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This 12-week internship program is for current college or graduate students only.
The internship will take place during the summer of 2024 in Louisville, Kentucky.
FREE Housing will be provided.
This position is a summer Actuarial Internship requiring a student with a mathematical background, strong analytical and communication skills, and leadership potential. Humana has several unique opportunities for growth in a variety of actuarial disciplines.
The Humana Actuarial Organization is currently seeking interns who are interested in working in the Louisville, KY market for the summer of 2024
(This is an in-person 12-week internship located in the city of Louisville so you must be available to live and work during the internship period in Louisville).
Our organization focuses on balancing and optimizing ongoing growth, profitability, and risk management for the enterprise. We do this through sophisticated, disciplined data analytics, emphasizing forecasting and projections from an enterprise wide and industry perspective, creating understanding as trusted partners and business leaders.
As an Actuarial Intern you will assist your team by collecting data related to product development, pricing, reserving, financial reporting, and other actuarial functions. In addition, you will analyze experience reports and manual rate analyses, assisting with developing recommendations for improvements. You will also be exposed to a variety of professional development and networking opportunities.
Key Features:
Requirements
• Have an interest in pursuing the actuarial profession
• Be pursuing a degree related to the field (Actuarial Science, Mathematics, Statistics, etc.)
• Possess computer programming aptitude (projects will involve training and utilization of PLSQL, Microsoft Access, Excel, VBA coding, SAS, and other data applications)
• Have a strong academic history, with a minimum 3.0 cumulative GPA being desired
• Graduate with a Bachelor's or Master's between December 2025 and May 2027
• Be actively involved on-campus and/or in the community
Humana does not provide visa sponsorship for its internships.
Scheduled Weekly Hours
40
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 because he or she is a protected veteran. It is also the policy of Humana to take affirmative action to employ and to advance in employment, all persons regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, 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.
Official account of Jobstore.
Humana is recruiting for a Senior Financial Planning and Analysis Professional to join our Corporate FP&A Finance team. Successful candidates will be responsible for monthly tasks related to month end close, financial & metrics reporting, forecasting, invoice & purchase order management, ad hoc reporting and will interact with others to achieve the organization’s goals.
Essential functions:
Required Qualifications
Preferred Qualifications
Location:
Scheduled Weekly Hours
40
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 because he or she is a protected veteran. It is also the policy of Humana to take affirmative action to employ and to advance in employment, all persons regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, 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.
Official account of Jobstore.
The Senior Claims Research & Resolution Professional Key Responsibilities:
Required Qualifications
Work at Home Requirements
Preferred Qualifications
Additional Information:
Interview Format
As part of our hiring process, we will be using an exciting interviewing technology provided by Hire Vue, 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 Interview and/or an SMS Text Messaging interview. If participating in a pre-recorded interview, you will respond to a set of interview questions via your phone. You should anticipate this interview to take approximately 10-15 minutes.
If participating in a SMS Text interview, you will be asked a series of questions to which you will be using your cell phone or computer to answer the questions provided. Expect this type of interview to last anywhere from 5-10 minutes. Your recorded interview(s) via text and/or pre-recorded voice will be reviewed, and you will subsequently be informed if you will be moving forward to next round of interviews.
Scheduled Weekly Hours
40
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 because he or she is a protected veteran. It is also the policy of Humana to take affirmative action to employ and to advance in employment, all persons regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, 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.
Official account of Jobstore.
Job Description:
The Learning Systems Professional 2 Intern facilitates access to expertise, services and resources relating to technology-supported learning.
Welcomes and supports new associates in the onboarding process.
Acts as consultant for the introduction of technology-supported learning. Develops and deploys interactive e-learning in a multimedia or mobile environment.
Creates the user interface learning portals and print materials with an eye toward the clarity required for learning and information dissemination.
Assembles all the elements into a running course, adds interactivity, ensures the course can interface with a Learning Management System, if required.
Collaborates with subject matter experts on appropriate technology-based learning solutions.
Develops project documentation, including development standards, templates, and storyboards.
Provides technical troubleshooting support as related to learning programs. Develops and deploys technology-based training (eLearning) and interactive e-learning courses and training modules. Understands department, segment, and organizational strategy and operating objectives, including their linkages to related areas.
Makes decisions regarding own work methods, occasionally in ambiguous situations, and requires minimal direction and receives guidance where needed. Follows established guidelines/procedures.
