Become a part of our caring community With over 10 million sales interactions annually, Humana understands that while great products are important, it's the quality of our service that truly defines us. We know that when our members and prospects have delightful and memorable experiences, it strengthens their connection with us and enables us to put their Health First. After all, a health services company that has multiple ways to improve the lives of its customers is uniquely positioned to put those customers at the center of everything it does. The MarketPoint Career Channel Team is looking for accomplished Medicare Sales Field Agents. This is a field-based role, and you must live in the designated territory to serve their local community. As part of a collaborative team of 8–12 Medicare Sales Field Agents, you'll work under the guidance of a Senior Manager and Regional Director who are committed to your success. Together, you will help bring Humana's strategy to life: Deliver on the fundamentals, differentiate through exceptional service, and grow by expanding our reach and influence. What You'll Do in This FIELD-based Role: Deliver: Build trust and educate individuals on Humana's Medicare Advantage plans and additional offerings like Life, Dental, Vision, and Prescription coverage. Differentiate: Create meaningful, face-to-face connections through grassroots marketing, community events, and in-home visits—providing a personalized experience that sets Humana apart. Grow: Drive self-generated sales, meet performance goals, and expand Humana's presence in the market by becoming a valued resource and building relationships in your community. Benefits include: Medical, Dental, Vision, and a variety of other supplemental insurances Paid Time Off (
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Become a part of our caring community With over 10 million sales interactions annually, Humana understands that while great products are important, it's the quality of our service that truly defines us. We know that when our members and prospects have delightful and memorable experiences, it strengthens their connection with us and enables us to put their Health First. After all, a health services company that has multiple ways to improve the lives of its customers is uniquely positioned to put those customers at the center of everything it does. The MarketPoint Career Channel Team is looking for accomplished Medicare Sales Field Agents. This is a field-based role, and you must live in the designated territory to serve their local community. As part of a collaborative team of 8–12 Medicare Sales Field Agents, you'll work under the guidance of a Senior Manager and Regional Director who are committed to your success. Together, you will help bring Humana's strategy to life: Deliver on the fundamentals, differentiate through exceptional service, and grow by expanding our reach and influence. What You'll Do in This FIELD-based Role: Deliver: Build trust and educate individuals on Humana's Medicare Advantage plans and additional offerings like Life, Dental, Vision, and Prescription coverage. Differentiate: Create meaningful, face-to-face connections through grassroots marketing, community events, and in-home visits—providing a personalized experience that sets Humana apart. Grow: Drive self-generated sales, meet performance goals, and expand Humana's presence in the market by becoming a valued resource and building relationships in your community. Benefits include: Medical, Dental, Vision, and a variety of other supplemental insurances Paid Time Off (
Become a part of our caring community With over 10 million sales interactions annually, Humana understands that while great products are important, it's the quality of our service that truly defines us. We know that when our members and prospects have delightful and memorable experiences, it strengthens their connection with us and enables us to put their Health First. After all, a health services company that has multiple ways to improve the lives of its customers is uniquely positioned to put those customers at the center of everything it does. The MarketPoint Career Channel Team is looking for accomplished Medicare Sales Field Agents. This is a field-based role, and you must live in the designated territory to serve their local community. As part of a collaborative team of 8–12 Medicare Sales Field Agents, you'll work under the guidance of a Senior Manager and Regional Director who are committed to your success. Together, you will help bring Humana's strategy to life: Deliver on the fundamentals, differentiate through exceptional service, and grow by expanding our reach and influence. What You'll Do in This FIELD-based Role: Deliver: Build trust and educate individuals on Humana's Medicare Advantage plans and additional offerings like Life, Dental, Vision, and Prescription coverage. Differentiate: Create meaningful, face-to-face connections through grassroots marketing, community events, and in-home visits—providing a personalized experience that sets Humana apart. Grow: Drive self-generated sales, meet performance goals, and expand Humana's presence in the market by becoming a valued resource and building relationships in your community. Benefits include: Medical, Dental, Vision, and a variety of other supplemental insurances Paid Time Off (
