Qureos Mentor

Humana

Humana is dedicated to helping members achieve their best health by providing personalized, simplified, whole-person healthcare experiences. The company continuously develops innovative solutions and resources to support individuals and families in living healthier lives on their terms. With a strong commitment to customer service, Humana focuses on addressing the evolving healthcare needs of communities and ensuring that employees are equipped to deliver exceptional care.

<div><h1 class="jobSectionHeader">Become a part of our caring community 
</h1>
The Senior Business Systems Analysis Professional partners with business and technology stakeholders to identify opportunities, define solutions, and drive strategic initiatives that advance operational and clinical outcomes. This role is responsible for analyzing business processes, user needs, and system capabilities; documenting requirements; performing cost-benefit and value assessments; and translating business objectives into detailed system specifications. 
 
The Senior Business Systems Analysis Professional leads and supports moderately complex to highly complex initiatives where success requires in-depth analysis, sound judgment, and evaluation of multiple variables and dependencies. The role collaborates closely with cross-functional teams to develop business and functional requirements, facilitate solution design, coordinate testing strategies and plans, create standard operating procedures, and establish sustainable support models. Through strong analytical, communication, and stakeholder management skills, this position helps ensure technology investments deliver measurable business value and align with organizational priorities.
The Senior Business Systems Analyst partners with business and technology stakeholders to identify opportunities, define solutions, and drive strategic initiatives that advance operational and clinical outcomes. This role is responsible for analyzing business processes, user needs, and system capabilities; documenting requirements; performing cost-benefit and value assessments; and translating business objectives into detailed system specifications.
The Senior Business Systems Analyst leads and supports moderately complex to highly complex initiatives where success requires in-depth analysis, sound judgment, and evaluation of multiple variables and dependencies. The role collaborates closely with cross-functional teams to develop business and functional requirements, facilitate solution design, coordinate testing strategies and plans, create standard operating procedures, and establish sustainable support models. Through strong analytical, communication, and stakeholder management skills, this position helps ensure technology investments deliver measurable business value and align with organizational priorities.
The Senior Business Systems Analyst formulates and defines systems scope, objectives, and solutions based on user needs, business priorities, and a thorough understanding of applicable technologies, business systems, and industry requirements. The role devises or modifies procedures and processes to solve complex business problems while considering system capabilities, operational constraints, scalability, and desired outcomes. This position validates expected and realized benefits from implemented solutions and contributes to the development of departmental strategies and technology roadmaps.
Acting as a technical lead and trusted advisor, the Senior Business Systems Analyst partners closely with project teams, business leaders, vendors, and technology stakeholders to ensure successful solution delivery and adoption. The role exercises considerable latitude in determining objectives, evaluating alternatives, recommending solutions, and driving assignments to completion with minimal direction.<h1 class="jobSectionHeader"> 
Use your skills to make an impact 

</h1>Required Qualifications<ul><li>
Bachelor's degree or comparative working experience</li><li>
5-7+ years of business systems analysis, healthcare technology, or related experience.
</li><li>Working knowledge of ad-hoc query tools and data repositories that support data extraction and manipulation</li><li>
Experience working in Agile, Scrum or hybrid project delivery environments</li><li>
Knowledge of Systems Development Life Cycle</li><li>
Experience in problem analysis and process</li><li>
3 or more years' working experience with Microsoft 365 tools including Excel, Power BI, PowerPoint, Visio, Teams and collaboration platforms.</li><li>
Must be passionate about contributing to an organization focused on continuously improving consumer experiences</li><li>
Location: This is a hybrid position requiring approximately 3 days per week in the office. Candidates may be based in Dallas, TX; Louisville, KY; or Nashville, TN.</li></ul> 
Preferred Qualifications<ul><li>
Background working with Portfolio prioritization, Business case development, Value realization, Process improvement initiatives, Operational analytics, Healthcare technology evaluation, Stakeholder facilitation and executive presentations</li><li>
Six Sigma certification</li><li>
PMP certification</li><li>
Demonstrated experience with process documentation and re-engineering</li></ul>
Additional Information
Why Humana?
At Humana, we know your well-being is important to you, and it's important to us too. That's why we're committed to making resources available to you that will enable you to become happier, healthier, and more productive in all areas of your life. Just to name a few:<ul><li>
Work-Life Balance</li><li>
Generous PTO package</li><li>
Health benefits effective day 1</li><li>
Annual Incentive Plan</li><li>
401K - Excellent company match</li><li>
Well-being program</li><li>
Paid Volunteer Time Off</li></ul>
If you share our passion for helping people, we likely have the right place for you at Humana.
Work-At-Home Requirements
To ensure Home or Hybrid Home/Office employees&rsquo; ability to work effectively, the self-provided internet service of Home or Hybrid
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. 
SSN Alert Statement
Humana values personal identity protection. Please be aware that applicants may be asked to provide their Social Security Number, if it is not already on file. When required, an email will be sent from Humana@myworkday.com with instructions on how to add the information into your official application on Humana's secure website. 
Scheduled Weekly Hours
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. 

