Associate Actuary, Analytics/Forecasting - Medicare Dental/Vision
Humana Job In Columbus, OH Or Remote
**Become a part of our caring community and help us put health first** We are seeking an Associate Actuary to join our Medicare Individual Dental & Vision forecasting team. Responsible for analyzing and forecasting financial, economic, and other data to provide accurate and timely information for strategic and operational decisions. Establishes metrics, provides data analyses, and works directly to support business intelligence. Evaluates industry, economic, financial, and market trends to forecast the organization's short, medium and long-term financial and competitive position. The Associate Actuary, Analytics/Forecasting work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors.
The Associate Actuary, Analytics/Forecasting ensures data integrity by developing and executing necessary processes and controls around the flow of data. Collaborates with stakeholders to understand business needs/issues, troubleshoots problems, conducts root cause analysis, and develops cost effective resolutions for data anomalies. Begins to influence department's strategy. Makes decisions on moderately complex to complex issues regarding technical approach for project components, and work is performed without direction. Exercises considerable latitude in determining objectives and approaches to assignments.
This role on the Individual Dental & Vision team is responsible for producing financial forecasts for the MA Specialty segment. Regularly collaborates with Finance, Sales, and Retail partners to aid in financial and strategic decision-making. Must be able to balance attention to detail with high-level critical thinking.
This role requires familiarity with a variety of technology including Excel and SQL (preferred), experience in a coding language such as SAS, R, Python, SQL, is required. Candidates should also be familiar with manipulating and aggregating data, applying appropriate trends or adjustments, peer review practices, and documentation.
**Use your skills to make an impact**
**Required Qualifications**
+ Bachelor's Degree
+ Associate of Society of Actuaries (ASA) designation
+ MAAA
+ Strong communication skills
+ Experience with a coding language (SQL, SAS, Python, R, etc.) used to manipulate and aggregate data
+ Must be passionate about contributing to an organization focused on continuously improving consumer experiences
**Preferred Qualifications**
+ Experience with advanced analytics, machine learning, or other data science applications
+ Experience in Medicare Advantage Specialty products
**Additional Information**
+ This role is open to remote work. Humana also has actuarial offices in the following locations: Traditional main offices include Louisville, KY, Green Bay, WI, and Chicago, IL. Traditional Hub offices include Waukesha, WI, Minnetonka, MN, Tampa, FL, and Phoenix, AZ.
Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.
**Scheduled Weekly Hours**
40
**Pay Range**
The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.
$106,900 - $147,000 per year
This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.
**Description of Benefits**
Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.
Application Deadline: 04-29-2025
**About us**
Humana Inc. (NYSE: HUM) is committed to putting health first - for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large.
**Equal Opportunity Employer**
It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or veteran status. It is also the policy of Humana to take affirmative action to employ and to advance in employment, all persons regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.
Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our ***************************************************************************
Associate Actuary, Analytics/Forecasting - Medicare Dental/Vision
Humana Job In Phoenix, AZ Or Remote
**Become a part of our caring community and help us put health first** We are seeking an Associate Actuary to join our Medicare Individual Dental & Vision forecasting team. Responsible for analyzing and forecasting financial, economic, and other data to provide accurate and timely information for strategic and operational decisions. Establishes metrics, provides data analyses, and works directly to support business intelligence. Evaluates industry, economic, financial, and market trends to forecast the organization's short, medium and long-term financial and competitive position. The Associate Actuary, Analytics/Forecasting work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors.
The Associate Actuary, Analytics/Forecasting ensures data integrity by developing and executing necessary processes and controls around the flow of data. Collaborates with stakeholders to understand business needs/issues, troubleshoots problems, conducts root cause analysis, and develops cost effective resolutions for data anomalies. Begins to influence department's strategy. Makes decisions on moderately complex to complex issues regarding technical approach for project components, and work is performed without direction. Exercises considerable latitude in determining objectives and approaches to assignments.
This role on the Individual Dental & Vision team is responsible for producing financial forecasts for the MA Specialty segment. Regularly collaborates with Finance, Sales, and Retail partners to aid in financial and strategic decision-making. Must be able to balance attention to detail with high-level critical thinking.