The Learning Systems Professional Intern works in a department whose goal is to design and develop learning focused on providing Medicaid focused member care and improving health outcomes.
Required Qualifications
Intermediate to advanced skills navigating multiple systems and platforms and ability to troubleshoot and resolve basic technical difficulties in a remote environment.
Proficiency using MS Office Suite, Word, Outlook, PowerPoint, Excel
Intermediate to Advanced use of Excel (data filtering, pivot tables, VLookup, etc.)
Intermediate to Advanced experience using SharePoint, Teams,
Strong communication written and verbal
Organizational skills
Preferred Qualifications
Bachelor's degree
Experience working with learning technologies
Experience working with Adobe Captivate, Adobe Photoshop, Camtasia Studio, Adobe Premiere, Adobe Illustrator and/or other e-Learning applications
Previous background in eLearning design and development
Additional Information
Networking opportunities will be provided while participating in the DOD SkillBridge Internship or Military Spouse Fellowship program.
Due to factors such as location, and/or requirements that cannot be modified, full-time employment is not guaranteed upon completion of the Internship.
Workstyle: Remote
Location: US
Schedule: Monday through Friday 8:00 AM - 5:00 PM Eastern
Travel: None
Work at Home Guidance 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
Interview Format
As part of our hiring process for this opportunity, we will be using an exciting interviewing technology called Montage Voice to enhance our hiring and decision-making ability. Modern Hire Voice allows us to quickly connect and gain valuable information from you pertaining to your relevant skills and experience at a time that is best for your schedule.
If you are selected for a first-round interview, you will receive an email correspondence (please be sure to check your spam or junk folders often to ensure communication isn’t missed) inviting you to participate in a Modern Hire Voice interview. In this interview, you will listen to a set of interview questions over your phone, and you will provide recorded responses to each question. You should anticipate this interview to take about 15 to 30 minutes. Your recorded interview will be reviewed, and you will subsequently be informed if you will be moving forward to next round of interviews.
SSN Alert
Humana values personal identity protection. Please be aware that applicants may be asked to provide their Social Security Number, if it is not already on file. When required, an email will be sent from Humana@myworkday.com with instructions on how to add the information into your official application on Humana’s secure website.
#L1-Remote
Scheduled Weekly Hours
40Pay 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 decisions will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.
Description of Benefits
Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers benefits for limited term, variable schedule and per diem associates which are designed to support whole-person well-being. Among these benefits, Humana provides paid time off, 401(k) retirement savings plan, employee assistance program, business travel and accident.
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 because he or she is a protected veteran. It is also the policy of Humana to take affirmative action to employ and to advance in employment, all persons regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, 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.
Official account of Jobstore.
The Senior Vendor Management Professional
Required Qualifications
Preferred Qualifications
Scheduled Weekly Hours
40Pay 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 decisions will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.
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.
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 because he or she is a protected veteran. It is also the policy of Humana to take affirmative action to employ and to advance in employment, all persons regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, 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.
Official account of Jobstore.
The Financial Underwriter II prepares a variety of financial reports for large accounts and provides rationale and support to other areas within the organization and to clients regarding rate computations and financial activity. Provides expense estimates and accurate analysis of financial exhibits. Understands department, segment, and organizational strategy and operating objectives, including their linkages to related areas. Makes decisions regarding own work methods, occasionally in ambiguous situations, and requires minimal direction and receives guidance where needed. Follows established guidelines/procedures.
WORK STYLE: Remote, work from home with the possibility of some travel (trainings, meetings, conferences, etc)
WORK HOURS: Associates are expected to work Monday-Friday during normal business hours.
Required Qualifications
Bachelor's degree or comparable experience in employee benefits underwriting
3+ years of underwriting or financial analysis/risk analysis experience with Dental, Vision, and/or Life lines of coverage covering Small Group and Core segments.
Comprehensive understanding of risk pool management
Proficiency with Microsoft Word, Excel, and Access
Must be passionate about contributing to an organization focused on continuously improving consumer experiences
Preferred Qualifications
Experience rating and analyzing health related data
Experience with Disability lines of coverage
Experience in negotiation
Experience in New England, Mid-Atlantic, Midwest regions
Additional Information
How we Value You
• Benefits starting day 1 of employment
• Competitive 401k match
• Generous Paid Time Off accrual
• Tuition Reimbursement
• Parent Leave
Work at Home Requirements
• WAH 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
Interview Format
As part of our hiring process, we will be using an exciting interviewing technology provided by Modern Hire, 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 Interview and/or an SMS Text Messaging interview. If participating in a pre-recorded interview, you will respond to a set of interview questions via your phone. You should anticipate this interview to take approximately 10-15 minutes.
