Molina Healthcare jobs in Sacramento, CA - 51 jobs
Medical Director (Southern CA)
Molina Healthcare Inc. 4.4
Molina Healthcare Inc. job in Sacramento, CA
Provides medical oversight and expertise in appropriateness and medical necessity of services provided to members, targeting improvements in efficiency and satisfaction for both members and providers and ensuring members receive the most appropriate care in the most effective setting. Contributes to overarching strategy to provide quality and cost-effective member care.
Experience conducting Medi-cal reviews
Essential Job Duties
* Determines appropriateness and medical necessity of health care services provided to plan members.
* Supports plan utilization management program and accompanying action plan(s), which includes strategies to ensure high-quality member care - ensuring members receive the most appropriate care at the most effective setting. •Evaluates effectiveness of utilization management (UM) practices - actively monitoring for over and under-utilization.
* Educates and interacts with network, group providers and medical managers regarding utilization practices, guideline usage, pharmacy utilization and effective resource management.
* Assumes leadership relative to knowledge, implementation, training, and supervision of the use of the criteria for medical necessity.
* Participates in and maintains the integrity of the appeals process, both internally and externally.
* Responsible for investigation of adverse incidents and quality of care concerns.
* Participates in preparation for national committee for quality assurance (NCQA) and utilization review accreditation commission (URAC) certifications.
* Provides leadership and consultation for NCQA standards/guidelines for the plan including compliant clinical quality improvement activity (QIA) in collaboration with clinical leadership and quality improvement teams.
* Facilitates conformance to Medicare, Medicaid, NCQA and other regulatory requirements.
* Reviews quality referred issues, focused reviews and recommends corrective actions.
* Conducts retrospective reviews of claims and appeals and resolves grievances related to medical quality of care.
* Attends or chairs committees as required such as credentialing, Pharmacy and Therapeutics (P&T) and other committees as directed by the chief medical officer.
* Evaluates authorization requests in timely support of nurse reviewers, reviews cases requiring concurrent review and manages the denial process.
* Monitors appropriate care and services through continuum among hospitals, skilled nursing facilities and home care to ensure quality, cost-efficiency, and continuity of care.
* Ensures that medical decisions are rendered by qualified medical personnel and not influenced by fiscal or administrative management considerations, and that care provided meets the standards for acceptable medical care.
* Ensures medical protocols and rules of conduct for plan medical personnel are followed.
* Develops and implements plan medical policies.
* Provides implementation support for quality improvement activities.
* Stabilizes, improves and educates primary care physicians and specialty networks; monitors practitioner practice patterns and recommends corrective actions as needed.
* Fosters clinical practice guideline implementation and evidence-based medical practices.
* Utilizes information technology and data analytics to produce tools to report, monitor and improve utilization management.
* Actively participates in regulatory, professional and community activities.
Required Qualifications
* At least 3 years health care experience, including at least 2 years of medical practice experience, or equivalent combination of relevant education and experience.
* Active and unrestricted Doctor of Medicine (MD) or Doctor of Osteopathy (DO) license in state of practice.
* Board certification.
* Working knowledge of applicable national, state, and local laws and regulatory requirements affecting medical and clinical staff.
* Ability to work cross-collaboratively within a highly matrixed organization.
* Strong organizational and time-management skills.
* Ability to multi-task and meet deadlines.
* Attention to detail.
* Critical-thinking and active listening skills.
* Decision-making and problem-solving skills.
* Strong verbal and written communication skills.
* Microsoft Office suite/applicable software program(s) proficiency, and ability to learn new programs.
Preferred Qualifications
* Experience with utilization/quality program management.
* Managed care experience.
* Peer review experience.
* Certified Professional in Healthcare Management (CPHM), Certified Professional in Health Care Quality (CPHQ), Commission for Case Manager Certification (CCMC), Case Management Society of America (CMSA) or other health care or management certification.
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
#PJHS
#LI-AC1
Pay Range: $186,201.39 - $363,093 / ANNUAL
* Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
About Us
Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance. If you are seeking a meaningful opportunity in a team-oriented environment, come be a part of a highly engaged workforce dedicated to our mission. Bring your passion and talents and together we can make a difference in the lives of others. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
$186.2k-363.1k yearly 12d ago
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Representative, Care Connections Member Advocate - Must Be Bilingual in Cantonese, and Tagalog, M - F 8:30AM - 5:30PM Pacific Time Hours - CA ONLY
Molina Healthcare Inc. 4.4
Molina Healthcare Inc. job in Coloma, CA
Makes outbound calls to members, completes assigned hand-dial lists, and provides proactive member support, information, and assistance. Adheres to member interaction departmental standards, call quality, and documentation requirements.
* Schedules high-quality member appointments daily to meet departmental goals.
* Completes assigned hand-dial lists and member research requirements with accuracy and efficiency.
* Provides basic support and guidance to members with empathy and professionalism.
* Participates in ongoing training sessions to enhance service quality and knowledge.
Job Qualifications
REQUIRED QUALIFICATIONS:
* At least 1 year experience in a healthcare service environment, or equivalent combination of relevant education and experience.
* High attention to detail and ability to follow member interaction scripting.
