finance, Economic, Business, or a related field 7+ years of experience in a finance, FP&A, or pricing role Preferred Skills Proven ability to work collaboratively across teams and business units Strong communication skills with the ability to translate complex data into actionable insights Operate with a high degree of autonomy and accountability Lead initiatives that have a short- to mid-term impact on business results Apply in-depth functional and operational expertise to solve complex problems Influence decision-making across departments and contribute to enterprise-level strategies We are proud to offer a competitive compensation package at McKesson as part of our Total Rewards. This is determined by several factors, including performance, experience and skills, equity, regular job market evaluations, and geographical markets. The pay range shown below is aligned with McKesson's pay philosophy, and pay will always be compliant with any applicable regulations. In addition to base pay, other compensation, such as an annual bonus or long-term incentive opportunities may be offered. For more information regarding benefits at McKesson, please click here. Our Base Pay Range for this position $96,400 - $160,600 McKesson has become aware of online recruiting-related scams in which individuals who are not affiliated with or authorized by McKesson are using McKesson's (or affiliated entities, like CoverMyMeds or RxCrossroads) name in fraudulent emails, job postings or social media messages. In light of these scams, please bear the following in mind: McKesson Talent Advisors will never solicit money or credit card information in connection with a McKesson job application. McKesson Talent Advisors do not communicate with candidates via online chatrooms or using email accounts such as Gmail or Hotmail. Note that McKesson does rely on a virtual assistant (Gia) for certain recruiting-related communications with candidates. McKesson job postings are posted on our career site: careers.mckesson.com. McKesson is an Equal Opportunity Employer McKesson provides equal employment opportunities to applicants and employees, without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status, disability, age, genetic information, or any other legally protected category. For additional information on McKesson's full Equal Employment Opportunity policies, visit our Equal Employment Opportunity page. Join us at McKesson!

McKesson is an impact-driven, Fortune 10 company that touches virtually every aspect of healthcare. We are known for delivering insights, products, and services that make quality care more accessible and affordable. Here, we focus on the health, happiness, and well-being of you and those we serve - we care. What you do at McKesson matters. We foster a culture where you can grow, make an impact, and are empowered to bring new ideas. Together, we thrive as we shape the future of health for patients, our communities, and our people. If you want to be part of tomorrow's health today, we want to hear from you. The CoverMyMeds FP&A team is hiring a Director, FP&A Transformation in Columbus, OH, Las Colinas, TX or Atlanta, GA. The Director FP&A Transformation will lead CoverMyMeds transformation of financial forecasting processes and tools in alignment with the enterprise-wide initiative and goals. This role is critical to developing standardized, efficient and AI-ready processes and system for the future of CMM Finance. Position Description: Serve as the CMM project leader and business owner for CMM's Enterprise Forecast Process Redesign (EFPR) Responsible for designing and implementing the new SAC forecasting tool across all CMM Act as the liaison between CMM FP&A, Corporate Digital Finance Transformation, Consultants and Technology to drive optimal results Drive cross-product line collaboration to design, develop, and implement standard processes within CMM FP&A Ensure the new system has data integrity, accuracy and security in compliance with regulatory requirements Responsible for all communications related to the project in partnership with project manager and change management team. This includes the development and determination of format, frequency, material and audience of communications Critical Skills: Possess ability and willingness to evaluate complex business problems, determine a solution and make effective and persuasive presentations to management and key stakeholders Strong system, data and process knowledge Excellent interpersonal and communication skills; this position will interface with senior executives 3+ Years FP&A experience, including Budget and Forecast responsibilities. Project Management experience is required with the ability to manage multiple workstreams Strong time management and organization skills with flexibility to work in a fast-paced and changing work environment. Demonstrated negotiation and influencing skills. Experience with online reporting tools such as SAC Financial reporting knowledge including: income statement, balance sheet and cash flow statement, net working capital, and capital expenditures Minimum Requirements: Degree or equivalent and typically requires 10+ years of relevant experience. Education: • MBA preferred in finance, data & analytics or related field of equivalent experience We are proud to offer a competitive compensation package at McKesson as part of our Total Rewards. This is determined by several factors, including performance, experience and skills, equity, regular job market evaluations, and geographical markets. The pay range shown below is aligned with McKesson's pay philosophy, and pay will always be compliant with any applicable regulations. In addition to base pay, other compensation, such as an annual bonus or long-term incentive opportunities may be offered. For more information regarding benefits at McKesson, please click here. Our Base Pay Range for this position $123,800 - $206,300 McKesson has become aware of online recruiting-related scams in which individuals who are not affiliated with or authorized by McKesson are using McKesson's (or affiliated entities, like CoverMyMeds or RxCrossroads) name in fraudulent emails, job postings or social media messages. In light of these scams, please bear the following in mind: McKesson Talent Advisors will never solicit money or credit card information in connection with a McKesson job application. McKesson Talent Advisors do not communicate with candidates via online chatrooms or using email accounts such as Gmail or Hotmail. Note that McKesson does rely on a virtual assistant (Gia) for certain recruiting-related communications with candidates. McKesson job postings are posted on our career site: careers.mckesson.com. McKesson is an Equal Opportunity Employer McKesson provides equal employment opportunities to applicants and employees, without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status, disability, age, genetic information, or any other legally protected category. For additional information on McKesson's full Equal Employment Opportunity policies, visit our Equal Employment Opportunity page. Join us at McKesson!

McKesson is an impact-driven, Fortune 10 company that touches virtually every aspect of healthcare. We are known for delivering insights, products, and services that make quality care more accessible and affordable. Here, we focus on the health, happiness, and well-being of you and those we serve - we care. What you do at McKesson matters. We foster a culture where you can grow, make an impact, and are empowered to bring new ideas. Together, we thrive as we shape the future of health for patients, our communities, and our people. If you want to be part of tomorrow's health today, we want to hear from you. The Director of Quality Operations, Distribution is responsible for leading all quality-related activities for wholesale distribution, 3PL, national brands, and government operations. This role ensures compliance with regulatory standards, drives continuous improvement, and fosters a culture of quality across the organization. The Director will oversee strategic planning, process improvements, quality control systems, and team leadership while collaborating with supply chain, customer service, category management, and sales teams. Key Responsibilities: Quality Assurance & Regulatory Oversight * Ensure regulatory and operational standards are established, executed, and monitored within distribution centers. * Oversee temperature monitoring and documentation for product storage areas. Investigation Leadership * Lead investigations into complaints and CAPA for product and process quality issues, including diversion and illegitimate products. Audit Preparation & Hosting * Prepare distribution centers for regulatory inspections and host external audits from suppliers and regulatory bodies. Data & Analytics * Develop and monitor KPIs, compile compliance reports, and provide recommendations for improvement. Compliance Training Resource * Act as a training resource for cGxP and ISO compliance; maintain up-to-date SOP training records. Minimum Qualifications: Education: Bachelor's degree or higher in Engineering, Science, or related field. Experience: * 10+ years in leadership roles within scientific fields or Quality Assurance in distribution or commercial manufacturing of medical devices/pharmaceuticals. * Clear understanding of cGxPs. * Experience leading FDA, Board of Pharmacy, and/or NABP inspections. Specialized Knowledge & Skills: * Expertise in regulatory requirements for distribution QA (CFR 205, 820, 210, 211, DSCSA, Hazmat, Cold Chain). * Strong verbal and written communication skills. * Organizational, problem-solving, and decision-making abilities. * Strategic thinking and change management skills. Working Conditions: * Traditional office environment. * Significant computer and phone-based work. Travel Requirements: * Up to 50% travel, including overnight and air travel. Compensation: * Estimated Salary Range: $140,000 - $180,000 annually (depending on experience and location). * Eligible for annual performance bonus and comprehensive benefits package including medical, dental, vision, 401(k), and paid time off. Additional Requirements: * Must be authorized to work in the U.S. * Sponsorship is not available for this position. Equal Opportunity Statement: McKesson is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, creed, sex, sexual orientation, gender identity, national origin, disability, or protected Veteran status. Criminal history will not disqualify qualified applicants. Accommodation Notice: If you need a reasonable accommodation for your job search or application, please contact: Disability_Accommodation@McKesson.com. Resumes or CVs sent to this email will not be accepted. We are proud to offer a competitive compensation package at McKesson as part of our Total Rewards. This is determined by several factors, including performance, experience and skills, equity, regular job market evaluations, and geographical markets. The pay range shown below is aligned with McKesson's pay philosophy, and pay will always be compliant with any applicable regulations. In addition to base pay, other compensation, such as an annual bonus or long-term incentive opportunities may be offered. For more information regarding benefits at McKesson, please click here. Our Base Pay Range for this position $128,500 - $214,100 McKesson is an Equal Opportunity Employer McKesson provides equal employment opportunities to applicants and employees and is committed to a diverse and inclusive environment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status, disability, age or genetic information. For additional information on McKesson's full Equal Employment Opportunity policies, visit our Equal Employment Opportunity page. Join us at McKesson!

