pharmacy billing specialist - outpatient specialty

billing specialist

medical claims adjuster

medical malpractice producer Jobs in Tampa

medical malpractice producer

pharmacy billing specialist - outpatient specialty Jobs in Tampa

medicare and medicaid biller

PureMed Revenue Services

Job Summary We are seeking a detail-oriented and motivated Medicare and Medicaid Biller to join our healthcare billing team.We are a 3rd party billing company that provides revenue cycle management services. You must be in Florida. Currently the position is remote but that may change in the future. We are a growing company and are looking for people who are team players who are reliable and problem solvers.In this role, you will be responsible for scrubbing claims and submitting CLEAN claims to Medicare and Medicaid for the state of Florida. Must have experience in re-opening claims, appeals, claims follow-up. Must have experience with HHA, SNF and LTC. Must be familiar with Point Click Care and or ECW. Minimum 4 years of Florida Medicare and Medicaid billing experience is required.You will be hired as a 1099 contractor. Must work 25-30 hours a week from 8AM-2PM.Duties<ul><li>Prepare and submit Medicare and Medicaid claims using appropriate coding.</li><li>Claims re-opening and appeals as needed.</li><li>Follow up on unpaid or denied claims through effective medical collection strategies to maximize reimbursement.</li><li>Status all accounts.</li><li>Maintain detailed records of billing activities within Electronic Medical Record (EMR) or Electronic Health Record (EHR) systems.</li><li>Stay current with updates in medical terminology, coding guidelines, and regulatory requirements related to Medicare and Medicaid billing.</li><li>Timely response to client email inquires.</li></ul>Qualifications<ul><li>Experience in medical billing, preferably within a Medicare or Medicaid environment.</li><li>Strong knowledge of Florida Medicare and Medicaid billing requirements and claims resolution.</li><li>Experience working with PCC and or ECW.</li><li>Minimum 4 years experience billing Medicare and Medicaid.</li><li>Must understand HIPPA compliance</li><li>Flexible</li></ul>Pay: $22.00 - $24.00 per hourWork Location: Remote

Medicare and Medicaid Biller

Humana

<div><h1 class="jobSectionHeader">Become a part of our caring community 
</h1>
At Humana, a Fortune 50 company, we are committed to health and well-being through personalized care and community engagement. We are looking for a Lead Technology Solutions Professional who can build applications in Salesforce Health Cloud for our rapidly expanding Primary Care business. The goal is to empower our Medicare sales agents who assist seniors in choosing our senior-focused primary care services. You will sit at the intersection of the latest technology and enhancing the health and happiness of our clients. If you are eager to leverage your technical skills to promote healthier lifestyles, this position could be for you.
As a Lead Technology Solutions professional, you will work directly with Senior Leadership on the Primary Care Growth Team. While your primary focus will be to build Sales applications on Salesforce Health Cloud, you will quickly expand beyond Salesforce, learning new programming paradigms and adopting emerging tools as the software engineering world evolves. Current sales agent tools include managed packages like Blackthorn, BrainShark, and Spiff, while we explore the latest AI technologies to enhance our services.
AI tools we use now include Salesforce Einstein Lead Scoring, Bigtincan's AuthoringAI, RoleplayAI, Coaching AI and InvocaAI for conversational intelligence. We plan to introduce more AI features going forward to help sales agents keep up with the demands of our fast-growing business. Lead responsibilities will include the following:
Design and Development:<ul><li>
Develop Salesforce Health Cloud features using Omniscript, Apex, and Flows.</li><li>
Create custom applications, workflows, and automation using Salesforce tools including Omniscript, Apex, Visualforce, Lightning Components, and Salesforce APIs.</li><li>
Build user interfaces and integrate Salesforce with external systems like Mulesoft.</li><li>
Contribute to full‑stack development beyond Salesforce, including UI frameworks, backend services, APIs, and data integrations.</li><li>
Evaluate and adopt new tools, frameworks, languages, and architectural patterns as business and technology needs evolve.</li></ul>
Collaboration:<ul><li>
Work with business analysts, project managers, and end-users to gather requirements and translate them into technical solutions.</li><li>
Collaborate with cross-functional teams in sales, marketing, and IT to ensure solutions align with business objectives.</li><li>
Provide hands‑on technical leadership, mentoring developers, and setting engineering best practices.</li></ul>
Testing and Maintenance:<ul><li>
Ensure application stability, performance, and security through testing and code reviews.</li><li>
Troubleshoot production issues, debug complex problems, and provide long‑term system support.</li><li>
Promote CI/CD, strong development lifecycle practices, and scalable deployment strategies.</li></ul>
Documentation in ADO:<ul><li>
Create and maintain technical documentation, including architecture designs, solution specifications, and test plans.</li><li>
Maintain knowledge transfer (KT) documentation and system configuration records in Azure DevOps (ADO).</li></ul><h1 class="jobSectionHeader"> 