This role requires familiarity with a variety of technology including Excel and SQL (preferred), experience in a coding language such as SAS, R, Python, SQL, is required. Candidates should also be familiar with manipulating and aggregating data, applying appropriate trends or adjustments, peer review practices, and documentation.
**Use your skills to make an impact**
**Required Qualifications**
+ Bachelor's Degree
+ Associate of Society of Actuaries (ASA) designation
+ MAAA
+ Strong communication skills
+ Experience with a coding language (SQL, SAS, Python, R, etc.) used to manipulate and aggregate data
+ Must be passionate about contributing to an organization focused on continuously improving consumer experiences
**Preferred Qualifications**
+ Experience with advanced analytics, machine learning, or other data science applications
+ Experience in Medicare Advantage Specialty products
**Additional Information**
+ This role is open to remote work. Humana also has actuarial offices in the following locations: Traditional main offices include Louisville, KY, Green Bay, WI, and Chicago, IL. Traditional Hub offices include Waukesha, WI, Minnetonka, MN, Tampa, FL, and Phoenix, AZ.
Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.
**Scheduled Weekly Hours**
40
**Pay Range**
The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.
$106,900 - $147,000 per year
This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.
**Description of Benefits**
Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.
Application Deadline: 04-29-2025
**About us**
Humana Inc. (NYSE: HUM) is committed to putting health first - for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large.
**Equal Opportunity Employer**
It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or veteran status. It is also the policy of Humana to take affirmative action to employ and to advance in employment, all persons regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.
Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our ***************************************************************************
Inventory Specialist
Columbus, OH Job
Responsible for executing, monitoring, and training inventory best practices and standard operating procedures for the entire store, including both front end and pharmacy. Supports pharmacy inventory management activities, including receiving, counting, ordering, and facilitating returns. Champions On-Shelf Availability and is responsible for receiving, counting, pricing, returns, and all in-store inventory processes. Validates and ensures accuracy of planograms.
Responsible for reviewing and coordinating the proper use of reports and system applications, which have an impact on the accuracy of front end and pharmacy on-hand balances and pricing.
Responsible for executing and maintaining front end and pharmacy asset protection techniques, and filing claims for warehouse and vendor overages (merchandise received, but not billed), shortages (merchandise billed, but not received), order errors or damaged goods including prescription drugs.
In designated stores, as required, opens and closes the store in the absence of store management, including all required systems start-ups, required cash handling and cashier responsibilities, and ensuring the floor and stock room are ready for the business day.
Customer Experience
Engages customers by greeting them and offering assistance with products and services. In designated stores, when serving as the leader on duty, resolves customer issues and answers questions to ensure a positive customer experience.
Models and shares customer service best practices with all team members to deliver a distinctive and delightful customer experience, including interpersonal habits (e.g., greeting, eye contact, courtesy, etc.) and Walgreens service traits (e.g., offering help proactively, identifying needs, servicing until satisfied, etc.).
Operations
Executes and coaches team members on warehouse and vendor inventory management processes including but not limited to creating, reviewing, and receiving orders.
Scans in all deliveries while the vendor is still in the store, including common carrier deliveries. Focuses on One Box receiving. Takes the appropriate action marking delivery as received if the product was physically delivered, contacting vendor for past undelivered scheduled receipts, and opening tickets as needed to correct inaccurate orders.
Under the supervision of the pharmacist-in-charge, verifies all pharmacy shipments are posted for products physically received at the store. Completes or verifies postings of all pharmacy warehouse orders, ABC prescription and OTC orders daily, secondary vendor orders, flu and dropship orders performing any necessary tote audits, and accurately reporting any shortages or damaged product.
Completes On-Shelf Availability (OSA) end-to-end process including warehouse and direct store delivery (DSD) for planogrammed departments, executing disposals, call-ins, and vendor returns before expiration, completes scan outs/ scan outs returns on all subscribed departments including vendor/ DSD departments and pharmacy scan outs.
Under the supervision of the pharmacist-in-charge,completes pharmacy inventory activities including but not limited to pharmacy recalls following Pharmacy Hazardous Waste Policy, vendor returns, non-controlled, and damaged salvage returns. Facilitates excess inventory returns or interstore pharmacy transfers where applicable for non-returnable ABC overstock. Verifies posting of all pharmacy/ prescription claims.
