Community Health Worker in United States

Become a part of our caring community The Counsel provides a full range of legal advice and services on litigation, arbitration, and related legal matters and strategy. The Counsel will collaborate internally and with outside counsel on case strategy, discovery, and resolution of disputes. The Counsel will exercise independent judgment and decision-making on litigation issues and related tasks and work under modest supervision. This role requires applying in-depth and broad knowledge of litigation practices, frequently taking full ownership of legal matters, and organizing and managing individual litigation matters from inception through trial. Use your skills to make an impact Required Qualifications Juris Doctor degree from an ABA-accredited law school Active and licensed membership in a state bar association At least 4 years of experience in litigation Strong project management and organizational skills across all facets of litigation from inception through trial Ability to organize and successfully manage a number of case matters simultaneously Strong skills in communicating complex legal issues to various stakeholders Ability to mitigate risk by acting as a trusted advisor whose strategic thinking, pragmatic problem-solving, and proactive counsel are sought by clients Ability to work independently under general supervision and in team settings Experience with large-scale e-discovery Preferred Qualifications Experience with provider disputes and healthcare reimbursement disputes Experience with alternative dispute resolution (ADR), including arbitration Understanding of Medicaid/Medicare laws and regulations Work at Home Requirements:

Become a part of our caring community The Principal Storage Engineer is a senior technical leader responsible for defining and advancing the enterprise storage architecture and long-term data infrastructure strategy. This role establishes standards, develops five-year technology roadmaps, and designs secure, resilient, scalable, and cost-effective storage platforms for business-critical, analytics, and artificial intelligence workloads. The engineer serves as the organization’s storage subject-matter expert and partners with infrastructure, cloud, security, data, application, architecture, finance, and vendor teams to translate business requirements into sustainable technology capabilities. The Principal Storage Engineer is a senior technical leader responsible for defining and advancing the enterprise storage architecture and long-term data infrastructure strategy. This role establishes standards, develops five-year technology roadmaps, and designs secure, resilient, scalable, and cost-effective storage platforms for business-critical, analytics, and artificial intelligence workloads. The engineer serves as the organization’s storage subject-matter expert and partners with infrastructure, cloud, security, data, application, architecture, finance, and vendor teams to translate business requirements into sustainable technology capabilities. Key Responsibilities Define the enterprise storage vision, reference architecture, engineering standards, and five-year roadmap across block, file, object, software-defined, and hybrid storage services. Lead architecture decisions for on-premises AI infrastructure, including high-throughput and low-latency storage fo

Become a part of our caring community The Senior Compliance Professional ensures compliance with governmental requirements. The Senior Compliance Professional work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors. Regulatory Compliance – State Enterprise Intake and Implementation – Senior Compliance Professional The Senior Compliance Professional implements new statues, regulations, rules and other regulatory guidance issued by state and federal regulators across the enterprise. Coordinates business partner engagement and implementation of rules. Researches compliance issues and recommends changes that ensure compliance with regulatory obligations. Provides compliance guidance and direction to business partners. Monitors metrics and other oversight tools that track implementation activity. Recommends new measures of compliance performance. Begins to influence department's strategy. Makes decisions on moderately complex to complex issues regarding implementation components. Exercises considerable latitude in determining objectives and approaches to assignments. The Senior Compliance Professional's primary focus will be to implement new federal and state rules, including PBM, across the enterprise. Key responsibilities may include: Serve as the subject matter expert and point-of-contact for individual state and federal implementations, leading implementation activity from onset to conclusion. Research, understand, and apply laws, regulations, and regulatory guidance for federal and state compliance issues. Analyze business requirements and complex issues, conduct research, and provide regulatory guidance to business partners, Law, Risk, and Compliance associate and leaders with regard to federal

Become a part of our caring community Humana’s Product organization is seeking a Lead Product Manager to drive the strategy, development, and optimization of the Adobe Experience Platform (AEP) in support of Adobe Web Integrations for Authenticated and Unauthenticated Web Channels. In this role, you will serve as a key product leader responsible for translating business needs into platform capabilities that enable personalized, data-driven customer experiences. You’ll work closely with cross-functional teams to deliver scalable solutions across Real-Time CDP, Journey Optimizer, and Customer Journey Analytics. This role is focused on growing adoption and usage of Adobe Experience Platform as an enterprise platform while supporting and scaling capabilities to support Authenticated (MyH) and Unauthenticated ( H.com) driving dynamic, context-aware customer engagement on Web channels. Success in this role means partnering with key lines of business to translate requirements into detailed product features for engineering teams to enable, while building decisioning strategies that optimize customer outcomes and business value. Key Role Functions Product Strategy & Vision Collaboratively own and manage the product backlo