Use your skills to make an impact 

</h1>Required Qualifications<ul><li>
Bachelor's degree or 4+ years' experience with Salesforce development</li><li>
2+ years of project leadership experience</li><li>
3+ years of Salesforce experience with proficiency in Sales and Health Cloud using Omniscript, Apex, and Flows</li><li>
Salesforce Certifications: Sales/Service/Health Cloud, Administrator, Platform Developer, and Omnistudio Consultant</li><li>
Experience managing multiple tasks and deadlines with strong attention to detail</li><li>
Effective communication skills both verbal and in writing, with the ability to present to senior leaders</li></ul>
Preferred Qualifications<ul><li>
Experience with integrating Salesforce with external systems through Mulesoft.</li><li>
Full‑stack development experience outside Salesforce (e.g., JavaScript frameworks, backend services, APIs, cloud platforms).</li><li>
Certified OmniStudio Developer or Platform Developer II.</li><li>
Salesforce expertise in Sharing &amp; Visibility, Deployment Strategies, Platform App Builder, Advanced Administration.</li><li>
Health Cloud Accredited Professional.</li><li>
Healthcare Industry Certified AI Specialist.</li><li>
Certified AI Associate.</li><li>
Advanced Administrator.</li><li>
Salesforce Certified Associate.</li></ul>
Additional Information
This position follows a remote work style however the candidate must live close to one of our designated IT locations: Louisville, KY; Tampa, FL; Dallas, TX; Boston, MA; New York City; Washington, D.C: Atlanta, GA, Nashville, TN, Chicago, IL or Charlotte, NC.
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:<ul><li>
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.</li><li>
Satellite, cellular and microwave connection can be used only if approved by leadership.</li><li>
Employees who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense.</li><li>
Humana will provide Home or Hybrid Home/Office employees with telephone equipment appropriate to meet the business requirements for their position/job.</li><li>
Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.</li></ul>
Interview Process
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. If you are selected to move forward you will receive outreach from HireVue to complete an On-Demand prescreening interview.
Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.
Scheduled Weekly Hours
40
Pay Range
The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc. 

$117,600 - $161,700 per year 

This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.
Description of Benefits
Humana, Inc. and its affiliated subsidiaries (collectively, &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 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>