Completes execution of all pricing activities including price changes, markdowns, and markdowns deletes. Responsible for basic department pricing, including daily price changes, accurate pricing with correct signage, and reliable and timely completion of any additional regulatory pricing tasks.
Responsible for supporting front end and pharmacy ordering by ordering expense items. Monitors pharmacy manual orders to identify excess orders. Maintains consigned inventory and orders as required.
Ensures all designated pull & quarantine item on-hands are updated and placed in the designated holding area.
Maintains accurate inventory counts. Maintains the accuracy of on-hand quantities including but not limited to basic departments, stockroom, overstock locations.
Under the supervision of the pharmacist-in-charge, maintains accurate inventory counts and accuracy of on-hand quantities in pharmacy and completes pharmacy smart counts.
Ensures the store maintains inventory compliance with state and local laws regarding regulated products (e.g., alcoholic beverages and tobacco products).
Assists in the maintenance of inventory records, including receiving and posting of all products (in the front-end)) received at the store in all inventory systems. Organizes files and retains all invoices/receipts/return authorizations necessary for all inventory activities.
Helps to prepare for physical inventory and supports the physical inventory day activities, including but not limited to preparing sales floor, stockroom, and pharmacy for inventory and auditing the third party team on the day of inventory.
Supports keeping all counters and shelves clean and well merchandised.
Knowledgeable of all store systems and equipment.
Assists and coaches store team on all package delivery activities, including scanning in and out of packages, completing all daily inventory functions and, package returns at Walgreens. Supports execution of Pickup Program.
In designated stores, when serving as the leader on duty, responsible and accountable for registering all related sales on assigned point-of-sale system (POS), including records of scanning errors, price verifications, items not on file, price modifications, and voids. Completes product returns, order voids, customer refunds, cash drops to safe, and provides change as requested for point of sale.
Complies with all company policies and procedures; maintains respectful relationships with coworkers.
Completes any additional activities and other tasks as assigned.
Training & Personal Development
Attends company-based trainings for continuous development and completes all e-learning modules including safety training requirements.
Obtains and maintains a valid pharmacy license/certification as required by the state.
Communications
Serves as a liaison between management and non-management team members by coaching and developing other capabilities with inventory systems. When serving as the leader on duty, communicates assigned tasks to team members and reports disciplinary issues and customer complaints to management.
Basic Qualifications
Six months of prior work experience with Walgreens (internal candidates) or one year of prior retail work experience (external candidates).
Must be fluent in reading, writing, and speaking English (except in Puerto Rico).
Must have a willingness to work a flexible schedule, including evening and weekend hours.
“Achieving expectations” rating on last performance review and no written disciplinary actions in the previous 12 months (internal candidates only).
Demonstrated attention to detail and ability to multi task and manage execution.
Experience in identifying operational issues and recommending and implementing strategies to resolve problems.
Preferred Qualifications
Prefer previous experience as a shift lead, pharmacy technician, designated hitter, or customer service associate.
Prefer to have prior work experience with Walgreens, with an evaluation on file.
We will consider employment of qualified applicants with arrest and conviction records.
An Equal Opportunity Employer, including disability/veterans.
The actual compensation that you will be offered will depend on a variety of factors including geography, skills and abilities, education, experience and other relevant factors. This role will remain open until filled. To review benefits, please click here jobs.walgreens.com/benefits. If you are applying on a job board or unable to click on the link, please copy and paste this URL into your browser jobs.walgreens.com/benefits
Pharmacist (Full or Part Time)
Cincinnati, OH Job
Job DescriptionJob Objectives Provides pharmacy consulting services with empathy to patients regarding the effective usage of medications and awareness with drug interactions. Offers preventive and clinical healthcare services, including immunizations, diagnostic testing, and patient outcomes services. Responsible for ensuring the proper compounding, dispensation, review, and verification of prescribed medications within regulatory guidelines, company policies and procedures. Supports the efficient workflow of the pharmacy and assists the pharmacy manager in identifying ways to optimize pharmacy financials, inventory management and enhance patient experience.
Job Responsibilities/Tasks
Patient Experience
Engages patients by greeting them and offering assistance with products and services. Resolves patient issues in a timely manner and answers questions to ensure a positive patient experience.