$80,900 - $110,300 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, &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, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.<h1 class="jobSectionHeader"> 
About Us 
</h1>
About Humana: Humana Inc. (NYSE: HUM) is a leading U.S. healthcare company. 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 &ndash; 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 and Medicaid, families, individuals, military service personnel, and communities at large. Learn more about what we offer at Humana.com and at CenterWell.com. 
 
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>

Senior Business Systems Analyst

<div><h1 class="jobSectionHeader">Become a part of our caring community 
</h1>
The Provider Engagement Executive develops and grows positive, long-term relationships with physicians, providers and healthcare systems in order to support and improve financial and quality performance within the contracted working relationship with the health plan. The Provider Engagement Executive works on problems of diverse scope and complexity ranging from moderate to substantial.
The Provider Engagement Executive represents the scope of health plan/provider relationship across such areas as financial performance, incentive programs, quality and clinical management, population health, data sharing, connectivity, documentation and coding, HEDIS and STARs performance, operational improvements and other areas as they relate to provider performance, member experience, market growth, provider experience and operational excellence. Advises executives to develop functional strategies (often segment specific) on matters of significance. 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.<h1 class="jobSectionHeader"> 
Use your skills to make an impact 

</h1>Required Qualifications<ul><li>
Minimum of Associate's Degree</li><li>
4 or more years of Health care or managed care with Provider Contracting, Network Management or Provider Relations experience</li><li>
Experience working with HEDIS and/or Stars measures and programs</li><li>
1 or more years of demonstrated project management experience</li><li>
Experience partnering with senior leadership on strategic initiatives</li><li>
Proven planning, preparation and presenting skills</li><li>
Demonstrated ability to manage multiple projects and meet deadlines</li><li>
Comprehensive knowledge of all Microsoft Office applications</li><li>
Must be located within the State of Indiana with the ability to travel as needed</li></ul>
Preferred Qualifications<ul><li>
Bachelor's Degree</li><li>
Established knowledge of reimbursement and bonus methodologies</li><li>
Proficiency in analyzing and interpreting financial trends for health care costs, administrative expenses and quality/bonus performance</li><li>
Comprehensive knowledge of Medicare policies, processes and procedures</li><li>
Located in Indianapolis, IN</li></ul>
Additional Information
This role is &quot;remote/work at home&quot;, however, you must live in the State of Indiana, with the ideal candidate being located in Indianapolis. 
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, &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, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.<h1 class="jobSectionHeader"> 
About Us 
</h1>
About Humana: Humana Inc. (NYSE: HUM) is a leading U.S. healthcare company. 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 &ndash; 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 and Medicaid, families, individuals, military service personnel, and communities at large. Learn more about what we offer at Humana.com and at CenterWell.com. 
 
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>

Provider Engagement Executive

<div><h1 class="jobSectionHeader">Become a part of our caring community 
</h1>
The Field Care Manager Registered Nurse (RN) assesses and evaluates member's needs and requirements to achieve and/or maintain optimal wellness state by guiding members and families toward resources appropriate for the care and wellbeing of members. The Field Care Manager Nurse employs a variety of strategies, approaches, and techniques to manage a member's physical, environmental, and psycho-social health issues.
The Field Care Manager Registered Nurse key roles and responsibilities may include the following:<ul><li>
Identifies and resolves barriers that hinder effective care.</li><li>
Ensures member is progressing towards desired outcomes by continuously monitoring patient care through assessments and/or evaluations.</li><li>
Create plans of care.</li><li>
Communicates with internal and external stakeholders.</li><li>
Understands department, segment, and organizational strategy and operating objectives, including their linkages to related areas.</li><li>
Follows established guidelines/procedures.</li><li>
Visits Medicaid members in their homes, Supportive Living Facilities, and/or Long-Term Care Facilities and other care settings &ndash; 75-90% local travel (see Additional Information section).</li></ul><h1 class="jobSectionHeader"> 

