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CenterWell

9 open positions available

3 locations
1 employment type
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Full-time

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Lead Data Product Manager – Pharmacy Data Products

CenterWellAnywhereFull-time
View Job
Compensation$126K - 174K a year

Own and modernize the pharmacy data product portfolio, establish governance, and enable analytics and AI readiness in an Agile environment. | Extensive experience in data product management, healthcare data environments, and familiarity with data modernization platforms like Databricks, along with strong stakeholder management skills. | Become a part of our caring community and help us put health first The Lead Data Product Manager owns the lifecycle of CenterWell Pharmacy data products—ensuring data assets are trusted, governed, discoverable, and reusable across analytics, operational workflows, digital experiences (web/mobile), and future AI-enabled self-service. This role is accountable for turning both new and legacy pharmacy datasets into well-defined, productized data products, particularly as data is modernized and migrated to Databricks. This position requires an individual who can operate at the strategy level when needed, but is primarily detail-oriented and execution-focused—able to define requirements, manage backlogs, write SAFe features and user stories, align stakeholders, and drive delivery with engineering teams in an Agile SAFe environment. Key Responsibilities 1) Own the Pharmacy Data Product Portfolio (New + Legacy) Define and manage a portfolio of pharmacy domain data products (e.g., prescription/refill journey, fulfillment milestones, operational status, member experience signals). Identify and prioritize high-value legacy tables and datasets that have not been "productized" and are at risk during modernization. Establish product roadmaps tied to measurable outcomes: improved self-service adoption, reduced time-to-insight, fewer data defects, and stronger downstream product enablement. 2) Productize Data During Modernization / Migration to Databricks Lead product definition for data modernization efforts, ensuring legacy tables become managed data products, not unmanaged technical artifacts. Partner with engineering and architecture to ensure migrated datasets include:Clear business definitions and consistent semanticsDocumented lineage and dependenciesVersioning and change management expectationsValidation and reconciliation criteria for cutover 3) Implement Practical Data Governance Foundations (DAMA-aligned) In collaboration with domain leaders, engineering, and data governance partners: Establish ownership and stewardship for important datasets (who owns, who approves changes, who resolves issues). Create metadata and documentation standards (business glossary, dataset descriptions, field definitions, usage guidance). Operationalize data quality management:Define critical data elements (CDEs) and quality rulesSet thresholds/SLAs and issue management workflowTrack and reduce recurring defects Define dataset lifecycle practices: retention, deprecation, and controlled evolution over time. 4) Enable Self-Service Analytics and AI Readiness Through Better Usability Improve accessibility and usability for analysts and associates by standardizing:Definitions, naming conventions, documentation, and examplesAccess patterns and secure sharing/entitlements"How to use" guidance and common query patterns Ensure data products are designed for reuse across teams and use cases—supporting future AI self-service layers by strengthening consistency, labeling/semantics, and discoverability. 5) Support Downstream Product Experiences (Web/Mobile & Operational) Partner with digital and operational product teams to expose data appropriately. This exposure is achieved through product capabilities, such as convenient, reliable data products that represent "where a refill is in its journey" for web/mobile experiences. Define and maintain data contracts and consumer expectations (availability, freshness, definitions, and schema evolution). 6) Deliver via SAFe Agile (Features, Stories, and Backlog Ownership) Operate within an Agile SAFe delivery model:Contribute to PI Planning, refinement, and ART ceremoniesWrite and manage Features (SAFe) and User Stories with clear acceptance criteriaMaintain and prioritize a product backlog aligned to business outcomes and technical dependencies Coordinate cross-functionally across engineering, analytics, platform teams, compliance/security, and business stakeholders. Track delivery progress and product KPIs (adoption, quality incidents, freshness, completeness, and consumer satisfaction). Use your skills to make an impact Required Qualifications Bachelor's Degree 6–10+ years in product management, data product management, analytics product ownership, or a related role delivering data capabilities at scale. Comfortable performing basic data exploration/validation using SQL (not expected to code pipelines, but able to query data to support requirements and problem-solving). Strong stakeholder management: able to align domain SMEs, engineering, analytics, and leadership around shared definitions and priorities. Preferred Qualifications Experience with Databricks / lakehouse modernization (or similar platform migrations). Familiarity with DAMA-DMBOK2 concepts applied pragmatically (governance, metadata management, data quality management, stewardship). Experience with healthcare/pharmacy/claims/fulfillment or regulated data environments. Demonstrated experience productizing data assets: improving governance, metadata, usability, quality, and adoption—not just moving data. Proven ability to work effectively in SAFe / Agile environments, including writing Features and User Stories and participating in PI planning and refinement. Strong competency in data concepts:Data modeling and semantics (how definitions translate to usable datasets)Metadata, lineage, quality, stewardship, lifecycle management Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required. Scheduled Weekly Hours 40 Pay Range The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc. $126,300 - $173,700 per year This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance. Description of Benefits Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. Application Deadline: 03-05-2026 About us About CenterWell Senior Primary Care: CenterWell Senior Primary Care provides proactive, preventive care to seniors, including wellness visits, physical exams, chronic condition management, screenings, minor injury treatment and more. Our unique care model focuses on personalized experiences, taking time to listen, learn and address the factors that impact patient well-being. Our integrated care teams, which include physicians, nurses, behavioral health specialists and more, spend up to 50 percent more time with patients, providing compassionate, personalized care that brings better health outcomes. We go beyond physical health by also addressing other factors that can impact a patient’s well-being. About CenterWell, a Humana company: CenterWell creates experiences that put patients at the center. As the nation’s largest provider of senior-focused primary care, one of the largest providers of home health services, and fourth largest pharmacy benefit manager, CenterWell is focused on whole-person health by addressing the physical, emotional and social wellness of our patients. As part of Humana Inc. (NYSE: HUM), CenterWell offers stability, industry-leading benefits, and opportunities to grow yourself and your career. We proudly employ more than 30,000 clinicians who are committed to putting health first – for our teammates, patients, communities and company. By providing flexible scheduling options, clinical certifications, leadership development programs and career coaching, we allow employees to invest in their personal and professional well-being, all from day one. Equal Opportunity Employer It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.

Healthcare Data Warehousing
Data Governance
Data Modernization
Direct Apply
Posted 3 days ago
CE

Associate Vice President, Analytics & Business Intelligence – Primary Care - Full-time