Models and shares customer service best practices with all team members to deliver a distinctive and joyful experience, including interpersonal habits that show care (e.g., greeting, eye contact, courtesy, etc.) and Walgreens service traits (e.g., demonstrating curiosity to identify needs and proactively helping, servicing until satisfied, championing empathy and inclusivity, etc.).
Connects with patients by anticipating needs and proactively offering services. Supports efforts on enhancing patient experience by increasing awareness of healthcare services offered through Walgreens (e.g., patient consultation, medication management, drug therapy reviews, and perform clinical, or wellness services such as immunizations, diagnostic testing, and patient outcomes services) thereby promoting the shift of the Walgreens pharmacy role from transactional to interpersonal.
Participates and assists in events that reflect the unique communities we serve as requested by Store Manager, Healthcare Supervisor, District Manager or Pharmacy Manager.
Operations
Counsels' patients and answers their questions regarding usage of medicine, side effects, interactions, contraindications, patient information privacy, generics, less expensive medicines, over-the-counter products, and refers to medical provider as needed to ensure medication is taken correctly, health needs addressed, and satisfaction with service.
Performs pharmacist tasks including compounding, drug therapy reviews, verification, and medication management.
Reviews, interprets, and accurately dispenses prescribed medications when
necessitated by workload.
Ensures the pharmacy operates in accordance with regulations, company policies and standards. Assists pharmacy manager with establishing procedures that promotes the efficient workflow of the pharmacy including assigning roles, coordinating activities, and soliciting team member suggestions. Responsible for the opening and closing of the pharmacy and shift change duties.
Ensures the use of all elements of the Good Faith Dispensing policy in conjunction with state and federal controlled substance laws when filling prescriptions. The Product Review/Retail Fill Process Pharmacist is responsible for ensuring that elements of Good Faith are present.
Maintains current knowledge of information technology associated with pharmacy systems including workflow, prescription fulfillment, billing, clinical documentation, training, inventory management, and point of sale registers to provide support to patients as well as pharmacy staff. Seeks new and better ways to further promote productivity.
Ensures the accurate processing of insurance claims to resolve patient issues and prevent payment rejections. Follows up with insurance companies and medical providers and participates in 3rd-party audit.
Follow-up with medical providers’ offices to clarify prescribed medications, dosages, refills, interactions, and allergies to suggest alternative medications, and answer medical provider questions.
Performs clinical and wellness services such as immunizations, diagnostic testing, disease state management and other healthcare services.
Assists and supports the pharmacy manager in analyzing performance data including pharmacy financial, customer service, and implementation of procedures for pharmacy asset protection and inventory management.
Develops and maintains good connections with local medical community including physicians, nurses, and other healthcare providers. Participates in community outreach activities to promote the pharmacy business, enhance growth opportunities, and provide more joyful lives through better health.
Partners with centralized support for patient registration, exception resolution, and assists with resolving patient issues. In virtual environments, conducts virtual product review by following specific company procedures and guidelines.
People & Performance Management
Assists the Pharmacy Manager with staff hiring and training. Reinforces the direction of Pharmacy Manager in staff performance by coaching, and providing constructive feedback, monitoring customer service, and fostering team member development.
Promotes teamwork and motivates team members by establishing expectations, monitors and recognizes progress, and fosters a shared vision.
Training & Personal Development
Maintains current knowledge and required licensing/credentialing/certification as
established by federal and state regulations to provide such clinical services.
Maintains current knowledge and skills related to pharmacy and healthcare by reading pharmacy related journals, company publications, and communications. Maintains awareness of developments in retail and management and pursues best practices that would enhance performance.
Obtains necessary certifications, education credits and training, including learning modules, as required by the Company.
Seeks professional development by monitoring one’s performance, solicits for constructive feedback, and leverages pharmacy manager and store manager as mentor and coach.
Communications
Supports the Pharmacy Manager and Store Manager by communicating relevant corporate health and wellness services or strategy information to pharmacy staff.
About Walgreens Boots Alliance
Walgreens Boots Alliance (Nasdaq: WBA) is an integrated healthcare, pharmacy and retail leader serving millions of customers and patients every day, with a 175-year heritage of caring for communities.