Use your skills to make an impact 

</h1>Required Qualifications<ul><li>
Applicants must reside in Cook County, IL, within one of the following ZIP codes, or within a 10-mile radius of these Zip Codes: 60004, 60005, 60008, 60010, 60016, 60018, 60025, 60026, 60043, 60053, 60056, 60062, 60067, 60070, 60074, 60076, 60077, 60090, 60091, 60107, 60169, 60173, 60192, 60193, 60194, 60195, 60201, 60202, 60203, 60656, 60714, 60646, 60093</li><li>
Registered Nurse (RN) in the state of Illinois without disciplinary action.</li><li>
Clinical nursing experience required (hospital, acute care, or home health</li><li>
Ability to travel 75-90% within the state of Illinois</li><li>
Knowledge of community health and social service agencies and additional community resources.</li><li>
Intermediate to Advanced computer skills and experience with Microsoft Word, Outlook, and Excel.</li></ul>
Preferred Qualifications<ul><li>
Bachelor of Science in Nursing (BSN).</li><li>
2+ years of experience of in-home case/care management</li><li>
Experience with Medicare/Medicaid members.</li><li>
Experience with health promotion, coaching, and wellness.</li><li>
Previous managed care experience.</li><li>
Bilingual &mdash; English, Spanish.</li><li>
Certification in Case Management.</li><li>
Motivational Interviewing Certification and/or knowledge in area.</li></ul>
Additional Information<ul><li>
Workstyle/Travel: This is a Hybrid &ndash; Home position that requires occasional onsite work at the market office in Schaumburg, Illinois, as well 75-90% travel in the field to visit members</li><li>
Work Schedule: Monday - Friday; 8am - 5pm CST</li></ul>
This role is considered patient facing and is part of Humana&rsquo;s Tuberculosis (TB) screening program. If selected for this role, you will be required to be screened for TB.
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.
Work at Home Requirements: To ensure Home or Hybrid Home/Office employees&rsquo; 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. In certain roles, the minimum recommended internet speed required by Humana may not be sufficient for business needs. Humana reserves the right to require associates to upgrade their internet service if necessary. 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. 

$78,200 - $107,600 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, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.<h1 class="jobSectionHeader"> 
About Us 
</h1>
About Humana: Humana Inc. (NYSE: HUM) is a leading U.S. healthcare company. 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 &ndash; 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 and Medicaid, families, individuals, military service personnel, and communities at large. Learn more about what we offer at Humana.com and at CenterWell.com. 
 
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>

Field Care Manager - RN

<div><h1 class="jobSectionHeader">Become a part of our caring community 
</h1>
As a RN Care Manager, you will enjoy a true work-life balance with no night or weekend shifts. Reporting to the Manager of Care Coaching, you will support members enrolled in the Wisconsin Family Care Program providing essential care coordination, support, and education. You will make a difference in the lives of those you serve and within your own community. You will provide services in Taylor County.
You will:<ul><li>
Assess members, focusing on health and safety needs, to develop a comprehensive Member Care Plan (MCP).</li><li>
Conduct regular health assessments</li><li>
Coordinate with acute and primary care providers.</li><li>
Educate members on disease processes and related risks, nutrition, exercise and lifestyle modifications to support informed decision-making while respecting each person's autonomy.</li><li>
Document in member files within required DHS contract timeframes.</li><li>
Participate in member monthly phone contacts and travel to attend in person visits in members setting.</li><li>
Work remotely from your home and travel approximately 40% of the time to visit your members.</li></ul><h1 class="jobSectionHeader"> 