CenterWellAnywhereFull-time
View Job
Compensation$189K - 261K a year

Lead and execute analytics strategy for Primary Care, managing teams and data governance to deliver impactful insights. | Over 10 years in analytics/BI, healthcare domain expertise, experience with enterprise BI tools, and leadership in cross-functional teams. | **Become a part of our caring community and help us put health first** We are seeking a seasoned analytics leader to lead Analytics, Business Intelligence, and reporting for CenterWell’s Primary Care segment. This role owns the enablement of our center and affiliate operations through timely and accurate—from maintaining a single-source of truth data model that serves as the longitudinal health record for our patients to enabling role specific dashboards and reporting and providing workflow-integrated clinical insights to elevate the care provided by our thousands of team members. You will partner closely with Primary Care Strategy/Transformation, Operations, Clinical Leadership, Finance, IT, and Enterprise Leadership to maximize the impact of data and insights in daily operations and decision-making. The ideal candidate blends strategic leadership with hands-on analytics rigor, healthcare domain fluency, and a track record of scaling BI/analytics programs in complex, multi-site care delivery environments. • *Key Responsibilities** • *Strategy & Leadership** + Set and execute the Primary Care analytics strategy aligned to clinical quality, patient experience, growth, and financial goals, translating data into clear strategic direction for executive and key leaders. + Lead a high-performing team spanning BI engineering, data product management, and clinical/operational reporting, fostering a culture of clarity, accountability and business centered problem solving. + Establish a modern analytics operating model (product-centric, value-based roadmaps, agile delivery, and service-level commitments), grounded in business relevance, usability, and decision impact. + Inspire and develop talent that can move across the broader organization • *Stakeholder Engagement & Change Management** + Serve as analytics executive partner to Primary Care Leadership, Broader CenterWell leadership, and key enterprise partners, providing strategic clarity, and data informed guidance. + Convert business priorities into analytics roadmaps with measurable outcomes and clear accountability, ensuring focus on meaningful insights. + Champion adoption via training, office hours, field roadshows, and “voice of the user” feedback loops, building trust, credibility and strong relationships across key leadership. • *Data Model & Governance** + Co-own the central Primary Care data model with enterprise IT and analytics partners + Drive and mature data governance and Set/monitor data quality SLAs (completeness, timeliness, accuracy, conformance). • *Business Intelligence & Reporting** + Own enterprise-grade BI for Primary Care: standard definitions, certified datasets, KPI hierarchy, and role-based dashboards for field operations, clinical leaders, and executives + Scale usage and effectiveness of BI through enablement, data literacy, and embedded workflows + Mature metric stewardship and change control processes • *Enable High Value Business Outcomes** + Prioritize and deliver high-value use cases: panel optimization, risk stratification, care gap closure, HCC accuracy, care management targeting, no-show reduction, throughput optimization, capacity planning, and referral optimization. + Partner with clinical leaders to operationalize insights at point of care and in practice workflows. + Evaluate and deploy AI responsibly in partnership with central support teams at CenterWell (e.g., propensity models, forecasting, NLP on clinical notes) with model governance, bias monitoring, and ROI tracking. • *Use your skills to make an impact** • *Required Qualifications** + 10+ years in analytics/BI with 5+ years leading cross-functional analytics teams. + Demonstrated success in healthcare delivery, primary care, or population health analytics. + Deep experience with enterprise BI (e.g., Power BI//Fabric/Tableau), SQL, modern data platforms (e.g., Snowflake/Databricks/Azure) + Strong grasp of EHR data, claims/eligibility, HEDIS/Stars, HCC/RAF, risk adjustment, panel management, care management workflows, and quality reporting. + Proven ability to translate business goals into data products with measurable impact. + Excellent executive communication, influencing, and change management skills. • *Preferred** + Master’s in Analytics, Health Informatics, Biostatistics, Operations Research, or MBA. + Experience with value-based provider organizations and data + Familiarity with HIPAA, PHI/PII controls, and secure-by-design analytics pattern • *Additional Information** Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required. • *Scheduled Weekly Hours** 40 • *Pay Range** The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc. $189,400 - $260,500 per year This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance. • *Description of Benefits** Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. Application Deadline: 04-30-2026 • *About us** About CenterWell Senior Primary Care: CenterWell Senior Primary Care provides proactive, preventive care to seniors, including wellness visits, physical exams, chronic condition management, screenings, minor injury treatment and more. Our unique care model focuses on personalized experiences, taking time to listen, learn and address the factors that impact patient well-being. Our integrated care teams, which include physicians, nurses, behavioral health specialists and more, spend up to 50 percent more time with patients, providing compassionate, personalized care that brings better health outcomes. We go beyond physical health by also addressing other factors that can impact a patient’s well-being. About CenterWell, a Humana company: CenterWell creates experiences that put patients at the center. As the nation’s largest provider of senior-focused primary care, one of the largest providers of home health services, and fourth largest pharmacy benefit manager, CenterWell is focused on whole-person health by addressing the physical, emotional and social wellness of our patients. As part of Humana Inc. (NYSE: HUM), CenterWell offers stability, industry-leading benefits, and opportunities to grow yourself and your career. We proudly employ more than 30,000 clinicians who are committed to putting health first – for our teammates, patients, communities and company. By providing flexible scheduling options, clinical certifications, leadership development programs and career coaching, we allow employees to invest in their personal and professional well-being, all from day one. ​ • *Equal Opportunity Employer** It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment. Centerwell, a wholly owned subsidiary of Humana, complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our full accessibility rights information and language options https://www.partnersinprimarycare.com/accessibility-resources • *Become a part of our caring community and help us put health first** We are seeking a seasoned analytics leader to lead Analytics, Business Intelligence, and reporting for CenterWell’s Primary Care segment. This role owns the enablement of our center and affiliate operations through timely and accurate—from maintaining a single-source of truth data model that serves as the longitudinal health record for our patients to enabling role specific dashboards and reporting and providing workflow-integrated clinical insights to elevate the care provided by our thousands of team members. You will partner closely with Primary Care Strategy/Transformation, Operations, Clinical Leadership, Finance, IT, and Enterprise Leadership to maximize the impact of data and insights in daily operations and decision-making. The ideal candidate blends strategic leadership with hands-on analytics rigor, healthcare domain fluency, and a track record of scaling BI/analytics programs in complex, multi-site care delivery environments. • *Key Responsibilities** • *Strategy & Leadership** + Set and execute the Primary Care analytics strategy aligned to clinical quality, patient experience, growth, and financial goals, translating data into clear strategic direction for executive and key leaders. + Lead a high-performing team spanning BI engineering, data product management, and clinical/operational reporting, fostering a culture of clarity, accountability and business centered problem solving. + Establish a modern analytics operating model (product-centric, value-based roadmaps, agile delivery, and service-level commitments), grounded in business relevance, usability, and decision impact. + Inspire and develop talent that can move across the broader organization • *Stakeholder Engagement & Change Management** + Serve as analytics executive partner to Primary Care Leadership, Broader CenterWell leadership, and key enterprise partners, providing strategic clarity, and data informed guidance. + Convert business priorities into analytics roadmaps with measurable outcomes and clear accountability, ensuring focus on meaningful insights. + Champion adoption via training, office hours, field roadshows, and “voice of the user” feedback loops, building trust, credibility and strong relationships across key leadership. • *Data Model & Governance** + Co-own the central Primary Care data model with enterprise IT and analytics partners + Drive and mature data governance and Set/monitor data quality SLAs (completeness, timeliness, accuracy, conformance). • *Business Intelligence & Reporting** + Own enterprise-grade BI for Primary Care: standard definitions, certified datasets, KPI hierarchy, and role-based dashboards for field operations, clinical leaders, and executives + Scale usage and effectiveness of BI through enablement, data literacy, and embedded workflows + Mature metric stewardship and change control processes • *Enable High Value Business Outcomes** + Prioritize and deliver high-value use cases: panel optimization, risk stratification, care gap closure, HCC accuracy, care management targeting, no-show reduction, throughput optimization, capacity planning, and referral optimization. + Partner with clinical leaders to operationalize insights at point of care and in practice workflows. + Evaluate and deploy AI responsibly in partnership with central support teams at CenterWell (e.g., propensity models, forecasting, NLP on clinical notes) with model governance, bias monitoring, and ROI tracking. • *Use your skills to make an impact** • *Required Qualifications** + 10+ years in analytics/BI with 5+ years leading cross-functional analytics teams. + Demonstrated success in healthcare delivery, primary care, or population health analytics. + Deep experience with enterprise BI (e.g., Power BI//Fabric/Tableau), SQL, modern data platforms (e.g., Snowflake/Databricks/Azure) + Strong grasp of EHR data, claims/eligibility, HEDIS/Stars, HCC/RAF, risk adjustment, panel management, care management workflows, and quality reporting. + Proven ability to translate business goals into data products with measurable impact. + Excellent executive communication, influencing, and change management skills. • *Preferred** + Master’s in Analytics, Health Informatics, Biostatistics, Operations Research, or MBA. + Experience with value-based provider organizations and data + Familiarity with HIPAA, PHI/PII controls, and secure-by-design analytics pattern • *Additional Information** Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required. • *Scheduled Weekly Hours** 40 • *Pay Range** The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc. $189,400 - $260,500 per year This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance. • *Description of Benefits** Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. Application Deadline: 04-30-2026 • *About us** About CenterWell Senior Primary Care: CenterWell Senior Primary Care provides proactive, preventive care to seniors, including wellness visits, physical exams, chronic condition management, screenings, minor injury treatment and more. Our unique care model focuses on personalized experiences, taking time to listen, learn and address the factors that impact patient well-being. Our integrated care teams, which include physicians, nurses, behavioral health specialists and more, spend up to 50 percent more time with patients, providing compassionate, personalized care that brings better health outcomes. We go beyond physical health by also addressing other factors that can impact a patient’s well-being. About CenterWell, a Humana company: CenterWell creates experiences that put patients at the center. As the nation’s largest provider of senior-focused primary care, one of the largest providers of home health services, and fourth largest pharmacy benefit manager, CenterWell is focused on whole-person health by addressing the physical, emotional and social wellness of our patients. As part of Humana Inc. (NYSE: HUM), CenterWell offers stability, industry-leading benefits, and opportunities to grow yourself and your career. We proudly employ more than 30,000 clinicians who are committed to putting health first – for our teammates, patients, communities and company. By providing flexible scheduling options, clinical certifications, leadership development programs and career coaching, we allow employees to invest in their personal and professional well-being, all from day one. ​ • *Equal Opportunity Employer** It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment. Centerwell, a wholly owned subsidiary of Humana, complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our full accessibility rights information and language options https://www.partnersinprimarycare.com/accessibility-resources