A trusted, global innovator in retail pharmacy with approximately 12,500 locations across the U.S., Europe and Latin America, WBA plays a critical role in the healthcare ecosystem. Through dispensing medicines, improving access to pharmacy and health services, providing high quality health and beauty products and offering anytime, anywhere convenience across its digital platforms, WBA is shaping the future of healthcare in the thousands of communities it serves and beyond.
WBA employs approximately 312,000 people, with a presence in eight countries and consumer brands including: Walgreens, Boots, Duane Reade, No7 Beauty Company and Benavides. The Company is proud of its contributions to healthy communities, a healthy planet, an inclusive workplace and a sustainable marketplace. In fiscal 2024, WBA scored 100% on the Disability Equality Index for disability inclusion.
More Company information is available at *******************************
Basic Qualifications
BS in Pharmacy or Pharmacist Degree from an accredited educational institution.
Current pharmacist licensure in the states within the district.
Experience performing prescription dispensing activities that demonstrate a strong working knowledge of applicable state and federal controlled substance laws.
Certified Immunizer or willing to become an immunizer within 90 days of hire.
Preferred Qualifications
At least 1 year experience as a pharmacist in a retail setting including prescription filling and verification, records and legal compliance, pharmacy operations, pharmacy software and technology systems and insurance.
We will consider employment of qualified applicants with arrest and conviction records.
An Equal Opportunity Employer, including disability/veterans.
This information is being provided to promote pay transparency and equal employment opportunities at Walgreens. The current salary range for this position is $52.00 per hour - $80.00 per hour. The actual hourly salary within this range that you will be offered will depend on a variety of factors including geography, skills and abilities, education, experience and other relevant factors. This role will remain open until filled. To review benefits, please click here jobs.walgreens.com/benefits. If you are applying on a job board or unable to click on the link, please copy and paste this URL into your browser jobs.walgreens.com/benefits
Emerging Store Manager
Cincinnati, OH Job
Job DescriptionSupervises customer service associates and designated hitters. Responsible for managing front end of the store and making recommendations on the overall operations of the Pharmacy and Retail Store. Supports Store Manager with the overall operation of the store to achieve company deliverables; Works alternate schedule with the Store Manager with minimal overlap; Assumes responsibilities of all store activities in the absence of the Store Manager. Ensures proper merchandising, protection of store assets, and improves store sales and profitability.
Leads and manages store team members, including recruitment, hiring, performance management, and discipline of direct reports to ensure teams are engaged and performing their responsibilities to achieve company deliverables.
Customer Experience
Engages customers and patients by greeting them and offering assistance with products and services. Resolves customer complaints in a timely manner and answers questions to ensure a positive customer experience. Models and shares customer service best practices.
Monitors customer service, provides coaching, training, and develops plans for improvements in both the front-end and pharmacy. Empowers team members to find the most impactful resolution for customers; seeks solutions that exceed customer expectations and builds loyalty.
Accountable for improving on overall customer service metrics.
Operations
Supervises the operation of the store and team members, including assigning daily activities, delegating tasks to team members, opening/closing/changing shifts, approving time records, time off and managing other scheduling conflicts to ensure proper team member coverage.
Collaborates with external partners to drive the future of their Walgreen store. Identifies ways to support external partnerships and services as a resource for Pharmacy Operations Manager in seeking community outreach opportunities.
Supports Store Manager in leveraging data, analysis, and team member input to make fact-based decisions, follow-up, and monitor impact.
Supervises the control of the store cash management including but not limited to register counts, withdraws from bank, armored car pickups, safe deposits, change orders and oversees all aspects of bookkeeping.
Supervises front end and pharmacy inventory, completing resets/revisions and price changes; analyzes front end and pharmacy inventory trends to create corrective action plans; trains/coaches team members to follow inventory standard operating procedures.
Ensures execution of operational feedback from the Store Manager and District Manager through delegation and supervision of team members.
Ensures that store interior and exterior are clean and presentable; manages repair and maintenance; responds to emergencies.
Ensures team members have a working knowledge of all computer and technology systems and software.
Provides for the safety and well-being of team members; effectively utilizes the Security Operations Center.