* Flexible and adaptive to changing priorities and workflows.
* Compassionate and service oriented.
* Bilingual (English and at least one additional language, as required).
* Strong verbal and written communication skills.
PREFERRED QUALIFICATIONS:
* Healthcare administrative support experience in roles such as Medical Office Assistant, Patient Services Representative, Medical Receptionist, Front Desk Coordinator, or Scheduler.
To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
Pay Range: $20.25 - $30.39 / 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.
$20.3-30.4 hourly 3d ago
Sr. Customer Service Specialist
McKesson Corporation 4.6
West Sacramento, CA job
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.
We are seeking a detail-oriented and customer-focused professional to join our team. This role is responsible for delivering exceptional customer service and ensuring smooth day-to-day operations through the effective use of ACUMAX, SAP, Salesforce, and our primary customer relationship management (CRM) platform. The ideal candidate will handle customer inquiries, manage transactions, and support internal teams to enhance the overall customer experience.
Location: This role is fully onsite at
3775 Seaport Blvd , West Sacramento, CA 95691
Key Responsibilities
* Deliver outstanding customer service by responding to inquiries via phone, email, and Salesforce in a timely and professional manner
* Utilize Salesforce daily to manage customer accounts, track interactions, and document service activities
* Process orders, returns and credits accurately and efficiently
* Maintain up-to-date and accurate records of all customer communications and transactions in Salesforce
* Resolve customer issues and complaints with empathy and efficiency, escalating when necessary
* Collaborate with internal departments (e.g., sales, operations, finance) to ensure seamless service delivery
* Identify and recommend process improvements to enhance customer satisfaction and operational efficiency
* Monitor and follow up on open cases and service requests to ensure timely resolution
* Support onboarding and training of new team members as needed
* Support team goals by participating in training, knowledge sharing, and special projects
* Uphold McKesson's commitment to compliance, data integrity, and customer trust in all activities
* Additional office support as needed with cross-functional office teams.
Minimum Requirement
Typically requires 5+ years of related experience.
Education
High school diploma or equivalent required; associate or bachelor's degree preferred
Critical Skills
* Proven experience in a customer service or support role
* Proficiency in ACUMAX, SAP, Salesforce or similar CRM platforms is required
* Strong communication skills, both verbal and written
* Excellent organizational skills and attention to detail
* Ability to multitask and prioritize in a fast-paced environment
* Proficiency in Microsoft Office Suite (Word, Excel, Outlook)
* A proactive, solution-oriented mindset with a passion for helping others
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
$21.74 - $36.23
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!
$21.7-36.2 hourly Auto-Apply 44d ago
Operations Intern - Summer 2026 - West Sacramento, CA
McKesson Corporation 4.6
West Sacramento, CA job
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.
* Open to rising sophomores, juniors and seniors currently pursuing a bachelor's degree related to internship duties or major below
* Duration of internship program will commence in the summer of 2026.
* Continuous learning and tailored on the job training in technology and product development.
* Exposure to senior leadership including but not limited to onboarding, learning and development sessions, and business case presentations.
* Over the course of the internship a project will be assigned
* Paid Internship
* Full time / 10 weeks.
* This is a hands-on opportunity to gain practical experience in a dynamic and growing industry!
* Not your typical 9 to 5 office job! McKesson is the largest pharmaceutical distributor in the nation where you will learn all functions of the warehouse while also receiving administrative, project and leadership experience.
* Each intern position will work with site leadership on a summer project. This experience will introduce you to team engagement, quality and efficiency improvement, mentoring and so much more.
* The internship program also provides networking, access to executives, structured performance & coaching
* Preferred Majors with a People Leading Focus:
Organizational Leadership, Supply Chain/Logistics, Business Administration, Management, Human Resources, Engineering, Sociology
Requirements:
* Computer proficiency in MS Office
* Excellent and effective business communication skills both verbally and in writing
* Ability to multitask in a fast-paced environment and make strong business decisions
* Able to easily engage with people
* Skill at communicating insights and understanding of issues and problems
Must be open to flexible hours to support McKesson, the team, and our customer; must also be open to adjusting shift as needed based on business requirements.
Responsibilities:
* Interns will collaborate with our cross functional team composed of Operations Managers, Operations Supervisors, Operations Lead and Material Handlers.
* Document and present solutions and approaches to supervisors and other members of the team.
* You'll help us find new ways to make our processes more efficient and consistent. This reduces errors and enhances our productivity.
* Assist Operations Supervisors with planning, organizing and directing warehouse activities to ensure successful operations.
* Assist with maintaining a positive morale, work standards and developing teams.
* Assist with training and managing associate performance.
* Assertively seek solutions to problems at the root level.
* Ensure warehouse operations comply with federal, state, and local company policies.
* Assist with controlling expenses
* Ensure warehouse equipment and departments are well maintained and that housekeeping meets company standards.
* Resolves problems and sets deadlines to ensure timely completion of work.
Physical Requirements:
Ability to lift 20 to 50lbs repetitively throughout the course of a shift without assistance (weight varies based on product)
* Job requires you to be active (i.e. bend, twist, lift repetitively and work on a concrete surface throughout the shift), as well as walk up to 20,000 steps (10 miles) daily.