Lead Technology Solutions Professional

<div><h1 class="jobSectionHeader">Become a part of our caring community 
</h1>
Humana Technology Solutions is looking for a Senior Software Engineer to join our expanding Primary Care Growth team - where we empower agents to assist seniors in choosing our senior-focused primary care services. In this role, you will sit at the intersection of cutting-edge technology and enhancing the health and happiness of our clients. If you are eager to leverage your technical skills to promote healthier lifestyles, this position could be for you.
As part of a Fortune 50 corporation committed to health and well-being through personalized care and community engagement, you will have the chance to work directly with Senior Leadership in the Growth Team. While your immediate focus will be to design and build sales applications on Salesforce Health Cloud, this role is designed for someone who can quickly expand beyond Salesforce, to learn new programming paradigms, and adopt emerging tools as the software engineering world evolves.
Our agents are empowered with best-in-class tools, including managed packages such as Bigtincan. We actively leverage cutting-edge AI capabilities such as Salesforce Einstein Lead Scoring, Bigtincan's AuthoringAI, RoleplayAI, and Coaching AI for learning management, along with InvocaAI for conversational intelligence and continue to expand our AI ecosystem to support our agents as they meet the demands of a rapidly growing business.<ul><li>
Design and Development:<ul><li>
Develop Salesforce Health Cloud features using Omniscript, Apex, and Flows.</li><li>
Build custom applications, workflows, and automation using Apex, Visualforce, Lightning Components, and Salesforce APIs.</li><li>
Build user interfaces and integrate Salesforce with external systems using MuleSoft.</li><li>
Contribute to full‑stack development beyond Salesforce, including UI frameworks, backend services, APIs, and data integrations.</li><li>
Participate in technical design discussions and recommend scalable, maintainable solutions</li></ul></li></ul><ul><li>
Collaboration<ul><li>
Partner with product owners and business stakeholders to translate requirements into technical designs.</li><li>
Collaborate with cross‑functional teams across sales, marketing, data, and IT.</li><li>
Mentor junior developers and contribute to Engineering best practices.</li></ul></li></ul><ul><li>
Testing and Maintenance:<ul><li>
Ensure application stability, performance, and security through testing and code reviews.</li><li>
Troubleshoot production issues and support ongoing enhancements.</li><li>
Follow CI/CD and modern development lifecycle practices.</li></ul></li></ul><ul><li>
Documentation in ADO:<ul><li>
Create technical documentation, including solution designs and test plans.</li><li>
Maintain system documentation and KT artifacts in Azure DevOps (ADO).</li></ul></li></ul><h1 class="jobSectionHeader"> 

Use your skills to make an impact 

</h1>Required Qualifications<ul><li>
Bachelor's degree or equivalent experience in software engineering</li><li>
4+ years of Salesforce development experience, with expertise in Salesforce Sales and Health Cloud.</li><li>
Hands‑on experience with OmniStudio, Apex, Flows, and Lightning components.</li><li>
Experience integrating Salesforce with external systems.</li></ul>
Preferred Qualifications<ul><li>
Experience with MuleSoft integration platform</li><li>
Full‑stack development experience outside Salesforce</li><li>
Salesforce certifications (Admin, Platform Developer I, OmniStudio Consultant, Sales or Health Cloud)</li><li>
Health Cloud Accredited Professional or AI‑related certifications</li></ul>
Additional Information
This position follows a remote work style however candidates must live close to one of our designated IT locations: Louisville, KY; Tampa, FL; Dallas, TX; Boston, MA; New York City; Washington, D.C: Atlanta, GA, Nashville, TN, Chicago, IL or Charlotte, NC.
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:<ul><li>
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.</li><li>
Satellite, cellular and microwave connection can be used only if approved by leadership.</li><li>
Employees who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense.</li><li>
Humana will provide Home or Hybrid Home/Office employees with telephone equipment appropriate to meet the business requirements for their position/job.</li><li>
Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.</li></ul>
Interview Process
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. The first step in the process will be an on-demand, self-paced Hirevue interview which will be reviewed by the recruiter. Additional steps if you are elected to move forward include a live video interview with the hiring manager and other members of the team.
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. 

$106,900 - $147,000 per year 

This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.
Description of Benefits
Humana, Inc. and its affiliated subsidiaries (collectively, &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 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 Cloud Software Engineer

<div><h1 class="jobSectionHeader">Become a part of our caring community 
</h1>
The Senior Release Train Engineer (RTE) has Comprehensive, end-to-end responsibility as facilitator and coach of a moderately complex Agile Release Train (ART). Ensures all events are aligned with Scaled Agile Framework (SAFe) methods in a way that adds both speed and value to product delivery. The Senior Release Train Engineer performs moderately complex to complex work necessitating independent initiative, judgement as well as a need to react quickly and adapt to changing department or team needs.<div>
The Senior Release Train Engineer work includes serving as the overall facilitator and coach of a moderately complex Agile Release Train (ART). This includes leveraging various Agile methodologies and Program Maturity, Assessments, Metrics, Dashboards to both coach and demonstrate to the teams how they best align around value delivery with the spirit of continuous improvement. Leverages feedback loops and ceremonies designed to identify and navigate the various challenges that are impeding the flow of work. Overall, the Senior Release Train Engineer encourages a culture of innovation by implementing SAFe Agile processes and principles which include techniques to increase collaboration, predictability, transparency and velocity. 
 
