Humana, Inc.

Provide technical support and troubleshoot complex enterprise IT issues. | Extensive IT support experience with knowledge of storage, networking, and virtualization environments. | Become a part of our caring community and help us put health first Humana Healthy Horizons in Virginia is seeking a Manager, Care Management (Maternal-Child Health) who will lead teams of nurses and health professionals responsible for maternal and child services care management. The Manager works within specific guidelines and procedures; applies advanced technical knowledge to solve moderately complex problems; receives assignments in the form of objectives and determines approach, resources, schedules and goals. The Maternal and Child Services Manager ensures timely and culturally competent delivery of care, services, and supports in compliance with the Virginia Department of Medical Assistance Services (DMAS) contractual requirements and industry best practices. • Supervises care management personnel and oversee all care management functions, including assessment, care planning, and care coordination. • Leads development of care management policies and procedures to ensure compliance with Commonwealth and federal requirements and incorporate industry best practices. • Collaborates with internal departments, providers, and community partners to support the delivery of high-quality case management services, including introducing innovative approaches to care coordination. • Oversees the processes for comprehensive Member assessments to identify their individual needs. • Monitors and maintains staffing levels to meet care and service quality objectives. • Supports orientation and training of staff. • Conducts timely evaluations of direct reports and provide regular opportunities for professional development. • Influences and assists corporate leadership in strategic planning to improve effectiveness of care and disease management programs for Maternal-Child health. • Participates in Care Management collaborative meetings as required by the Department of Medical Assistance (DMAS). • Collects and analyzes performance reports on care management functions to monitor adherence with benchmarks, identify opportunities for process improvement, and develop recommendations to leadership. • Ability to work independently under general instructions and with a team. • Utilizes a holistic, Member-centric approach to engage and motivate Members and their families through recovery and health and wellness programs. • Performs clinical intervention through the development of a care plan specific to each Member based on clinical judgement, changes in Members' health or psychosocial wellness, and identified triggers. • Communicates regularly with Members/families, physicians, and facilities/agencies to assure optimal quality patient care and effective operations. • Collaborates with relevant internal and external partners to coordinate seamless transitions for Members from inpatient settings to community-based services. • Provides ongoing coaching and feedback to enhance contribution, competency, and performance. Use your skills to make an impact Required Qualifications • Must reside in the Commonwealth of Virginia • Active RN license in the Commonwealth of Virginia, with no disciplinary action OR, LCSW, MSW, BSW, LSW, LPC • Minimum three (3) years of experience working in the Maternal-Child health field. • Minimum two (2) years of management/supervisory experience. • Experience serving Medicaid, Medicaid/Medicare, TANF, and/or CHIP populations. • Experience in case management. • Proficiency in analyzing and interpreting data trends. • Progressive operational leadership experience. • Comprehensive knowledge of all Microsoft Office applications, including Word, Excel and PowerPoint. • This role is considered patient facing and is part of Humana's Tuberculosis (TB) screening program. If selected for this role, you will be required to be screened for TB. • Ability to travel to region-based facilities and homes for face-to-face assessments and interactions with members and/or families. • This role is part of Humana's driver safety program and therefore requires an individual to have a valid state driver's license and are expected to maintain personal vehicle liability insurance. Individual must carry vehicle insurance in accordance with their residing state minimum required limits, or $25,000 bodily injury per person/$25,000 bodily injury per event /$10,000 for property damage or whichever is higher. Preferred Qualifications • BSN or an advanced degree in nursing or business-related field. • Certified Case Manager (CCM). • Previous experience working in a managed care field. • 5 or more years of previous management/supervisor level experience. • Bilingual or Multilingual: English/Spanish, Arabic, Vietnamese, Amharic, Urdu or other - Must be able to speak, read and write in both languages without limitations and assistance. See the "Additional Information" section on language proficiency assessments. Additional Information • Workstyle: This is a Remote position that requires some travel. • Travel: Up to 25% of the time to Humana Healthy Horizons office in Glen Allen, VA for collaboration and face to face meetings as well as field interactions with providers, members, and their families. Note: Travel may exceed 25% in the initial stages of market implementation. • Typical Workdays and Hours: Monday - Friday; 8:00am - 5:00pm Eastern Standard Time (EST). • Direct Reports: Up to 15. • Language Proficiency Assessment: Any Humana associate who speaks with a member in a language other than English must take a language proficiency assessment, provided by an outside vendor, to ensure competency. Applicants will be required to take the Interagency Language Rating (ILR) test as provided by the Federal Government. Work at Home Internet Statement To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: • At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is suggested. • Satellite, cellular and microwave connection can be used only if approved by leadership. • 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. Interview Format As part of our hiring process for this opportunity, we will be using an interviewing technology called HireVue to enhance our hiring and decision-making ability. HireVue allows us to quickly connect and gain valuable information from you pertaining to your relevant skills and experience at a time that is best for your schedule. Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required. Scheduled Weekly Hours 40 Pay Range The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc. $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. About us Humana Inc. (NYSE: HUM) is committed to putting health first - for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large. Equal Opportunity Employer It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.