All students who participate in the program will be considered for future roles.
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
$18.15 - $30.25
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!
$18.2-30.3 hourly Auto-Apply 22d ago
Senior Digital Designer
Humana 4.8
Sacramento, CA job
**Become a part of our caring community and help us put health first** The Senior Digital Designer responsible for creating, executing, developing, and maintaining digital design elements across multiple platforms. The Senior Digital Designer work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors.
The Senior Digital Designer collaborate closely with cross-functional teams to conceptualize, design, and produce digital content, graphics, animations, and user interfaces that align with organizational goals and enhance the user experience. Utilize common frameworks to build and develop interactive and responsive digital solutions that ensure compatibility, efficiency, and maximum value for the end-user. Support various business objectives, including product development, advertising, marketing, media, and communications. Begins to influence department's strategy. Makes decisions on moderately complex to complex issues regarding technical approach for project components, and work is performed without direction. Exercises considerable latitude in determining objectives and approaches to assignments.
**Use your skills to make an impact**
Typically requires Bachelor's degree or equivalent and 5+ years of technical experience
Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.
**Scheduled Weekly Hours**
40
**Pay Range**
The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.
$94,900 - $130,500 per year
This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.
**Description of Benefits**
Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.
Application Deadline: 02-22-2026
**About us**
Humana Inc. (NYSE: HUM) is committed to putting health first - for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large.
**Equal Opportunity Employer**
It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.
Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our ***************************************************************************
$94.9k-130.5k yearly 4d ago
Business Intelligence Lead - Digital VOC
Humana 4.8
Sacramento, CA 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 3d ago
Utilization Management Appeals Nurse
Humana 4.8
Sacramento, CA 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 2d ago
Lead Experience Researcher
Humana 4.8
Sacramento, CA job
**Become a part of our caring community and help us put health first** The Lead Experience Researcher will inform experience strategy by identifying priority customer segments, uncovering unmet needs, and translating insights into differentiated experience capabilities. this role partners closely with product, design, and clinical staeholders to inform journey optimization and ensure solutions are grounded in customer and market evidence. The researcher will connect customer insight to business outcomes, enabling scalable, market-relevant experiences.
We are seeking a Lead Experience Researcher to drive high-impact experiences. This role blends qualitative and quantitative research expertise with strategic problem-solving to identify meaningful solutions that address unmet and unrealized needs. The ideal candidate will have a strong background in research design, a passion for human-centered innovation, and the ability to translate insights into actionable recommendations that advance business and experience outcomes.
The Research Consulting Lead provides expert guidance around study design, research methodology, analyses and interpretation of results. Acts as principal investigator, leading the study team from study inception to dissemination of research results. Advises leadership to develop functional strategies on matters of significance. Exercises independent judgment and decision making on complex issues regarding job duties and related tasks, and works under minimal supervision, Uses independent judgment requiring analysis of variable factors and determining the best course of action.
**Key Responsibilities:**
+ **Lead Research Engagements:** Design and execute mixed-method research (qualitative and quantitative) to deeply understand patient, member, and associate experiences.
+ **Root Cause and Opportunity Analysis:** Investigate underlying drivers of key business challenges, surfacing unmet and unrealized needs.
+ **Insight Synthesis:** Translate research findings into clear, actionable insights that inform experience strategy, product design, and operational decision-making.
+ **Strategic Problem-Solving:** Partner with cross-functional teams to co-create solutions, identifying opportunities that align with organizational strategy, end-to-end journey transformation and deliver measurable impact.
+ **Thought Partnership:** Serve as a consulting partner to leaders and stakeholders, guiding them through the research-to-action process.
+ **Measurement & Impact:** Recommend success metrics and help establish measurement frameworks to evaluate the effectiveness of implemented solutions.
**Why Join Our Team**
As a Lead Experience Researcher, you'll play a pivotal role in shaping experiences that improve health outcomes and transform how care is delivered. You'll work on high-visibility projects that drive organizational learning, accelerate decision-making, and directly impact the lives of the people we serve.
**Use your skills to make an impact**
**Required Qualifications**
+ Bachelor's degree
+ A minimum of five years' experience successfully applying experience research methods to design differentiating products and services
+ Experience planning, developing and conducting quantitative and qualitative research
+ Working experience with human-centered design methodologies including design thinking or comparable iterative methodologies
+ Knowledge of service design, social science, behavior change, perception, cognition, task analysis, experimental design, and statistics
+ Experience applying insights to shape strategies, programs, or products.
+ Expertise in a range of research methodologies (in-depth interviews, surveys, journey mapping, statistical analysis)
+ Experience leading or participating in service design and/or service blueprinting
**Preferred Qualifications**
+ Master's degree in social science or healthcare strongly preferred (e.g., anthropology, health services research, psychology, public health, or social work)
+ Experience with Agile Methodologies
+ Experience informing zero to one experiences
**Additional Information**
+ Remote role
+ Must work central or eastern hours; 8-5 Monday-Friday
+ Travel - Intermittent, approximately 1x per quarter
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.
$138,900 - $191,000 per year
This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.
**Description of Benefits**
Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.