If participating in a SMS Text interview, you will be asked a series of questions to which you will be using your cell phone or computer to answer the questions provided. Expect this type of interview to last anywhere from 5-10 minutes. Your recorded interview(s) via text and/or pre-recorded voice will be reviewed and you will subsequently be informed if you will be moving forward to next round of interviews.
#ThriveTogether #WorkAtHome
Scheduled Weekly Hours
40Pay 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 decisions will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.
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.
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 because he or she is a protected veteran. It is also the policy of Humana to take affirmative action to employ and to advance in employment, all persons regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, 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.
Official account of Jobstore.
Required Qualifications
Work-At-Home Requirements
Preferred Qualifications
Additional Information
Section 1121 of the Louisiana Code of Governmental Ethics states that current or former agency heads or elected officials, board or commission members or public employees of the Louisiana Health Department (LDH) who work directly with LDH’s Medicaid Division cannot be considered for this opportunity. A separation of two (2) or more years from LDH is required for consideration. For more information please visit: Louisiana Board of Ethics (la.gov)
Scheduled Weekly Hours
40
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 because he or she is a protected veteran. It is also the policy of Humana to take affirmative action to employ and to advance in employment, all persons regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, 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.
Official account of Jobstore.
The IT Mergers & Acquisitions (M&A) cybersecurity Lead role will provide cybersecurity strategic guidance with regards to cybersecurity diligence through integration efforts to Humana’s IT M&A team, corporate development team and integration management office (IMO) on all growth opportunities (M&As, Divestitures, Joint Ventures (JVs), and Minority Investments).
This position is a direct report to the AVP, IT M&A, and will work closely with the IT M&A executives, corporate development team, IMO, and internal cross-functional IT teams in evaluating potential target companies and in the development and implementation of IT integration plans with a key focus on cybersecurity.
Key Responsibilities
• Perform cybersecurity due diligence on Humana’s growth opportunities and identify the potential risks, IT impacts
• Contribute to assessment and gap analysis of strategic capabilities in areas of strategic focus, to close gaps with a specific focus on cybersecurity (aka the deal lifecycle with a lens on cybersecurity)
• Assessing functional and technology investment strategies and compare prospective operating models and organizational structures against leading practices and industry benchmarks
• Understand and estimate cybersecurity investment needs and requirements and turn those goals into concrete project plans
• Develop and continue to refine an IT cybersecurity integration cost model based on the proposed deal structure and IT integration hypothesis.
• Ability to work in a fast-paced, matrix, and dynamic environment.
• Develop a conceptual understanding of how the target company’s cybersecurity components and assets would be integrated with Humana based on the proposed deal structure and integration hypothesis.
• Absolutely must assist the acquisition to resolve cybersecurity risks and problem solve paths to remediation.
• Partnering with Humana cybersecurity, external consultants, execute a baseline assessment of people, processes, and technology as it relates to the acquisition’s cybersecurity state to develop a remediation plan.
• Knowledge of end-to-end corporate development activities (M&A, Divestiture, JV, Minority Investments, etc.)
• Demonstrated the ability to facilitate complex and time-sensitive decisions.
• Have an empathetic approach to acquisitions, recognizing the impact on associates, and placing a premium on the associate sentiments and experience.
• Establishes trust and rapport by building effective, sustainable relationships while driving accountability for shared results.
• Provide inputs to structuring the transition service agreements (TSAs) by working with corporate development, IMO, and acquired company representatives.
• Effectively communicate the status of the cybersecurity due diligence efforts with corporate development, IMO, and senior executives from IT and business.
• Drive day-to-day execution of the cybersecurity remediation process within the acquisition, which may include mentoring cross-functional IT teams,
• Develop cybersecurity and IT integration plans (tasks, milestones, dependencies) for Day 1, post day 1, with close partnership with IMO, functional leaders, and cross-functional IT teams.
• Lead positively influence others to achieve results that are in the best interest of the organization.
• Organize set priorities, develop a work schedule, monitor progress towards goals, and track details/data/information/activities.
Required Skills
• CISSP, CCSP, CISM, Cybersecurity+, or similar cybersecurity certification.