<ul><li>Serves as the ART conductor, leading the appropriate use of SAFe principles, ceremonies and tools for a moderately complex program</li></ul>
-Facilitates PI Planning readiness by fostering a Continuous Exploration process that drives the synthesis of a Vision, a Roadmap, and Backlogs, and through Pre- and Post-PI Planning events 
<ul><li>Actively coaches, mentors and influences technical teams, scrum masters, and business partners in Lean-Agile practices and mindsets</li><li>Helps teams refine value streams</li><li>Coaches the teams to identify and remediate related dependencies/barriers including taking ownership of improvement items that come from the Inspect &amp; Adapt and Problem-Solving Workshop events</li><li>Encourage collaboration between teams and System and Solution Architects and Engineering</li><li>Creates collaborative environments resulting in aligned decisions among program, technical and business teams</li><li>Orchestrates synchronized program level processes and executes across several scrum and product teams</li><li>Work with Product and Solution Management, Product Owners, and other stakeholders to help ensure strategy and execution alignment</li><li>Work with the Agility Enablement Hub on the overall program execution and operational excellence</li><li>Drive relentless improvement via Inspect and Adapt workshops; assess the agility level of the ART and help them improve Foster Communities of Practice and the use of engineering and Built-In Quality practices</li><li>Ensures teams maintain focus on quality and continuous delivery of business value while generating artifacts necessary to maintain cadence and synchronization on the train</li><li>Makes decisions on moderately complex issues exercising discretion and judgement over policies and practices. Works independently determining methods and approach to work. Determines priorities and timelines for own work.</li></ul></div>
**This position will require a presence in one of the following markets and will require an in-office presence on a regular cadence in the future.
**You must reside within a commutable distance of our offices in the following areas:<ul><li>
Louisville, KY</li><li>
Dallas, TX</li><li>
Frisco, TX</li><li>
Ft Lauderdale, FL</li><li>
Tampa, FL</li><li>
Nashville, TN</li></ul><h1 class="jobSectionHeader"> 
Use your skills to make an impact 

</h1>Required Qualifications:<ul><li>
5+ years scaled Agile experience including 2+ on large scale, technically complex projects.</li><li>
Familiarity and experience working within the SAFe Framework as an IT Project Manager, scrum master, other related mentorship type role, or any equivalent combination of education, experience, and training that provides the required knowledge, skills, and abilities</li><li>
Knowledge of Agile/Scrum/Kanban development methodology</li><li>
Demonstrate execution through complex value streams</li><li>
Success in working across multiple teams of stakeholders including IT Teams, Business Teams, Product Managers, Product Owners and Portfolio Managers</li><li>
Excellent communication skills, mentorship/leadership competencies, expertise in operating through influence, and high level of emotional intelligence</li><li>
Must be passionate about contributing to an organization focused on continuously improving consumer experiences</li></ul>
Preferred Qualifications:<ul><li>
Bachelor's degree in Business, Information Technology or a related field</li><li>
Scaled Agile (SAFe) certification(s): RTE and/or Safe Program Consultant (SPC)</li><li>
Familiarity of one or more Agile Lifecycle Management Tools like Azure DevOps or JIRA Align</li><li>
Advanced Scrum Master certification like CSP-SM, A-CSM, or PSM III</li><li>
Prior experience in the health solutions industry</li><li>
Familiarity of the Software Development Lifecycle (SDLC)</li></ul>
Work-At-Home Requirements 
To ensure Home or Hybrid Home/Office associates&rsquo; ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office associates must meet the following criteria:<ul><li>
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</li><li>
Satellite, cellular and microwave connection can be used only if approved by leadership</li><li>
Associates who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense.</li><li>
Humana will provide Home or Hybrid Home/Office associates with telephone equipment appropriate to meet the business requirements for their position/job.</li><li>
Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information</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. 