Healthcare Data Warehousing
Power BI
SQL
Verified Source
Posted 5 days ago
CE

Clinical Provider Education Facilitation Lead

CenterWellAnywhereFull-time
View Job
Compensation$86K - 119K a year

Design and develop provider education programs focused on clinical documentation, risk adjustment, and coding accuracy for value-based primary care. | Active RN license, at least five years of clinical experience in primary care, and knowledge of risk adjustment, HCC coding, and curriculum development. | Become a part of our caring community and help us put health first We’re looking for a Registered Nurse (RN) who’s passionate about education, clinical documentation, and coding to join our team as a Clinical Coding Education Facilitation Lead – Provider Coding Curriculums. In this role, you’ll blend your clinical expertise—especially in Medicare Risk Adjustment (MRA) and HCC coding—with instructional design skills to create engaging, practical learning experiences for providers and care teams. You’ll help providers document care accurately, support compliance, and drive quality outcomes in a value-based care environment. Key Responsibilities: Design and develop provider education programs focused on clinical documentation, risk adjustment, and coding accuracy for value-based primary care. Build and maintain comprehensive curriculum frameworks and content specifically targeting provider documentation and coding best practices for value-based care. Create interactive, learner-friendly materials (e-learning modules, job aids, facilitator guides, scenario-based learning) using adult learning principles and instructional design principles. Collaborate with providers, clinical leaders, coding teams, educators, and operational partners to ensure content is clinically relevant and aligned with workflows and integrates effectively with EMR tools. Simplify complex coding and compliance concepts into practical education that fits seamlessly into daily provider routines. Integrate documentation best practices and EMR optimization into training, aiming to reduce provider burden and support efficient, high-quality care. Gather and apply feedback from learners and stakeholders to continuously improve educational content curriculum structure, and delivery methods. Monitor, measure, and report on training effectiveness using metrics like coding accuracy, risk score stability, and provider engagement. Serve as a subject matter resource for MRA coding, documentation improvement, and regulatory updates, supporting provider education initiatives. Support change management during EMR implementations and workflow/process changes by providing targeted documentation and learning support. Use your skills to make an impact Required Qualifications Active RN license A minimum of five years of clinical experience in primary care, internal medicine, family medicine, or similar AHIMA coding credential (CCS, or equivalent) or AAPC CPC certification Background in curriculum development, adult education, or program design. Strong understanding of risk adjustment, HCC coding, value-based care, and preventive/chronic disease management Experience delivering clinical or coding education to providers, Nurse Practitioners, or Physician Assistants Able to communicate complex coding and regulatory requirements in a practical, provider-friendly manner Preferred Qualifications: Clinical experience in value-based primary care or Medicare Advantage. Knowledge of EMR optimization, documentation workflows, and large-scale EMR implementations. Experience working across multi-market or matrixed healthcare organizations. Key Competencies: Clinical credibility and rapport with providers. Adult learning and instructional design expertise. Systems thinking and workflow optimization. Strong written/verbal communication. Data-driven decision making. Collaboration and influence in cross-functional teams. Additional Information Remote Role Standard working hours required; 8:00 am - 5:00 pm; Central or Eastern Time Zones Preferred Work at Home Requirements 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 Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required. Scheduled Weekly Hours 40 Pay Range The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc. $86,300 - $118,700 per year This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance. Description of Benefits Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. Application Deadline: 03-20-2026 About us About CenterWell Senior Primary Care: CenterWell Senior Primary Care provides proactive, preventive care to seniors, including wellness visits, physical exams, chronic condition management, screenings, minor injury treatment and more. Our unique care model focuses on personalized experiences, taking time to listen, learn and address the factors that impact patient well-being. Our integrated care teams, which include physicians, nurses, behavioral health specialists and more, spend up to 50 percent more time with patients, providing compassionate, personalized care that brings better health outcomes. We go beyond physical health by also addressing other factors that can impact a patient’s well-being. About CenterWell, a Humana company: CenterWell creates experiences that put patients at the center. As the nation’s largest provider of senior-focused primary care, one of the largest providers of home health services, and fourth largest pharmacy benefit manager, CenterWell is focused on whole-person health by addressing the physical, emotional and social wellness of our patients. As part of Humana Inc. (NYSE: HUM), CenterWell offers stability, industry-leading benefits, and opportunities to grow yourself and your career. We proudly employ more than 30,000 clinicians who are committed to putting health first – for our teammates, patients, communities and company. By providing flexible scheduling options, clinical certifications, leadership development programs and career coaching, we allow employees to invest in their personal and professional well-being, all from day one. Equal Opportunity Employer It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.

Healthcare Data Warehousing
ETL Pipelines
Power BI
Direct Apply
Posted 5 days ago
CE

