Humana Jobs (85) | Careereer.com

Social Worker Home Health

Humana Indianapolis, IN

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Description

The Home Health Social Worker 2 provides individuals, families, and groups with the psychosocial support needed to cope with chronic, acute, or terminal illness.

The Home Health Social Worker 2 work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action.

Responsibilities

Position will cover the Avon, Greenwood and Indianapolis markets.

The Medical Social Worker participates in the interdisciplinary care provided to home health patients. The Medical Social Worker functions to evaluate and develop a plan of care personalized to fit the patient’s emotional and social needs.

The Medical Social Worker provides direction and supervision of the Social Worker Assistant as required and when involved in the patient’s plan of care.

The Medical Social Worker works within Kindred’s company-specific policy and procedures, applicable healthcare standards, governmental laws, and regulations.

Minimal supervision is required

Essential Functions :

Assesses the patient’s social and emotional state as it relates to his or her illness or injury, needs for care, and his or her response to such treatment, and adjustments to care
Assesses any relationships of the patient’s medical and nursing needs in the home setting, financial resources, and available community resources
Provides any appropriate action to obtain available community resources to assist in resolving issues that may be impeding the patient’s recovery
Instructs patients and families in treating and coping with social and emotional response connected with Provides ongoing assessment of patient and family needs and responses to teaching
Assists the physician and other health team members in understanding the significant social and emotional factors related to the patient’s health Participates in the development and periodic re-evaluation of the physician's Plan of Care for the patient.
Observes, records, and reports changes in patients’ condition and response to treatment to the Clinical Manager and the Participates in the discharge planning process
Participates as a member of the interdisciplinary care team in care coordination activities and acts as a resource to other health team members in the identification and resolution of patient needs
Supervises instructs and evaluates the performance of the Social Work Assistant (BSW) to assure that all medical social services are provided to patients in compliance with Company, government, and professional standards

Required Skills / Required Experience

Master’s or doctoral degree from a school of social work accredited by the Council on Social Work Education
Social Worker licensure in the state of practice required by state law or regulation
Valid driver’s license, auto insurance and reliable transportation.
Proof of current CPR
Minimum of one year of experience as a social worker in a health care setting, home health, and / or hospice
Knowledge of and the ability to assist with discharge planning needs, and to obtain community resources (housing, shelter, funeral / memorial service arrangements, legal, information and referral, state / federal financial and medication programs, and eligibility.
Excellent oral and written communication and interpersonal skills.
Must read, write and speak fluent English.
Knowledge of medications and their correct administration.
Ability to organize tasks, develop action plans, set priorities, and function under stressful situations.
Ability to be flexible in work hours and travel locally.
Ability to communicate effectively with patients and their family members and at all levels of the organization.
Maintains current licensure certifications and meets mandatory continuing education requirements.
Must read, write and speak fluent English.
Must have good and regular attendance.
Performs other related duties as assigned.
This role requires full COVID-19 vaccination

Scheduled Weekly Hours

Full-time

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Product Manager Technology Shopping

Humana Seattle, WA

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Description

Do you have a passion for change, innovation, and creating a great, yet simple, user experience with technology solutions?

Have you led a broad range of technology products through design, delivery, and support? Do you enjoy managing and communicating progress, risks, and change control?

The Lead Product Manager conceives, develops, delivers, and manages products for customer use. If you feel you can excel in delivering high-impact, end-user experience-centered technology and productivity solutions then this is the role for you.

We are seeking a seasoned, results-oriented, and empathic Lead Product Manager to work with multiple business and technology stakeholders to assist in building out complete end-to-end technology readiness experiences that delight Humana workers as the main customer base throughout their journey at the company.

Responsibilities

A successful Product Manager is highly analytical, able to work effectively in a matrixed organization, and adept at synthesizing a variety of technologies and capabilities into high-quality, simple solutions that delight end users and stakeholder teams.

The ideal candidate for this role will have a business and value-oriented product sense, combined with a good understanding of the employee journey moments in the Healthcare or similar industries, as well as the means for employees to order and obtain the appropriate technology to be most effective in a particular job role.