• AWS, Azure, or Google Cloud architect certifications are a benefit.
• Minimum 8 years of experience, 2+ years in M&A experience, 5-10 years technology operation experience
• Experience leading integration management methodologies for acquisitions (pre and post), including IT due diligence and IT integration planning and execution to support Day 1 and integration activities.
• Results-oriented and process-centric mindset, looking for opportunities to improve IT M&A processes based on learning (research) and implementation experiences.
• Deep expertise with project management and business analysis approaches, including discovery, scoping, planning, and leading project reviews, requirement analysis among business partners, and IT stakeholders.
• Strong inclination for cybersecurity operations and strategy with an ability to envision how cybersecurity technology can further respective IT and business objectives.
• Build trusted and effective relationships working with cybersecurity project managers to ensure they deliver on-time, on-budget, on benefit, and on-quality (and intervening to resolve issues as required).
• Builds relationships among different groups within and outside the department while serving as a cybersecurity liaison.
• Contribute to the continuous improvement of project delivery processes and guidelines.
Education Requirements
• Bachelor’s Degree
• Experience with mergers & acquisitions, divesture, and integration activities
Additional Preferred Experience
• Knowledge of rapidly scaling technology/software business (specific to Healthcare).
• Knowledge of SDLC practices (Waterfall, Agile/Scrum, DevOps), Cloud (AWS, Azure, GCP), IT infrastructure (Networks, Circuit, Serves, etc.), and (Physical security, Cybersecurity Frameworks, etc.).
• Experience in general management or functional leadership roles.
To ensure Home or Hybrid Home/Office employees’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees 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
Employees 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 employees 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
Scheduled Weekly Hours
40Pay 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 decisions will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.
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.
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 because he or she is a protected veteran. It is also the policy of Humana to take affirmative action to employ and to advance in employment, all persons regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, 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.
Official account of Jobstore.
Humana is seeking an individual to provide support for its expansion of value-based programs, working heavily with internal and external stakeholders to achieve success in the value-based space. This individual will be responsible for assisting in the development, implementation and valuation of new programs, as well as the maintenance of current programs.
Humana offers a variety of benefits to promote the best health and well-being of our employees and their families. We design competitive and flexible packages to give our employees a sense of financial security—both today and in the future, including:
Health benefits effective day 1
Paid time off, holidays, volunteer time and jury duty pay
Recognition pay
401(k) retirement savings plan with employer match
Tuition assistance
Scholarships for eligible dependents
Parental and caregiver leave
Employee charity matching program
Network Resource Groups (NRGs)
Career development opportunities
Required Qualifications:
Preferred Qualifications:
Additional Information
This role is considered "remote/work at home" and can be based anywhere in the United States, however, preference will be given to candidates that are currently located in the Louisville, KY region.
Work at Home Information
To ensure Home or Hybrid Home/Office employees’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria:
#LI-JR1
#LI-Remote
Scheduled Weekly Hours
40Pay 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 decisions will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.
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.
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 because he or she is a protected veteran. It is also the policy of Humana to take affirmative action to employ and to advance in employment, all persons regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, 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.
Official account of Jobstore.
Position Responsibilities:
Required Qualifications
Preferred Qualifications
Scheduled Weekly Hours
40
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 because he or she is a protected veteran. It is also the policy of Humana to take affirmative action to employ and to advance in employment, all persons regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, 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.
Official account of Jobstore.
The Provider Contracting Professional 2 communicates contract terms, payment structures, and reimbursement rates to providers. Analyzes financial impact of contracts and terms. Maintains contracts and documentation within a tracking system. May assist with identifying and recruiting providers based on network composition and needs. Understands department, segment, and organizational strategy and operating objectives, including their linkages to related areas. Makes decisions regarding own work methods, occasionally in ambiguous situations, and requires minimal direction and receives guidance where needed. Follows established guidelines/procedures.
Required Qualifications
3 or more years of experience working with managed care contracts with physician and ancillary, and/or other provider contracts
Proficiency in analyzing, understanding and communicating financial impact of contract terms, payment structures and reimbursement rates to providers
Excellent written and verbal communication skills
Ability to manage multiple priorities in a fast-paced environment
Proficiency in MS Office Word, PowerPoint, and Excel applications
Valid driver's license and reliable transportation with the ability to travel to provider offices within the region, as well as occasional travel outside the region (This role is part of Humana's driver safety program and therefore requires an individual to have a valid state driver's license and proof of personal vehicle liability insurance with at least 100/300/100 limits.)