Application Deadline: 03-01-2026
**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 ***************************************************************************
$138.9k-191k yearly 3d ago
Actuarial Principal - Financial Planning and Analysis
Humana 4.8
Sacramento, CA 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 ***************************************************************************
$156.6k-215.4k yearly 34d ago
Utilization Review Clinician - Behavioral Health
Centene Corporation 4.5
Sacramento, CA job
You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering competitive benefits including a fresh perspective on workplace flexibility.
**Position Purpose:** Performs a clinical review and assesses care related to mental health and substance abuse. Monitors and determines if level of care and services related to mental health and substance abuse are medically appropriate.
+ Evaluates member's treatment for mental health and substance abuse before, during, and after services to ensure level of care and services are medically appropriate
+ Performs prior authorization reviews related to mental health and substance abuse to determine medical appropriateness in accordance with regulatory guidelines and criteria
+ Performs concurrent review of behavioral health (BH) inpatient to determine overall health of member, treatment needs, and discharge planning
+ Analyzes BH member data to improve quality and appropriate utilization of services
+ Provides education to providers members and their families regrading BH utilization process
+ Interacts with BH healthcare providers as appropriate to discuss level of care and/or services
+ Engages with medical directors and leadership to improve the quality and efficiency of care
+ Formulates and presents cases in staffing and integrated rounds
+ Performs other duties as assigned.
+ Complies with all policies and standards.
We are seeking a Licensed Clinical Behavioral Health Professional or RN to join our team!
The ideal candidate will bring expertise in:
+ Licensed Clinical Behavioral Health Professional or RN based on state contract requirements e.g., LCSW, LMHC, LPC, LMFT, LMHP and RN with BH experience
+ Strong Behavior Health experience
+ Must reside in CA
**Education/Experience:** Requires Graduate of an Accredited School Nursing or Bachelor's degree and 2 - 4 years of related experience.
License to practice independently, and/or have obtained the state required licensure as outlined by the applicable state required.
Master's degree for behavioral health clinicians required.
Clinical knowledge and ability to review and/or assess treatment plans related to mental health and substance abuse preferred.
Knowledge of mental health and substance abuse utilization review process preferred.
Experience working with providers and healthcare teams to review care services related to mental health and substance abuse preferred.
**License/Certification:**
+ LCSW- License Clinical Social Worker required or
+ LMHC-Licensed Mental Health Counselor required or
+ LPC-Licensed Professional Counselor required or
+ Licensed Marital and Family Therapist (LMFT) required or
+ Licensed Mental Health Professional (LMHP) required or
+ RN - Registered Nurse - State Licensure and/or Compact State Licensure required
Pay Range: $27.02 - $48.55 per hour
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
$27-48.6 hourly 60d+ ago
Medical Assistant for Vascular and Endovascular Clinic
Tenet Healthcare Corporation 4.5
Live Oak, CA job
Who We Are We are a community built on care. Our caregivers and supporting staff extend compassion to those in need, helping to improve the health and well-being of those we serve, and provide comfort and healing. Your community is our community. Our Story
We started out as a small operation in California. In May 1969, we acquired four hospitals, some additional care facilities and real estate for the future development of hospitals. Over the years, we've grown tremendously in size, scope and capability, building a home in new markets over time, and curating those homes to provide a compassionate environment for those entrusting us with their care.
We have a rich history at Tenet. There are so many stories of compassionate care; so many 'firsts' in terms of medical innovation; so many examples of enhancing healthcare delivery and shaping a business that is truly centered around patients and community need. Tenet and our predecessors have enabled us to touch many different elements of healthcare and make a difference in the lives of others.
Our Impact Today
Today, we are leading health system and services platform that continues to evolve in lockstep with community need. Tenet's operations include three businesses - our hospitals and physicians, USPI and Conifer Health Solutions.
Our impact spreads far and deep with 65 hospitals and approximately 510 outpatient centers and additional sites of care. We are differentiated by our top notch medical specialists and service lines that are tailored within each community we serve. The work Conifer is doing will help provide the foundation for better health for clients across the country, through the delivery of healthcare-focused revenue cycle management and value-based care solutions.
Together as an enterprise, we work to save lives and can accept nothing less than excellence from ourselves in service of our patients and their families, every day.
Adheres to and supports the mission, purpose, philosophy, objectives, policies, and procedures of Tenet Physician Resources.
Adheres to the Tenet HIPAA Compliance Plan and the Privacy Standards Confidentiality Agreement.
Demonstrates support for the Tenet Corporate Compliance Program by being knowledgeable of compliance responsibilities as expressed in the Code of Conduct; adhering to federal and state laws, rules, regulations, and corporate policies and procedures policies that affect his/her specific job functions/responsibilities; and reporting compliance issues/concerns in a timely and appropriate manner.
Assists in the assessment of patient needs and health plan by taking vital signs, history, medication listing, assessing visual acuity and determining chief complaint. Assesses patients' physical and mental status.
Completes all necessary documentation in the patient's medical record in accordance with practice's charting policy.
Prepares equipment and assists physicians with medical treatments, exams and medical procedures
Administers prescribed oral medications and gives intramuscular and subcutaneous and intradermal injections. Performs venipunctures, CLIA-Waived and non-CLIA Waived lab testing.