Become a part of our caring community With over 10 million sales interactions annually, Humana understands that while great products are important, it's the quality of our service that truly defines us. We know that when our members and prospects have delightful and memorable experiences, it strengthens their connection with us and enables us to put their Health First. After all, a health services company that has multiple ways to improve the lives of its customers is uniquely positioned to put those customers at the center of everything it does. The MarketPoint Career Channel Team is looking for accomplished Medicare Sales Field Agents. This is a field-based role, and you must live in the designated territory to serve their local community. As part of a collaborative team of 8–12 Medicare Sales Field Agents, you'll work under the guidance of a Senior Manager and Regional Director who are committed to your success. Together, you will help bring Humana's strategy to life: Deliver on the fundamentals, differentiate through exceptional service, and grow by expanding our reach and influence. What You'll Do in This FIELD-based Role: Deliver: Build trust and educate individuals on Humana's Medicare Advantage plans and additional offerings like Life, Dental, Vision, and Prescription coverage. Differentiate: Create meaningful, face-to-face connections through grassroots marketing, community events, and in-home visits—providing a personalized experience that sets Humana apart. Grow: Drive self-generated sales, meet performance goals, and expand Humana's presence in the market by becoming a valued resource and building relationships in your community. Benefits include: Medical, Dental, Vision, and a variety of other supplemental insurances Paid Time Off (
Become a part of our caring community The Pre-Authorization Nurse reviews prior authorization requests for appropriate care and setting, following guidelines and policies, and approves services or forward requests to the appropriate stakeholder. The Pre-Authorization Nurse 2 work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action. The Pre-Authorization Nurse completes medical necessity and level of care reviews for requested services using clinical judgment, and refers to team members for review depending on case findings. Educate providers on utilization and medical management processes. Enter and maintain relevant clinical information in various medical management systems. Understand 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 2+ years of RN experience Active RN license in the state of Indiana Ability to be licensed in multiple states without restrictions Previous experience in utilization management, case management, discharge planning and/or home health or rehab Proficient with MS Office products including Word, Excel and Outlook Ability to work independently under general instructions and with a team Preferred Qualifications Bachelor's degree MCO experience Health Plan experience working with large carriers Previous Medicare/Medicaid experience Outpatient or home health experience in Utilization Manageme
Associate Manager Health Services - Work at Home in Miami-Dade County, FL — FL - Miami. Apply via Workday.
We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. ** Candidates MUST live in the state of CA, and be a licensed pharmacy technician with the CA Board of Pharmacy (BoP). ** Position Summary The Pharmacy Technician – Clinical Support Services position is responsible for utilizing their clinical knowledge and excellent customer service skills to provide our patients with the smooth service and delivery of medication and supplies to their homes. You will make a difference by bringing your personal touch and clinical experiences that will support our patient’s one on one care. Coram CVS/specialty infusion is a national leader in the home infusion field. As part of the team, you will have an important, uniquely rewarding role putting your Pharmacy Technician skills and experience to work in a closed-door practice setting. Responsibilities Partner closely with pharmacists to coordinate and process new patient referrals, prescription renewals, and ongoing refill management. Serve as a primary point of contact for patients, prescribers, and healthcare providers through frequent telephone communication regarding specialty medication refill scheduling, therapy continuation, and service coordination. Verify insurance coverage and ensure all requirements for dispensing and shipping, including prior authorization approvals when applicable, are in place before medication fulfillment. Contact
We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. Position Summary ** Candidates MUST live in the state of CA, and be a licensed pharmacy technician with the CA Board of Pharmacy (BoP). ** The Pharmacy Technician – Clinical Support Services position is responsible for utilizing their clinical knowledge and excellent customer service skills to provide our patients with the smooth service and delivery of medication and supplies to their homes. You will make a difference by bringing your personal touch and clinical experiences that will support our patient’s one on one care. Coram CVS/specialty infusion is a national leader in the home infusion field. As part of the team, you will have an important, uniquely rewarding role putting your Pharmacy Technician skills and experience to work in a closed-door practice setting. Responsibilities • Partner closely with pharmacists to coordinate and process new patient referrals, prescription renewals, and ongoing refill management. • Serve as a primary point of contact for patients, <spa