Preferred Qualifications
Bachelor's Degree
Experience with ACO/Risk Contracting
Experience with Value Based Contracting
Additional Information
As part of our hiring process for this opportunity, we will be using an interviewing technology called Modern Hire to enhance our hiring and decision-making ability. Modern Hire allows us to quickly connect and gain valuable information from you pertaining to your relevant skills and experience at a time that is best for your schedule.
WAH Internet Statement
To ensure Home or Hybrid Home/Office employees’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees 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
Employees 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 employees 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
Driving Statement
This role is part of Humana's driver safety program and therefore requires an individual to have a valid state driver's license and proof of personal vehicle liability insurance with at least 100/300/100 limits.
Alert: Humana values personal identity protection. Please be aware that applicants may be asked to provide their Social Security Number, if it is not already on file. When required, an email will be sent from Humana@myworkday.com with instructions on how to add the information into your official application on Humana’s secure website.
Scheduled Weekly Hours
40Pay 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 decisions will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.
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.
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 because he or she is a protected veteran. It is also the policy of Humana to take affirmative action to employ and to advance in employment, all persons regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, 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.
Official account of Jobstore.
Responsibilities
Travel up to 25% of the time, and will consist of driving to locations close to your home, as well as driving to locations that require overnight travel for up to a week at a time
Use a laptop computer and a portable scanner to retrieve medical records which will be uploaded into a database
Schedule appointments and visits to physician offices in a timely, efficient manner to meet all deadlines
Be able to independently troubleshoot technology and equipment while in the field
Required Qualifications
High School Diploma or equivalent
1+ years of administrative, office or support experience
Must have reliable transportation
This job is part of Humana's Driver safety program and therefore requires an individual to have a valid state driver's license and proof of personal vehicle liability insurance with at least 100/300/100 limits
Proficiency in Microsoft Office Word and Excel
Demonstrated organizational skills
Working knowledge of computers, or a demonstrated technical aptitude and an ability to quickly learn new systems
Must be passionate about contributing to an organization focused on continuously improving consumer experiences
Preferred Qualifications
Associate’s Degree or higher education
Prefer that candidate lives in a reasonable commutable distance to Federal Way, WA
Experience working with Electronic Medical Records (EMR/EHR) in either a clerical or clinical environment
Strong written and verbal communication skills; strong analytical, organizational and time management skills
Knowledge and experience in health care environment/managed care
Additional Information
This job is part of Humana's Driver safety program and therefore requires an individual to have a valid state driver's license and proof of personal vehicle liability insurance with at least 100/300/100 limits.
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.
To ensure Home or Hybrid Home/Office employees’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees 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
Employees 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 employees 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
Alert: Humana values personal identity protection. Please be aware that applicants may be asked to provide their Social Security Number, if it is not already on file. When required, an email will be sent from Humana@myworkday.com with instructions on how to add the information into your official application on Humana’s secure website.
Scheduled Weekly Hours
40Pay 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 decisions will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.
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.
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 because he or she is a protected veteran. It is also the policy of Humana to take affirmative action to employ and to advance in employment, all persons regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, 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.
Official account of Jobstore.
The Manager, Care Coaching oversees the evaluation of members' needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families toward and facilitate interaction with resources appropriate for the care and well-being of members.
Required Qualifications
Preferred Qualifications
RN or Social Worker with current State Licensure
Proficiency in analyzing and interpreting financial trends
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:
Travel This position will require a minimum of 25-50%, In the state of Indiana
Screening Requirements
Additional Information
As part of our hiring process, we will be using an exciting interviewing technology provided by Modern Hire, 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 an email correspondence inviting you to participate in a pre-recorded Voice Interview and/or an SMS Text Messaging interview. (please be sure to check your spam or junk folders often to ensure communication isn’t missed) If participating in a pre-recorded interview, you will respond to a set of interview questions via your phone. You should anticipate this interview to take approximately 10-15 minutes.
If participating in a SMS Text interview, you will be asked a series of questions to which you will be using your cell phone to answer the questions provided. Expect this type of interview to last anywhere from 5-10 minutes. Your recorded interview(s) via text and/or pre-recorded voice will be reviewed and you will subsequently be informed if you will be moving forward to next round of interviews.