Maintains a clean, orderly and safe environment for patients and visitors. This includes cleaning, sterilizing, and storing instruments in accordance with practice policies. Stocks rooms in preparation for the daily work schedule. Takes inventory of medical and exam room supplies.
Complies with established personal protective equipment requirements necessary for protection against exposure to blood and other potentially infectious body fluids, chemical disinfectants, radiation, and other hazardous substances.
Arranges for specialized consultations and appointments for testing as ordered by the physicians. Notifies appropriate insurance personnel to pre-certify surgeries or tests ordered by the physician or other health care provider, which require pre-certification by the insurance company.
Answering office phones, assisting front desk in scheduling appointments and directing calls appropriately.
Assists in checking out patients and assists them with referral processing and scheduling process
Assist in other functions of the physician practice as needed
$1000 Sign On Bonus!
A non-exempt medical office position responsible for providing direct nursing care in a medical office setting under the direction of a physician, assists medical providers, and maintains a clean and safe environment in accordance with the policies and procedures of the practice.
Education
Required: High school diploma/GED;
Medical Assistant diploma from an accredited school OR three years of relevant work experience in a healthcare setting in lieu of a Medical Assistant diploma
Certification
Required: CPR Certification
Preferred: Medical Assistant
Experience
Required: Medical Assistant diploma from an accredited school OR
three years of relevant work experience in a healthcare setting in lieu of a Medical Assistant diploma OR a Current Medical Assistant certification
#LI-CC3
Employment practices will not be influenced or affected by an applicant's or employee's race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship.
Tenet participates in the E-Verify program. Follow the link below for additional information.
E-Verify: *****************************
The employment practices of Tenet Healthcare and its companies comply with all applicable laws and regulations.
**********
$39k-45k yearly est. 27d ago
Informaticist
Humana 4.8
Sacramento, CA 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 ***************************************************************************
$73.4k-100.1k yearly 2d ago
Sr. Credit/Collections Specialist
McKesson 4.6
West Sacramento, CA job
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.
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 Senior Credit & Collections Specialist plays a critical role in managing and resolving complex and delinquent customer accounts. This position requires strong analytical skills, sound judgment, and the ability to navigate challenging situations with professionalism and initiative. The specialist will serve as a key liaison between customers, internal departments, and leadership to ensure timely resolution of payment issues and to implement strategies that maintain account health.
Key Responsibilities:
Account Management & Resolution
Analyze and manage complex and high-value delinquent accounts.
Communicate directly with customers to resolve payment discrepancies and negotiate payment plans.
Make daily decisions regarding order holds or releases based on credit limits and payment status.
Identify and escalate potential write-offs to management
Internal Collaboration
Partner with Sales and other internal stakeholders to resolve account issues and align on customer strategies.
Communicate negotiated resolutions and obtain necessary approvals from internal teams.
Provide regular updates and progress reports to leadership.
Customer Engagement
Engage with customers to present tailored solutions addressing cash flow challenges.
Propose and escalate alternative payment options when necessary.
Maintain a professional and diplomatic approach in all customer interactions.
Strategic Support
Support strategic customers and expand market segments.
Provide insights and trends to Sales and other stakeholders to inform business decisions.
Develop and implement strategies to ensure accounts remain current post-resolution.
Mentorship & Best Practices
Train and mentor new team members.
Share expertise and promote best practices across the team
Minimum Requirements:
Typically requires 5+ years of related experience
Exceptional communication and negotiation skills
Proficiency with MS Office products including Word, Excel, PowerPoint, Outlook, Teams, etc.
Preferred Skills & Qualifications:
Experience in corporate credit and collections
Strong understanding of finance principles and practices
Strong customer service skills
Ability to multitask across various systems while meeting deadlines
Prior negotiation 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
$23.00 - $38.34
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!
$23-38.3 hourly Auto-Apply 47d ago
Strategy Execution/Advancement Principal
Humana 4.8
Sacramento, CA job
**Become a part of our caring community and help us put health first** Come join our IT Strategy team! We design and activate strategies to address healthcare opportunities and challenges with technology-enabled solutions. As a Principal in our team, you'll enable Humana leaders as they leverage modern technology to deliver health care and insurance for patients and members. Our team operates at the evolving and mission-driven intersection of strategy, technology, and healthcare. This role offers you the chance to help lead and grow as we transform the technology of healthcare.