$106,900 - $147,000 per year 

This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.
Description of Benefits
Humana, Inc. and its affiliated subsidiaries (collectively, &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 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>

Sr Release Train Engineer

AmeriLife

<div>Our Company
Explore how you can contribute at AmeriLife.
For over 50 years, AmeriLife has been a leader in the development, marketing and distribution of annuity, life and health insurance solutions for those planning for and living in retirement.
Associates get satisfaction from knowing they provide agents, marketers and carrier partners the support needed to succeed in a rapidly evolving industry.
Job Summary
Job Description
The ideal candidate will be seeking a part-time position in a fast-paced business environment. The selected individual will be charged with the growth and expansion of our national agent footprint through a telephone recruiting campaign. If you thrive on achieving goals, have exceptional phone skills and possess high energy, then MCC Brokerage has the position for you!
The selected candidate will be responsible for the recruiting of new Medicare, Health &amp; Life insurance agents.
Responsibilities and Qualifications:<ul><li>
Recruit agents via phone to either get contracted or move their existing contract to our firm</li><li>
Cold calling skills and ability to have pinpointed follow-up skills are key</li><li>
Ability to build value quickly and set appointments for further conversations with MCC sales staff</li><li>
Achieve benchmark goals/quotas</li><li>
Self-motivated and energetic</li><li>
Effectively communicate and make best use of interpersonal skills</li><li>
Must have excellent verbal communication skills</li><li>
Highly productive while unsupervised</li><li>
Work collaboratively and efficiently as a team member</li><li>
Working knowledge of MS Excel, Word &amp; Outlook, and Google Sheets</li><li>
Preference given to candidates with Medicare &amp; Health Insurance industry experience</li></ul> 
What AmeriLife Offers
A comprehensive benefits package that includes PTO, medical, dental, vision, retirement savings, disability insurance, and life insurance.
Equal Employment Opportunity Statement
We are an Equal Opportunity Employer and value diversity at all levels of the organization. All employment decisions are made without regard to race, color, religion, creed, sex (including pregnancy, childbirth, breastfeeding, or related medical conditions), sexual orientation, gender identity or expression, age, national origin, ancestry, disability, genetic information, marital status, veteran or military status, or any other protected characteristic under applicable federal, state, or local law. We are committed to providing an inclusive, equitable, and respectful workplace where all employees can thrive. 
Americans with Disabilities Act (ADA) Statement
We are committed to full compliance with the Americans with Disabilities Act (ADA) and all applicable state and local disability laws. Reasonable accommodations are available to qualified applicants and employees with disabilities throughout the application and employment process. Requests for accommodation will be handled confidentially. If you require assistance or accommodation during the application process, please contact us at HR@AmeriLife.com. 
Pay Transparency Statement
We are committed to pay transparency and equity, in accordance with applicable federal, state, and local laws. Compensation for this role will be determined based on skills, qualifications, experience, and market factors. Where required by law, the pay range for this position will be disclosed in the job posting or provided upon request. Additional compensation information, such as benefits, bonuses, and commissions, will be provided as required by law. We do not discriminate or retaliate against employees or applicants for inquiring about, discussing, or disclosing their pay or the pay of another employee or applicant, as protected under applicable law. Pay ranges are available upon request. 
Background Screening Statement
Employment offers are contingent upon the successful completion of a background screening, which may include employment verification, education verification, criminal history check, and other job-related inquiries, as permitted by law. All screenings are conducted in accordance with applicable federal, state, and local laws, and information collected will be kept confidential. If any adverse decision is made based on the results, applicants will be notified and given an opportunity to respond.</div>

Recruiting Specialist

<div><h1 class="jobSectionHeader">Become a part of our caring community 
</h1>
The Senior Cloud Solutions Engineer supports the development and execution of Humana&rsquo;s cloud implementation and modernization strategy for Contact Center as a Service (CCaaS) platforms. This role plays a critical hands on engineering leadership role in advancing large scale transformation initiatives, including the Nuance Migration Project. 
This position represents a strategic shift from primarily operational and process oversight to deep technical execution and technical leadership, embedding stronger cloud, SaaS, and contact center engineering expertise within the team while maintaining awareness of delivery and operational considerations. The role addresses moderately complex to complex technical challenges and exercises significant autonomy in determining technical approaches and solutions.
The Senior Cloud Solutions Engineer is a key member of Humana&rsquo;s technology organization, responsible for implementing and advancing the enterprise cloud strategy for the Customer Experience Center Platform ecosystem, including Genesys Cloud and the new Platform Google CX Agent Studio.
This role provides hands‑on technical leadership across architecture, design, integration, and optimization of cloud‑based contact center solutions. The engineer collaborates closely with product owners, solution architects, business analysts, delivery teams, IT leadership, operations leaders, and vendor partners to ensure Humana fully realizes the value of its CCaaS investments in a secure, compliant, and scalable manner.
The role begins to influence platform and innovation strategy, makes decisions on moderately complex to complex technical issues with limited guidance, and exercises considerable latitude in defining objectives and approaches. Success in this role requires a strong balance of engineering execution, vendor partnership, and transformation leadership.<h1 class="jobSectionHeader"> 
Use your skills to make an impact
 