Associate Vice President, PCO Business Intelligence

CenterWellAnywhereFull-time
View Job
Compensation$189K - 261K a year

Lead analytics strategy, manage BI teams, and enable data-driven decision-making in primary care. | Requires 10+ years in analytics/BI, healthcare domain fluency, and experience with enterprise BI tools and data platforms. | Become a part of our caring community and help us put health first We are seeking a seasoned analytics leader to lead Analytics, Business Intelligence, and reporting for CenterWell’s Primary Care segment. This role owns the enablement of our center and affiliate operations through timely and accurate—from maintaining a single-source of truth data model that serves as the longitudinal health record for our patients to enabling role specific dashboards and reporting and providing workflow-integrated clinical insights to elevate the care provided by our thousands of team members. You will partner closely with Primary Care Strategy/Transformation, Operations, Clinical Leadership, Finance, IT, and Enterprise Leadership to maximize the impact of data and insights in daily operations and decision-making. The ideal candidate blends strategic leadership with hands-on analytics rigor, healthcare domain fluency, and a track record of scaling BI/analytics programs in complex, multi-site care delivery environments. Key Responsibilities Strategy & Leadership Set and execute the Primary Care analytics strategy aligned to clinical quality, patient experience, growth, and financial goals, translating data into clear strategic direction for executive and key leaders. Lead a high-performing team spanning BI engineering, data product management, and clinical/operational reporting, fostering a culture of clarity, accountability and business centered problem solving. Establish a modern analytics operating model (product-centric, value-based roadmaps, agile delivery, and service-level commitments), grounded in business relevance, usability, and decision impact. Inspire and develop talent that can move across the broader organization Stakeholder Engagement & Change Management Serve as analytics executive partner to Primary Care Leadership, Broader CenterWell leadership, and key enterprise partners, providing strategic clarity, and data informed guidance. Convert business priorities into analytics roadmaps with measurable outcomes and clear accountability, ensuring focus on meaningful insights. Champion adoption via training, office hours, field roadshows, and “voice of the user” feedback loops, building trust, credibility and strong relationships across key leadership. Data Model & Governance Co-own the central Primary Care data model with enterprise IT and analytics partners Drive and mature data governance and Set/monitor data quality SLAs (completeness, timeliness, accuracy, conformance). Business Intelligence & Reporting Own enterprise-grade BI for Primary Care: standard definitions, certified datasets, KPI hierarchy, and role-based dashboards for field operations, clinical leaders, and executives Scale usage and effectiveness of BI through enablement, data literacy, and embedded workflows Mature metric stewardship and change control processes Enable High Value Business Outcomes Prioritize and deliver high-value use cases: panel optimization, risk stratification, care gap closure, HCC accuracy, care management targeting, no-show reduction, throughput optimization, capacity planning, and referral optimization. Partner with clinical leaders to operationalize insights at point of care and in practice workflows. Evaluate and deploy AI responsibly in partnership with central support teams at CenterWell (e.g., propensity models, forecasting, NLP on clinical notes) with model governance, bias monitoring, and ROI tracking. Use your skills to make an impact Required Qualifications 10+ years in analytics/BI with 5+ years leading cross-functional analytics teams. Demonstrated success in healthcare delivery, primary care, or population health analytics. Deep experience with enterprise BI (e.g., Power BI//Fabric/Tableau), SQL, modern data platforms (e.g., Snowflake/Databricks/Azure) Strong grasp of EHR data, claims/eligibility, HEDIS/Stars, HCC/RAF, risk adjustment, panel management, care management workflows, and quality reporting. Proven ability to translate business goals into data products with measurable impact. Excellent executive communication, influencing, and change management skills. Preferred Master’s in Analytics, Health Informatics, Biostatistics, Operations Research, or MBA. Experience with value-based provider organizations and data Familiarity with HIPAA, PHI/PII controls, and secure-by-design analytics pattern Additional Information Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required. Scheduled Weekly Hours 40 Pay Range The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc. $189,400 - $260,500 per year This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance. Description of Benefits Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. Application Deadline: 04-30-2026 About us About CenterWell Senior Primary Care: CenterWell Senior Primary Care provides proactive, preventive care to seniors, including wellness visits, physical exams, chronic condition management, screenings, minor injury treatment and more. Our unique care model focuses on personalized experiences, taking time to listen, learn and address the factors that impact patient well-being. Our integrated care teams, which include physicians, nurses, behavioral health specialists and more, spend up to 50 percent more time with patients, providing compassionate, personalized care that brings better health outcomes. We go beyond physical health by also addressing other factors that can impact a patient’s well-being. About CenterWell, a Humana company: CenterWell creates experiences that put patients at the center. As the nation’s largest provider of senior-focused primary care, one of the largest providers of home health services, and fourth largest pharmacy benefit manager, CenterWell is focused on whole-person health by addressing the physical, emotional and social wellness of our patients. As part of Humana Inc. (NYSE: HUM), CenterWell offers stability, industry-leading benefits, and opportunities to grow yourself and your career. We proudly employ more than 30,000 clinicians who are committed to putting health first – for our teammates, patients, communities and company. By providing flexible scheduling options, clinical certifications, leadership development programs and career coaching, we allow employees to invest in their personal and professional well-being, all from day one. Equal Opportunity Employer It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.

Healthcare analytics
Data modeling
Business intelligence
Direct Apply
Posted 10 days ago
Centerwell

Branch Director, Home Health

CenterwellNashville, TNFull-time
View Job
Compensation$93K - 128K a year

Manage daily operations of a healthcare branch, ensuring quality care, regulatory compliance, and team leadership. | Must be a licensed RN with at least 2 years of healthcare operations management experience, preferably in home health, with knowledge of CMS billing and quality improvement. | Become a part of our caring community and help us put health first Reports To: Market Executive of Operations • This role is eligible for relocation assistance to the Stockbridge, GA area. Relocation packages are tailored based on individual circumstances and company policy. We welcome out‑of‑state candidates interested in relocating. Position Type: On-site at Stockbridge, GA branch location Work Schedule: Full-time/40 Hours $15,000 Associated Sign-on Bonus The Branch Director is accountable for managing the day-to-day branch operations to ensure the following: operational efficiencies, quality of patient care, regulatory compliance, support of business development & patient base growth, achievement of key performance indicators, and people management/development. The Branch Director supervises the branch/clinical staff. Direct responsibility of ensuring the branch meets applicable Federal, State, and local laws regarding the certification and licensure process at all times. Responsible for long-range planning, fiscal viability, and quality of care provided by the branch. Recruits, interviews, and hires staff and monitors quality care and organizational performance. Assist other disciplines in coordinating activities when necessary, assuming responsibility for continuity, appropriateness, and quality of services delivered. Essential Functions: • Develops, plans, implements, analyzes and organizes operations for the Branch. • Responsible for the delivery of care for all patients served by the Branch by providing supervision and support to the Clinical Manager(s). • Works in conjunction with the Area Director of Operations or the AVP of Operations and Finance Department to establish Branch's revenue and budget goals. • Recognizes the clinical leadership and provides support and supervision to the Clinical Manager(s) to promote more effective performance and delivery of quality home care services. • Maintains office operations in an efficient, productive, effective, and organized manner, which provides a safe working environment for employees, meeting local ordinances and fire and safety regulations in compliance with the company policies. • Conducts continuous quality improvement quarterly committee meetings, reviews all patient satisfaction data, and follows up on negative patient satisfaction surveys and follow-up visits with referral sources. • Communicate with the Area Director of Operations or the AVP of Operations for direction, problem-solving, and implementation of programs and protocols. • Partners with Sales Directors and Account Manager(s) to meet budgeted admission goals. Participates in sales and marketing initiatives. Use your skills to make an impact Required Qualifications: • Must possess a valid state driver's license, reliable transportation, and automobile liability insurance. • Graduate of an accredited School of Nursing. • Current state license as a Registered Nurse. • A minimum of 2 years of experience as a Registered Nurse. • Minimum of 2 years of healthcare operations management experience, preferably within traditional Home Health or Hospice environments. • Home Health experience is required. • Management and people leadership experience is required. Outstanding leadership skills with demonstrated experience motivating, educating, supervising, and supporting staff and developing a cohesive team. • OASIS experience is strongly preferred. OASIS certification (HCS-O, COQS, and/or COS-C), preferred. • Homecare Homebase (HCHB) experience, preferred. • CMS PDGM billing knowledge or experience preferred • Revenue and fiscal management experience is required. Demonstrated ability to oversee multi‑million‑dollar budgets is strongly preferred. • Demonstrated understanding of CMS business management, relevant governmental regulatory requirements, and accreditation standards. • Experienced with quality improvement monitoring and reporting tools and methods. • Excellent verbal and written communication skills. Additional Information • Normal Hours of Operation: M-F / 8a-5p (ET) • On-Call Expectation: Yes, rotating on-call shift. • Branch Size: 600+ Census (5.0 STAR rating) • Annual Bonus Eligible: Yes, eligible for the annual incentive bonus. Scheduled Weekly Hours 40 Pay Range The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc. $93,000 - $128,000 per year This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance. Description of Benefits Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. About Us About CenterWell Home Health: CenterWell Home Health specializes in personalized, comprehensive home care for patients managing a chronic condition or recovering from injury, illness, surgery or hospitalization. Our care teams include nurses, physical therapists, occupational therapists, speech-language pathologists, home health aides, and medical social workers – all working together to help patients rehabilitate, recover and regain their independence so they can live healthier and happier lives. About CenterWell, a Humana company: CenterWell creates experiences that put patients at the center. As the nation’s largest provider of senior-focused primary care, one of the largest providers of home health services, and fourth largest pharmacy benefit manager, CenterWell is focused on whole-person health by addressing the physical, emotional and social wellness of our patients. As part of Humana Inc. (NYSE: HUM), CenterWell offers stability, industry-leading benefits, and opportunities to grow yourself and your career. We proudly employ more than 30,000 clinicians who are committed to putting health first – for our teammates, patients, communities and company. By providing flexible scheduling options, clinical certifications, leadership development programs and career coaching, we allow employees to invest in their personal and professional well-being, all from day one. Equal Opportunity Employer It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.