You must be able to thrive and succeed in an entrepreneurial environment without being hindered by ambiguity or competing priorities.

Good judgment, ability to influence, analytical talent, exceptional communication skills, the ability to partner with technical and non-technical stakeholders, and leadership are essential to success in this role.

In this position, you will :

Own and drive the overall journey-based technology readiness and shopping roadmap to create successful launches.
Work in a cross-functional environment to define technical options, requirements, and timelines to deliver shopping services and solutions that optimize the users’ work experience
Interface with organizational stakeholders end users, suppliers, research, and engineering teams as well as marketing and communications.
Interact directly with senior management to advise on and obtain input for evolving product strategy and technical options to solve user problems.
Negotiate features and release timelines with multiple internal teams that contribute to creating a delightful shopping experience throughout the technology journey of a Humana worker, including finding, ordering, receiving, and using technologies.
Leverage cloud technologies where they make sense from a technical and cost-to-value perspective.
Work on problems of diverse scope and complexity ranging from moderate to substantial.

Exercise independent judgment and decision-making on complex issues to determine the best course of action.

Required Qualifications

Bachelor's degree and 7+ years of information technology or development experience or 5+ years of product management or product owner experience at a start-up environment or online retailer.
Experience with Cloud-PaaS, SaaS, API, and mobile-friendly development.
Ability to effectively prioritize what matters and manage multiple streams of work at the same time.
Collaborate exceptionally well with intra-team as well as with broader internal and external stakeholders, including engineering, business teams, leaders, and partners.
Achieve favorable outcomes when there is a conflict of interest, driving decisions using data, technology, and market knowledge.
Experience with analyzing competitor activities vs. own products / solutions; develop an awareness of directional competitor behavior.
Knowledgeable about user needs and behavior patterns. Collaborate easily on forming and presenting empathy maps and clearly identify user profiles.

Can map features to target personas and values.

Expertise in using analytics, metrics, and key performance indicators to measure progress.
Ability to set and track product performance goals. Use and present usage and performance data that influence product direction and development.
Ability to identify and quantify opportunities for roadmap prioritization. Assess tech debt as part of the development backlog and manage accordingly.
Deep understanding of agile development processes; lean and service design-oriented startup mentality.
Ability to deeply understand good and bad user experience and identify opportunities for improvement. "Design for Delight" mindset.
Understanding of tracking intra-product dependencies, system integrations, and interfaces.

Preferred Qualifications

BS in Computer Science, Engineering, Information Systems, or an MBA degree with an engineering / quantitative background.
Machine, Self-Learning, and AI knowledge is a plus.
Experience with senior management and executive-level teams.
Product management certification(s) with Pragmatic Institute, Group280, Scrum Product Owner, Product School, MindTheProduct, SAFe or similar.
Familiarity with Healthcare is a plus.

Scheduled Weekly Hours

Full-time

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CenterWell - Nurse Practitioner/Physician Assistant

Humana Indianapolis, IN

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Description

Humana’s Primary Care Organization is one of the largest and fastest growing value-based care, senior-focused primary care providers in the country, operating over 175 centers across eight states under two brands : CenterWell & Conviva.

Operating as a payor-agnostic, wholly owned subsidiary of Humana, our centers put the unique needs of seniors at the center of everything we do.

Our Clinics offer a team-based care model where our physicians lead a multi-disciplinary care team supporting patient’s physical, emotional, and social wellness.

Responsibilities

At CenterWell Senior Primary Care, or Conviva Care Solutions we want to help those in the communities we serve, including our associates, lead their best lives.

We support our associates in becoming happier, healthier, and more productive in their professional and personal lives. We promote lifelong well-being by giving our associate fresh perspective, new insights, and exciting opportunities to grow their careers.

Our culture is focused on teamwork and providing a positive and welcoming environment for all.

Responsibilities :

The Nurse Practitioner (NP) works in our team-based care environment. We are a value based care provider focused on quality of care for the patients we serve.