</h1><h3 class="jobSectionHeader">Primary Responsibilities</h3><ul><li>Serve as the technical lead for Contact Center solutions, with hands‑on ownership of Google CX Agent Studio, Google Cloud Platform (GCP), and integrated CCaaS technologies (e.g., Genesys Cloud).</li><li>Design, implement, and optimize cloud‑based contact center and conversational AI solutions leveraging GCP services, including integrations with Google CX Agent Studio, speech technologies, analytics, and AI/ML capabilities.</li><li>Provide technical leadership and mentorship to developers and engineers, ensuring adherence to enterprise architecture standards, security, reliability, and scalability best practices.</li><li>Partner with business analysts, solution architects, and product owners to translate business requirements into end‑to‑end technical designs and implementations across cloud and SaaS platforms.</li><li>Lead development and configuration efforts for omnichannel capabilities, including voice, chat, routing, authentication, analytics, and automation, across Google‑based and vendor platforms.</li><li>Drive platform modernization initiatives and migrations (e.g., Nuance migration) with a focus on cloud‑native and GCP‑optimized architectures.</li><li>Evaluate, design, and execute Proofs of Concept (POCs), pilots, and solution validations on Google CX Agent Studio, GCP, and related SaaS platforms.</li><li>Identify optimization opportunities across performance, latency, cost, and operability; provide actionable recommendations and drive implementation.</li><li>Collaborate closely with platform vendors (Google, Genesys, and others) to resolve complex technical issues, influence product roadmaps, and ensure successful adoption of new capabilities.</li><li>Participate in Agile ceremonies (sprint planning, demos, retrospectives) while ensuring high‑quality engineering execution and delivery outcomes.</li></ul><div></div><h3 class="jobSectionHeader">
Required Qualifications</h3><ul><li>
Bachelor&rsquo;s degree in Computer Science, Information Technology, or related field</li><li>
10+ years of technical experience delivering complex, large‑scale cloud, SaaS, or platform‑based solutions</li><li>
Strong analytical, organizational, and problem‑solving skills</li><li>
Passion for contributing to an organization focused on continuously improving consumer and member experiences</li></ul><h2 class="jobSectionHeader">
Preferred Qualifications</h2><ul><li>
Technical leadership experience delivering large‑scale cloud and SaaS platforms, with a strong focus on Customer Experience / Contact Center technologies (e.g., Genesys Cloud, NICE inContact, Five9, Salesforce).</li><li>
Proven experience leading or contributing to major enterprise modernization and transformation programs, including cloud migrations and platform exits.</li><li>
Hands‑on experience delivering omnichannel customer engagement capabilities, including voice, chat, routing, authentication, analytics, workforce management, AI/ML, automation, and conversational interfaces.</li><li>
Experience integrating contact center platforms with enterprise SaaS ecosystems (e.g., Salesforce, ServiceNow, Microsoft Dynamics).</li><li>
Demonstrated ability to design, execute, and lead Proofs of Concept (POCs), pilots, and technology evaluations on cloud and SaaS platforms.</li><li>
Strong architecture experience across Business, Application, Data, and Technology domains.</li><li>
Excellent communication and influencing skills, with the ability to translate complex technical concepts into business‑relevant outcomes.</li><li>
Proven ability to mentor teams, drive adoption of new technologies, and enforce engineering best practices.</li><li>
Experience working in Agile delivery models (e.g., SAFe), with familiarity in Waterfall methodologies.</li><li>
Experience collaborating closely with vendors to influence product capabilities and roadmaps.</li><li>
Healthcare industry experience preferred.</li></ul><h3 class="jobSectionHeader">
Google Cloud Platform (GCP) &amp; Conversational AI &ndash; Preferred Skills</h3><ul><li>
Hands‑on experience with Google Cloud Platform (GCP) services supporting customer experience and conversational AI solutions.</li><li>
Experience designing and implementing solutions using Google CX Agent Studio and/or Dialogflow CX, including intent modeling, conversation design, orchestration, and integrations.</li><li>
Familiarity with Vertex AI for ML model integration, tuning, and inference in customer experience use cases.</li><li>
Experience leveraging BigQuery for analytics, reporting, and insights related to contact center and customer interactions.</li><li>
Experience deploying and operating services using Cloud Run, Compute Engine, or Kubernetes‑based architectures.</li><li>
Strong understanding of GCP IAM, security, networking, monitoring, and cost optimization best practices.</li><li>
Experience integrating GCP services with CCaaS platforms (e.g., Genesys Cloud) and enterprise systems.</li><li>
Exposure to GCP‑based speech, text, and AI services (e.g., speech recognition, NLP, analytics) is a strong plus.</li></ul>
Additional Information
Work-At-Home Requirements<ul><li>
WAH requirements: Must have the ability to provide a high speed DSL or cable modem for a home office. Associates or contractors who live and work from home in the state of California will be provided payment for their internet expense.</li><li>
A minimum standard speed for optimal performance of 25x10 (25mpbs download x 10mpbs upload) is required.</li><li>
Satellite and Wireless Internet service is NOT allowed for this role.</li><li>
A dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information</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. 

