Community Health Worker Jobs

Become a part of our caring community Join our Payment Integrity Letters team at Humana where you will help draft and implement outbound communication templates for the Payment Integrity Operations teams as a Payment Integrity Professional 2. You will help ensure compliance with state contractual requirements and Humana brand standards in drafting communication templates and working with the approvers and developers. You will report to the Associate Director, Business Systems Analysis. Main responsibilities: Collaborate with business partners to draft new communications Review existing communications on an annual basis to ensure compliance with all state requirements and Humana brand standards Ensure intake requests are completing all required steps in a timely manner and escalate off track tasks as needed Work with the EMME development team to ensure communication requirements are documented clearly and implemented correctly Validate communications in QA and Production environments on a regular basis to identify gaps Use your skills to make an impact Required Qualifications 2+ years' experience tracking process deliverables Experience editing documents with Microsoft Office Programs Word, PowerPoint, and Excel Experience handling multiple priorities Experience with com

Become a part of our caring community The Strategy Advancement Advisor is a member of Humana’s People Innovation team, which helps shape and advance the future of HR by translating enterprise and workforce priorities into focused strategies and measurable outcomes. This role partners with HR and business leaders to frame complex challenges, develop fact-based recommendations, and move high-priority initiatives from strategy through execution. The Advisor will work across a varied portfolio of enterprise people priorities and transformation efforts, bringing structure to ambiguity, connecting work across functions, and helping leaders make informed decisions that improve business, workforce, and associate outcomes. Humana is seeking an experienced strategy professional to join the People Innovation team. The team serves as a strategic partner to HR and the business, helping identify, shape, and advance high-impact opportunities that support Humana’s people strategy and broader enterprise transformation. Our work spans emerging workforce priorities, talent and organizational strategies, operating model and work redesign, and other cross-functional initiatives that require enterprise perspective, disciplined problem solving, and coordinated execution. As a Strategy Advancement Advisor, you will lead and support a portfolio of complex, high-visibility initiatives from early problem definition through recommendation and activation. You will work with senior leaders, HR partners, subject matter experts, and cross-functional teams to clarify business needs, synthesize internal and external insights, evaluate strategic choices, and translate direction into practical plans. The role requires the ability to move between strategy and execution, build alignment across a matrixed organization, and produce clear, executive-ready recommendations that enable timely decisions and

Become a part of our caring community *(Selected candidate will be required to live within 60 mins of one of the following metro locations OR be willing to relocate to within 12 months of hire date: Louisville KY, NYC Metro, Dallas Metro, Charlotte NC Metro, Tampa, Miami, Washington DC metro, Chicago, Boston, Atlanta, Nashville) The Senior Security Architect for AI works with EIP Department leaders and Humana enterprise stakeholders to identify, define, and develop security architecture requirements and secure designs for AI technology solutions across Humana's business, information technology, and security domains. The Security Architect leads the development of technical architecture & designs, develop security requirements, perform threat modeling and ensures alignment of security & risk imperatives with business priorities. The Security Architect is responsible for the high-level design and patterns of security program infrastructures to enable the protection of Humana tools, data, systems, and networks. Working with EIP Leaders, the security architect drives alignment between the EIP security strategy, security architecture and infrastructure, and Humana's overall business and technology strategic priorities. In this capacity, the role is responsible for planning, designing, and proposing architectural patterns or security enhancements for Humana's information security and technology infrastructures. The role works with EIP and Humana leaders to review and reconcile Humana business priorities with EIP security requirements. The role engages with relevant EIP stakeholders to identify current and emerging security threats and works to design security architecture elements to mitigate threats as they emerge. Additionally, the role actively works to identify gaps within existing EIP reference architecture and designs updates to impacted sec

Become a part of our caring community CenterWell is looking for dedicated, compassionate, and experienced candidates with Medical Receptionist experience who want to grow with the company and being a part of something great! Location : CenterWell Senior Primary Care BVL office address: 2577 Simpson Road, Kissimmee, FL 34744 Medical Receptionist Role Overview: The Medical Receptionist operates a switchboard or multi-line phone and maintains long distance call logs. Take and distribute accurate messages. Greet visitors and determine the nature of their visit, issues visitor passes and maintain visitor logs, alerts appropriate party of visitor arrival or directs visitors to appropriate office, department or employee. Respond to routine inquiries from internal or external sources such as our location, hours of operation, phone numbers, and email address. Additional responsibilities may include miscellaneous administrative activities such as booking meeting rooms, typing, organizing and distributing mail, receiving and sending courier packages. Decisions are limited to defined parameters around work expectations, quality standards, priorities and timing, and works under close supervision and/or within established policies/practices and guidelines with minimal opportunity for deviation. Use your skills to make an impact Additional Information Required Qualifications Experience in a fast pace/high volume environment Minimum of 1-year professional experience as a Medical Receptionist in 'front-office' direct patient care contact Bilingual (English/Spanish) Experience with MS Outlook Basic Computer knowledge Must be a team player with excellent communication skills Willingness to learn an