We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. Do you have a passion for engaging with people and helping them on their journey to better health? Discover a meaningful role where you’ll engage with health plan members primarily online, helping to close gaps in care. Signify Health, part of CVS Health®, is hiring full-time, board-certified nurse practitioners or physician assistants to conduct Video Visits for Medicare Advantage, Medicaid, and certain commercial plan members. During our Video Visits, you’ll conduct an approximately 30-minute visit, including a medication and medical history review, allowing time to educate members about their health and answer their questions. In this role, you will: Conduct online “Video Visits” with health plan members, working in a private space with adequate internet connection Be part of our efforts to visit millions of people nationwide with the goal of providing connections to the right care for people’s unique needs Provide 40 hours of availability weekly, consistently providing 320+ capacity units per month Execute a strong visit completion rate, consistently pacing 220+ completed visits per month Maintain training, affiliation, and compliance with Video Visit requirements (regular training required) Other role expectations and requirements: Be trained and credenti
We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. Join us at the start of a new era in health care where technology is transforming how and where care is delivered, creating a more connected, effective care experience for all. Our mission at Signify Health is to build trusted relationships to make people healthier. We do this by transforming the home into a health hub through a combination of data, technology & people. We are building a unified technology platform for value-based care that is improving care and reducing spending by treating patients in lower-cost settings and linking providers’ payments to patient outcomes. Signify Health is driving this industry transformation and solving some of the most challenging problems in healthcare – this is where you come in! About the Role As a Senior Software Engineer, you’ll be a key member of a collaborative team responsible for design, delivery and operation of business-critical, distributed systems. We’re looking for technically strong, passionate people with an entrepreneurial spirit to build and sustain innovative solutions. Basic Qualifications 5 years of software development experience. Strong foundation in software engineering: problem solving, data structures, algorithms, patterns, concurrency. Strong understanding and demo
We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. Position Summary Join us at the start of a new era in health care where technology is transforming how and where care is delivered, creating a more connected, effective care experience for all. Our mission at Signify Health is to build trusted relationships to make people healthier. We do this by transforming the home into a health hub through a combination of data, technology & people. We are building a unified technology platform for value-based care that is improving care and reducing spending by treating patients in lower-cost settings and linking providers’ payments to patient outcomes. Signify Health is driving this industry transformation and solving some of the most challenging problems in healthcare – this is where you come in! About the Role As a Staff Software Engineer, you’ll be a key member of a collaborative team responsible for design, delivery and operation of business-critical, distributed systems. We’re looking for technically strong, passionate people with an entrepreneurial spirit to build and sustain innovative solutions. Required Qualifications 7 years of software development experience. Strong foundation in software engineering: problem solving, data structures, algorithms, patterns, concurrency. Experience as a polyglot soft
Become a part of our caring community Humana is a publicly traded, Fortune 60 health benefits company with a long history of successful innovation and reinvention. It has transformed itself from the largest US nursing home company in the ’60s, to the largest US hospital corporation in the ’80s, to a leading health benefits company beginning in the ’90s. Today, Humana is a leader in consumer-focused health solutions and is one of the largest health benefits organizations in the country. The Enterprise Growth Strategy team is a newly created organization supporting growth across Humana’s businesses. The team has a strong dotted-line partnership with the Medicare and Medicaid organization, Humana’s largest, which comprises over 80% of the company’s total revenue and the majority of its earnings. Team members partner with the senior leaders