Healthcare Operations Management
RN Licensure
Home Health Experience
Verified Source
Posted 11 days ago
CE

Program Management Lead, Offshore Coding Operations

CenterWellAnywhereFull-time
View Job
Compensation$104K - 143K a year

Manage offshore coding teams, analyze performance data, and develop strategies for quality improvement. | Requires a bachelor's degree, professional coding certification, and at least 5 years of experience in medical coding operations, including managing offshore teams. | **Become a part of our caring community and help us put health first** The Program Management Lead, Offshore Coding Operations conducts quality assurance audits of medical records and ICD-9/10 diagnosis codes that are submitted to the Centers for Medicare and Medicaid Services (CMS) and other government agencies. The Program Management Lead, Offshore Coding Operations works on problems of diverse scope and complexity ranging from moderate to substantial. The **Program Management Lead, Offshore Coding Operations** optimizes the effectiveness of the offshore coding (post-visit) team. The lead analyzes the performance of the offshore coding team and creates strategies to maximize associate output. The **Program Management Lead, Offshore Coding Operations** works on problems of diverse scope and complexity ranging from moderate to substantial. • *Relationship Building:** + Cultivate relationships with onshore and offshore coding teams including leaders. + Serve as liaison and primary point of contact with the offshore (vendor) leaders. + Strategy: Advises coding leaders to develop functional strategies (often segment specific) on matters of significance. + In partnership with Coding Operational Excellence and Regional Coding Leaders, develop strategies for continuous improvement of offshore coding processes and quality. + Post-Visit/Offshore Coding Collaboration: + Partner with analytics to develop quality assurance program on post-visit reviews. (Frequency and sampling methodology to be determined). • *Qualitative and Quantitative Analyses:** + Analyze trends and share results with coding leaders/teams. + Monitor quality and address performance gaps. + Research and interpret correct coding guidelines and internal business rules to respond to inquiries and issues. + May participate in coder education programs on coding compliance. + Follows state and federal regulations as well as internal policies and guidelines while analyzing coding information and medical records. • *Mergers and Acquisitions:** + Partner with coding teams (consultative coders) on the special handling of Mergers & Acquisitions: + Other Duties: + Lead Special Projects for onshore and offshore coding teams. + Participate in chart reviews to identify educational opportunities. + Conduct research as needed. + Participate in Payer calls/chart reviews. + May participate in provider education programs on coding compliance. + Exercises independent judgment and decision making on complex issues regarding job duties and related tasks, and works under minimal supervision, uses independent judgment requiring analysis of variable factors and determining the best course of action. • *Use your skills to make an impact** • *Proposed Requirements:** + Bachelor’s degree in a relevant field (e.g., Health Information Management, Business Administration, Healthcare Administration) + Active professional certification required: RHIA, RHIT, CCS, CRC, or CPC + Minimum 5 years’ progressive experience in medical coding operations + Minimum of 3 years’ direct experience managing or optimizing offshore coding teams and vendor partnerships + Demonstrated success leading cross-functional initiatives and continuous improvement efforts in large, matrixed healthcare organizations + Experience collaborating with analytics, training, and operational excellence teams to drive quality and efficiency in coding workflows + Prior exposure to supporting mergers & acquisitions in a coding operations context preferred • *Preferred Qualifications** + Master’s degree preferred. • *Knowledge, Skills, and Abilities** + Advanced understanding of medical coding guidelines, healthcare regulations (including HIPAA, state and federal compliance), and payer requirements + Proficiency in Microsoft Office Suite (Word, Excel, PowerPoint) and relevant coding/audit software + Strong business acumen with proven strategic and critical thinking skills + Ability to analyze complex quantitative and qualitative data, synthesize findings, and communicate actionable insights to leadership + Outstanding verbal and written communication skills, with the ability to present to and influence diverse stakeholder groups + Effective relationship-building skills with both onshore and offshore teams, including vendor management and leadership liaison + Proven ability to work successfully in a fast-paced, dynamic, and matrixed environment + Commitment to continuous improvement, operational excellence, and collaborative problem-solving + Public speaking and group presentation experience required + Demonstrated ability to educate and mentor staff on coding compliance and best practices • *Additional Information** + Preferred work hours: EST + Up to 20% travel nationally within CenterWell markets • *Work at Home Requirements** 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 Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required. • *Scheduled Weekly Hours** 40 • *Pay Range** The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc. $104,000 - $143,000 per year This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance. • *Description of Benefits** Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. Application Deadline: 02-27-2026 • *About us** About Conviva Senior Primary Care: Conviva Senior Primary Care provides proactive, preventive care to seniors, including wellness visits, physical exams, chronic condition management, screenings, minor injury treatment and more. As part of CenterWell Senior Primary Care, Conviva’s innovative, value-based approach means each patient gets the best care, when needed most, and for the lowest cost. We go beyond physical health – addressing the social, emotional, behavioral and financial needs that can impact our patients' well-being. About CenterWell, a Humana company: CenterWell creates experiences that put patients at the center. As the nation’s largest provider of senior-focused primary care, one of the largest providers of home health services, and fourth largest pharmacy benefit manager, CenterWell is focused on whole-person health by addressing the physical, emotional and social wellness of our patients. As part of Humana Inc. (NYSE: HUM), CenterWell offers stability, industry-leading benefits, and opportunities to grow yourself and your career. We proudly employ more than 30,000 clinicians who are committed to putting health first – for our teammates, patients, communities and company. By providing flexible scheduling options, clinical certifications, leadership development programs and career coaching, we allow employees to invest in their personal and professional well-being, all from day one. ​ • *Equal Opportunity Employer** It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment. Centerwell, a wholly owned subsidiary of Humana, complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our full accessibility rights information and language options https://www.partnersinprimarycare.com/accessibility-resources • *Become a part of our caring community and help us put health first** The Program Management Lead, Offshore Coding Operations conducts quality assurance audits of medical records and ICD-9/10 diagnosis codes that are submitted to the Centers for Medicare and Medicaid Services (CMS) and other government agencies. The Program Management Lead, Offshore Coding Operations works on problems of diverse scope and complexity ranging from moderate to substantial. The **Program Management Lead, Offshore Coding Operations** optimizes the effectiveness of the offshore coding (post-visit) team. The lead analyzes the performance of the offshore coding team and creates strategies to maximize associate output. The **Program Management Lead, Offshore Coding Operations** works on problems of diverse scope and complexity ranging from moderate to substantial. • *Relationship Building:** + Cultivate relationships with onshore and offshore coding teams including leaders. + Serve as liaison and primary point of contact with the offshore (vendor) leaders. + Strategy: Advises coding leaders to develop functional strategies (often segment specific) on matters of significance. + In partnership with Coding Operational Excellence and Regional Coding Leaders, develop strategies for continuous improvement of offshore coding processes and quality. + Post-Visit/Offshore Coding Collaboration: + Partner with analytics to develop quality assurance program on post-visit reviews. (Frequency and sampling methodology to be determined). • *Qualitative and Quantitative Analyses:** + Analyze trends and share results with coding leaders/teams. + Monitor quality and address performance gaps. + Research and interpret correct coding guidelines and internal business rules to respond to inquiries and issues. + May participate in coder education programs on coding compliance. + Follows state and federal regulations as well as internal policies and guidelines while analyzing coding information and medical records. • *Mergers and Acquisitions:** + Partner with coding teams (consultative coders) on the special handling of Mergers & Acquisitions: + Other Duties: + Lead Special Projects for onshore and offshore coding teams. + Participate in chart reviews to identify educational opportunities. + Conduct research as needed. + Participate in Payer calls/chart reviews. + May participate in provider education programs on coding compliance. + Exercises independent judgment and decision making on complex issues regarding job duties and related tasks, and works under minimal supervision, uses independent judgment requiring analysis of variable factors and determining the best course of action. • *Use your skills to make an impact** • *Proposed Requirements:** + Bachelor’s degree in a relevant field (e.g., Health Information Management, Business Administration, Healthcare Administration) + Active professional certification required: RHIA, RHIT, CCS, CRC, or CPC + Minimum 5 years’ progressive experience in medical coding operations + Minimum of 3 years’ direct experience managing or optimizing offshore coding teams and vendor partnerships + Demonstrated success leading cross-functional initiatives and continuous improvement efforts in large, matrixed healthcare organizations + Experience collaborating with analytics, training, and operational excellence teams to drive quality and efficiency in coding workflows + Prior exposure to supporting mergers & acquisitions in a coding operations context preferred • *Preferred Qualifications** + Master’s degree preferred. • *Knowledge, Skills, and Abilities** + Advanced understanding of medical coding guidelines, healthcare regulations (including HIPAA, state and federal compliance), and payer requirements + Proficiency in Microsoft Office Suite (Word, Excel, PowerPoint) and relevant coding/audit software + Strong business acumen with proven strategic and critical thinking skills + Ability to analyze complex quantitative and qualitative data, synthesize findings, and communicate actionable insights to leadership + Outstanding verbal and written communication skills, with the ability to present to and influence diverse stakeholder groups + Effective relationship-building skills with both onshore and offshore teams, including vendor management and leadership liaison + Proven ability to work successfully in a fast-paced, dynamic, and matrixed environment + Commitment to continuous improvement, operational excellence, and collaborative problem-solving + Public speaking and group presentation experience required + Demonstrated ability to educate and mentor staff on coding compliance and best practices • *Additional Information** + Preferred work hours: EST + Up to 20% travel nationally within CenterWell markets • *Work at Home Requirements** 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 Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required. • *Scheduled Weekly Hours** 40 • *Pay Range** The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc. $104,000 - $143,000 per year This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance. • *Description of Benefits** Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. Application Deadline: 02-27-2026 • *About us** About Conviva Senior Primary Care: Conviva Senior Primary Care provides proactive, preventive care to seniors, including wellness visits, physical exams, chronic condition management, screenings, minor injury treatment and more. As part of CenterWell Senior Primary Care, Conviva’s innovative, value-based approach means each patient gets the best care, when needed most, and for the lowest cost. We go beyond physical health – addressing the social, emotional, behavioral and financial needs that can impact our patients' well-being. About CenterWell, a Humana company: CenterWell creates experiences that put patients at the center. As the nation’s largest provider of senior-focused primary care, one of the largest providers of home health services, and fourth largest pharmacy benefit manager, CenterWell is focused on whole-person health by addressing the physical, emotional and social wellness of our patients. As part of Humana Inc. (NYSE: HUM), CenterWell offers stability, industry-leading benefits, and opportunities to grow yourself and your career. We proudly employ more than 30,000 clinicians who are committed to putting health first – for our teammates, patients, communities and company. By providing flexible scheduling options, clinical certifications, leadership development programs and career coaching, we allow employees to invest in their personal and professional well-being, all from day one. ​ • *Equal Opportunity Employer** It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment. Centerwell, a wholly owned subsidiary of Humana, complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our full accessibility rights information and language options https://www.partnersinprimarycare.com/accessibility-resources

