A C Operator in United States

Become a part of our caring community The Transition Coordinator (Care Coach 2) evaluates member's needs and requirements. This evaluation aims to achieve and/or maintain an optimal wellness state. The Coordinator does this by guiding members/families toward resources and facilitating interaction with them. These resources are appropriate for the care and wellbeing of members. The Care Coach 2 work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action. Position Responsibilities: Support the ongoing member transitions in and out of the Indiana Medicaid programs, the Contractor's enrollment, and among care settings. Complete transitions and assists with the planning and preparation for them, and the follow-up care after. Works with the Member Advocate Coordinator and other member-focused departments of the plan. This collaboration ensures continuity and coordination of care and member and provider communication through the initial transition, ongoing benefit plan, and MCE transfers. Ensure the transfer and receipt of all outstanding prior authorization decisions, utilization management data, and clinical information such as prevention and wellness programs(s), care management and complex case management notes. Help with transitions from the custodial setting to the home and community-based setting. We ask that you have telephonic and in-person meetings within an assigned region. The purpose of these meetings is to work with various stakeholders, including long-term care members, hospital/rehab staff discharge planners, family members/POA's, PCP's, and other healthcare professionals. The ultimate goal is to prevent custodial placements whenever possible. Assess and evaluate member's needs to establish a member specific car

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 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 skilled Medicare Field Sales Agents. This is a field-based role, and candidates must live in the designated territory to effectively serve their local community. As part of a collaborative team of 8–12 Medicare Sales Agents, you’ll work under the guidance of a Senior Manager and Regional Director who are committed to your success. Together, you’ll help bring Humana’s strategy to life: Deliver on the fundamentals, differentiate through exceptional service, and grow by expanding our reach and impact. 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 in your community. You’ll engage with customers in the FIELD through a mix of in-person, virtual, and phone interactions. Face-to-face visits in prospective members’ homes a

Become a part of our caring community Professional member of patient’s treatment team who provides skilled nursing visits in patient’s home under the direction of plan of treatment stablished with physician and input from patient/caregiver. Provides supervision for Aide and LPN as needed DUTIES AND RESPOSIBILITIES: • Provide initial and on-going assessment of client needs using the OASIS data elements incorporated into the Comprehensive Assessment. • With input from patient/caregiver and in conjunction with physician, formulates and implements plan of care. • Evaluate effectiveness of care plan and make necessary adjustments. • Provides for emotional and physical comfort and safety of client taking into consideration their rights and cultural background. • Receives and transcribes physician orders. • Notify physician and Agency supervisor of unusual reactions and/or changes in client’s condition. • Documents all appropriate observations and treatments in keeping with Agency policies and procedures. • Participates in case conferences, team meetings, staff meetings and Performance Improvement activities as assigned. • Provide supervision for Licensed Practical Nurses and/or Home Health Aide as assigned. • Provide any skilled nursing service for which appropriately trained which is prescribed under the plan of care. • Provide monthly summary of skilled services and clients outcomes to physician and Agency supervisor in keeping with Agency policies and procedures. Provides information for 60-day progress reports. • Adhere to all Agency policies and procedures including but not limited to HIPPA Privacy rule. • Maintains strict confidentiality of all patients, employee and Agency

Join a pioneering team at the forefront of financial technology innovation. We are building a cutting-edge, agentic AI platform designed to revolutionize the end-to-end credit risk model development lifecycle. By leveraging the power of Large Language Models (LLMs) and intelligent workflows, we aim to augment our quantitative modelers, dramatically increasing their productivity, enhancing model governance, and accelerating the delivery of critical risk models. We are seeking a senior, hands-on technology leader to drive this transformation. In this role, you will partner directly with quantitative analysts and key stakeholders to shape the most impactful use cases and then lead a team of talented developers to design, build, and deploy the generative AI platform that brings this vision to life. Key Responsibilities Strategic Vision & Stakeholder Partnership: Collaborate closely with quantitative model developers, Model Risk Management (MRM), and business leaders to deeply understand their pain points and translate them into a technical vision and product roadmap. Identify, scope, and prioritize use cases for the agentic workflow platform, ensuring they deliver measurable value and align with strategic objectives. Serve as the primary technical liaison between the engineering team and its users, ensuring a tight feedback loop and continuous alignment. Platform Design & Hands-On Development: Lead the architectural design of a scalable, robust, and secure agentic AI platform, including core components for orchestration, knowledge retrieval (e.g. RAG), and tool integration. Engage in hands-on software development to build foundational components, create proofs-of-concept, and tackle the most complex technical challenges. Design and implement secure integrations with internal data sources, external APIs, and various LLMs, ensuring compliance

This is where your work makes a difference. At Baxter, we believe every person—regardless of who they are or where they are from—deserves a chance to live a healthy life. It was our founding belief in 1931 and continues to be our guiding principle. We are redefining healthcare delivery to make a greater impact today, tomorrow, and beyond. Our Baxter colleagues are united by our Mission to Save and Sustain Lives. Together, our community is driven by a culture of courage, trust, and collaboration. Every individual is empowered to take ownership and make a meaningful impact. We strive for efficient and effective operations, and we hold each other accountable for delivering exceptional results. Here, you will find more than just a job—you will find purpose and pride. Your Role at Baxter This is where my hands make life-sustaining products As an Over‑the‑Road (OTR) Driver , you’ll safely complete scheduled deliveries and pick‑ups for our customers and vendors across the U.S. and Canada. Your work helps ensure life‑sustaining Baxter products arrive where they’re needed, when they’re needed. And as a thank you for helping us achieve our mission of saving and sustaining lives, we are offering a $10,000 sign on bonus . Your Team You’ll be part of a team that values ethics, teamwork, and respect. We encourage different viewpoints and support professional growth. The products made here—from hospital beds and mattresses to vital patient‑monitoring solutions—are used by patients around the world. At Baxter, every role matters, and the work you do truly makes a difference. What You'll Be Doing Complete assigned deliveries and pick-ups to and from our customers and vendors, using hoists and other devices, in a professional and, efficient