of the business unit, and more broadly with leaders throughout the enterprise, as they deliver strategy projects addressing some of the businesses’ most important opportunities and challenges. These high-profile strategy projects place the team at the forefront of helping to define the future of Humana’s largest businesses. Humana is seeking an experienced team member to support delivering some of Medicare and Medicaid’s highest priority projects and initiatives, with an emphasis on Medicare Advantage strategy development. As a Manager, you will deconstruct issues and challenges, perform targeted research and analysis, and craft sound, logical solutions and recommendations. You will also shape implementation considerations, and work with business owners as appropriate to transition analysis into execution. While doing so, you will have the opportunity to collaborate with fellow team members, subject matter experts, members of Humana’s executive Management Team, and corporate, functional, and business unit leaders. </s
Become a part of our caring community Humana, a Fortune 60 Healthcare Company Humana is a publicly traded, Fortune 60 health benefits company with a long history of successful innovation and reinvention. It has transformed itself from the largest US nursing home company in the ’60s, to the largest US hospital corporation in the ’80s, to a leading health benefits company beginning in the ’90s. Today, Humana is a leader in consumer-focused health solutions and is one of the largest health benefits organizations in the country. The Consumer Product s Enablement & Solutions department supports Humana’s businesses by ensuring co nsumer products are competitive and meet consumer needs. The team also enables growth across the organization and ensures timely CMS and state filing timelines. The team has a strong dotted-line partnership with the Medicare and Medicaid organization, Humana’s largest , which comprises over 80% of the company’s total revenue and the majority of its earnings . Team members partner broadly with leaders throughout the enterprise, as they provide oversight and strategic direction of all Medicare and Duals products. Humana is seeking an experienced team member to help drive strategic direction and ensure execution on the end-to-end proces ses and projects critical for transformation across our business . As a Consultant , you will <
We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. Position Summary Health100 is America's trusted front door to health and care. The Health100 platform integrates any participating health plan, PBM, pharmacy (retail and specialty), provider, digital health point solution provider, and employer, and addresses the top health care challenges for the consumer. The Senior Manager, Software Engineering will lead engineering teams building a best-in-class consumer health experience on the Health100 platform, focused on identifying, prioritizing, shaping, and executing complex platform initiatives. As a key member of our engineering organization, you will drive innovation, manage cross-functional teams, and deliver scalable cloud-native and AI-enabled solutions that improve consumer experiences and business outcomes. This role works within a top-notch organization of software developers who identify, design, and deliver technology solutions using Java, distributed systems, cloud platforms, and AI-powered capabilities to achieve defined business value. You will guide the integration and validation of complex technology solutions, drive engineering excellence, and leverage emerging technologies including Generative AI and intelligent automation to accelerate innovation and efficiency *Remote eligible within the United States. Preference for candidates in close proximity to our Woonsocket, RI headquarters. Resp
We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. Position Summary Health100 is an AI‑native health technology platform that unifies pharmacies, providers, insurers, PBMs, and digital health solutions into a single, consumer‑focused ecosystem. Powered by Google Cloud AI, we’re reimagining personalized and connected health experiences. As a Senior Software Engineer for Health100, you will play a crucial role within a collaborative team — designing, developing, and maintaining backend services and APIs while ensuring releases are well-coordinated, fully prepared, and successfully deployed to production. The ideal candidate brings strong technical expertise in modern backend development, excellent problem-solving skills, and a proactive approach to production monitoring, issue triage, and cross-team coordination. This position is critical in maintaining high engineering standards, ensuring smooth release cycles, and driving operational excellence across the development lifecycle. *This role can be based anywhere in the US; hybrid or remote with preference for candidates to work out of our corporate headquarters in Woonsocket, RI. Responsibilities: Partner with technical leaders and the open-source community to contribute to technical designs, frameworks, roadmap definition, and requirements-gathering. Provide domain knowledge and engineering insight to guide early designs, ac
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