Our care team consists of doctors, advanced practice professionals, Pharm D, Care Coach Nurse, MA, Behavioral health specialist, Quality based Coder, Referral Coordinator and more.

Our approach allows us to provide an unmatched experience for seniors. Our model is positioned to provide higher quality care and better outcomes for seniors by providing a concierge experience, multidisciplinary services, coordinated care supported by analytics and tools, and deep community relationships.

This robust support allows our Nurse Practitioner to see fewer patients and spend more time with them.

Patient Care :

Evaluates and treats center patients in accordance with standards of care.
Follows level of medical care and quality for patients and monitors care using available data and chart reviews.
Assists in the coordination of patient services, including but not limited to specialty referrals, hospital and SNF coordination, durable medical equipment and home health care.
Acts as an active participant and lead with the care team through daily huddles.
Helps Regional Medical Director (RMD), Physician and Center Administrator in setting a tone of cooperation in practice by displaying a professional and approachable demeanor.
Completes all medical record documentation in a timely manner working with a quality- based coder to optimize coding specificity.
Follows policy and protocol defined by Clinical Leadership.
Meets with RMD about quality of care, review of outcome data, policy, procedure and records issues.
Participates in potential growth opportunities for new or existing services within the Center.
Participates in the local primary care on-call program of CenterWell Senior Primary Care.
Assures personal compliance with licensing, certification, and accrediting bodies.

Required Qualifications :

Minimum of two to five years directly applicable experience preferred
Successful completion of a Nurse Practitioner program with Board Certification
Active, unrestricted Nurse Practitioner license in state of practice location
Excellent communication skills; written and verbal, demonstrate a high level of skill with interpersonal relationships and communications with all colleagues;

fully engaged in the concept of Integrated team based care .

Willingness and ability to learn / adapt to practice in a value based care setting.
Superior patient / customer service.
Basic computer skills, including email and EMR.
Appropriate certification to write prescriptions under the authority of a collaborating physician / medical director
This role is considered patient facing and is a part of our Tuberculosis (TB) screening program. If selected for this role, you will be required to be screened for TB.

Preferred Qualifications :

Active and unrestricted DEA license
Medicare Provider Number / Medicaid Provider Number
Experience managing Medicare Advantage panel of patients with understanding of Best Practice in coordinated care environment in a value based relationship environment.
Knowledge of Medicare guidelines and coverage.
Bilingual is a plus
Knowledge of HEDIS quality indicators.

Additional Information :

Guaranteed base salary + bonus
Excellent benefit package
CME Allowance / Time
Occurrence Malpractice Insurance
401(k) with Employer Match
Life Insurance / Disability
Paid Time Off / Holidays
Minimal call

LI-CB1

Scheduled Weekly Hours

Full-time

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Medical Assistant

Humana Atlanta, GA

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Description

The Medical Assistant 1 is the first point of contact for patient care. Responsible for administrative duties in addition to patient care.

The Medical Assistant 1 performs basic administrative / clerical / operational / customer support / computational tasks.

Typically works on routine and patterned assignments.

Responsibilities

The Medical Assistant 1 performs clinical duties such as discussing symptoms and gathering and inputting information into the electronic medical records system, taking vital signs, giving injections, performing diagnostic tests, collecting specimens, drawing blood, sterilizing and cleaning equipment, and maintaining examination rooms at an outpatient care site.

Collaborates closely with Physicians and Nurses. Delivers direct patient care dependent on what active certification allows.

Decisions are limited to defined parameters around work expectations, quality standards, priorities and timing, and works under close supervision and / or within established policies / practices and guidelines with minimal opportunity for deviation.