Notice
According to the Indiana Office of Inspector General Rule, 42 IAC 1-5-14 Post-Employment Restrictions, if you are a current or former state officer, employee or special state appointee with Indiana Family and Social Services Administration (FSSA) within the past year, engaged in the negotiation or the administration of a Medicaid contract on behalf of the state and/or Family and Social Services Administration (FSSA); in a position to make discretionary decision affecting the: (1) outcome of the negotiation; or (2) nature of the administration; or either engaged in making a regulatory or licensing decision that directly applied to Humana Inc. or to a parent or subsidiary you cannot be considered for this opportunity. For more information please visit: IG: Indiana Office of Inspector General
Scheduled Weekly Hours
40
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 because he or she is a protected veteran. It is also the policy of Humana to take affirmative action to employ and to advance in employment, all persons regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, 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.
Official account of Jobstore.
This individual is responsible for the strategic management and oversight of financial operations for Humana’s Virginia Medicaid Plan, and oversees the budget, financial reporting, and all audit activities. The individual in this role coordinates day-to-day financial operations directly with the health plan Chief Executive Officer (CEO).
POSITION RESPONSIBILITIES:
· Provides market specific financial leadership in the State Medicaid Market, developing a deep understanding of Humana’s Medicaid strategy, capabilities, business drivers, data analytics infrastructure, operational processes, metrics, and best practices
· Provides overall Market profit and loss (P&L) management and leadership with budgets, forecasts, financial analysis, trends, projections, and analytics
· Participates in all state required meetings including the CFO Quarterly Meeting
· Provides Market leader support reporting out on financial results, long-term planning and drive the understanding of financial performance and key drivers
· Responsible for financial analysis, identification of month-end financial drivers, and forecasting including headcount planning to ensure compliance with Commonwealth requirements
· Performs financial impact analysis for new contracts and support negotiations
· Develops Market specific strategic plans and objectives, manage against a five-year long-term plan and coordinate annual budget targets that meet the short- and long-term plan objectives
· Responsible for identifying medical cost trends and leadership of medical cost improvement initiatives
· Responsible for the business unit’s contribution to corporate
· Provides leadership regarding rate and pricing development
· Provides leadership and support regarding value-based program development and administration
· Ensures compliance with all Commonwealth regulatory financial reporting and overall Commonwealth contract management
· Develops and manages meaningful relationships with the Commonwealth Department of Health partners. Applies keen insight regarding the current Medicaid healthcare regulatory environment and competitive environment, and how the components of Humana's business model interrelate to make Humana competitive in the marketplace
· Cultivates internal and external business relationships which will serve as resources of technical knowledge and performance improvement
· Leads and develops staff through all phases from recruitment to training and advancement opportunities
Educational and Experience Requirements:
· Bachelor’s degree in Business, Finance, Accounting, or related field; Master’s degree preferred
· Minimum 7 years of financial management experience utilizing strategic and business planning, accounting, and financial analysis
· Experience working in healthcare and strong foundation of healthcare financials
· Excellent communication, presentation, and interpersonal skills
· Strategic thinking and planning capabilities; excellent organizational skills with coordinating and consolidating inputs across multiple functions
· Attention to detail and highly organized
· Prior experience developing methods and criteria for measuring and summarizing data for complex analyses
· Must be passionate about contributing to an organization focused on continuously improving consumer experience
License/Credential Requirement, if applicable:
Certified Public Accountant (CPA) preferred
LOCATION:
Must reside in Virginia. 20% Travel annually. Need to have flexibility to travel to Richmond, VA at least 1 time every quarter.
Reporting Relationship
This position reports to Humana’s Divisional Medicaid Chief Financial Officer.
Scheduled Weekly Hours
40
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 because he or she is a protected veteran. It is also the policy of Humana to take affirmative action to employ and to advance in employment, all persons regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, 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.
Official account of Jobstore.
Position Responsibilities:
Required Requirements:
Additional Information
This is a remote position in Virginia. May need to go into Humana office located in Glen Allen, VA.
Work at Home Criteria
To ensure Home or Hybrid Home/Office employees’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria:
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.
Scheduled Weekly Hours
40
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 because he or she is a protected veteran. It is also the policy of Humana to take affirmative action to employ and to advance in employment, all persons regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, 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.
Official account of Jobstore.
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There are 6 position levels and each level can be associated with a salary range and different types of job titles. Jobs levels can be categorised into: non-executive, fresh/entry level, junior executive, senior executive, manager and senior manager.
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