Become a part of our caring community Provides executive leadership to Humana. The Regional Chief Medical Officer (CMO) is an entrepreneurial & experienced physician leader committed to the principles of comprehensive primary care and unlocking the power of value-based care for patients at national scale. S/he will be a proven clinician, leader, and strategist capable of driving the highest standards of care, building high-performance care teams, developing clinical leadership talent, and quantifiably improving outcomes and performance across multiple geographies. The Regional CMO will directly lead a team of regional & area medical directors and serve as dyad partner to the Regional Market President for one of the Primary Care Organization’s regions across the nation where CenterWell and/or Conviva serve patients. The Regional CMO will report to the Chief Medical Officer of the Primary Care Organization. This role requires periodic travel to markets (40% or less) to meet with national and regional teams and should be based in one of our current or upcoming CenterWell or Conviva markets. Responsibilities Drive Clinical Excellence in Culture & Performance · Build a best-in-class culture of engaged clinicians, focused on patient-focused care and clinical excellence, where doing the right thing for patients and team-based care within a value-based care framework, drives success and pride · Drive patient outcomes and population impact across regions for optimal results, across patient care experience & engagement, disease prevalence, quality/STARS, efficiency of care, and improved clinical outcomes and utilization. · Identify and act on opportunities

Become a part of our caring community Humana is looking for Inbound Contacts Representatives to be a part of our Provider Call Center; you are often the first human connection our members have with us. Working remotely, you will report to the Inbound Contacts Supervisor and be a part of the Medicare team. Every interaction is an opportunity to solve a problem, reduce frustration, and create trust. You will support members and providers by answering benefit questions, resolving concerns, and guiding them through next steps, helping ensure they feel informed and supported. This role is ideal for someone who enjoys helping others and takes pride in delivering a high-quality customer experience. As an Inbound Contacts Representative 2, you will: Handle 40+ inbound calls daily from providers in a back-to-back call center environment Address multiple members and provider needs, including benefit questions, service issues, and general inquiries Escalate unresolved and pending customer grievances Document all interactions, actions taken, and outcomes in internal systems Resolve routine to moderately complex issues by following established guidelines and workflows Identify issues requiring escalation and ensure handoff to the appropriate teams Meet quality, productivity, and customer experience expectations What Success Is: Providers feel heard, supported, and satisfied with their experience You are proactive and resolve issues on the first contact whenever possible Documentation is complete, clear, and compliant Experience empathizing with frustrated customers, and accountability in every interaction Use your skills to make an impact Required: 2+ years of Customer Service experie

Become a part of our caring community Are you ready for a great job? The Value-Based Programs Analyst supports successful value-based provider relationships with a focus on improving the provider experience and achieving path-to-value goals. The Value-Based Programs Analyst work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action The Value-Based Programs Analyst understands department, segment, and organizational strategy and operating objectives, including their linkages to related areas to include, but not limited to: the Value-Based organization, Enrollment, Product Development, Market Finance, Corporate Finance, Actuarial, Network Contracting, and National Contracting. Analyzes provider financial patterns and trends utilizing excel and/or SQL Updates, maintains, and reviews fee scheduling and pricing structures Thoroughly reviews provider contracts and ensure rates are priced and applied accurately Identifies process recommendations and ensures compliance with government regulations Collaborates and communicates with internal partners of all professional levels within various departments The ideal applicant will have the following skills: Problem Solving Provider Management Relationship management Consumer Experiences Confidentiality Data Analysis Detail-Oriented Written Communication In addition to being a great place to work, Humana also offers industry-leading benefits for all employees, starting your FIRST day of employment. Benefits include: Medical Benefits Dental Benefits Vision Benefits Health Savings Accounts Flex Spending Accounts Life Insurance 401(k) PTO including

Become a part of our caring community The Lead Software Engineer codes software applications based on business requirements. The Lead Software Engineer works on problems of diverse scope and complexity ranging from moderate to substantial. The Lead Software Engineer standardizes the quality assurance procedure for software. Oversees testing and debugging and develops fixes. Researches complaints and makes necessary adjustments and/or recommendations to resolve complex software related 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. Key Responsibilities Technical Architecture and Ownership:** Design and own the end-to-end architecture of Centerwell's AI systems, including LLM-powered clinical tools, RAG pipelines, harnesses, agent-based workflows, and intelligent automation. Make and communicate foundational technical decisions in close collaboration with the broader engineering team. Model Development and Fine-Tuning:** Evaluate, select, and where appropriate guide the fine-tuning of foundation models. Establish model evaluation frameworks that prioritize safety, accuracy, and clinical relevance. Clinical and Product Partnership:** Collaborate closely with product managers, designers, clinicians, and data stakeholders to understand care delivery workflows and translate them into well-scoped, high-impact AI features. HIPAA Compliance and Responsible AI:** Ensure all AI systems are designed, deployed, and monitored in compliance with HIPAA and Humana's Responsible AI standards, including participation i