Required Qualifications

Less than 2 years of Medical Assistant experience in 'back-office' direct patient care
Applicable State licensure in field of study (RMA / CMA)
Current CPR certification
Less than 2 years of leadership experience
This role is considered patient facing and is part of Humana / Senior Bridge's Tuberculosis (TB) screening program. If selected for this role, you will be required to be screened for TB.
Must be a team player with excellent communication skills
Experience in a fast pace / high volume environment
Experience with MS Outlook
Basic Computer knowledge
Must be passionate about contributing to an organization focused on continuously improving consumer experiences

Preferred Qualifications

High School Diploma
Bilingual
Hands-on professional Phlebotomy experience
Experience with Electronic Medical Records
Experience with HEDIS
Active Medical Assistant Certification or Registration from the following : American Association of Medical Assistant (AAMA), National Healthcareer Association, American Registry of Medical Assistants, National Association for Health Professionals, and / or American Medical Technologist
Rad tech license ( AART)

Additional Information

Scheduled Weekly Hours

Full-time

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Senior Cloud Security Professional

Humana Colorado Springs, CO

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Description

The Senior Cloud Security Professional audits the most complex new and existing information systems applications to ensure that appropriate controls exist, that processing is efficient and accurate, and that information systems procedures are in compliance with corporate standards.

The SR Cloud Security Professional work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors.

Responsibilities

The Senior Cloud Security Professional works with all parts of IT to ensure that the appropriate controls exist to meet specific Humana Government business needs.

The SR Cloud Security Professional also ensures the appropriate controls operate effectively and that information systems procedures are in compliance with industry and corporate standards.

Responsibilities Include :

Begins to influence department’s strategy.

Understand Government Security Cloud issues.

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.

Required Qualifications

Our Department of Defense contract requires U.S. Citizenship for this position

Bachelor's degree or equivalent work experience

5 or more years of technical experience

Proficiency in Cloud Security, Azure, AWS or GCP

IT management background, with demonstrated experience leading special projects and producing metrics, measurements and trend reports

Ability to work in a fast paced, dynamic and changing environment while managing multiple projects simultaneously

Excellent communication skills

Solid understanding of SDLC and Agile / Scrum methodologies

Must be passionate about contributing to an organization focused on continuously improving consumer experiences

Preferred Qualifications

Master's Degree of Business Administration, Information Technology or a related field

FedRAMP Cloud Security experience

PMP certification

Exemplary core project management skills including multiple aspects of the PMBOK

Ability to navigate a highly matrixed organization effectively.

Sound business and technical acumen.

Demonstrated experience with process documentation and re-engineering

Prior experience managing vendor relationships

Additional Information

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

LI-Remote #LI-TA4

This is a remote position

Scheduled Weekly Hours

Full-time

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Senior Cloud Security Professional

Humana Temecula, CA

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Description

The Senior Cloud Security Professional audits the most complex new and existing information systems applications to ensure that appropriate controls exist, that processing is efficient and accurate, and that information systems procedures are in compliance with corporate standards.

The SR Cloud Security Professional work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors.

Responsibilities

The Senior Cloud Security Professional works with all parts of IT to ensure that the appropriate controls exist to meet specific Humana Government business needs.

The SR Cloud Security Professional also ensures the appropriate controls operate effectively and that information systems procedures are in compliance with industry and corporate standards.

Responsibilities Include :

Begins to influence department’s strategy.

Understand Government Security Cloud issues.

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.

Required Qualifications

Our Department of Defense contract requires U.S. Citizenship for this position

Bachelor's degree or equivalent work experience

5 or more years of technical experience

Proficiency in Cloud Security, Azure, AWS or GCP

IT management background, with demonstrated experience leading special projects and producing metrics, measurements and trend reports

Ability to work in a fast paced, dynamic and changing environment while managing multiple projects simultaneously

Excellent communication skills

Solid understanding of SDLC and Agile / Scrum methodologies

Must be passionate about contributing to an organization focused on continuously improving consumer experiences

Preferred Qualifications

Master's Degree of Business Administration, Information Technology or a related field

FedRAMP Cloud Security experience

PMP certification

Exemplary core project management skills including multiple aspects of the PMBOK

Ability to navigate a highly matrixed organization effectively.

Sound business and technical acumen.

Demonstrated experience with process documentation and re-engineering

Prior experience managing vendor relationships

Additional Information

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

LI-Remote #LI-TA4

This is a remote position

Scheduled Weekly Hours

Full-time

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Brand Identity Art Director

Humana Los Angeles, CA

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Description

Humana’s The Hive is seeking an experienced Brand Identity Art Director to join the Creative Solutions team! The Hive is Humana's in-house agency.