Use your skills to make an impact 

</h1>Required Qualifications<ul><li>
Associate degree in nursing</li><li>
Licensed Registered Nurse in the state of Wisconsin (in good standing)</li></ul>
Preferred Qualifications<ul><li>
1 year Care Management experience</li><li>
Reside within 45 mins or less of the assigned coverage area</li><li>
Previous Care Management experience</li></ul>
Additional Information<ul><li>
Location: Taylor County, WI</li><li>
Travel: Up to 40%</li><li>
Typical Workdays/Hours: Monday through Friday, 8:00 am &ndash; 4:30 pm CST.</li></ul>
Driving
This role is part of Humana's driver safety program and therefore requires an individual to have a valid state driver's license and proof of personal vehicle liability insurance with at least 100/300/100 limits.
Mileage reimbursement is provided for work-related travel. Eligible mileage includes:<ul><li>
Travel from your home to your first work location of the day.</li><li>
Travel between client or assignment locations during the workday.</li><li>
Travel from your final work location back to your home.</li></ul>
TB Screening
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.
Work at Home Requirements: To ensure Home or Hybrid Home/Office employees&rsquo; 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. In certain roles, the minimum recommended internet speed required by Humana may not be sufficient for business needs. Humana reserves the right to require associates to upgrade their internet service if necessary. 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. 

$71,100 - $97,800 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, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.<h1 class="jobSectionHeader"> 
About us 
</h1>
About Inclusa: Inclusa manages the provision of a person-centered and community-focused approach to long-term care services and support to Family Care members across the state of Wisconsin. As a values-based organization devoted to building vibrant and inclusive communities, Inclusa deploys a unique approach to managed care with a trademarked model of support named Commonunity&reg; which focuses on the belief in everyone, and from that belief, the common good for all is achieved. In 2022, Inclusa was acquired by Humana. This partnership will allow us to create a model of care that provides industry-leading support for members across the health care continuum.
About Humana: Humana Inc. (NYSE: HUM) is a leading U.S. healthcare company. 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 &ndash; 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 and Medicaid, families, individuals, military service personnel, and communities at large. Learn more about what we offer at Humana.com and at CenterWell.com. 
 
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>

Registered Nurse Care Manager

<div><h1 class="jobSectionHeader">Become a part of our caring community 
</h1>
Humana Healthy Horizons in Virginia is seeking RN, Field Care Managers (Field Care Manager Nurse 2) to perform telephonic and face-to-face assessments and evaluations of the needs and requirements of our long-term services and support (LTSS) and aged, blind and disabled (ABD)member population. The RN, Field Care Manager supports achieving and/or maintaining optimal wellness by guiding members/families toward and facilitating interaction with resources appropriate for the care and well-being of members. They work assignments that are varied and frequently require interpretation and independent determination of the appropriate courses of action..
Job Description
Role Overview
This role involves meeting members in the field at their home or location of the member's choice, spending quality time assessing their goals, needs and barriers and then connecting our members with quality services to promote their ultimate well-being and drive person centered health outcomes.<ul><li>
Reviews, analyzes, assesses, and attests for medical complexity.</li><li>
Develops member individualized care plans.</li><li>
Employs a variety of evidence-based strategies, approaches, and techniques to manage a member's physical, environmental, and psychosocial health.</li><li>
Identifies and resolves barriers that hinder effective care.</li><li>
Ensures member is progressing towards desired outcomes by continuously monitoring member care through comprehensive assessments and/or evaluations.</li><li>
Makes autonomous decisions, occasionally in ambiguous situations.</li><li>
Requires minimal direction and receives guidance where needed.</li><li>
Understands department, segment, and organizational strategy and operating objectives, including their linkages to related areas.</li><li>
Follows established guidelines/procedures.</li></ul><h1 class="jobSectionHeader"> 