Complies with all company policies and procedures, manages operations of assigned location including strict compliance with any and all applicable laws and regulations, including sale of alcohol, tobacco, fresh food, and pharmacy products.
Completes special assignments and other tasks as assigned.
Full Store Operation Business Performance Management
Independently analyzes financial and performance data; creates action plans to support achievement of business deliverables.
Uses operating statements, key performance indicators, and other relevant tools to engage the team; drive solutions and actions for store improvement. Collaborates with Store Manager to identify sales opportunities, gain insights, to ensure growth and performance of the store through new initiatives as directed by the Support Center.
Supports Pharmacy during busy periods, including serving as a pharmacy technician, when necessary.
People & Performance Management
Primarily responsible for leading and training team members; provides training, mentoring, coaching, and support to enable team members’ career development. Responsible for team member discipline, coaching meetings, and makes recommendation regarding team member performance management, including discipline and termination when appropriate.
Manages team member performance by assigning responsibilities, developing performance plans, setting goals and expectations, observing performance, providing feedback and giving recognition to enhance effectiveness of individual team members and overall team.
Acquires and retains talent, builds pipelines to keep store properly staffed, and ensures a diverse pipeline of future leaders. Anticipates short and long-term staffing needs, develops talent plan, manages candidate pool, participates in the interview process and makes hiring decisions.
Ensures proper procedures are followed for selection, recruitment, record retention, and training as required by Company policy and local, state and federal laws.
Establishes a culture of accountability through clear expectations and performance management, Performance Improvement Plans, and constructive discipline.
Training & Personal Development
Successfully completes Store Manager learning and development program. Completes all required learning and development courses, certification, and any training assigned by Store Manager, District Manager and company leaders.
Monitors own performance, seeks continuous feedback from leader and team members, and commits to self-development; has an Individual Development Plan in place.
Obtains and maintains valid pharmacy technician license as required by state.
Communications
Communicates regularly with team members through one-on-one discussions, group meetings to ensure communication is open between leaders and team members. Actively responds to team member questions or concerns.
Assists Store Manager in planning and communicating the company and store strategy.
Basic Qualifications
Bachelor’s degree with a solid academic record, all majors welcome OR satisfactorily completed a Walgreens Community Internship Program OR High School Diploma/GED and two years of experience in a supervisory position (does not require experience with direct reports).
Demonstrated leadership abilities that include professional business ethics, self-motivation, and strong communication skills and strong business acumen.
Completion of Store Manager training program (LEAP) or willingness to complete Walgreens Leadership Essentials training (for individuals placed in ESM role on or after June 1, 2021) within 12 weeks of ESM start date.
Must be fluent in reading, writing, and speaking English (except in Puerto Rico)
Willingness to work flexible schedule including extended days, evenings, and weekend hours.
Willingness to accept promotion into a Store Manager position, if promotion is offered, which could require relocation to a different store location.
Ability to transfer to other Walgreens retail assets located within the same hiring Area.
Preferred Qualifications
Bachelor’s Degree .
Internal candidates: Management experience, including supervising others, managing, and assigning work. Experience across both front-end and pharmacy.
External candidates: Business majors. Prior retail or food industry experience.
We will consider employment of qualified applicants with arrest and conviction records.
An Equal Opportunity Employer, including disability/veterans.
This information is being provided to promote pay transparency and equal employment opportunities at Walgreens. The current salary range for this position is $45,000 - $71,550. The actual salary within this range that you will be offered will depend on a variety of factors including geography, skills and abilities, education, experience and other relevant factors. This role will remain open until filled. To review benefits, please click here jobs.walgreens.com/benefits. If you are applying on a job board or unable to click on the link, please copy and paste this URL into your browser jobs.walgreens.com/benefits
Stars Program Delivery Lead - HEDIS
Remote Humana Job
Become a part of our caring community and help us put health first The Stars Program Delivery Lead strategically identifies, develops, and implements programs that influence providers, members or market leadership towards value-based relationships and/or improved quality metrics. The Program Delivery Lead works on problems of diverse scope and complexity ranging from moderate to substantial.