Become a part of our caring community As a Project Management Lead, in a Shared Services capacity supporting the Insurance organization, you will manage all aspects of cross-functional, varying degrees of complexity programs and/or projects to deliver sustainable business outcomes on time and within budget. Your business outcomes focus fosters flexibility in how to achieve the desired results in the most efficient way possible. You will utilize structured and organized ways of working to consistently deliver high quality results yet embrace business agility to adapt plans when necessary. Working in a team-based environment, you will use influencing skills to hold others accountable for their parts while also offering suggestions for continual improvement. Your expertise will enable you to participate and contribute to the Project Management and Change Management Centers of Excellence. Location: remote The Project Management Lead will work closely with business owners/project sponsors to understand the scope of a project, create a charter with defined milestones to develop an implementation approach and project plan. The candidate will secure resources by identifying impacted stakeholders, facilitate meetings, and coordinate the activities to achieve business objectives within established timeframes. As a business partner in the implementation of new initiatives, the Project Management Lead is responsible for managing all phases of the project life cycle and includes feasibility (business case), design (planning), build (oversee delivery of planned work), test (quality), deploy (transitional activities), and close (archive documented knowledge). Apply internal processes and enforce project standards (such as but not limited to Charter, RACI Matrix, Status Reports, Project Plan, Risk/Issues Tracking, etc.) </

Become a part of our caring community The Senior Business Intelligence Engineer describes the tools, technologies, applications, and practices used to collect, integrate, analyze, and transform data into insightful and actionable business information. This position is a strategic analytics contributor responsible for developing complex, cross-functional reporting from conception through delivery in partnership with stakeholders to ensure insightful solutions align with organizational objectives and operational priorities. The ideal candidate demonstrates mature judgment, strong governance discipline, and ability to lead with ambition and scale. The Senior Business Intelligence Engineer role works assignments involving moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors. The Senior Business Intelligence Engineer describes the tools, technologies, applications and practices used to collect, integrate, analyze, and present an organization's raw data to create insightful and actionable business information. Key Responsibilities Design and maintain BI dashboards and analytic solutions from end-to-end Partner with leaders to define KPIs and reporting that support business operations and strategy Ensure data accuracy, auditability, and traceability for regulatory reporting Optimize SQL queries and BI models for large-scale datasets Implement data governance standards including metric definitions and documentation Improve delivery processes, tools, and metrics to increase efficiency Serve as a trusted advisor to leaders, enabling informed decision-making through clear, data-driven communication and reporting Use your skills to make an impact Requi

Become a part of our caring community As a Senior Product Manager, you will help guide in-flight products that improve the customer journey and create meaningful healthcare experiences. In this role, you will partner closely with business, technology, and design stakeholders to align priorities, solve complex problems, and help teams deliver high-quality outcomes. We are looking for an experienced, collaborative, and customer-focused Senior Product Manager who is excited to work across business and technology teams to build solutions that make healthcare experiences simpler, more useful, and more human. In this role, you will bring a product mindset, strong communication skills, and the ability to turn complex needs into clear, practical solutions. You will collaborate with technical and non-technical partners, use data and customer insights to guide decisions, and help teams stay focused on delivering value. The right candidate brings significant stakeholder management experience and is comfortable navigating ambiguity, building trust across organizations, and leading with curiosity, sound judgment, and empathy. The role also requires the ability to break down complex business and technical problems into a clear product roadmap, epics, and user stories. You will be expected to write complete user stories with acceptance criteria, support story acceptance, and take responsibility for acceptance testing to ensure delivered capabilities meet business and user needs. Required Qualifications 2–4&#43; years of relevant product management experience, including examples of products or capabilities you helped bring to market. Experience delivering business value through lean product management, customer discovery, or human-centered design practices. Significant experience managing stakeholders across multiple business and technology orga

Become a part of our caring community The Lead Technology Leadership Professional is responsible for all aspects of software or hardware product delivery and performance. The Lead Technology Leadership Professional works on problems of diverse scope and complexity ranging from moderate to substantial. The Lead Technology Leadership Professional works with design engineering and test team to drive products from design completion to volume production release. Performs various engineering tests to verify and validate product designs. Supports product evaluation and qualification on leading edge technology components. Ensures that production schedules are followed and product(s) meet specifications and quality requirements. Interacts with product engineering, quality, manufacturing and marketing teams to analyze and provide technical support to help resolve customers' product related problems/issues. 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. Use your skills to make an impact Required Qualifications Bachelor's degree 2 or more years of project leadership experience Experience with the technologies in use in the application(s) or infrastructure Experience with unit testing and mocking Ability to manage multiple tasks and deadlines with attention to detail. Ability to communicate effectively and deliver presentations to senior leaders Advanced experience leading special projects and producing metrics, measurements and trend reports Must be passionate about