We are a creative collective built exclusively to support the business and the brand. Our sole purpose is to create meaning, influence choice, and motivate change through brand expression.

Responsibilities

As the Art Director , you will be a working team leader and critical conceptual thinker who is a creative coach influencing individual skill development of a small team, developing strategic campaigns, and managing the visual and verbal expression for multiple lines of business.

You will use creative development expertise, business and brand insights, and analysis of moderately complex situations or data, to recommend creative solutions and identity standards for print, digital and environmental applications.

Key Role Functions

Coach an agile team of creative professionals and influence their individual skill development plans

Strengthen consumer perception and corporate reputation by ensuring consistent, accurate use of brand elements across multiple marketing and communications channels

Collaborate with agency team to develop creative briefs, provide art direction to the team, and present strategic concepts to partners

Translate business and brand objectives into creative strategy and content development for brand identity systems and integrated marketing campaigns

Ensure brand consistency, campaign continuity, and creative quality for multiple lines of business

Develop creative content for all media including print, digital, social, video, and environmental applications

Accountable for the creative development process from concept to production, oversight of suppliers and final delivery

Foster a collaborative creative culture and provides constructive critique that elevates outcomes

Negotiate daily creative priorities and ensure the right resources are aligned to projects

Proactively communicate progress against budget and schedule requirements

Advise on relevant industry trends and establish creative development best practices

To be successful in this role, you are a strategic designer with proven ability to oversee all aspects of the creative process from concept through production and final implementation.

You must be able to lead people and process to build dynamic brand identity systems and deliver exceptional creative that enhances brand value.

Ultimately, you are a brand advisor and creative catalyst who will build a collaborative culture with the agency team, internal business and marketing partners, and external agencies.

Required Qualifications

Bachelor's degree or equivalent experience in strategic graphic design

An industry competitive portfolio that demonstrates a strong mastery of developing strategic concepts, brand identity systems, and creative content for diverse media including, print, web, social and environmental applications

5+ years of professional creative development experience in an agency environment

2+ years of experience leading a creative team (indirect or direct)

Mastery of industry standard design tools, including Adobe Creative Suite, and Microsoft Office software

Advanced conceptual and technical skills, and acute attention to detail

Demonstrated ability to independently advance the creative development process, facilitate collaboration, and provide constructive critique

Strong communication and presentation skills and ability to lead with influence at all levels of the company

Preferred Qualifications

Healthcare industry and Humana business acumen

Proficiency with Agile methodologies

Environmental branding experience

Digital prototyping and design system management in Figma

SalesForce Marketing Cloud (email content builder) experience

Active participant in marketing / creative industry professional communities

Additional Requirements

All Humana associates approved for the Home or Hybrid Home / Office work styles are required to self-provide wireless, wired cable or DSL access to the internet at the connectivity speeds required by the company to successfully perform their job with the exception of associates who live or work from home in the state of California, Illinois, Montana, or South Dakota.

Connectivity requirements are detailed below.

Connectivity Requirement Details

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.

Why Humana?

You'll experience the following perks as a full-time Humana employee :

Compensation and Financial Security Our pay philosophy is designed to motivate and reward associates for their skills and contributions to the company.

We provide options to help you plan for your future and protect your assets : Competitive base pay, Recognition pay, and a 401(k) retirement savings plan with a company match.

Your Whole Health Humana's health products and services are designed to encourage personal wellness and smart healthcare decisions for you and your family : Medical, dental, and vision benefits, Health plan incentives, Paternity leave, etc.

Work Perks Humana knows your life extends outside of work. We have many options to support your interests and needs. Some departments have the flexibility to allow associates to work from home, and we offer all associates : Paid time off, holidays, volunteer time, jury duty pay, Associate charity matching program, Discount programs with major retailers, etc.

Grow With Us Humana provides growth and career opportunities that can help you develop your skills and build your future with the organization : Internal and external learning events, Tuition assistance, Inclusion and diversity training, etc.

