Qureos Mentor

CenterWell

<div><h1 class="jobSectionHeader">Become a part of our caring community and help us put health first 
</h1>
The Specialty Operations Pharmacy Technician 2 supports Pharmacists in Specialty Rx medication preparation by dispensing Specialty Rx medications. The Specialty Operations Pharmacy Technician 2 performs varied activities and moderately complex administrative/operational/customer support assignments. Performs computations. Typically works on semi-routine assignments.
Job Description
The Pharmacy Claims Representative 2 analyzes and answers inquiries regarding pharmacy claims adjudication, including method of payment, co-pay or deductible amounts, and/or reason for denial. Decisions are typically focus on interpretation of area/department policy and methods for completing assignments. Works within defined parameters to identify work expectations and quality standards, but has some latitude over prioritization/timing, and works under minimal direction. Follows standard policies/practices that allow for some opportunity for interpretation/deviation and/or independent discretion.
The Pharmacy Claims Representative 2 adjudicates pharmacy claims and process pharmacy claims for payment. The Pharmacy Claims Representative 2 performs varied activities and moderately complex administrative/operational/customer support assignments. Performs computations. Typically works on semi-routine assignments.<h1 class="jobSectionHeader"> 
Use your skills to make an impact 

</h1>Required Qualifications<ul><li>
Must have an active license with the Board of Pharmacy in the appropriate state</li><li>
Must be PTCB certified</li><li>
1+ year of claims processing, insurance or pharmacy experience</li><li>
Must have strong MS Office skills as this role is report heavy</li></ul> 
Preferred Qualifications<ul><li>
Inbound/Outbound call experience</li><li>
Customer service experience</li><li>
Strong communication skills</li></ul> 

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. 

$40,000 - $52,300 per year 
Description of Benefits
Humana, Inc. and its affiliated subsidiaries (collectively, &ldquo;Humana&rdquo;) 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.<h1 class="jobSectionHeader"> 
About us 
</h1>
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&rsquo;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 &ndash; 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.</div>

Specialty Operations Pharmacy Technician

<div><h1 class="jobSectionHeader">Become a part of our caring community and help us put health first 
</h1>
The Shipping &amp; Receiving Clerk 1 responsible for the receipt and shipment of incoming materials, supplies, and products. The Shipping &amp; Receiving Clerk 1 performs basic administrative/clerical/operational/customer support/computational tasks. Typically works on routine and patterned assignments.
CenterWell Pharmacy: Partner with people who care
Bring your unique talents and perspectives to CenterWell and help us bring better healthcare solutions to our members. CenterWell's innovative approach to mail-order pharmacy solutions enables us to outpace the competition, with the well-being of our members in mind. Our innovative Pharmacy Solutions offer a cost-effective and easy way for our members to receive their medications. We&rsquo;re looking for people from a variety of healthcare backgrounds to join our growing pharmacy team and work with people at all levels of the industry. At CenterWell, you&rsquo;ll partner with people who care.
Job Summary
Be a part of the Pharmacy world &ndash; providing perfect service to members in a team environment. CenterWell Pharmacy is seeking a motivated, resourceful, and ambitious packing/shipping associate for a full time career opportunity.
Key Responsibilities:
<ul><li>Order Fulfillment: packaging and shipping items</li><li>
Inventory Management: opening mail and working with cold packing technology</li><li>
Quality Control: Inspect products for accuracy and quality before shipment.</li><li>
Documentation: Maintain accurate records of all transactions and inventory movements.</li><li>
Safety Compliance: Adhere to all safety protocols and guidelines to ensure a safe working environment.</li><li>
Collaboration: Work closely with other team members and departments to ensure smooth operations</li></ul><h1 class="jobSectionHeader"> 

Use your skills to make an impact 

</h1>Required Qualifications<ul><li>
Strong attention to detail, excellent organizational skills, and the ability to work in a fast-paced environment.</li><li>
Must be flexible, friendly, engaging, and proactive</li><li>
Work ethic that is focused, accurate and highly productive.</li><li>
Self-directed, versatile and also able to work well in a group.</li><li>
Must be able to stand in a stationary position for over 10 hours</li><li>
Must be able to lift up to 30 pounds</li><li>
Must be able to work Monday through Friday, 4 days (ten hour shifts, 6am - 5pm)</li></ul>
Preferred Qualifications<ul><li>
High School Diploma or GED</li><li>
Packing and shipping experience in a mail order or similar facility</li><li>
Previous pharmacy experience
</li></ul>Additional Information
CenterWell is an organization with careers that change lives&mdash;including yours. As an innovator in the fast-paced industry of healthcare, we offer our associates careers that challenge, support and inspire them to use their passion for helping others and to lead their best lives. If you&rsquo;re ready to help people achieve lifelong well-being, and be a part of an organization that is growing and poised to make an impact on the future of healthcare, Humana has the right opportunity for you.
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. 