$106,900 - $147,000 per year 

This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.
Description of Benefits
Humana, Inc. and its affiliated subsidiaries (collectively, &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 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 Cloud Solutions Engineer - Contact Center

<div><h1 class="jobSectionHeader">Become a part of our caring community 
</h1>
The Director of Integrated Health is responsible for defining and driving Humana&rsquo;s integrated health strategy to increase engagement and value among current members. This role focuses on connecting products, services, and experiences across the Humana ecosystem to deliver more coordinated, frictionless healthcare journeys that improve outcomes and deepen member relationships.
 
 
Humana is a $100+ billion, Fortune 50 healthcare company committed to improving the health and well‑being of millions of members. With capabilities spanning Humana Insurance, CenterWell, and pharmacy services, Humana has a unique opportunity to deliver more connected, holistic care&mdash;by bringing these assets together in meaningful, member‑centric ways.
 
 
Reporting to the AVP of Brand and Experiential Marketing, this role sits within the Marketing Organization and the broader Enterprise Growth team. The Director of Integrated Health serves as a senior, internally focused leader responsible for aligning cross‑functional teams, strategies, and execution to drive adoption of existing products and services among current members. This role partners closely with Product, Clinical, Pharmacy, CenterWell, Analytics, Segmentation, Lifecycle Marketing, and Operations to ensure integrated health initiatives are insight‑driven, scalable, and deliver measurable impact for both members and the business.
 