Use your skills to make an impact 

</h1>Required Qualifications<ul><li>
Must reside in Richmond, Virginia area and be available to see members in the community</li><li>
Active Registered Nurse (RN) license in the Commonwealth of Virginia without disciplinary action.</li><li>
2 years of prior experience in health care and/or case management.</li><li>
1 year of experience working with individuals who are at risk for chronic medical conditions &amp; high social needs (adult and pediatric populations).</li><li>
Knowledge of community health and social service agencies and additional community resources.</li><li>
Intermediate to advanced computer skills and experience with Microsoft Word, Outlook, and Excel with the ability to use a variety of electronic information applications/software programs including electronic medical records. Excellent keyboard and web navigation skills.</li><li>
Exceptional communication and interpersonal skills with the ability to quickly build rapport.</li><li>
Ability to travel to region-based facilities and homes for face-to-face assessments and interactions with members and/or families.</li></ul>
Preferred Qualifications<ul><li>
Bachelor of Science in Nursing (BSN).</li><li>
Certification in Case Management (CCM).</li><li>
Previous managed care experience.</li><li>
Experience with in-home assessment and care coordination</li><li>
Experience with disease management, health promotion, coaching and wellness.</li><li>
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 &ldquo;Additional Information&rdquo; section for more information.
</li></ul>Additional Information<ul><li>
Workstyle: Field - This is a field position where employees perform their core duties at non-company locations, such as providing services at business partner facilities or prospects' and members' homes.</li><li>
Workdays and Hours: 40 hours a week - Monday &ndash; Friday; 8:00am &ndash; 5:00pm Eastern Standard Time (EST).</li><li>
Travel: 50 - 75% field interactions with members, and their families and providers Richmond, VA area . May need to attend onsite meetings occasionally in Humana Healthy Horizons office in Glen Allen, VA.</li><li>
Driver Safety: 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.</li><li>
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.</li><li>
Screening: This role is considered patient facing and is part of Humana&rsquo;s Tuberculosis (TB) screening program. If selected for this role, you will be required to be screened for TB.</li><li>
Language Assessment Statement: 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.</li></ul>
Work at Home Requirements: To ensure Home or Hybrid Home/Office employees&rsquo; 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. In certain roles, the minimum recommended internet speed required by Humana may not be sufficient for business needs. Humana reserves the right to require associates to upgrade their internet service if necessary. 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. 

$71,100 - $97,800 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, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.<h1 class="jobSectionHeader"> 
About us 
</h1>
About Humana: Humana Inc. (NYSE: HUM) is a leading U.S. healthcare company. 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 &ndash; 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 and Medicaid, families, individuals, military service personnel, and communities at large. Learn more about what we offer at Humana.com and at CenterWell.com. 
 
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>

RN, Field Care Manager (LTSS/ABD)

<div><h1 class="jobSectionHeader">Become a part of our caring community 
</h1>
The Program Delivery Lead serves as a key partner to the VP of Commercial &amp; Government Specialty, AD, Strategy Advancement and senior leadership team, driving strategic alignment, executive communication, division operations, event support and business planning. This role blends high level strategic advisory with hands on execution, ensuring leadership is equipped with clear insights, compelling materials, and coordinated plans to effectively run and grow the business. This role will lead the strategic design and narrative direction of Commercial &amp; Government Specialty ensuring all programs align with organizational priorities and business goals.
This role leads the development of executive materials including board presentations, strategy memos, and business reviews, while providing actionable insights through analysis of business performance, market trends, and competitive intelligence. Additionally, the Program Delivery Lead supports divisional meetings and events, facilitates cross functional collaboration, and serves as a trusted advisor to leadership to enable informed decision making and execution of key priorities.<h1 class="jobSectionHeader"> 
Use your skills to make an impact 