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 Process Improvement Professional analyzes and measures the effectiveness of existing business processes and develops sustainable, repeatable and quantifiable business process improvements. The Senior Process Improvement Professional work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors. The Humana Pharmacy Benefits Management (PBM) Strategy Enablement team partners with PBM teams to improve processes that will help our members improve their lives through better health outcomes. This role, within the Process Improvement (PI) team of Strategy Enablement, will work closely with PBM leaders, as well as key partners in leading and delivering on initiatives and process capabilities that enable improved effectiveness, efficiency, and experiences (member, provider and associate). The Senior Process Improvement Professional: Researches best business practices within and outside the organization to establish benchmark data. Defines and leads business improvement projects aligned with business strategies and operational priorities. Collects and analyzes process data to initiate, develop and recommend business practices and procedures that focus on member experience, increased productivity and efficiency and reduced cost. Determines how new information technologies can support re-engineering business processes. May specialize in one or more of the following areas: benchmarking, business process analysis and re-engineering, change management and measurement, and/or process-driven systems requirements. Begins to influence department's strategy. Makes decisions on moderately complex to complex issues regarding technical approach for project components, and work is perf

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

As a Vice President within this global team, you will own key analytical workstreams, drive strategic client-level initiatives, and execute optimization agendas. Your primary responsibilities will include: Client Analytics & Optimization: Develop client-level analytics to identify and pursue opportunities for optimization. Stakeholder Management: Lead the agenda with Client Treasurer and Client Analytics teams regarding allocation methodologies and strategy. Technology Implementation: Manage the end-to-end tech implementation of new analytics, metrics, and reporting tools. Project Management: Oversee the lifecycle of analytical projects, from data acquisition to final delivery and follow-up. Data Acquisition and Analysis: Perform deep data acquisition and analysis to generate actionable insights and support strategic initiatives. Data Quality Management: Lead the escalation and follow-up process for data quality issues to ensure the integrity of underlying data. Metric Development: Design, develop, and implement new metrics to track performance and drive business outcomes. Ad-hoc Pricing: Provide analytical support and ad-hoc pricing for global clients to ensure optimal returns. System Ownership: Act as the module owner of GSIB, and Client Financials modules in our LMS data-mart (Clearview), driving their development and effective use. As an integral part of the broader Pricing and Optimization team, you will also contribute to a range of activities spanning subject matter expertise on client liquidity value, client pricing, client financials, and Services data architecture. Also, some activities related to product development, which include technical coordination, control execution, and performance monitoring, alongside ad-hoc tasks like issue management, UAT testing, and stakeholder coordinat

Become a part of our caring community The Care Manager, Telephonic Behavioral Health 2 , in a telephonic environment, assesses and evaluates members' 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 Manager, Telephonic Behavioral Health 2 work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action. The Care Manager, Telephonic Behavioral Health 2 employs a variety of strategies, approaches and techniques to manage a member's physical, environmental and psycho-social health issues. Identifies and resolves barriers that hinder effective care. Ensures patient is progressing towards desired outcomes by continuously monitoring patient care through assessments and/or evaluations. May create member care plans. 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. Reports to the Regional CM Manager. Use your skills to make an impact Required Qualifications Must have an active, unrestricted SC Licensed Masters Social Worker (LMSW), Licensed Professional Counselor (LPC) OR an active, unrestricted compact Registered Nurse (RN) license . 2 or more years of experience working as a behavior

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 The Telephonic Quality Outreach Professional supports the EPSDT program requirements in a telephonic outreach environment by evaluating member needs and helping families achieve or maintain an optimal state of wellness. The Telephonic Outreach Care Coach Professional 1 performs basic administrative/clerical/operational/customer support/computational tasks. Typically work on straightforward moderate complexity assignments that are routine and structured in nature. The Telephonic Quality Outreach Professional employs a variety of strategies and techniques to coordinate services and resources that facilitate HEDIS gap closure and improve pediatric health outcomes. The supervisor limits decisions to defined parameters around work expectations, quality standards, priorities and timing, and supervises closely and/or works within established policies/practices and guidelines with minimal opportunity for deviation. Position Responsibilities: Telephonic outreach to close HEDIS gaps for Medicaid pediatric population Assist members in addressing barriers to care, including scheduling challenges and transportation needs, to support access to primary care and overall well-being Collaborate with EPSDT Senior Quality Improvement Professional and Coordinator related to strategic outreach to maximize HEDIS outcomes Collaborate with other departments Provide vaccine awareness and education following Bright Futures and EPSDT preventive health guidelines Empower member independence through education and outreach that promote ongoing self-sufficiency in managing preventive and primary care needs Other responsibilities as assigned Use your skills to make an impact Required Qualifications Unrestricted Licensed Practical Nurse (LPN) in

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