Customer Service Representative II (Bilingual), Temporary, Remote MaximusCustomer Service Representative II (Bilingual), Temporary, RemoteLouisville, KYRemoteFull timeEssential Duties and Responsibilities: - Provides customer service for basic and routine inquiries and problems via multiple possible channels (i.e. telephone, emails, web chats, or written letters). - Internet speed of 25mbps or higher required / 50 Mpbs for shared internet connectivity (you can test this by going to www.speedtest.net).
Pharmacy Senior CX Professional Humana IncPharmacy Senior CX ProfessionalKYRemote$71,100–$97,800 / yearWork 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 required; wireless, wired cable or DSL connection is suggested. As the largest provider of senior-focused primary care, a leading provider of home healthcare and a leading integrated home delivery, specialty, hospice and retail pharmacy, CenterWell is focused on whole health and addressing the physical, emotional and social wellness of our patients.
Growth Strategy Manager Humana IncGrowth Strategy ManagerKYRemote$138,200–$190,100 / yearWork 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 required; wireless, wired cable or DSL connection is suggested. Humana is seeking an experienced team member to support delivering some of Medicare and Medicaid's highest priority projects and initiatives, with an emphasis on Medicare Advantage strategy development.
Lead, Prevention Marketing Humana IncLead, Prevention MarketingKYRemote$126,300–$173,700 / yearWork 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 required; wireless, wired cable or DSL connection is suggested. The CRM Marketing Lead plans, recommends, implements, and optimizes marketing communications to members based on detailed quantitative analyses of consumer databases and external data sources to develops data driven insights into members, their behaviors, buying preferences and patterns.
Strategy Advancement Advisor Humana IncStrategy Advancement AdvisorLouisville, KYRemote$138,200–$190,100 / yearWork 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 required; wireless, wired cable or DSL connection is suggested. You will help answer key strategic business questions that arise during the annual product/sales cycle across multiple domains, including product design, plan footprint, marketing and sales performance, membership analytics, customer/provider satisfaction and more.
NewConsumer Onboarding Strategy Execution Lead Humana IncConsumer Onboarding Strategy Execution LeadLouisville, KYRemote$138,200–$190,100 / yearWork 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 required; wireless, wired cable or DSL connection is suggested. Additional Responsibilities: Lead execution of Humana's Enterprise Onboarding Transformation Program, serving as the execution-focused product manager for the member onboarding experience and ensuring strategic priorities are translated into integrated, actionable delivery plans across workstreams.
NewAVP, Stars and Risk Adjustment - National Medical Director Humana IncAVP, Stars and Risk Adjustment - National Medical DirectorKYRemote$246,100–$344,200 / yearWork 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 required; wireless, wired cable or DSL connection is suggested. Develop, implement, and monitor KPIs for Regional Vice Presidents and Health Services Directors, ensuring that performance metrics, reporting processes, and educational initiatives support continuous improvement in risk adjustment outcomes and provider engagement.
Encounter Data AI & Automation Lead Humana IncEncounter Data AI & Automation LeadKYRemote$94,900–$130,500 / yearWork 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 required; wireless, wired cable or DSL connection is suggested. Through our Humana insurance services and our 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.
M&A Integration Technology Lead Humana IncM&A Integration Technology LeadLouisville, KYRemote$142,300–$195,700 / yearTo ensure Home or Hybrid Home/Office associates' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office associates must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is suggested. 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 required; wireless, wired cable or DSL connection is suggested.
NewDirector, Quality Engineering IT Portfolio Management Humana IncDirector, Quality Engineering IT Portfolio ManagementKYRemote$156,600–$215,400 / yearWork 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 required; wireless, wired cable or DSL connection is suggested. To ensure Home or Hybrid Home/Office associates', the self-provided internet service of Home or Hybrid Home/Office associates must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is suggested.
Care Coach Humana IncCare CoachKYRemote$53,700–$72,600 / yearWork 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 required; wireless, wired cable or DSL connection is suggested. Screen members using targeted intervention business rules and processes to identify needed medical services, make appropriate referrals to medical services staff and coordinate the required services in accordance with the benefit plan.
Non-Clinical Care Coach Humana IncNon-Clinical Care CoachKYRemote$53,700–$72,600 / yearWork 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 required; wireless, wired cable or DSL connection is suggested. Minimum 2 years of experience in any direct adult patient care such as, but not limited to: long-term care, home and community-based services, hospital/facility setting, case management, managed care organizations.