</h1>Key Responsibilities:<ul><li>
Executive Communications &amp; Leadership Support<ul><li>
Lead the development of executive level communications and materials for the VP of Commercial &amp; Government Specialty in coordination with the AD, Strategy Advancement and senior leaders, including Board presentations, Strategy memos, Weekly Updates, Monthly and quarterly business reviews (MBR/MOR), Executive briefings and rapid response materials</li><li>
Ensure all content is clear, concise, and aligned to enterprise strategy and messaging.</li><li>
Anticipate leadership needs and proactively prepare insights and materials for key discussions.</li><li>
Provide perspective on risks, opportunities, and strategic choices to inform leadership decision making.</li><li>
Drive organizational execution and accountability through effective business cadence management, including agenda development, follow up tracking, action planning, and facilitation of divisional, leadership, and offsite meetings to ensure alignment and decision making.</li><li>
Act as a central coordination point to align priorities, messaging, and deliverables.</li><li>
Prepare tailored materials and insights for a variety of leadership audiences and forums.</li><li>
Coordinate business readiness efforts, ensuring stakeholders are informed, aligned, and equipped to execute against evolving priorities</li></ul></li></ul><ul><li>
Strategic Planning &amp; Initiative Management &ndash; Government &amp; Commercial Specialty<ul><li>
Partner with business management and strategy teams to coordinate:<ul><li>
Annual planning cycles</li><li>
Goal setting and performance alignment</li><li>
Strategic review processes</li></ul></li><li>
Track and monitor progress against KPIs, key strategic initiatives, identifying risks and ensuring accountability.</li><li>
Deliver regular updates and report to leadership on initiative status and outcomes.</li><li>
Use business intelligence and reporting tools to monitor, analyze and communicate performance indicators (KPIs).</li><li>
Lead cross-functional business initiatives by coordinating execution across key partners (e.g., Network, Delivery COE, Underwriting, Finance, Compliance, HR, and Actuarial), ensuring deliverables align with strategic priorities, operational objectives, and timelines.</li></ul></li><li>
Division Operations &amp; Event Support<ul><li>
Support planning and execution of divisional events, leadership meetings, and offsites.</li><li>
Coordinate logistics with executive assistants and stakeholders, ensuring seamless execution and clear communication.</li><li>
Serve as the business side counterpart to the event operations team, ensuring strategic alignment and seamless execution of events and programs.</li><li>
Prepare materials and messaging to support effective leadership forums.</li><li>
Work closely with executives, cross-functional partners, and content owners to craft compelling presentations and guide speakers in delivering clear, impactful messages.</li></ul></li><li>
Stakeholder Engagement &amp; Cross-Functional Coordination across Government &amp; Commercial Specialty.<ul><li>
Facilitate strong relationships between business leaders and key partners.</li><li>
Act as a central coordination point to align priorities, messaging, and deliverables.</li><li>
Prepare tailored materials and insights for a variety of leadership audiences and forums.</li><li>
Coordinate business readiness efforts, ensuring stakeholders are informed, aligned, and equipped to execute against evolving priorities.</li></ul></li></ul>
Required Qualifications<ul><li>
Bachelor's degree or Relevant experience</li><li>
6+ Years experience in Executive Communication, Operations and Event Planning</li><li>
2 or more years of project leadership experience</li><li>
Strong knowledge of Microsoft Office XP products (Word, Excel, Powerpoint)</li><li>
Excellent communication skills, both oral and written</li><li>
Strong relationship building skills</li><li>
Travel Necessary based on business needs</li></ul>
Preferred Qualifications<ul><li>
Master's Degree in Business Administration or a related field</li><li>
PMP certification a plus</li><li>
Six Sigma Certification also a plus</li><li>
Demonstrated ability to analyze complex business problems and translate insights into actionable content recommendations.</li><li>
Proven success partnering with senior leaders and subject matter experts to develop high impact presentations and messaging.</li><li>
Strong facilitation skills, with the ability to guide teams toward clear objectives and cohesive content.</li><li>
Demonstrated ability to collaborate with event operations team to translate business goals into successful event experiences, including agenda development, logistics coordination, stakeholder management and execution oversight (including venue selection, planning, budget management, etc)</li><li>
Experience designing content, agendas, and strategic narratives.</li><li>
Ability to influence without authority and lead cross‑functional teams.</li><li>
Experience identifying, developing, and coaching speakers or content owners.</li><li>
Experience creating executive-level presentations in Microsoft PowerPoint, with the ability to effectively communicate complex information through compelling visuals and concise messaging tailored to leadership audiences.</li><li>
Experience developing and utilizing interactive dashboards and reports using Microsoft Power BI or similar business intelligence platforms.</li><li>
Demonstrated ability to work independently with significant latitude in determining objectives and approaches</li></ul>
Additional Information<ul><li>
This role is not eligible for work visa sponsorship</li><li>
As part of our hiring process for this opportunity, we may contact you by text message and email to gather more information using a software platform called HireVue. HireVue Text, Scheduling and Video technologies allow you to talk with us at the time and location most convenient for you.</li><li>
If you are selected to move forward from your application prescreen, you may receive correspondence inviting you to participate in a pre-recorded Voice, Text Messaging and/or Video interview. Your recorded interview will be reviewed, and you will subsequently be informed if you will be moving forward to next round of interviews.</li></ul>
Work at Home Requirements: To ensure Home or Hybrid Home/Office employees&rsquo; 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. In certain roles, the minimum recommended internet speed required by Humana may not be sufficient for business needs. Humana reserves the right to require associates to upgrade their internet service if necessary. 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. 

$115,200 - $158,400 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, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.
Application Deadline: 08-06-2026<h1 class="jobSectionHeader"> 

About us 
</h1>
About Humana: Humana Inc. (NYSE: HUM) is a leading U.S. healthcare company. 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 &ndash; 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 and Medicaid, families, individuals, military service personnel, and communities at large. Learn more about what we offer at Humana.com and at CenterWell.com. 
 