McKesson is an impact-driven, Fortune 10 company that touches virtually every aspect of healthcare. We are known for delivering insights, products, and services that make quality care more accessible and affordable. Here, we focus on the health, happiness, and well-being of you and those we serve - we care. What you do at McKesson matters. We foster a culture where you can grow, make an impact, and are empowered to bring new ideas. Together, we thrive as we shape the future of health for patients, our communities, and our people. If you want to be part of tomorrow's health today, we want to hear from you. Rx Savings Solutions (RxSS), part of McKesson's CoverMyMeds business segment, is seeking a talented Site Reliability Engineer (SRE) to join our team! In this role, you will be instrumental in ensuring the reliability, scalability, and performance of our critical healthcare technology systems. You will apply software engineering principles to operations, focusing on automation, monitoring, and proactive problem-solving to maintain high availability and deliver exceptional user experiences. * Our preferred candidate will reside in Columbus, OH, or one of our other hub locations of Overland Park KS, Irving TX or Atlanta GA. Position allows for primarily working from home, with occasional in-office time. We may consider a well-qualified candidate based not located in one of the above hub areas. * At this time, we are not able to offer sponsorship for employment visas. We're unable to consider individuals currently on H1B, F-1 OPT, STEM OPT, or any other visa status that would require future sponsorship. Candidates must be authorized to work in the United States on a permanent basis without the need for current or future sponsorship. Job Responsibilities: * System Reliability & Performance: Design, implement, and maintain robust and scalable infrastructure and applications to ensure high availability, performance, and disaster recovery capabilities * Automation & Tooling: Develop and implement automation scripts, tools, and processes to streamline operational tasks, reduce manual effort, and improve efficiency across the software development lifecycle * Monitoring & Alerting: Establish and maintain comprehensive monitoring, alerting, and logging systems to proactively identify and diagnose issues, understand system behavior, and track key performance indicators * Incident Response & Post-Mortem: Participate in on-call rotations, respond to and resolve critical incidents, and conduct thorough post-mortems to identify root causes and implement preventative measures * Capacity Planning & Optimization: Collaborate with development teams to analyze system capacity, forecast future needs, and optimize resource utilization to support business growth * Collaboration & Mentorship: Work closely with software engineers, product managers, and other SREs to promote a culture of reliability, share best practices, and contribute to continuous improvement * Documentation: Create and maintain clear and concise documentation for systems, processes, and incident runbooks * Security: Contribute to the implementation and enforcement of security best practices within our infrastructure and applications Job Qualifications: * Education / Experience: Bachelor's degree in Computer Science, Engineering, or a related field (or equivalent practical experience, and 2+ years of experience in a Site Reliability Engineering, DevOps, or highly related software engineering role * Programming Skills: Strong proficiency in at least one scripting language (e.g., Python, Go, Ruby, Bash) for automation and tool development * Cloud Platforms: Hands-on experience with cloud computing platforms (e.g., AWS, Azure, GCP). AWS experience is highly preferred * Containerization & Orchestration: Experience with container technologies (e.g., Docker) and container orchestration platforms (e.g., Kubernetes) * CI/CD: Familiarity with Continuous Integration and Continuous Delivery (CI/CD) pipelines and tools * Monitoring & Alerting Tools: Experience with monitoring and observability tools (e.g., Datadog, Prometheus, Grafana, Splunk) * Operating Systems: Strong understanding of Linux/Unix operating systems * Networking: Fundamental understanding of networking concepts (TCP/IP, DNS, HTTP, Load Balancing) * Problem-Solving: Excellent analytical and problem-solving skills with a proactive approach to identifying and resolving complex technical issues * Communication: Strong verbal and written communication skills, with the ability to articulate complex technical concepts to both technical