Data Scientist - LLM, Agentic AI & Predictive Modeling Humana IncData Scientist - LLM, Agentic AI & Predictive ModelingKYRemote$97,900–$133,500 / yearTo ensure Home or Hybrid Home/Office associates' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office associates must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is suggested. As the largest provider of senior-focused primary care, a leading provider of home healthcare and a leading integrated home delivery, specialty, hospice and retail pharmacy, CenterWell is focused on whole health and addressing the physical, emotional and social wellness of our patients.
Medical Director - PI, Claims Humana IncMedical Director - PI, ClaimsKYRemote$223,800–$313,100 / yearWork 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 required; wireless, wired cable or DSL connection is suggested. The Medical Director may speak with contracted external physicians, physician groups, facilities, or community groups to support regional market priorities, which may include an understanding of Humana processes, as well as a focus on collaborative business relationships, value based care, population health, or disease or care management.
Corporate Medical Director G&A Humana IncCorporate Medical Director G&AKYRemote$246,100–$344,200 / yearWork 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 required; wireless, wired cable or DSL connection is suggested. The Corporate Medical Director exercises independent judgment in addressing complex issues related to job responsibilities and associated tasks, applying critical analysis to variable factors and determining the most appropriate course of action.
AVP, Utilization and Care Management Strategy Humana IncAVP, Utilization and Care Management StrategyKYRemote$203,400–$279,800 / yearWork 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 required; wireless, wired cable or DSL connection is suggested. This leader will work across Clinical Operations, Care Management, Population Health Management, Behavioral Health, Pharmacy, Quality, Analytics, Finance, Actuarial, Network, Payment Policy, Payment Integrity, SIU, and Medicaid market leadership to align strategy, assess performance, identify opportunities, and support execution of scalable solutions.
NewAssociate Director, Technology Solutions Engineering Humana IncAssociate Director, Technology Solutions EngineeringKYRemote$142,300–$195,700 / yearWork 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 required; wireless, wired cable or DSL connection is suggested. Through our Humana insurance services and our 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.
NewJourney Mapping Lead Humana IncJourney Mapping LeadKYRemote$115,200–$158,400 / yearWork 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 required; wireless, wired cable or DSL connection is suggested. Reporting to the Service Design Principal, you will focus on understanding Medicaid members and associate behavior, mapping their journeys, and implementing strategies to enhance satisfaction, increase loyalty, and help us reduce unnecessary administrative expense.
Nurse Practitioner, Evenings, Nights and Weekends Full-Time Chapters Health System IncNurse Practitioner, Evenings, Nights and Weekends Full-TimeKYRemote$51.42–$80.35 / hourPhysical/Mental/Emotional Skills: The ability to see, hear, grasp, lift, speak, sit and walk or otherwise perform essential functions with or without reasonable accommodations; demonstrate the mental and emotional ability to work with death/dying; demonstrate the maturity, customer service skills, and flexibility to work with individuals under stress; work in a fast paced and quickly changing environment; work under pressure and deadlines; effectively recognize and appreciate the diversity in the workplace; develop coping mechanisms in order to care for patients who are terminally ill and to work in a stressful environment; provide care for highly emotional patients/families. Essential Duties and Responsibilities: Quality Provision of Services: Provides fully remote virtual serious illness care management to patients and families throughout our continuum of care; This continuum may include but is not limited to home-based, facility-based, and inpatient adult and pediatric hospice; palliative care; PACE, and additional service lines and programs offered or supported by Chapters Health System.
Nurse Practitioner, Evenings, Nights and Weekends Per Diem Chapters Health System IncNurse Practitioner, Evenings, Nights and Weekends Per DiemKYRemotePhysical/Mental/Emotional Skills: The ability to see, hear, grasp, lift, speak, sit and walk or otherwise perform essential functions with or without reasonable accommodations; demonstrate the mental and emotional ability to work with death/dying; demonstrate the maturity, customer service skills, and flexibility to work with individuals under stress; work in a fast paced and quickly changing environment; work under pressure and deadlines; effectively recognize and appreciate the diversity in the workplace; develop coping mechanisms in order to care for patients who are terminally ill and to work in a stressful environment; provide care for highly emotional patients/families. Overall Skills: The ability to work both independently and as part of a team; demonstrate excellent interpersonal and collaborative skills; demonstrate organizational skills with the ability to delegate and follow up; manage multiple tasks and stressful situations with a positive attitude; demonstrate a strong work ethic and attention to detail.