**Primary responsibilities**
+ Create a clear strategy for IT, and harmonize that IT strategy with enterprise and business strategy in a dynamic, fast-paced environment
+ Deliver executive-level presentations that frame data-based challenges, opportunities, and the strategic roadmaps to deliver outcomes
+ Activate IT strategies by engaging business and tech leaders, handing off execution to operational teams, and driving follow-ups when appropriate
+ Coach direct team members in our IT Strategy team and indirect team members through our many enterprise partnerships
+ Inspire others to embrace and advance IT's strategy through occasional teaching and coaching sessions that help Humana associates understand and enable IT strategy
+ Familiarize yourself with emerging ideas and technologies, including disruptive ones
**Use your skills to make an impact**
**Required qualifications**
+ Bachelor's degree
+ Progressive experience in a top management consulting firm
+ 5-10 years of corporate, business, and/or tech strategy experience working with executives, senior leaders, and subject-matter experts
+ Passionate about continuously improving consumer and stakeholder experiences
+ Skilled in strategy tools like presentations, documents, and data spreadsheets
+ Readiness to work mostly East Coast hours
**Preferred qualifications**
+ Technology and/or digital transformation experience
+ Health insurance, provider, and/or integrated health care experience
+ Experience working with/in large organizations
+ Business analytics and/or financial experience
+ Master's or other post-secondary degree
**Additional information**
Qualified candidates are required to currently live in, or be willing to move to, a commutable distance for a hybrid (~3 days in-office) work arrangement
_Location options are currently:_
+ Washington, D.C. metropolitan area
+ Louisville, KY metropolitan area
+ Denver, CO metropolitan area
+ Dallas, TX metropolitan area
+ Ft. Lauderdale, FL metropolitan area
**SSN Alert Statement**
Humana values personal identity protection. Please be aware that applicants may be asked to provide their Social Security Number, if it is not already on file. When required, an email will be sent from ******************** with instructions on how to add the information into your official application on Humana's secure website.
**Interview Format**
As part of our hiring process for this opportunity, we will be using an interviewing technology called HireVue to enhance our hiring and decision-making ability. HireVue allows us to quickly connect and gain valuable information from you pertaining to your relevant skills and experience at a time that is best for your schedule.
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.
$138,900 - $191,000 per year
This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.
**Description of Benefits**
Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.
Application Deadline: 03-12-2026
**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 ***************************************************************************
$138.9k-191k yearly Easy Apply 5d ago
Senior Financial Planning and Analysis Professional
Humana 4.8
Sacramento, CA job
**Become a part of our caring community and help us put health first** The Senior Financial Planning and Analysis Professional analyzes and forecasts financial, economic, and other data to provide accurate and timely information for strategic and operational decisions. The Senior Financial Planning and Analysis Professional 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 Financial Planning and Analysis Professional collects, compiles, verifies, and analyzes financial information and economic indicators so that senior management has accurate and timely information for making strategic and operational decisions on, for example, acquisitions, investments, capital expenditure, divestitures, mergers, or the sale of assets. Analyzes the financial implications of proposed investments or other transactions so that senior managers can evaluate alternatives against the organization's business objectives. Evaluates industry, economic, financial, and market trends to forecast the organization's short, medium, and long-term financial and competitive position. Analyzes revenues, expenses, costs, prices, investments, cash flow, profits, labor market trends, inflation, interest rates, and exchange rates. May involve financial modeling, reporting and budgeting as well. 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**
**Required Qualifications**
+ Bachelor's Degree in Finance, Accounting or a related field
+ 5 or more years experience in finance/accounting
+ Comprehensive knowledge of all Microsoft Office applications, and Access, SQL, and multi-dimensional databases
+ Ability to manage multiple priorities
+ Strong analytic skills with attention to details
+ Excellent oral and written communication skills
+ Must be passionate about contributing to an organization focused on continuously improving consumer experiences
**Preferred Qualifications**
+ Master's Degree in Business Administration or a related field
+ Previous health insurance industry experience
+ Experience with Oracle Planning, Power BI, SAS, and or Anaplan or other relational databases
**Location** **:**
Louisville, KY - Waterside Building. The team operates on a hybrid schedule, working 2-3 days per week in the office. We are open to considering remote arrangements for highly qualified candidates.
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.
$86,300 - $118,700 per year
This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.
**Description of Benefits**
Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.
Application Deadline: 01-29-2026
**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 ***************************************************************************
$38k-57k yearly est. 6d ago
Channel Development Lead
Humana 4.8
Sacramento, CA job
**Become a part of our caring community and help us put health first** The Channel Development Lead supports the execution and optimization of sales and growth communications by translating established strategy into clear, consistent, and timely deliverables. This role enables key stakeholders, supports go-to-market initiatives, and ensures communications are data-informed, compliant, and aligned to enterprise priorities.
**Core Responsibilities**
**Sales Communications Execution**
+ Develop and execute multi-channel communications aligned to go-to-market initiatives and enterprise priorities
+ Ensure messaging accuracy, consistency, and readiness across internal, external, and MarketPoint channels
**Program Coordination & Delivery**
+ Support the rollout of MarketPoint and enterprise initiatives through coordinated communication plans
+ Manage program calendars, intake documentation, and execution timelines
+ Track milestones and ensure deliverables are completed on schedule
**Reporting & Performance Support**
+ Collect and analyze engagement, utilization, and adoption metrics related to sales communications
+ Support dashboard development and reporting to measure communication effectiveness
+ Identify trends and insights to inform ongoing optimization
**Cross-Functional Collaboration & Compliance**
+ Partner with Sales, Marketing, Compliance, Finance, Operations, and other stakeholders to support aligned execution
+ Ensure all materials adhere to regulatory, compliance, and brand standards
**Adaptability & Continuous Improvement**
+ Adjust communication plans in response to changing priorities, risks, or stakeholder needs
+ Incorporate feedback and performance insights to improve communication quality and effectiveness
**Use your skills to make an impact**
**Required Qualifications**
+ Bachelor's degree
+ 2 or more years of project leadership experience
+ Comprehensive knowledge of Microsoft PowerPoint, Word, and Excel
+ Must be passionate about contributing to an organization focused on continuously improving consumer experiences
+ Proven track record of developing and executing multi-channel communication campaigns to a large diverse audience
**Preferred Qualifications**
+ Master's degree
+ 2 or more years of sales experience in the health solutions industry
+ PMP/Six Sigma
Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.