Become a part of our caring community The Senior Full Stack Engineer Performs software engineering activities in all layers of the stack, from setting up the database to programming in the back-end and the appearance at the front-end. The Senior Full Stack Engineer work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors. As Centerwell builds its AI engineering function from the ground up, we need a platform foundation strong enough to support everything that comes next. As Lead Full-Stack Engineer focused on platform and API engineering, you will design and build the service layer that connects AI capabilities, data systems, and product frontends—setting the standards for how services are built, secured, and operated across the team. You will work with meaningful architectural scope, making decisions that span API design, security patterns, and deployment practices. The platform you build will serve care teams and patients across hundreds of Centerwell clinics. If you want to build platforms that others build on—and do it in service of better primary care—this is the role for you. Key Responsibilities Platform and API Architecture: ** Design and lead development of core backend services, REST and GraphQL APIs, and service-to-service integrations that connect all layers of Centerwell's AI product stack. Security and Compliance by Design: ** Establish patterns for authentication, authorization, rate limiting, PHI access control, and audit logging. Ensure HIPAA compliance is embedded in platform design from day one—not bolted on after the fact. AI and LLM Integration Patterns: ** Define and implement reusable patterns for integrating AI capabilities into product

Become a part of our caring community The Talent Programs Coordinator-Variable Staffing Pool (VSP) supports the successful delivery of leadership development programs through exceptional coordination, logistics management, stakeholder support, and operational execution. You will ensure a seamless experience for participants, facilitators, and partners by managing program logistics, materials, technology, communications, and onsite execution. This is a growth-oriented, individual contributor role and is designed for someone who thrives in a fast-paced environment. You will have operational ownership and will design, deliver, and scale enterprise talent programs to learn and share how they work. While execution is core to the role, you will provide exposure to program strategy, data driven decision making, and process innovation. This role is part of the Variable Staffing Pool( VSP), which pays at an hourly rate. VSP Humana associates work part to full time hours based on business need. VSPs are not eligible for associate bonuses and receive limited benefits, which are effective upon hire. The hours for this role are generally aligned based on the associate and business task at hand. Key Responsibilities Program Coordination and Execution Coordinate logistics and operational activities for leadership development, talent, and early in career learning programs. Manage multiple programs, cohorts, timelines, and deliverables simultaneously. Develop and maintain project plans, checklists, schedules, and run-of-show documents to ensure flawless execution. Logistics, Materials & Vendor Management Coordinate program materials, printing, inventory, shipping, and supply management. Manage relationships and logistics with facilities, catering, venues, AV teams, and other partners. Ensure meeti

Become a part of our caring community The Portfolio Enablement Lead is a portfolio transformation leader responsible for shaping and advancing Humana's portfolio operating model, Agile Release Train (ART) design, and Ways of Working across multiple portfolios. Acting as a trusted advisor to executive leadership (SVPs, VPs, and portfolio leaders), this role translates enterprise strategy into scalable portfolio operating models that drive alignment, flow, value delivery, and measurable business outcomes across the organization. This position combines deep expertise in Lean Portfolio Management, enterprise operating model design, organizational transformation, and systems thinking with exceptional executive influence, facilitation, and data-driven decision-making skills. The role focuses on enterprise enablement rather than delivery management, driving portfolio optimization, governance consistency, operating model maturity, and long-term organizational optimization while partnering across business and technology teams to improve enterprise performance and strategic execution. The Portfolio Enablement Lead serves as a trusted transformation leader responsible for advancing Humana's Ways of Working through the design, governance enablement, and evolution of portfolio operating models, ART structures, and leadership practices across assigned portfolios. In this highly influential role, you will collaborate with executive leaders across business and technology to shape how portfolios are structured, prioritized, governed, and executed to achieve strategic business objectives. As a trusted advisor, you will partner directly with SVPs, VPs, Directors, and senior portfolio leaders to align organizational design, portfolio strategy, and operating models with enterprise priorities and regulatory requirements.