and non-technical audiences We are proud to offer a competitive compensation package at McKesson as part of our Total Rewards. This is determined by several factors, including performance, experience and skills, equity, regular job market evaluations, and geographical markets. The pay range shown below is aligned with McKesson's pay philosophy, and pay will always be compliant with any applicable regulations. In addition to base pay, other compensation, such as an annual bonus or long-term incentive opportunities may be offered. For more information regarding benefits at McKesson, please click here. Our Base Pay Range for this position $84,300 - $140,500 McKesson is an Equal Opportunity Employer McKesson provides equal employment opportunities to applicants and employees and is committed to a diverse and inclusive environment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status, disability, age or genetic information. For additional information on McKesson's full Equal Employment Opportunity policies, visit our Equal Employment Opportunity page. Join us at McKesson!

**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 ***************************************************************************

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

You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you'll have access to competitive benefits including a fresh perspective on workplace flexibility. *****POSITION IS REMOTE BUT CANDIDATE MUST RESIDE IN THE STATE OF KENTUCKY, INDIANA OR OHIO***** **Position Purpose:** Support the development and maintenance of quality improvement related projects specific to HEDIS Hybrid Operations. The position exists to support the health plans in the clinical aspect of medical record review. + Train providers, health plans and staff in methodologies and tools of continuous quality improvement and HEDIS abstraction and over-read processes + Provide clinical support to the medical record abstraction, over-read and audit processes + Monitor performance on established contractual quality indicators. + Analyze, track and trend results + Prepare for and participate in meetings with various committees, state agencies, providers, health plans, vendors, and stakeholders + Recommend, develop, and implement quality performance improvement plans (PIPs) with management utilizing the PDSA model. + Monitor and report PIPs progress through closure. + Performs other duties as assigned + Complies with all policies and standards **Education/Experience:** Bachelor's degree in Nursing, Healthcare, or Quality (including HEDIS measures or NCQA) or equivalent experience in related healthcare experience. **License/Certification:** Valid state clinical license preferred (i.e.- LPN, RN, etc.) **Experience:** Experience in HEDIS or NCQA or related topics preferred Pay Range: $56,200.00 - $101,000.00 per year Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility. Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law. Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act

McKesson is an impact-driven, Fortune 10 company that touches virtually every aspect of healthcare. We are known for delivering insights, products, and services that make quality care more accessible and affordable. Here, we focus on the health, happiness, and well-being of you and those we serve - we care. What you do at McKesson matters. We foster a culture where you can grow, make an impact, and are empowered to bring new ideas. Together, we thrive as we shape the future of health for patients, our communities, and our people. If you want to be part of tomorrow's health today, we want to hear from you. Full Stack Software Engineer - SCP Job Summary We are seeking a talented Full-Stack Software Engineer to join our dynamic team within the SCP (Shared Capabilities & Partnerships) Suite focused on transforming the Medical Prior Authorization process through innovative technology solutions. In this role, you will help build scalable, secure, and efficient applications that streamline healthcare workflows, reduce administrative burden, and improve patient outcomes. Your work will include data transformation and aggregation to enable seamless integration across systems, ensuring compliance with healthcare standards while delivering exceptional user experiences. While experience with AI technologies-such as Large Language Models, data-driven automation, or intelligent workflows-is preferred but not required, we value curiosity and a willingness to learn. If you are passionate about solving complex problems and making a meaningful impact