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>

Program Delivery Lead

<div><h1 class="jobSectionHeader">Become a part of our caring community 
</h1>
At Humana, we put the health and well-being of our members at the center of everything we do. As an Onsite Care Coordination Nurse, you will play a vital role in supporting members during critical moments in their care journey&mdash;serving as a trusted clinical partner within acute care settings. 
 
In this role, you&rsquo;ll provide face-to-face assessments and lead care coordination efforts for newly admitted members, helping ensure smooth, safe, and timely transitions from hospital to home. By identifying gaps in care and collaborating with providers and care teams, you will directly contribute to improving health outcomes and reducing unnecessary readmissions. 
 
This is an opportunity for a nurse who is passionate about whole-person care, thrives in an autonomous environment, and values meaningful connections with members and colleagues. The role offers a hybrid work model, combining in-person engagement at assigned facilities with the flexibility to complete coordination and documentation remotely.
Key Responsibilities<ul><li>
Conduct comprehensive, face to face assessments of newly admitted members at assigned acute care facilities to evaluate physical, psychosocial, and health needs; refer to Humana programs as appropriate.</li><li>
Support and educate members and families on discharge planning from admission through post-discharge, including facilitating follow-up visits with primary care providers.</li><li>
Identify gaps in care, safety concerns, and barriers to discharge; develop and implement strategies to address these issues.</li><li>
Collaborate with attending providers, facility case managers, and other healthcare professionals to ensure timely, coordinated care and effective discharge planning.</li><li>
Provide education on diagnoses, medications, and preventive measures to promote ongoing wellness and reduce risk of readmission.</li><li>
Complete all required documentation accurately and promptly.</li><li>
Maintain adherence to infection control, safety, and patient privacy standards at all times.</li></ul>
Onsite Location
** This is an Onsite / Hybrid position at the (Ascension Sacred Heart Pensacola - 5151 N 9th Ave) located in (Pensacola, Florida). The ideal candidate must live within a reasonable commute to the facility preferably no more than a 30-60 minute driving distance to the Onsite location from their home base. **
**This position will work at an Onsite facility and as a Hybrid; will have limited working hours at home based on the leader&rsquo;s discretion. **<h1 class="jobSectionHeader"> 
Use your skills to make an impact 

</h1>Required Qualifications<ul><li>
Current, unrestricted Registered Nurse (RN) license in the state of Florida</li><li>
Must be Located within a 30-60 minute driving distance to (Ascension Sacred Heart Pensacola - 5151 N 9th Ave) from your home base</li><li>
Minimum of 3 years recent acute care nursing experience (e.g., medical-surgical, critical care, heart/lung, skilled nursing, or rehabilitation)</li><li>
Experience with discharge planning or care coordination in a hospital or health plan settings</li><li>
Experience in Microsoft Office applications (Word, Outlook, Excel) and electronic medical records</li><li>
Valid driver&rsquo;s license, dependable automobile, and proof of personal vehicle liability insurance</li></ul>
Preferred Qualifications<ul><li>
Bachelor&rsquo;s degree in Nursing (BSN)</li><li>
Experience in care management, health promotion, or coaching</li><li>
Previous Utilization Management Experience</li><li>
Previous health plan experience</li><li>
Bilingual (English/Spanish) preferred</li><li>
Certification in Care Management or related specialty</li><li>
Knowledge of HEDIS and Stars measures</li></ul>
Work Schedule<ul><li>
Monday through Friday, 8:00 AM &ndash; 5:00 PM local time&ndash; This position does not require holidays, on-call or weekends</li></ul>
Additional Requirements<ul><li>
Participation in Tuberculosis (TB) screening and ACHA Level II background clearance (including fingerprinting), as required by state and company policy</li><li>
Other credentialing and screening as required by assigned facility</li><li>
Must have a private workspace for remote documentation when not in the field</li></ul>
Work at Home Requirements: To ensure Home or Hybrid Home/Office employees&rsquo; 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. In certain roles, the minimum recommended internet speed required by Humana may not be sufficient for business needs. Humana reserves the right to require associates to upgrade their internet service if necessary. 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. 

$71,100 - $97,800 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, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.<h1 class="jobSectionHeader"> 
About us 
</h1>
About Humana: Humana Inc. (NYSE: HUM) is a leading U.S. healthcare company. 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 &ndash; 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 and Medicaid, families, individuals, military service personnel, and communities at large. Learn more about what we offer at Humana.com and at CenterWell.com. 
 
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>

Onsite Care Coordination Nurse

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