Become a part of our caring community Humana is seeking a Lead Cloud Architect – NoSQL Databases to provide strategic leadership, architecture direction, and engineering oversight for enterprise NoSQL database platforms across Humana’s cloud environments. This role will focus on the design, implementation, modernization, and governance of NoSQL database solutions, including MongoDB, Azure Cosmos DB, Neo4j, and vector database technologies. The successful candidate will help define and advance Humana's enterprise NoSQL strategy, support platform rationalization initiatives, and ensure database solutions are secure, scalable, resilient, automated, and aligned with enterprise architecture standards. This role requires hands-on technical depth, strong cloud architecture experience, and the ability to collaborate across security, engineering, quality, application, and business teams. Key Responsibilities Develop, document, and maintain enterprise-wide NoSQL database standards, reference architectures, design patterns, and best practices. Lead architecture and engineering efforts for NoSQL platforms including MongoDB, Azure Cosmos DB, Neo4j, and vector databases. Support NoSQL platform rationalization and modernization initiatives, including migration planning and execution from Cosmos DB to MongoDB where appropriate. Architect secure, highly available, scalable, and performant NoSQL database solutions across cloud environments, including Azure and/or Google Cloud Platform. Define database architecture patterns for document databases, graph databases, key-value workloads, and vector search use cases. Guide application teams on NoSQL data modeling, partitioning, indexing, query patterns, performance optimization, and operational readiness. Oversee automation of NoSQL provisioning, configuration, monit

Become a part of our caring community The Group Sales Representative works with brokers, agents and consultants as an Ancillary Group insurance product expert. Will work with new and existing accounts with 50+ eligible employees. The Group Sales Representative discovers, develops, and maintains benefits brokerage relationships that result in the ongoing sales and retention of Humana's Group benefit products for distribution in a specific region. The Group Sales Representative will be held accountable for the achievement of production through tenacious broker development. Brokers should view them as the benefits experts for all products that the executive will sell in the given territory. You will deliver organized, polished presentations of solutions, with benefits tied to the employer's business needs. Will develop and execute a comprehensive strategic plan that results in increased sales and maximized profitability by maintaining and expanding penetration of existing products and cross selling other Humana products. Job Responsibilities Develops new business opportunities and implements strategies necessary to attain sales objectives through consultative selling, issue resolution and superior service. Manages complex negotiations. Positions products, rate levels, and expanded product portfolios to increase sales and maximize revenue. Develop and maintain multiple benefits brokerage and consultant relationships within assigned territory. Collaborates with internal partners and/or external constituents to uncover profitable growth and cross-sell opportunities within new or existing customers and to support post-sale activities. Coordinates finalist presentations and sales seminars, testimonials and works with subject matter expert in support of the successful delivery of constituent presentat

Become a part of our caring community As a Pharmacy Intern you will perform tasks in field of study or profession. Your work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action. As an unpaid pharmacy intern you will be an apprentice while completing formal education or immediately following graduation. Understand department, segment, and organizational strategy and operating goals, including their linkages to related areas. You will make decisions regarding own work methods, minimal direction and receive guidance where needed. Follow established guidelines/procedures. Use your skills to make an impact Required Qualifications In last year of PharmD curriculum Active pharmacy intern license in good standing from state(s) where living/working Work at Home Requirements: 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: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. In certain roles, the minimum recommended internet speed required by Humana may not be sufficient for business needs. Humana reserves the right to require associates to upgrade their internet service if necessary. Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information. Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required. <p style="text-alig

Become a part of our caring community You have shipped AI products before. You understand the difference between a demo and a production system. You have strong opinions about evaluation frameworks because you have experienced the consequences of operating without them. You are at your best when you own architecture decisions while continuing to build and deliver critical code yourself. We build the platform that transforms millions of clinical documents into trusted, actionable data. Our systems use large language models (LLMs) to read medical records, extract structured facts, answer complex questions with citations back to source documents, and route complex cases to human experts. The output of these systems supports healthcare decisions that impact real members. As a Lead AI Applied Engineer, you will provide technical leadership for AI-enabled products and platforms, define architectural direction, establish engineering standards, and personally design and build the most critical components of our systems. You will lead through both technical expertise and execution, helping the team deliver reliable, scalable, and auditable AI solutions in a highly regulated healthcare environment. Why Join Us Lead the architecture of production AI systems where LLMs are foundational to the product experience. Make key technical decisions regarding model selection, system boundaries, platform architecture, and build-versus-buy strategies. Own the highest-risk and highest-impact technical challenges involving reliability, explainability, and correctness. Influence engineering culture and establish standards that shape how the team builds and ships AI products. Work on systems operating at meaningful scale, processing millions of documents and supporting healthcare decisions across a large member population. Partner