Scheduled Weekly Hours

Full-time

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Data engineer

Humana Kansas City, KS

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Description

We are seeking a data-engineering wizard with a passion for healthcare to become a partner of the Health Informatics team working to build out our portfolio.

As a Lead Data Engineer at HGB Health Informatics, you will be at the forefront of our efforts to transform the healthcare industry through cutting-edge data analytics and machine learning.

The Engineer will Lead the charge in developing and maintaining our analytics data infrastructure, ensuring it is always up to date and ready to handle the next wave of data-driven insights.

This role will work with data from both Humana Military and Humana Inc serving stakeholders and solving large-scale problems that offer solutions for the company, business and member.

You will work closely with data and analytics’ product teams to understand their needs and provide them with the data infrastructure they need to be successful of the development, documentation, and dissemination of data, for the primary responsibility of understanding our population’s whole health.

The environment is highly collaborative, and you will work closely with data scientists, informaticists, visualization engineers, and leaders.

We are constantly challenging the status quo of data processing and dissemination methods, and there is considerable opportunity for initiative and creativity by all members of the team.

Responsibilities

Are you a data engineering wizard with a passion for healthcare? Do you thrive on building and maintaining robust data infrastructure that powers mission-critical applications and insights?

Then we have the perfect role for you! As a Senior Data Engineer at Humana Military, you will be at the forefront of our efforts to transform the healthcare industry through cutting-edge data analytics and machine learning products and solutions.

You will work across the Enterprise with senior leaders and product teams to develop and maintain our analytics data infrastructure, while collaborating with cross-functional teams to deliver insights that drive our business forward.

The Engineer will As a Senior Data Engineer with Humana Military Health Informatics, you will be at the forefront of our efforts to transform the healthcare industry through cutting-edge data analytics and machine learning solutions and products.

The Engineer will Lead the charge in developing and maintaining our analytics data infrastructure, ensuring it is always up to date and ready to handle the next wave of data-driven insights.

This role will work with data from both Humana Military and Humana Inc serving stakeholders and solving large-scale problems that offer solutions for the company, business and member.

You will work closely with data and analytics’ product teams to understand their needs and provide them with the data infrastructure they need to be successful in the development, documentation, and dissemination of data, for the primary responsibility of understanding our population’s whole health.

The environment is highly collaborative, and you will work closely with data scientists, informaticists, visualization engineers, and leaders.

We are constantly challenging the status quo of data processing and dissemination methods, and there is considerable opportunity for initiative and creativity by all members of the team.

This requires the completion of a 100+ page document on-line, finger printing, background check, credit check and completion of an employment application and drug test.

The financial / credit check portion requires an in-depth review of any failure to meet financial obligations within the past 7 years, including but not limited to bankruptcy, debt over 120 days delinquent and / or $15,000 threshold for bad debt (items in collection and charge off).

Responsibilities

Lead the charge in developing and maintaining our analytics data infrastructure, ensuring it's always up to date and ready to handle the next wave of data-driven insights
Work closely with data analytics product teams to understand their needs and provide them with the data infrastructure they need to be successful
Develop and maintain data pipelines that are accurate, efficient, and always up-to-date
Ensure that data is stored securely and in compliance with regulatory requirements, such as HIPAA
Tackle data issues head-on, identifying root causes and implementing preventative measures to ensure they never happen again
Continuously evaluate and improve our data infrastructure to ensure it stays ahead of the curve and continues to deliver value to the business
Stay up-to-date with the latest technologies and techniques related to healthcare claims data infrastructure, and incorporate them into our stack as needed

Role Skills :

Advanced working SQL knowledge and experience working with relational databases, query authoring (SQL) as well as working familiarity with a variety of databases
Experience building and maintaining data infrastructure and pipelines
Experience designing and implementing monitoring systems to detect data drift and anomalies by defining key parameters, threshold values, and alerting mechanisms
Experience supporting and working with cross-functional teams in a dynamic environment
Build processes supporting data transformation, data structures, metadata, dependency and workload management
Experience with cloud services

Key Accountabilities

20% - Build dashboards and visualizations exploring, combining, cleaning and transforming raw data into meaningful customer centric visualization.
40% - Operationalize and maintain dashboards and datasets from sandbox, test or other nonproduction environments to production;

and promote to system of record with necessary data quality and governance applied to foster stability to include cataloging, enriching and defining the proper uses of data.