$39,000 - $49,400 per year 
Description of Benefits
Humana, Inc. and its affiliated subsidiaries (collectively, &ldquo;Humana&rdquo;) 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.<h1 class="jobSectionHeader"> 
About Us 
</h1>
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&rsquo;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 &ndash; 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.</div>

Shipping and Receiving Clerk

<div><h1 class="jobSectionHeader">Become a part of our caring community and help us put health first 
</h1>
Join a Team That&rsquo;s Redefining Senior Primary Care:
 
Humana&rsquo;s Primary Care Organization is one of the largest and fastest-growing senior-focused, value-based care providers in the country. With over 340 centers across 15 states operating under the CenterWell and Conviva brands, we&rsquo;re transforming healthcare by putting seniors at the heart of everything we do.
Why You&rsquo;ll Love Working Here<ul><li>
Team-Based Care Model: Work alongside a dedicated care team that supports patients&rsquo; physical, emotional, and social wellness.</li><li>
More Time with Patients: See fewer patients per day and spend more time delivering meaningful care.</li><li>
Supportive Culture: We foster a welcoming, inclusive environment where teamwork and growth are prioritized.</li><li>
Work-Life Balance: Enjoy generous PTO, minimal call responsibilities, and CME time.</li></ul>
Your Role &amp; Responsibilities<ul><li>
Evaluates and treats clinic patients in accordance with standards of care.</li><li>
Follows level of medical care and quality for patients and monitors care using available data and chart reviews.</li><li>
Assists in the coordination of patient services, including but not limited to specialty referrals, hospital and SNF coordination, durable medical equipment, and home health care.</li><li>
Acts as an active participant and key source of medical expertise with the care team through daily huddles.</li><li>
Helps Regional Medical Director and Clinic Manager in setting a tone of cooperation in practice by displaying a professional and approachable demeanor.</li><li>
Completes all medical record documentation in a timely manner working with a quality- based coder to optimize coding specificity.</li><li>
Follows policy and protocol defined by Clinical Leadership.</li><li>
Meets with RMD about quality of care, review of outcome data, policy, procedure, and records issues.</li><li>
Participates in potential growth opportunities for new or existing services within the clinic.</li><li>
Participates in the local primary care &ldquo;on-call&rdquo; program of CenterWell as needed.</li><li>
Assures personal compliance with licensing, certification, and accrediting bodies.</li><li>
Spend 100% of your time clinically focused on direct patient care, inclusive of patient facing time and general administrative time (charting, meetings, etc.) as it relates to direct patient care.</li></ul><h1 class="jobSectionHeader"> 

Use your skills to make an impact 

</h1>We're hiring for the CenterWell Smyrna Clinic: 405 Sam Ridley Pkwy W Smyrna, TN 37167
What We&rsquo;re Looking For
Required:<ul><li>
Graduate of accredited MD or DO program from an accredited university</li><li>
Board Certification or Eligible to become certified (ABMS or AOA) in Family Medicine, Internal Medicine or Geriatric Medicine</li><li>
Current and unrestricted medical license or willing to obtain a medical license in state of practice; eligible and willing to obtain licenses in other states in the region of assignment, as required</li><li>
Excellent verbal and written communication skills</li><li>
Demonstrate a high level of skill with interpersonal relationships and communications with colleagues/patients</li><li>
Fully engaged in the concept of &ldquo;Integrated team-based care&rdquo; model</li><li>
Willingness and ability to learn/adapt to practice in a value-based care setting</li><li>
Superior patient/customer service</li><li>
Basic computer skills, including email and EMR</li><li>
This role is considered patient facing and is a part of our Tuberculosis (TB) screening program. If selected for this role, you will be required to be screened for TB
</li></ul>Preferred:<ul><li>
Active and unrestricted DEA license</li><li>
Medicare Provider Number</li><li>
Medicaid Provider Number</li><li>
Minimum of two to five years directly applicable experience preferred</li><li>
Experience managing Medicare Advantage panel of patients with understanding of Best Practice in coordinated care environment in a value-based relationship environment</li><li>
Knowledge of Medicare guidelines and coverage</li><li>
Knowledge of HEDIS quality indicators</li></ul>
Compensation &amp; Benefits<ul><li>
Competitive base salary + quarterly bonus</li><li>
Health insurance effective Day 1</li><li>
401(k) with employer match</li><li>
CME allowance + dedicated CME time</li><li>
Occurrence-based malpractice coverage</li><li>
Life &amp; disability insurance</li><li>
Generous PTO &amp; paid holidays</li><li>
Minimal call responsibilities</li></ul>
#physiciancareers #healtcarejobs
#primarycare
#LI-JB1
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. 

$203,400 - $299,500 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, &ldquo;Humana&rdquo;) 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.<h1 class="jobSectionHeader"> 
About Us 
</h1>
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&rsquo;s well-being.
About CenterWell, a Humana company: CenterWell creates experiences that put patients at the center. As the nation&rsquo;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 &ndash; 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.</div>

Primary Care Physician

<div><h1 class="jobSectionHeader">Become a part of our caring community and help us put health first 
</h1>
Humana&rsquo;s Primary Care Organization is one of the largest and fastest growing value-based care, senior-focused primary care providers in the country, operating over 340 centers across fifteen states under two brands: CenterWell &amp; Conviva. Operating as a payor-agnostic, wholly owned subsidiary of Humana, our centers put the unique needs of seniors at the center of everything we do. Our Clinics offer a team-based care model where our physicians lead a multi-disciplinary care team supporting patient&rsquo;s physical, emotional, and social wellness.
 