in the healthcare industry, we'd love to hear from you. Job Responsibilities * Design, develop, test, deploy, and maintain full-stack applications using a variety of technologies and frameworks (e.g., Ruby on Rails, Elixir, React, Angular, Java, .NET). * Collaborate closely with product managers, designers, and other engineers to understand requirements, define technical specifications, and deliver user-centric solutions. * Ability to develop and maintain responsive and intuitive user interfaces using modern front-end technologies (e.g., React, Angular, Vue.js). * Capacity to develop and manage robust back-end services, APIs, and databases. * Write clean, well-documented, and efficient code, adhering to best practices and coding standards. * Participate in code reviews, providing constructive feedback and ensuring code quality. * Troubleshoot, debug, and resolve software defects and performance issues. * Contribute to the entire software development lifecycle, from concept to deployment and beyond. * Stay up-to-date with emerging technologies and industry trends to continuously improve our technical stack and development processes. * Potentially mentor junior engineers and share knowledge within the team. * Design, implement, and optimize data transformation and aggregation processes for seamless integration across systems. * Work with on-prem servers and Azure cloud environments to deploy and manage applications. * Implement and manage Kafka for reliable messaging and event-driven architectures. Minimum Requirements: Degree or equivalent and typically requires 4+ years of relevant experience Job Qualifications * Bachelor's degree in Computer Science, Software Engineering, or a related field, or equivalent practical experience. * 3+ years of experience in full-stack software development. * Strong experience with a full-stack or back-end programming language (e.g., Ruby on Rails, Elixir, Java, Python, C#) and relevant frameworks. * Solid understanding of relational databases (e.g., PostgreSQL, MySQL, SQL Server) and/or NoSQL databases (e.g., MongoDB, DynamoDB). * Experience with RESTful API design and development. * Familiarity with version control systems (e.g., Git). * Understanding of agile development methodologies. * Excellent problem-solving skills and attention to detail. * Familiarity with at least one modern front-end framework (e.g., React, Angular, Vue.js) and associated technologies (HTML5, CSS3, JavaScript/TypeScript). * Strong communication and collaboration skills, with the ability to work effectively in a team environment. * Experience with cloud platforms (e.g., AWS, Azure, Google Cloud) is a plus. * Knowledge of testing frameworks and methodologies (e.g., Jest, Mocha, Cypress, Selenium) is a plus. We are proud to offer a competitive compensation package at McKesson as part of our Total Rewards. This is determined by several factors, including performance, experience and skills, equity, regular job market evaluations, and geographical markets. The pay range shown below is aligned with McKesson's pay philosophy, and pay will always be compliant with any applicable regulations. In addition to base pay, other compensation, such as an annual bonus or long-term incentive opportunities may be offered. For more information regarding benefits at McKesson, please click here. Our Base Pay Range for this position $100,100 - $166,900 McKesson has become aware of online recruiting-related scams in which individuals who are not affiliated with or authorized by McKesson are using McKesson's (or affiliated entities, like CoverMyMeds or RxCrossroads) name in fraudulent emails, job postings or social media messages. In light of these scams, please bear the following in mind: McKesson Talent Advisors will never solicit money or credit card information in connection with a McKesson job application. McKesson Talent Advisors do not communicate with candidates via online chatrooms or using email accounts such as Gmail or Hotmail. Note that McKesson does rely on a virtual assistant (Gia) for certain recruiting-related communications with candidates. McKesson job postings are posted on our career site: careers.mckesson.com. McKesson is an Equal Opportunity Employer McKesson provides equal employment opportunities to applicants and employees, without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status, disability, age, genetic information, or any other legally protected category. For additional information on McKesson's full Equal Employment Opportunity policies, visit our Equal Employment Opportunity page. Join us at McKesson!