Relationship Building
Data Analysis
Healthcare Regulations
Verified Source
Posted 24 days ago
CE

Principal Product Manager - Clinical Platforms & Transformation - Full-time

CenterWellAnywhereFull-time
View Job
Compensation$150K - 206K a year

Lead cross-platform technology initiatives, align enterprise strategies, and manage stakeholder relationships in healthcare technology. | Minimum 7 years in product management or enterprise systems in healthcare, with expertise in enterprise architecture, data platforms, EHR, and telephony. | **Become a part of our caring community and help us put health first** The Principal Product Manager Conceives of, develops, delivers, and manages products for customer use. The Principal Product Manager provides strategic advice and guidance to functional team(s). Highly skilled with broad, advanced technical experience. The Principal Product Manager is a senior individual contributor who orchestrates complex, cross-platform technology initiatives that advance enterprise strategy and operational reliability. This role is pivotal in translating business vision into scalable technology solutions, ensuring seamless integration across platforms such as EHRs, telephony, data systems, and enterprise architecture. The Principal will serve as a key interface between business and technology, driving transformation and innovation while maintaining operational rigor. • *Key Responsibilities** + **Strategic Leadership & Transformation:** Lead emerging transformation efforts, aligning technology roadmaps with enterprise objectives and clinical, operational, and customer experience goals. Champion innovation and scalability for new markets, services, and population launches. + **Stakeholder Management:** Cultivate strong relationships with senior executives, business leaders, and technical teams. Serve as a trusted advisor, translating complex technical concepts into actionable business insights and recommendations. Facilitate alignment and consensus among diverse stakeholders, ensuring transparency and shared ownership of outcomes. + **Cross-Platform Delivery:** Drive end-to-end delivery of business capabilities across telephony, EHR, and data platforms. Manage dependencies, milestones, and inter-team coordination to ensure timely and effective execution. + **Governance & Risk Management:** Evaluate and communicate the business impact of architectural and integration decisions. Ensure compliance, reliability, and scalability, proactively managing operational risks and issue resolution. + **Operational Oversight:** Anticipate and manage the impact of system changes, outages, and upgrades. Partner with IT and business teams to triage issues and escalate risks as needed. + **Reporting & Communication:** Prepare concise, executive-level status reports and summaries. Convert technical updates into clear business terms for leadership visibility. + **Mentorship & Enablement:** Support the development of junior product managers and analysts, fostering technical fluency and structured delivery approaches. • *Use your skills to make an impact** • *Requirements** + Bachelor’s degree in relevant field is required (Product Management, Health Informatics, Business,Computer Science, Engineering, orrelated). + A minimum of seven years of experience in product management, enterprise systems, or technology strategy in healthcare. + Deepexpertisein enterprise architecture, data platforms, EHR systems, and telephony/contact center technologies. + Demonstrated ability to lead cross-functional initiatives and drive transformation across technology and business domains. + Exceptional stakeholder management and executive communication skills. + Proventrack recordof thriving in dynamic, growth-oriented environments, balancing strategic vision with operational execution. + Certified Product Manager (CPM), SAFe Product Owner/Product Manager (POPM), or equivalent required. • *Preferred** + Master’s degree is preferred, especially in business administration, health informatics, public health, or related field. • *Additional Information** + Remote Role + Willingness to travel up to 25% (annually) for stakeholder engagement and product initiatives. • *Work at Home Requirements** 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 Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required. • *Scheduled Weekly Hours** 40 • *Pay Range** The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc. $150,000 - $206,300 per year This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance. • *Description of Benefits** Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. Application Deadline: 02-27-2026 • *About us** About CenterWell Senior Primary Care: CenterWell Senior Primary Care provides proactive, preventive care to seniors, including wellness visits, physical exams, chronic condition management, screenings, minor injury treatment and more. Our unique care model focuses on personalized experiences, taking time to listen, learn and address the factors that impact patient well-being. Our integrated care teams, which include physicians, nurses, behavioral health specialists and more, spend up to 50 percent more time with patients, providing compassionate, personalized care that brings better health outcomes. We go beyond physical health by also addressing other factors that can impact a patient’s well-being. About CenterWell, a Humana company: CenterWell creates experiences that put patients at the center. As the nation’s largest provider of senior-focused primary care, one of the largest providers of home health services, and fourth largest pharmacy benefit manager, CenterWell is focused on whole-person health by addressing the physical, emotional and social wellness of our patients. As part of Humana Inc. (NYSE: HUM), CenterWell offers stability, industry-leading benefits, and opportunities to grow yourself and your career. We proudly employ more than 30,000 clinicians who are committed to putting health first – for our teammates, patients, communities and company. By providing flexible scheduling options, clinical certifications, leadership development programs and career coaching, we allow employees to invest in their personal and professional well-being, all from day one. ​ • *Equal Opportunity Employer** It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment. Centerwell, a wholly owned subsidiary of Humana, complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our full accessibility rights information and language options https://www.partnersinprimarycare.com/accessibility-resources • *Become a part of our caring community and help us put health first** The Principal Product Manager Conceives of, develops, delivers, and manages products for customer use. The Principal Product Manager provides strategic advice and guidance to functional team(s). Highly skilled with broad, advanced technical experience. The Principal Product Manager is a senior individual contributor who orchestrates complex, cross-platform technology initiatives that advance enterprise strategy and operational reliability. This role is pivotal in translating business vision into scalable technology solutions, ensuring seamless integration across platforms such as EHRs, telephony, data systems, and enterprise architecture. The Principal will serve as a key interface between business and technology, driving transformation and innovation while maintaining operational rigor. • *Key Responsibilities** + **Strategic Leadership & Transformation:** Lead emerging transformation efforts, aligning technology roadmaps with enterprise objectives and clinical, operational, and customer experience goals. Champion innovation and scalability for new markets, services, and population launches. + **Stakeholder Management:** Cultivate strong relationships with senior executives, business leaders, and technical teams. Serve as a trusted advisor, translating complex technical concepts into actionable business insights and recommendations. Facilitate alignment and consensus among diverse stakeholders, ensuring transparency and shared ownership of outcomes. + **Cross-Platform Delivery:** Drive end-to-end delivery of business capabilities across telephony, EHR, and data platforms. Manage dependencies, milestones, and inter-team coordination to ensure timely and effective execution. + **Governance & Risk Management:** Evaluate and communicate the business impact of architectural and integration decisions. Ensure compliance, reliability, and scalability, proactively managing operational risks and issue resolution. + **Operational Oversight:** Anticipate and manage the impact of system changes, outages, and upgrades. Partner with IT and business teams to triage issues and escalate risks as needed. + **Reporting & Communication:** Prepare concise, executive-level status reports and summaries. Convert technical updates into clear business terms for leadership visibility. + **Mentorship & Enablement:** Support the development of junior product managers and analysts, fostering technical fluency and structured delivery approaches. • *Use your skills to make an impact** • *Requirements** + Bachelor’s degree in relevant field is required (Product Management, Health Informatics, Business,Computer Science, Engineering, orrelated). + A minimum of seven years of experience in product management, enterprise systems, or technology strategy in healthcare. + Deepexpertisein enterprise architecture, data platforms, EHR systems, and telephony/contact center technologies. + Demonstrated ability to lead cross-functional initiatives and drive transformation across technology and business domains. + Exceptional stakeholder management and executive communication skills. + Proventrack recordof thriving in dynamic, growth-oriented environments, balancing strategic vision with operational execution. + Certified Product Manager (CPM), SAFe Product Owner/Product Manager (POPM), or equivalent required. • *Preferred** + Master’s degree is preferred, especially in business administration, health informatics, public health, or related field. • *Additional Information** + Remote Role + Willingness to travel up to 25% (annually) for stakeholder engagement and product initiatives. • *Work at Home Requirements** 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 Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required. • *Scheduled Weekly Hours** 40 • *Pay Range** The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc. $150,000 - $206,300 per year This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance. • *Description of Benefits** Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. Application Deadline: 02-27-2026 • *About us** About CenterWell Senior Primary Care: CenterWell Senior Primary Care provides proactive, preventive care to seniors, including wellness visits, physical exams, chronic condition management, screenings, minor injury treatment and more. Our unique care model focuses on personalized experiences, taking time to listen, learn and address the factors that impact patient well-being. Our integrated care teams, which include physicians, nurses, behavioral health specialists and more, spend up to 50 percent more time with patients, providing compassionate, personalized care that brings better health outcomes. We go beyond physical health by also addressing other factors that can impact a patient’s well-being. About CenterWell, a Humana company: CenterWell creates experiences that put patients at the center. As the nation’s largest provider of senior-focused primary care, one of the largest providers of home health services, and fourth largest pharmacy benefit manager, CenterWell is focused on whole-person health by addressing the physical, emotional and social wellness of our patients. As part of Humana Inc. (NYSE: HUM), CenterWell offers stability, industry-leading benefits, and opportunities to grow yourself and your career. We proudly employ more than 30,000 clinicians who are committed to putting health first – for our teammates, patients, communities and company. By providing flexible scheduling options, clinical certifications, leadership development programs and career coaching, we allow employees to invest in their personal and professional well-being, all from day one. ​ • *Equal Opportunity Employer** It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment. Centerwell, a wholly owned subsidiary of Humana, complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our full accessibility rights information and language options https://www.partnersinprimarycare.com/accessibility-resources