 
At CenterWell Senior Primary Care, we want to help those in the communities we serve, including our associates, lead their best lives. We support our associates in becoming happier, healthier, and more productive in their professional and personal lives. We promote lifelong well-being by giving our associate fresh perspective, new insights, and exciting opportunities to grow their careers. Our culture is focused on teamwork and providing a positive and welcoming environment for all.
Anthem Village
2500 Anthem Village Dr. Henderson, NV 89052
Compensation (base pay + quality bonus) can exceed $300K * DOE &amp; Center
Lucrative Sign-on Bonus
Realistic &amp; Attainable Quality Incentive Bonus 20% of base earnings opportunity. Payout is based on performance
Responsibilities<ul><li>
 Evaluates and treats center patients in accordance with standards of care.</li><li>
Follows level of medical care and quality for patients and monitors care using available data and chart reviews.</li><li>
Assists in the coordination of patient services, including but not limited to specialty referrals, hospital and SNF coordination, durable medical equipment and home health care.</li><li>
Acts as an active participant and key source of medical expertise with the care team through daily huddles.</li><li>
Helps Regional Medical Director and Center Administrator in setting a tone of cooperation in practice by displaying a professional and approachable demeanor.</li><li>
Completes all medical record documentation in a timely manner working with a quality- based coder to optimize coding specificity.</li><li>
Follows policy and protocol defined by Clinical Leadership.</li><li>
Meets with RMD about quality of care, review of outcome data, policy, procedure and records issues.</li><li>
Participates in potential growth opportunities for new or existing services within the Center.</li><li>
Participates in the local primary care &ldquo;on-call&rdquo; program of CenterWell as needed.</li><li>
Assures personal compliance with licensing, certification, and accrediting bodies.</li><li>
Spend 100% of your time clinically focused on direct patient care, inclusive of patient facing time and general administrative time (charting, meetings, etc.) as it relates to direct patient care.</li></ul>
Required Qualifications<ul><li>
Graduate of accredited MD or DO program from an accredited university</li><li>
Board Certification or Eligible to become certified (ABMS or AOA) in Family Medicine, Internal Medicine or Geriatric Medicine</li><li>
Current and unrestricted medical license or willing to obtain a medical license in state of practice; eligible and willing to obtain licenses in other states in the region of assignment, as required</li><li>
Excellent verbal and written communication skills</li><li>
Demonstrate a high level of skill with interpersonal relationships and communications with colleagues/patients</li><li>
Fully engaged in the concept of &ldquo;Integrated team based care&rdquo; model</li><li>
Willingness and ability to learn/adapt to practice in a value based care setting</li><li>
Superior patient/customer service</li><li>
Basic computer skills, including email and EMR</li><li>
This role is considered patient facing and is a part of our Tuberculosis (TB) screening program. If selected for this role, you will be required to be screened for TB
</li></ul><h1 class="jobSectionHeader"> 
Use your skills to make an impact 

</h1>Preferred Qualifications<ul><li>
Active and unrestricted DEA license</li><li>
Medicare Provider Number</li><li>
Medicaid Provider Number</li><li>
Minimum of two to five years directly applicable experience preferred</li><li>
Experience managing Medicare Advantage panel of patients with understanding of Best Practice in coordinated care environment in a value based relationship environment</li><li>
Knowledge of Medicare guidelines and coverage</li><li>
Knowledge of HEDIS quality indicators</li></ul>
Additional Information<ul><li>
Guaranteed base salary + quarterly bonus</li><li>
Excellent benefit package &ndash; health insurance effective on your first day of employment</li><li>
CME Allowance/Time</li><li>
Occurrence Based Malpractice Insurance
</li><li>Relocation and sign-on bonus options
</li><li>401(k) with Employer Match</li><li>
Life Insurance/Disability
</li><li>Paid Time Off/Holidays</li><li>
Minimal Call</li></ul> 
Scheduled Weekly Hours 40
Monday to Friday
8:00 a.m. to 5:00 p.m. 
#physiciancareers
#LI-157966401_KT1
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. 

$203,400 - $299,500 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, &ldquo;Humana&rdquo;) 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.<h1 class="jobSectionHeader"> 
About Us 
</h1>
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&rsquo;s well-being.
About CenterWell, a Humana company: CenterWell creates experiences that put patients at the center. As the nation&rsquo;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 &ndash; 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.</div>

Join CenterWell and explore 8   exciting career opportunities. They're hiring for various roles with options for remote or on-site work. Apply today and become part of their innovative team.

CenterWell

ABOUT_COMPANY

Specialty Operations Pharmacy Technician

Specialty Operations Pharmacy Technician

Specialty Operations Pharmacy Technician

Shipping and Receiving Clerk

Primary Care Physician

Primary Care Physician

Primary Care Physician