Lead and manage initiatives to improve HEDIS performance through cross-functional collaboration, data analysis, and program implementation. | Bachelor's degree, 5+ years of program/project management experience, strong data trend analysis skills, effective communication, and proficiency in Microsoft Office and business intelligence tools. | Become a part of our caring community and help us put health first Health Quality and Stars (HQS) is an organization that is responsible for improving health outcomes and advancing the care experience of our members and provider partners through quality solutions. HQS is committed to caring for our customers and delivering high plan quality as rated by the Centers for Medicare and Medicaid Services (CMS). The CMS Stars quality rating system evaluates Medicare Advantage and Prescription Drug Plans using approximately 40 measures covering preventive care screenings, health condition management, health outcomes, patient experience, and plan operations. Location: remote or if in Louisville area then hybrid The HEDIS Condition Management team is seeking a passionate and organized teammate to accelerate measure improvement efforts to improve HEDIS performance. The Senior Professional strategically identifies, develops, and implements programs that influence members or market leadership towards improved quality metrics. The Senior Professional work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors. Due to the cross-functional nature of the work, this individual will work closely with multiple internal and external business partners to help ensure that progress is being made toward our goals. A broad range of skills including strategic thinking, data interpretation, and program management will be imperative. • Work closely with the condition management team, Stars Operations organization and other business partners to understand goals and how initiatives support long-term strategy • Lead initiatives through ideation, working with internal and external partners, monitoring performance, and identifying opportunities for improvement • Partner with multiple analytics and IT teams to support the development and/or improvement of data and reporting tools, and derive actionable insights from tools • Influence teams across the enterprise to deliver and prioritize work impacting our goals, providing education and ensuring performance oversight • Make decisions on moderately complex to complex issues regarding technical approach for project components, and work is performed without direction • Exercise considerable latitude in determining objectives and approaches to assignments Use your skills to make an impact Required Qualifications • Bachelor's Degree • 5 years of experience previous innovation, program delivery and/ or project management experience • Proven skills in analyzing data trends and identifying performance improvement opportunities • Ability to present program delivery milestones and performance • Strong attention to detail and focus on customer experience • Demonstrated ability to articulate ideas effectively in both written and oral forms • Comprehensive knowledge of all Microsoft Office applications, including Word, Excel and PowerPoint, as well as ability to navigate business intelligence tools to review data insights Preferred Qualifications • Master's Degree • HEDIS experience/knowledge • Medicare Stars experience Additional Information As part of our hiring process for this opportunity, we will be using an interviewing technology called HireVue to enhance our hiring and decision-making ability. HireVue allows us to quickly connect and gain valuable information from you pertaining to your relevant skills and experience at a time that is best for your schedule. To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; 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 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: 10-02-2025 About us Humana Inc. (NYSE: HUM) is committed to putting health first - for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large. Equal Opportunity Employer It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.

Lead and manage high-impact strategy projects, conduct market and financial analysis, engage with senior leadership, and develop actionable recommendations for enterprise growth. | Bachelor’s degree, 4-5+ years of combined consulting and strategy experience, strong problem-solving and communication skills, ability to manage projects and mentor staff, preferably with healthcare experience. | Become a part of our caring community and help us put health first The Strategy Advancement Advisor provides data-based strategic direction to identify and address business issues and opportunities. Provides business intelligence and strategic planning support for business segments or the company at large. The Strategy Advancement Advisor works on problems of diverse scope and complexity ranging from moderate to substantial. Humana, A Fortune 50 Healthcare Company Humana is a publicly traded, Fortune 50 health benefits company with a long history of successful innovation and reinvention. It has transformed itself from the largest US nursing home company in the '60s, to the largest US hospital corporation in the '80s, to a leading health benefits company beginning in the '90s. Today, Humana is a leader in consumer-focused health solutions and is one of the largest health benefits organizations in the country. Role Overview: Growth Strategy Advisor The Growth Strategy team plays a key role in supporting growth across Humana's businesses. The team has a strong dotted-line partnership with the Medicare and Medicaid organization, Humana's largest, which comprises over 80% of the company's total revenue and the majority of its earnings. Team members partner with the senior leaders of the business unit, and more broadly with leaders throughout the enterprise, as they deliver strategy projects addressing some of the businesses' most important opportunities and challenges. These high-profile strategy projects place the team at the forefront of helping to define the future of the organization. Humana is seeking an experienced team member with meaningful strategy consulting or healthcare strategy experience to join this team. As a Growth Strategy Advisor, you will directly contribute to high-impact strategy projects, engage with executive leadership, and develop actionable recommendations that shape Humana's long-term direction. This is a high-impact, high-visibility role where your insights will help inform Board-level discussions and enterprise-wide strategic priorities. The team's portfolio of work has a particular emphasis on sustainable Medicare Advantage growth. As an Advisor, you will deconstruct issues and challenges, perform targeted research and analysis, and craft sound, logical