 
This position is ideal for a strategic leader who excels at navigating complex organizations, influencing without direct authority, and translating enterprise vision into coordinated action.<div><div>
Integrated Health Strategy</div><div><ul><li>
Define and lead Humana&rsquo;s enterprise Integrated Health strategy, focused on increasing adoption, utilization, and value of existing products and services across the member base, including pharmacy, CenterWell, care delivery, and clinical programs.</li></ul></div><div><ul><li>
Develop a clear strategic framework for how Humana&rsquo;s products and services work together across the member lifecycle to improve health outcomes and increase lifetime value.</li></ul></div><div><ul><li>
Identify priority member segments, moments, and pathways where integrated offerings can deliver the greatest impact for members and the business.</li></ul></div><div>
Cross‑Functional Leadership</div><div><ul><li>
Serve as the connective tissue across Marketing, Product, Clinical, Pharmacy, CenterWell, Analytics, and Operations to align stakeholders around shared goals and execution plans.</li></ul></div><div><ul><li>
Influence without direct authority, driving alignment, prioritization, and momentum across complex enterprise teams.</li></ul></div><div><ul><li>
Translate enterprise strategy into actionable, scalable roadmaps that teams can execute within their respective domains.</li></ul></div></div><div><div>
Member Growth &amp; Engagement</div><div><ul><li>
Partner with lifecycle marketing, segmentation, and personalization teams to drive awareness, consideration, and adoption of additional Humana services among existing members.</li></ul></div><div><ul><li>
Ensure integrated health strategies are member‑centric, intuitive, and relevant, reducing friction and complexity across healthcare journeys.</li></ul></div><div><ul><li>
Balance near‑term growth objectives with long‑term member trust, experience, and health outcomes.</li></ul></div><div>
Measurement &amp; Optimization</div><div><ul><li>
Establish success metrics and KPIs related to product adoption, utilization, engagement, and member outcomes.</li></ul></div><div><ul><li>
Partner with analytics teams to monitor performance, identify gaps, and continuously refine integrated strategies.</li></ul></div><div><ul><li>
Use insights to inform prioritization, investment decisions, and future integrated health strategy.</li></ul></div><div>
Leadership &amp; Enablement</div><div><ul><li>
Act as a thought leader and strategic advisor to senior leadership on integrated health growth opportunities, trade‑offs, and risks.</li></ul></div><div><ul><li>
Build frameworks, playbooks, and best practices that enable teams to consistently execute integrated strategies across the enterprise.</li></ul></div><div><ul><li>
Mentor and develop high‑performing talent while fostering a culture of collaboration, accountability, and continuous improvement.</li></ul></div></div><h1 class="jobSectionHeader"> 
Use your skills to make an impact 

</h1><div><div>Required Qualifications</div><div><ul><li>
Bachelor&rsquo;s degree or equivalent practical experience.</li></ul></div><div><ul><li>
10+ years of progressive experience in growth strategy, integrated marketing, healthcare strategy, product strategy, or member engagement, with demonstrated success operating within a large, regulated enterprise.</li></ul></div><div><ul><li>
3+ years of experience leading complex, cross‑functional initiatives that span multiple teams, functions, or lines of business without direct line authority.</li></ul></div><div><ul><li>
Strong understanding of member lifecycle strategy, segmentation, and value‑based growth approaches, with the ability to translate insight into coordinated action.</li></ul></div><div><ul><li>
Demonstrated ability to influence senior leaders, align diverse stakeholders, and drive momentum toward shared enterprise outcomes.</li></ul></div><div><ul><li>
Exceptional strategic thinking, communication, and leadership skills, with the ability to translate vision into actionable frameworks and priorities.</li></ul></div></div><div><div>
Preferred Qualifications</div><div><ul><li>
Master&rsquo;s degree in Business Administration, Public Health, Healthcare Administration, Marketing, or related field.</li></ul></div><div><ul><li>
Experience working across multiple healthcare products and services, such as insurance, pharmacy, care delivery, and clinical programs.</li></ul></div><div><ul><li>
Strong comfort with analytics, performance measurement, and data‑informed decision‑making to guide prioritization and optimization.</li></ul></div><div><ul><li>
Experience supporting enterprise transformation efforts, operating model design, or large‑scale integrated growth initiatives.</li></ul></div><div><ul><li>
Preferred locations: Arlington, VA; Louisville, KY; Atlanta, GA; Boston, MA; Chicago, IL; New York, NY; Tampa, FL; Nashville, TN; Dallas, TX; Seattle, WA; Denver, CO; and Fort Lauderdale, FL.</li></ul></div><div><ul><li>
The leader selected for this role should anticipate periodic in‑office work to support collaboration, executive engagement, and key planning moments. Remote options will be considered based on role needs and candidate experience.</li></ul>
WAH Internet Statement
To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria:<ul><li>
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.</li><li>
Satellite, cellular and microwave connection can be used only if approved by leadership.</li><li>
Employees who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense.</li><li>
Humana will provide Home or Hybrid Home/Office employees with telephone equipment appropriate to meet the business requirements for their position/job.</li><li>
Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.</li></ul>
HireVue
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.</div></div>
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. 

$168,000 - $231,000 per year 

This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.
Description of Benefits
Humana, Inc. and its affiliated subsidiaries (collectively, &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.
Application Deadline: 04-23-2026<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>

Director Integrated Health Marketing Strategy

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