Enterprise architecture
Data platforms
Healthcare systems (EHR, telephony)
Verified Source
Posted 26 days ago
CE

RN Clinical Manager, Home Health

CenterWellOlympia, WAFull-time
View Job
Compensation$77K - 106K a year

Oversee clinical operations, manage staff, ensure quality care, and coordinate patient services at a home health location. | Active RN license, minimum 2 years clinical nursing experience, management experience, and familiarity with home health or related settings. | Become a part of our caring community and help us put health first Reports To: Associate Director, Home Health Branch Administrator FLSA: Exempt Work Schedule : Full-time/40 Hours Position Type : On-site Branch Location : Bluffton, SC This branch is commonly referred to as CWHH - Beaufort. • $15,000 Associated Sign-on Bonus * • This position is eligible for relocation assistance. The specific package offered will vary based on individual circumstances and company policy. * • This is an on ‑ site position located at our Bluffton, SC branch. • Remote, work-from-home, and hybrid work arrangements are not supported for this role. The RN Clinical Operations Manager coordinates and oversees all direct care patient services provided by clinical personnel. This role is a focused on both home health clinical quality assurance and home health clinical operations initiatives. • Develops, plans, implements, analyzes, and organizes clinical operations for a specific location managed. • Conducts/delegates the assessment and reassessment of patients, including updating of care plans and interpreting patient needs, while adhering to Company, physician, and/or health facility procedures/policies. • Manages the assignment of caregivers. • Responsible for and oversees the delivery of care to all patients served by the location. Receives case referrals. Reviews available patient information related to the case, including disciplines required, to determine home health or hospice needs. Accountable to ensure patients meet admission criteria and make the decision to admit patients to service. Assigns appropriate clinicians to a case, as needed. • Instructs and guides clinicians to promote more effective performance and delivery of quality home care services and is available at all times during operating hours to assist clinicians as appropriate. • Assists clinicians in establishing immediate and long-term therapeutic goals, in setting priorities, and in developing patient Plan of Care (POC). • Monitors cases to ensure documentation is following compliance with regulatory agencies and requirements of third-party payers. Ensures final audits/billing are completed timely and in compliance with Medicare regulations. • Coordinates communication between team members/attending physicians/caregivers to ensure the appropriateness of care and outcome planning. • Works in conjunction with the Branch Director and Company Finance Department to establish location’s revenue and budget goals. • Participates in sales and marketing initiatives. • Supervises all clinical employees assigned to a specific location. Responsible for the overall direction, coordination, and evaluation of the location. Carries out supervisory responsibilities in accordance with Company policies and procedures. • Handles necessary employee corrective action and discipline issues fairly and objectively, in consultation with the Human Resources Department and the Executive Director/Director of Operations. • Participates in the interviewing, hiring, training, and development of direct care clinicians. Evaluates their performance relative to job goals and requirements. Coaches staff and recommends in-service education programs, when needed. Ensures adherence to internal policies and standards. • Assesses staff education needs based on own the review of clinical documentation in addition to feedback and recommendations by Utilization Review staff. Upon completion of the assessment, creates and conducts regular staff education as needed. • Analyzes situations, identifies problems, identifies and evaluates alternative courses of action through the utilization of Performance Improvement principles. • Responsible for review of the appropriate number of Case Managers and clinical staff documentation to include starts-of-care, resumption-of-cares, and re-certifications, for appropriateness of care, delivery, and documentation requirements. • Responsible for the QA/PI activities. Works with Utilization Review staff relative to data tracking for performance review and outcomes of care analysis to determine efficiency, the efficacy of case management system as well as any other systems and process. Competently performs patient care assignments and staff management activities. • Provides direct patient care on an infrequent basis and only in times of emergency. • Acts as Branch Director in his/her absence. • Interprets Company standards and Company policies and procedures to ensure compliance with external regulatory authorities and ensures that caregiver clinical documentation meets internal standards. Use your skills to make an impact Education: • Associate degree in Nursing (ADN) required; Bachelor of Science in Nursing (BSN) strongly preferred. License/Certifications: • Active and unrestricted Registered Nurse (RN) license or Compact State RN license with authorization to practice in the state of South Carolina. • Proof of current CPR card and/or BLS certification. Required Experience/Skills: • Valid driver’s license, auto insurance and reliable transportation. • A minimum of 2 years of experience as a Registered Nurse (RN). • Background in home-based care settings, including traditional home health, hospice, or palliative care is strongly preferred. • Management and people leadership experience is required. • OASIS experience is preferred. OASIS certification (HCS-O, COQS, and/or COS-C), preferred. • Homecare Homebase (HCHB) experience is preferred. • Foundational knowledge and basic understanding of CMS PDGM is preferred. Additional Information • Normal Hours of Operation: M-F / 8a-5p (ET) • On-Call Expectation: Yes, rotating on-call shift. • Branch Size: 315+ Census (4.5 STAR rating) • Annual Bonus Eligible: Yes, eligible for the annual incentive bonus which has pay-outs both quarterly and annually. Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required. Scheduled Weekly Hours 40 Pay Range The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc. $77,200 - $106,200 per year This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance. Description of Benefits Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. About us About CenterWell Home Health: CenterWell Home Health specializes in personalized, comprehensive home care for patients managing a chronic condition or recovering from injury, illness, surgery or hospitalization. Our care teams include nurses, physical therapists, occupational therapists, speech-language pathologists, home health aides, and medical social workers – all working together to help patients rehabilitate, recover and regain their independence so they can live healthier and happier lives. About CenterWell, a Humana company: CenterWell creates experiences that put patients at the center. As the nation’s largest provider of senior-focused primary care, one of the largest providers of home health services, and fourth largest pharmacy benefit manager, CenterWell is focused on whole-person health by addressing the physical, emotional and social wellness of our patients. As part of Humana Inc. (NYSE: HUM), CenterWell offers stability, industry-leading benefits, and opportunities to grow yourself and your career. We proudly employ more than 30,000 clinicians who are committed to putting health first – for our teammates, patients, communities and company. By providing flexible scheduling options, clinical certifications, leadership development programs and career coaching, we allow employees to invest in their personal and professional well-being, all from day one. ​ Equal Opportunity Employer It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment. Centerwell, a wholly owned subsidiary of Humana, complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our full accessibility rights information and language options https://www.partnersinprimarycare.com/accessibility-resources