**Scheduled Weekly Hours**
40
**Pay Range**
The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.
$115,200 - $158,400 per year
This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.
**Description of Benefits**
Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.
Application Deadline: 01-20-2026
**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 ***************************************************************************
$115.2k-158.4k yearly 2d ago
Broker Sales Support Specialist I
Centene Corporation 4.5
Sacramento, CA job
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 Purpose:**
This position supports Ambetter Brokers and the Sales team with commission & contracting related questions, which are not limited to, more in-depth research of the issues, which requires strong communication skills to accurately relay the findings back. Collaborating with their leadership team, and other internal teams, including the Sales team, on member related issues that are identified by the Ambetter Brokers and initially reported to the Broker & Sales Support team, ensuring initial research is completed and documented, following up until a resolution is obtained. Partnering with the Sales team to make outreaches to their brokers, in an attempt to secure and retain membership, to ensure organizational goals are met.
+ Handles provider issues that brokers call or email in about.
+ Determine if the issue needs to be escalated to the Provider Management team and Health Plan contacts.
+ Empowered to collaborate with the Provider Management Team and Health Plan to resolve the issue.
+ Research commission issues in determining if a Broker should be paid commissions.
+ If the commission issue is not complex, the Specialist is authorized to have the correction made Responsible for the Broker to be paid or not paid based on their evaluation.
+ Performs other duties as assigned.
+ Complies with all policies and standards.
**Education/Experience:**
High School Diploma / GED. 1+ year of customer service or health insurance industry experience.
**License/Certification:** Department of Insurance Life/Health License is required, or ability to obtain license within 120-days of being hired.
Pay Range: $19.43 - $32.98 per hour
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
$19.4-33 hourly 4d ago
Senior IT Product Manager - Information Marketplace & Data Governance Platform
Humana 4.8
Sacramento, CA job
**Become a part of our caring community and help us put health first** The Senior IT Product Manager - Information Marketplace & Data Governance is responsible for the strategic vision, roadmap, and execution of the Information Marketplace and its ecosystem of integrated enterprise capabilities. This role owns the end-to-end product lifecycle for the Information Marketplace as well as integrations with its supporting capabilities, data discovery, data quality and observability, metadata management, data cataloging, semantic enablement, and governed data usage processes such as the Protected Information Review Council (PIRC).
The Information Marketplace serves as the front door and starting off point for finding and understanding Humana's data. It serves a large role in day-to-day data usage and management processes and that role will continue to expand and evolve.
The Senior IT Product Manager partners closely with data governance leadership, architecture, engineering, security, compliance, and business stakeholders to ensure these capabilities operate as a cohesive, scalable product that enables trusted data use, risk reduction, and business value realization. They will create, prioritize and manage product backlogs with a focus on iteration and scalability. They will directly influence department strategy and make decisions on moderately complex to complex issues regarding technical and non-technical approaches for project components. Work will be performed without direction and considerable latitude will need to be exercised in determining objectives and approaches.
Detailed Responsibilities
**Product Strategy & Vision**
+ Define and own the long-term product vision and roadmap for the Information Marketplace and its integration to supporting capabilities and processes.
+ Translate enterprise data governance, compliance, and analytics strategies into actionable product capabilities and prioritized initiatives.
+ Act as the product authority for how data discovery, quality, observability, metadata management, and semantic layers work together as a unified experience.
**Information Marketplace Ownership**
+ Own the Information Marketplace as a core enterprise product, including user experience, adoption, scalability, and extensibility.
+ Ensure the Marketplace enables intuitive discovery of curated and un-curated data assets.
+ Drive continuous improvement of Marketplace capabilities based on usage analytics, stakeholder feedback, and emerging governance trends.
**Platform Integrations & Ecosystem Management**
+ Lead integration strategy and execution across platforms supporting:
+ Data quality and observability
+ Data cataloging and metadata management
+ Data lineage and impact analysis
+ Semantic layers and business term enablement
+ Workflow and approval processes (e.g., PIRC)
+ Partner with architecture and engineering teams to ensure integrations are scalable, secure, resilient, and aligned with enterprise standards.
+ Manage dependencies across internal platforms, vendor tools, and custom-built solutions.
**Stakeholder Engagement & Leadership**
+ Serve as the primary product interface between data governance leadership and stakeholders.
+ Facilitate prioritization decisions.
+ Communicate product strategy, roadmap progress, and outcomes to executive and senior leadership audiences.
**Delivery & Execution**
+ Own and manage the product backlog, ensuring clear articulation of epics, features, and acceptance criteria.