Become a part of our caring community The Automation Engineer identifies and implements solutions (hardware and software) for improvement of the high-quality automation infrastructure. The Automation Engineer work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action. The Automation Engineer designs, programs, simulates, and tests automated processes, and is responsible for detailed design specifications and other documents. Understands department, segment, and organizational strategy and operating objectives, including their linkages to related areas. Makes decisions regarding own work methods, occasionally in ambiguous situations, and requires minimal direction and receives guidance where needed. Follows established guidelines/procedures. Use your skills to make an impact Required Qualifications Bachelor's degree or relevant and equivalent years of experience in lieu of degree requirement. 4&#43; years of technical experience related to automation. Strong knowledge and understanding of Claude code Experience using AI coding assistants such as Claude code, Github, Copilot, or similar developer productivity tools. Hands-on experience leveraging Claude Code for test automation development, debugging, script generation, and software quality engineering. Experience developing automation using Java, Python, or JavaScript. Experience with Selenium, Playwright, Cypress, or equivalent frameworks. Experience testing REST APIs and backend services. Experience with CI/CD pipelines and automated deployments. 2&#43; years of experience in Software QA testing in a SAFe Agile environment. Strong experience with black box, web-service integration and server back-end testing.</

Become a part of our caring community We are looking for a highly motivated Senior Technology Leadership professional to join our IT Operations team. You will support the Lead of the Application Operations Center and Enterprise Post Production Validation teams, with a focus on process automation, innovation, and continuous improvement. You will work with both onshore and offshore resources, ensuring in daily tasks, enhancing application support, and driving improvements in monitoring and validation processes. Main Responsibilities: Collaborate with the Lead to provide operational and strategic support for Application Operations Center and Post Production Validation teams. Identify, evaluate, and implement automation opportunities to increase efficiency and reduce manual workload. Drive process innovation by recommending and deploying advanced tools and methodologies for application operations and validation activities. Analyze existing workflows and develop documentation for standard operating procedures and best practices. Oversee daily application support and monitoring activities to ensure system stability, performance, and reliability. Partner with onshore and offshore teams to coordinate task execution and promote consistent adoption of new processes and technologies. Develop and maintain dashboards and reports to track key performance indicators and present findings to leadership. Ensure automation and process improvements comply with organizational standards and regulatory requirements. Facilitate knowledge sharing, training sessions, and change management activities to support team development and successful project implementation. Engage with stakeholders to gather requirements, understand challenges, and communicate progress on automation initiatives. Ability to create

Become a part of our caring community The Care Coach 1 assesses and evaluates member's needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families toward and facilitate interaction with resources appropriate for the care and wellbeing of members. The Care Coach 1 work assignments are often straightforward and of moderate complexity. Reports to the Regional Care Coach Manager. Looking for motivated Care Coach in COLLIER county FLORIDA!! We are looking for dynamic case managers that enjoy making a difference in the lives of others! You must live in Collier county in Florida. This rewarding role allows you to spend time connecting with our members to ensure they receive the services they need. The Care Coach 1 employs a variety of strategies, approaches and techniques to support a member's optimal wellness state by coordinating services & resources. Identifies and resolves barriers that hinder effective care. Ensures patient is progressing towards desired outcomes by continuously monitoring patient care through use of assessment, data, conversations with member, and active care planning. Understands own work area professional concepts/standards, regulations, strategies and operating standards. Work is managed and often guided by precedent and/or documented procedures/regulations/professional standards with some interpretation. The Care Coach 1 Visit Medicaid members in their homes, Assisted Living Facilities, and/or Long Term Care Facilities and other care settings – 75-90% local travel Assesses and evaluates member's needs and requirements in order to establish a member specific care plan Ensures members are receiving services in the least restrictive setting in order to achieve and/or maintain optimal well-being Planning and implementing interven