solutions and recommendations. You will also shape implementation considerations, and work with business owners as appropriate to transition analysis into execution. While doing so, you will have the opportunity to collaborate with fellow team members, subject matter experts, members of Humana's Executive Management Team, and corporate, functional, and business unit leaders. Recent projects include assessing the performance of strategic initiatives and business areas, refreshing the Medicare Advantage growth strategy, and identifying improvement opportunities for a key business function. Key responsibilities include: • Managing analysis and/or work streams within high-profile, high-impact strategy projects • Leading interviews and working sessions with leaders within Enterprise Growth and across the broader organization • Conducting industry, market, competitor, and financial analysis and identifying insights for Humana • Creating high quality analysis and deliverables that clearly frame objectives, issues, and challenges, and articulate insightful findings and recommendations • Working collaboratively with fellow team members and leaders across the company Use your skills to make an impact Required Qualifications • Bachelor's Degree with outstanding academic credentials • 2+ years of full-time work experience with a leading management consulting firm and/or strategy consulting related experience outside of a consulting firm, coupled with 2-3+ years of additional full-time work experience in a role requiring core strategy consulting skills/capabilities • Strong problem-solving skills and demonstrated ability to perform complex quantitative and qualitative analyses • Excellent verbal and written communication abilities • Ability to quickly build and maintain trust with business leaders • Experience managing significant workstreams or independent projects • Demonstrated ability to mentor and develop junior staff • Strong commitment to personal and professional growth Preferred Qualifications • MBA, MPH, PhD, or graduate degree in a management field • Managed care and/or healthcare services work experience • Experience leading strategy projects from concept to execution Additional Information This is a remote role, but majority of work must be conducted on Eastern time. Occasional travel to Humana's offices for training or meetings may be required. Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required. Scheduled Weekly Hours 40 Pay Range The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc. $138,200 - $190,100 per year This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance. Description of Benefits Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. About Us Humana Inc. (NYSE: HUM) is committed to putting health first - for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large. Equal Opportunity Employer It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.

Lead and design content strategies and workstreams across multiple stakeholders to ensure consistent, accurate, and user-centered communications for healthcare members. | Requires 6+ years of human-centered design/content strategy experience, 2+ years of horizontal leadership, expertise in content workstreams, design process stages, facilitation, and advanced communication skills. | Become a part of our caring community and help us put health firstHumana’s Customer Experience (CX) team within the Retail Insurance business was formed to deliver an easy, personalized healthcare experience for all our health plan members. This team operates with a mandate to break down traditional silos and design solutions based on how our members seek and receive care. By teaming differently, pioneering agile methodologies, and relentlessly focusing on the human experience, the Customer Experience team seeks to deliver on this promise for all our members.We are looking for a Content Strategy Lead who is human-centered, detail-oriented, and influential. You will work surrounded by peers with diverse skillsets to design end-to-end member experiences. You will lead the development of content strategies shared among multiple stakeholder groups and create and implement guidance that ensures distributed publishing teams communicate accurately, consistently, and strategically about products and services across member touchpoints.Key Role FunctionsDesign and lead content workstreams within large and complex projectsDefine and evolve content strategies that align multiple stakeholders in support of member objectives and business goalsInventory and assess product and service content for accuracy, clarity, completeness, and consistency across member journeysLead creation and socialization of tools, standards, and guidelines that support content creators, reviewers, and publishersDefine governance needs and create governance plans in coordination with business partnersEnsure content success metrics are defined, measured, and tracked to inform improvement opportunities and successesForm trusted relationships that lead to influence and partnerships across departments.Co-design and apply user research to inform content development and optimizationUse your skills to make an impactRequired QualificationsBachelor’s Degree6+ years of human-centered design and content strategy experience2+ years of horizontal leadership experience (collaborating across various departments to drive cross-functional initiatives)Demonstrated experience designing and leading content workstreams within large and complex projectsDemonstrated experience working quickly and efficiently across various stages of the design process (e.g., research, synthesis, prototyping, testing)Expert facilitation skills with the ability to design and deliver multiple types of design activities with consumers and business stakeholdersAdvanced communication and storytelling abilitiesThis is a remote role anywhere in the US that will require you to accommodate Eastern Standard Business HoursAdditional InformationTo 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 suggestedSatellite, cellular and microwave connection can be used only if approved by leadershipEmployees 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 informationTravel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.Scheduled Weekly Hours40Pay RangeThe 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 yearThis job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.Description of BenefitsHumana, 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: 08-27-2025About usHumana Inc. (NYSE: HUM) is committed to putting health first – for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large.Equal Opportunity EmployerIt is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our https://www.humana.com/legal/accessibility-resources?source=Humana_Website. #J-18808-Ljbffr