+ Partner with agile delivery teams to ensure timely, high-quality execution of product initiatives.
+ Define and track success metrics related to adoption, data trust, operational efficiency, and risk reduction.
**Use your skills to make an impact**
**Required Qualifications**
+ 8+ years of experience in product management, technology product ownership, or platform leadership roles.
+ Proven experience managing complex, enterprise-scale platforms with multiple integrations and stakeholders.
+ Demonstrated success owning products across the full lifecycle, from strategy and vision through delivery and adoption.
+ Ability to work effectively with architects and engineers on integration patterns, APIs, metadata flows, and platform interoperability.
+ Experience operating in hybrid or multi-platform environments, including vendor tools and custom-built solutions.
+ Exceptional stakeholder management skills, with the ability to influence without direct authority.
**Preferred Qualifications**
+ Strong understanding of data governance concepts, including metadata management, data quality, data lineage, and data stewardship.
+ Experience with data discovery, data cataloging, or information marketplace-style platforms.
+ Familiarity with compliance-driven data usage processes (e.g., privacy reviews, data access approvals, risk assessments).
+ Strong understanding of how semantic layers, business glossaries, and metadata drive analytics and AI enablement.
+ Strong executive communication skills, including the ability to translate complex technical concepts into business outcomes.
+ Experience supporting regulated industries (e.g., healthcare, financial services, insurance).
+ Exposure to data observability platforms, data quality automation, or AI-enabled governance capabilities.
+ Experience operationalizing governance processes through workflow tools or custom platforms.
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.
$104,000 - $143,000 per year
This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.
**Description of Benefits**
Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.
Application Deadline: 03-26-2026
**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 ***************************************************************************
$104k-143k yearly 4d ago
Representative, Care Connections Member Advocate - Must Be Bilingual in Cantonese, and Tagalog, M - F 8:30AM - 5:30PM Pacific Time Hours - CA ONLY
Molina Healthcare Inc. 4.4
Molina Healthcare Inc. job in Citrus Heights, CA
Makes outbound calls to members, completes assigned hand-dial lists, and provides proactive member support, information, and assistance. Adheres to member interaction departmental standards, call quality, and documentation requirements.
* Schedules high-quality member appointments daily to meet departmental goals.
* Completes assigned hand-dial lists and member research requirements with accuracy and efficiency.
* Provides basic support and guidance to members with empathy and professionalism.
* Participates in ongoing training sessions to enhance service quality and knowledge.
Job Qualifications
REQUIRED QUALIFICATIONS:
* At least 1 year experience in a healthcare service environment, or equivalent combination of relevant education and experience.
* High attention to detail and ability to follow member interaction scripting.
* Flexible and adaptive to changing priorities and workflows.
* Compassionate and service oriented.
* Bilingual (English and at least one additional language, as required).
* Strong verbal and written communication skills.
PREFERRED QUALIFICATIONS:
* Healthcare administrative support experience in roles such as Medical Office Assistant, Patient Services Representative, Medical Receptionist, Front Desk Coordinator, or Scheduler.
To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
Pay Range: $20.25 - $30.39 / 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.
$20.3-30.4 hourly 3d ago
Account Executv II Medicr Pgms
Centene Corporation 4.5
Sacramento, CA job
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.
****Must live in and cover Riverside County, San Bernandino County, San Diego County, and/or Imperial County****
**Position Purpose:**
The Account Executive II supports Account Executives and Account Management Teams in assigned territories for small group, mid-market, and large group segments. This position assists with new business, renewal presentations and broker service issues pertaining to ancillary products.
+ Meets or exceeds assigned annual sales goals and penetration of the book of business.
+ Participates in product training with Sales Management for Health Plan's commercial sales segments.
+ Assists with supporting Health Plan's General Agents and brokers in assigned territory.
+ Develops best practices and work to implement those based on local market conditions.
+ Reviews and responds to RFP's, manages internal strategy and participates in major sales and renewal presentations.
+ Maintains strong familiarity with competition, market environments, healthcare economics, etc.
+ Maintains competitive analysis information and submits to sales management quarterly.
+ Builds relationships with Health Plan sales and account management teams to increase new sales and penetrate Health Plan's book of business.
+ Travels to customer, finalist and presale meetings, and other cross-sale related activities.
+ Submits Account Executive reports and ad hoc reports upon request and in a timely manner.
+ Performs other duties as assigned.
+ Complies with all policies and standards.
**Education/Experience:**
**Bachelor's degree in Healthcare, Marketing, Business or related field or equivalent experience. 2+ years of experience in Sales, Healthcare, Medicare, CMS Regulations and/or Management. Prior experience working with brokers/agents along with territory management experience is preferred. License/Certification:** Active, valid and unrestricted State Life, Health & Disability license.
**For Medicare/Commercial Solutions:** Must have a valid driver's license. Travel: As a field-based role, a minimum of 75% of this role will take place in the marketplace. (Note: Working in an office or remotely within a home-based environment is not considered field-based work. Overnight travel maybe required based on territory/marketplace.
**For Medicare/Commercial Solutions:** License/Certification: Active health insurance license required or obtained within 45 days. Requires state insurance license required. Requirements vary state by state.
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