Become a part of our caring community The Consumer Experience Lead ensures optimized interaction between a company and members. The Consumer Experience Lead works on the remediation of identified issues from the Resolution team root cause hub to resolve member abrasion points on a diverse scope. You will report to the Director, Strategy Advancement. As the Consumer Experience Lead you will Lead strategic and operational initiatives that improve business performance, organizational effectiveness, and cross-functional execution Analyze complex issues to identify root causes, uncover improvement opportunities, and recommend sustainable solutions. Build relationships, influence decision-making at all levels, and communicate recommendations Manage escalations, resolve issues, and accountability for commitments, deliverables, and action items across teams Strengthen operations through documentation, strategies, self-service resources, process optimization, and decision-support materials for leadership Use your skills to make an impact Required Qualifications Bachelor's degree 3 or more years of experience in Healthcare operations 3 or more years of project management experience 3 or more years of project leadership experience Demonstrated analytical with experience identifying root cause and implementing sustainable solutions Live in EST or CST time zone Preferred Qualifications Experience supporting executive leadership teams or enterprise-wide strategic initiatives Experience with operation excellence, process improvement methodologies, or business transformation efforts Demonstrated Executive leadership experience with communication strategy skills <p style="text-align:inheri

Become a part of our caring community Services represent one of the organization’s most consequential sources of capability, capacity, transformation and external spend. The Associate Vice President, Services Procurement will lead the enterprise strategy for contingent workforce, outsourcing and offshoring, consulting and clinical services, converting third-party services into measurable business outcomes, workforce agility, operating leverage and sustainable value. The AVP will serve as the senior Procurement partner to leaders across the Insurance segment and Corporate Services, helping shape operating-model, workforce and transformation decisions before sourcing begins or a supplier solution is selected. The leader will bring deep expertise in global business services, business process outsourcing, workforce solutions and complex professional services. The mandate is to strengthen business-case quality, establish clear make, buy, build, automate and partner choices, create fit-for-purpose commercial models, manage transitions and hold providers accountable for committed outcomes. Success will be measured by whether business leaders make better services and workforce decisions, transformations deliver their promised value, and suppliers improve performance and innovation. Key Responsibilities Serve as the Strategic Services Partner to Business Leaders Serve as the senior Procurement relationship leader and trusted commercial advisor to Insurance segment and Corporate Services leadership. Develop a deep understanding of business strategy, operating plans, transformation roadmaps, workforce needs and financial commitments, and translate them into integrated services, workforce and supplier strategies. Engage upstream of supplier selection to frame the problem, test demand and assess make, buy, build, automate, offshore, outsource

Become a part of our caring community The Grievances and Appeals Representative 4 role in the Internal Review Team is responsible for managing appeal denials, by reviewing clinical documentation, determining whether further action is needed, and validating final determinations in coordination with clinical and internal Humana partners. Key Responsibilities: Manage Level 1 appeal cases , ensuring accuracy, completeness, and compliance with CMS requirements Review clinical documentation to support appeal determinations and escalation decisions Coordinate with clinical teams and internal partners to finalize appeal outcomes Investigate and resolve member and provider issues with a focus on timely resolution Maintain high productivity and quality standards in a production-driven environment Ensure strict adherence to confidentiality and compliance regulations Independently prioritize and manage multiple high-volume case assignments Proactively embraces change and supports smooth transitions in a dynamic work environment Use your skills to make an impact Required Qualifications: 1&#43; year of grievance & appeals and/or customer service experience Strong data entry skills Proficiency in Microsoft Office Applications Experience in a production-driven environment Experience prioritizing and delivering multiple assignments Strong commitment to confidentiality and high-quality results Preferred Qualifications: Associate's or Bachelor's degree 2–4 years of grievance and appeals experience Medical claims processing experience Previous inbound call center experience Experience wi

Become a part of our caring community Become a valued member of Humana's Internal Review Team as a Grievances & Appeals Representative 2, where you will play a critical role in addressing client concerns and denials. You will perform thorough reviews of clinical documentation to assess whether grievances, appeals, or additional requests are justified. Then, you will provide final determinations utilizing your expertise and collaboration with clinical and other Humana teams. Your contributions will directly support Humana's commitment to delivering high-quality service and making a positive difference in the lives of those we serve. Must be passionate about contributing to an organization focused on continuously improving consumer experiences. Key Responsibilities: Assign cases to team members for submission to an independent entity for 2nd level review. Monitor and record the number of cases assigned to the team, as well as the distribution of cases among individual associates. Operate within established guidelines to maintain work expectations and quality standards, while exercising discretion in prioritizing tasks and managing timelines with minimal supervision. Demonstrate flexibility and resilience in adapting to evolving processes and a fast-paced work environment. Use your skills to make an impact Required Qualifications Minimum of 1 year of customer service experience Minimum of 1 year of data entry experience Experience in a production-driven environment Must have strong experience using multiple Microsoft systems simultaneously (Teams, SharePoint, Excel, etc.) Ability to manage large volume on inventory daily Preferred Qualifications Previous inbound call center or related customer service experi