40%- Collaborate across the business, IT, and data governance and security functions; supporting data science teams’ demands and propose innovative ways of using data in support of projects.

Assist team in reconfiguring tasks and taking their successful experiments into production with better optimization and less need for reworking.

This is a remote position

LI-Remote

Required Qualifications

Bachelor's or Master's degree in Computer Science, Engineering, or a related field
Experience working with healthcare claims data
Strong understanding of data architecture and design principles
Experience with data modeling and database design
Expertise in ETL and data integration techniques
5+ years of expereince with programming languages such as Python, Java, and SQL
Experience with data management technologies such as Hadoop, Spark, and Kafka
Strong problem-solving and analytical skills
Excellent communication and interpersonal skills, with the ability to collaborate effectively with cross-functional teams

Virtual Pre-Screen

As part of our hiring process for this opportunity, we will be using exciting virtual pre-screen technology called Modern Hire to enhance our hiring and decision-making ability.

Modern Hire allows us to quickly connect and gain valuable information for you pertaining to your relevant skills and experience at a time that is best for your schedule.

If you are selected for a virtual pre-screen, you will receive an email and text correspondence inviting you to participate in a Modern Hire interview.

In this virtual pre-screen, you will receive a set of questions to answer. You should anticipate this virtual pre-screen to take about 10-15 minutes.

Work at Home Connectivity 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.

Alert : Humana values personal identity protection. Please be aware that applicants selected for leader review may be asked to provide their social security number, if it is not already on file.

When required, an email will be sent from with instructions on how to add the information into your official application on Humana’s secure website.

Scheduled Weekly Hours

Full-time

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Senior product manager

Humana New York, NY

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Description

The Senior Product Manager Conceives of, develops, delivers, and manages products for customer use. The Senior Product Manager 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 Product Manager will support Salesforce CRM for all of Pharmacy call environments.

Responsibilities

This role is remote nationwide.

LI-Remote

We seek a Senior Product Manager Salesforce CRM who will join the Pharmacy Service Experience and Operations team. This role will be focused on migrating to Salesforce Lightening and developing a backlog, enabling the execution of key business objectives around efficiency and customer experience.

In this role, you will be accountable for creating and executing product roadmaps that meet desired customer and business outcomes.

You will work cross-functionally to deliver incremental value through agile product creation & delivery.

The Senior Product Manager creates the product vision and roadmap, champions the business requirements end-to-end, manages relationships with stakeholders, and ensures solutions meet the vertical needs across the product life cycle.

Defines features and epic, advocates for Product Owners, and disseminates roadmaps and priorities to the release train. Collaborates with the Solution Train Engineer and Solution Architect to create the power of three to inform priorities and ensure the right solutions are being developed.

Key Responsibilities

Build relationships with stakeholders, and act as a trusted advisor and liaison between the development team and the various Pharmacy LOBs.
Translate business priorities to technical team members.
Develop and execute the product roadmap.
Define objectives and key results for the product team.
Manage / oversee multiple product roadmaps, backlogs, and releases based on the evolving needs of verticals and work to achieve key results.
Confirm product quality requirements are met.
Escalate risks, actions, and issues raised by Product Owners to appropriate parties and facilitate resolution.
Demonstrate the value of product functionality / sprint outcomes, either on an ad-hoc basis or during appropriate ceremonies.
Determine a strategy for Pharmacy Salesforce CRM.
Consult on interoperability with other Salesforce products that create value.