Leadership & Management
Strategic Planning
Organizational Development
Verified Source
Posted 28 days ago
CE

Lead Business Intelligence Engineer

CenterWellAnywhereFull-time
View Job
Compensation$118K - 162K a year

Lead complex data analysis and reporting to provide insights for pharmacy portfolio growth, partner cross-functionally, manage KPIs, and influence strategic decisions. | Bachelor's degree with 5+ years in data analysis, proficiency in BI tools like SQL, Tableau, Power BI, strong business acumen, healthcare data understanding, and excellent communication skills. | Become a part of our caring community and help us put health first The Lead Business Intelligence Engineer solves complex business problems and issues using data from internal and external sources to provide insight to decision-makers. This role will work to solve problems of diverse scope and complexity ranging from moderate to substantial. The Lead Business Intelligence Engineer should have a data-first mindset aimed at tackling complex problems and designing solutions to make customers’ lives easier while creating value for the business through strategic research and data analysis aimed at gaining organizational alignment to prioritize work across functions. This role will partner cross-functionally and lead analyses using customer, performance, and pharmacy data to produce insights and a data story to inform decision-making for the overall growth of the pharmacy portfolio. Position responsibilities + Gather and analyze data related to industry trends, customer behavior, and product performance. + Ongoing performance monitoring of partner dashboards, KPI and initiative investments. + Conduct competitive analysis and market research for optimization and innovation purposes. + Partner with other members of the team, leveraging enterprise data, to aid in identifying and prioritizing growth opportunities. + Lead discovery, collection and analyzation of data in coordination with other departments (i.e. Pharmacy Analytics, Finance, Operations, etc.). + Become a subject matter expert in pharmacy data by building relationships with partner data teams. + Manage KPI scorecard. + Performance tracking of growth initiatives. + Use data story to influence long-term strategy. Use your skills to make an impact Required Qualifications + Bachelor's degree and at least 5 years of experience in Data Analysis & Interpretation to include the ability to analyze large datasets to identify trends, patterns, and insights related to industry, customer behavior, and product performance. + Strong business acumen experience in understanding business models and KPI’s to analyze data and create data visualizations to solve a wide variety of business problems and drive strategic direction and outcomes. + Technical proficiency in utilizing tools such as: SQL, Tableau, Qlik, Power BI, Salesforce, Adobe and/or Excel, etc. to analyze and interpret large sets of data. + Proven ability to work with cross-functional teams (IT, marketing, finance) and translate requirements between business, project management and technical projects or programs. + Proficiency in understanding Healthcare related data (I.E. authorizations, claims, medical records or related). + Proficiency in verbal/written communication to senior and executive leadership to include explaining complex data insights to non-technical stakeholders. + Experience in conducting market & competitive research to include SWOT analyses, benchmarking and identifying market opportunities and threats. + Trend analysis: Proficient in identifying and forecasting industry trends and customer behavior shifts. + Critical thinking experience turning data into actionable strategies. + Strong attention to detail skills with experience ensuring data accuracy and reliability. Preferred Qualifications + Advanced Degree in a quantitative discipline, such as Mathematics, Economics, Finance, Statistics, Computer Science, Engineering or related field. + Advanced in SAS and other data systems. + Expertise in data mining, forecasting, simulation, and/or predictive modeling. + Experience creating analytics solutions for various healthcare sectors. + Experience in project management, project leadership experience and/or PMP certification. Additional Information Work Style : Remote Work at Home/Remote Requirements To ensure Hybrid Office/Home associates’ ability to work effectively, the self-provided internet service of Hybrid Office/Home 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 and computer 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. HireVue Statement : As part of our hiring process for this opportunity, we will be using an exciting interviewing technology called HireVue to enhance our hiring and decision-making ability. HireVue allows us to quickly connect and gain valuable information from you pertaining to your relevant skills and experience at a time that is best for your schedule. Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required. Scheduled Weekly Hours 40 Pay Range The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc. $117,600 - $161,700 per year This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance. Description of Benefits Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. Application Deadline: 09-26-2025 About us About CenterWell Pharmacy: CenterWell Pharmacy provides convenient, safe, reliable pharmacy services and is committed to excellence and quality. Through our home delivery and over-the-counter fulfillment services, specialty, and retail pharmacy locations, we provide customers simple, integrated solutions every time. We care for patients with chronic and complex illnesses, as well as offer personalized clinical and educational services to improve health outcomes and drive superior medication adherence. About CenterWell, a Humana company: CenterWell creates experiences that put patients at the center. As the nation’s largest provider of senior-focused primary care, one of the largest providers of home health services, and fourth largest pharmacy benefit manager, CenterWell is focused on whole-person health by addressing the physical, emotional and social wellness of our patients. As part of Humana Inc. (NYSE: HUM), CenterWell offers stability, industry-leading benefits, and opportunities to grow yourself and your career. We proudly employ more than 30,000 clinicians who are committed to putting health first – for our teammates, patients, communities and company. By providing flexible scheduling options, clinical certifications, leadership development programs and career coaching, we allow employees to invest in their personal and professional well-being, all from day one. ​ Equal Opportunity Employer It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment. Centerwell, a wholly owned subsidiary of Humana, complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our full accessibility rights information and language options https://www.partnersinprimarycare.com/accessibility-resources Remote About the Company: CenterWell

Data Analysis
Power BI
SQL
Tableau
Business Intelligence
Data Visualization
Cross-functional Collaboration
Trend Analysis
Market Research
Critical Thinking
Verified Source
Posted 5 months ago

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