Required Qualifications

Bachelor's degree or equivalent work experience
5+ years of experience in product management, product implementation, or equivalent experience
Experience managing complex initiatives through cross-functional teams and demonstrated ability to manage and influence stakeholders across the enterprise.
Agile product development experience
Experience creating / executing strategies and multi-year roadmaps.
Experience leveraging Human Centered Design approaches to develop consumer-centric products / solutions.
Demonstrated oral and written communications skills that will ensure effective interaction with key stakeholders and executives.
Strong analytic, organization, and problem-solving skills enabling sound decision making.
Both quantitative and qualitative analysis experience, with the ability to drive trend identification and actionable insights.

Preferred Qualifications

MBA or master's degree
Work experience in the healthcare industry
Experience developing / delivering / managing contact center products.
Experience with Salesforce Lightening Service Cloud

Scheduled Weekly Hours

Full-time

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Healthcare Strategy Consultant

Humana Chicago, IL

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Description

The Healthcare Strategy Consultant provides data-based strategic direction to identify and address business issues and opportunities.

Provides business intelligence and strategic planning support for business segments or the company at large.

Responsibilities

Humana, a Fortune 60 Healthcare Company

Humana is a publicly traded, Fortune 60 health benefits company with a long history of successful innovation and reinvention.

It has transformed itself from the largest US nursing home company in the ’60s, to the largest US hospital corporation in the ’80s, to a leading health benefits company beginning in the ’90s.

Today, Humana is a leader in consumer-focused health solutions and is one of the largest health benefits organizations in the country.

Role Overview : Healthcare Strategy Consultant

The Healthcare Strategy team supports Humana’s Retail business segment, which is comprised of the company’s Medicare and Medicaid businesses.

Retail is Humana’s largest business segment, comprising over 80% of the company’s total revenue and the majority of its earnings.

Team members partner with the senior leaders of the Retail business segment, and more broadly with leaders throughout the enterprise, as they deliver strategy projects addressing some of the businesses’ most important opportunities and challenges.

These high profile strategy projects place the small team at the forefront of helping to define the future of Humana’s largest businesses.

Humana is seeking a Consultant who will work with fellow team members to identify solutions and recommendations to high level strategic challenges prioritized by the Retail leadership team.

You’ll deconstruct issues and challenges, conduct targeted research and analysis, and craft sound, logical solutions and recommendations.

You will also help to identify implementation considerations for recommendations, and help to transition analysis into execution by business owners.

While doing so, you’ll have the opportunity to collaborate with fellow team members, subject matter experts, members of Humana’s executive Management Team, and corporate, functional, and business segment leaders.

Recent projects include a strategy refresh for one of the largest Medicare Advantage markets in the US, developing a competitive strategy for one of the fastest growing Medicare products, and identifying performance improvement opportunities for a key business division.

Key responsibilities include :

Managing analysis and / or work streams within high-profile, high-impact strategy projects

Leading interviews and working sessions with leaders within Retail and across the company

Conducting industry, market, competitor, and financial analysis and identifying insights for Humana

Creating high quality analysis and sections of deliverables that clearly frame objectives, issues, and challenges, and articulate insightful findings and recommendations

Working collaboratively with fellow team members and leaders across the company

Required Qualifications

Bachelor’s Degree with a strong record of academic achievement

2+ years of full-time work experience in strategy consulting, investment banking, or corporate / business unit strategy

Strong problem solving skills and demonstrated ability to perform complex quantitative and qualitative analysis

Strong record of leadership in a work setting and in extracurricular activities

Excellent verbal and written communication abilities

Highly collaborative, flexible, teamwork oriented working style

Strong commitment to personal and professional growth

Preferred Qualifications

Finance, accounting, engineering, business, economics, or technically focused undergraduate major

Managed care and / or healthcare services work experience

Additional Information

Flexibility with work location; options include :

Humana’s New York office in Midtown Manhattan

Humana’s headquarters in Louisville, Kentucky

Remote, with majority of work conducted on Eastern time

Work-At-Home Requirements

Must have the ability to provide a high speed DSL or cable modem for a home office. Associates or contractors who live and work from home in the state of California will be provided payment for their internet expense.

A minimum standard speed for optimal performance of 25x10 (25mpbs download x 10mpbs upload) is required.

Satellite and Wireless Internet service is NOT allowed for this role.

A dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information

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