Location: remote (If in driving distance to Louisville office, role will be hybrid which is a combination of in office and work at home)
Apply in-depth and broad knowledge of HEDIS measures to develop strategy and implement comprehensive solutions to drive overall Stars performance
Accountability for performance and operational excellence of comprehensive programs to improve Star ratings
Partner with multiple analytics teams to develop, prioritize, deliver, and measure solutions
Proactively engage the right stakeholders to anticipate headwinds and identify gaps, looking ahead to anticipate pivots and action needed
Provide insights and identify new opportunities for improvement through data analysis of variable factors to determine course of action
Ability to make recommendations based on reporting and monitoring by contract, region, provider and aggregate performance, identifying where things are going well and why, as well as where things need to improve and how
Cross-collaboration with performance management team to interpret and deliver key recommendations to achieve Stars goals
Conduct audits of all data collection and processes to ensure operational excellence across initiatives
Create standard operating procedures, document data collection, and establish processes for audit and quality control
Identify gaps and new opportunities to improve performance
Support key functions with strategic and analytical thinking
Requires a general understanding of Stars operations and ability to effectively communicate the Stars story
Knowledge of the technical specifications and codes within attributed value sets
Detail oriented and willing to learn the more minute parts of HEDIS measures and gap closure processes with limited guidance and direction
Use problem solving skills to resolve issues and make decisions in a fast pace, complex, ever-changing environment
Understand campaign development to provide insights for new concepts, technologies or processes
Experience with market needs to provide insights to improve performance in key contracts and regions
Understanding of or experience with clinical setting to advance provider first strategies, influence member interventions and identify new opportunities to impact
Use your skills to make an impact
Required Qualifications
Bachelor's Degree or equivalent work experience
8+ years of operations, program management and/or strategy experience
2+ Medicare Stars and HEDIS knowledge or experience
Superb communication skills, written and verbal
Experience leading special projects and producing metrics, measurements and reports
Proficiency in interpreting data trends and applying to operations
Comfortable working independently to accomplish components of a larger program
Strong organizational and time management skills
Preferred Qualifications
Master's degree
Clinical experience
Additional Information
As part of our hiring process for this opportunity, we will be using an interviewing technology called HireVue to enhance our hiring and decision-making ability. HireVue allows us to quickly connect and gain valuable information from you pertaining to your relevant skills and experience at a time that is best for your schedule.
Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.
Scheduled Weekly Hours
40
Pay Range
The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.
$115,200 - $158,400 per year
This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.
Description of Benefits
Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.Application Deadline: 05-20-2025
About us
Humana Inc. (NYSE: HUM) is committed to putting health first - for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large.
Equal Opportunity Employer
It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.
Process Improvement Lead
Remote Humana Government Business Job
Become a part of our caring community and help us put health first The Process Improvement Lead provides analysis of current medical management programs/initiatives to proactively identify and manage business process improvement opportunities. Lead and participate in efforts to design innovative and strategic business processes to create a sustainable competitive advantage and deliver administrative efficiencies. Develops and maintains positive relationships working closely with HGB directors, managers, SME's and other key partners. Communicates in a clear, timely, accurate and meaningful manner.
The Process Improvement Lead will provide project and program coordination to guide the implementation of new processes and process modifications; assist with change management and minimize disruption and maximize impact. The consultant understands requirements in the broadest context of business problems and opportunities and recommends solutions to enable innovative delivery of HGB's value proposition.
Key Accountabilities:
25% Proactively identifies improvement opportunities based on industry and competitive trends along with analysis of current processes and barriers.
25% Leads the design of innovative business processes and create sustainable competitive advantage and administrative efficiencies.
25% Provides analysis to major projects and improvement efforts. Develops and manages project plans for medical management projects. Assures process documentation meets current and future requirements and supports the successful implementation of business innovation.
15% Partners with leadership and other team members to create quality and value based offerings for our government customers.
10% Guides project and program implementation efforts and manages change to assure expected results are achieved.
Use your skills to make an impact
Required Qualifications
Bachelor's degree in business, healthcare administration, information systems or related field
3 plus years of data analysis experience (Ideally with healthcare/insurance data)
3 or more years of technical experience in software/application testing (Ideally creating templates)
Project management and/or product management experience with a large-scale organization
Broad understanding of information systems and interactions with business operations
Ability to apply knowledge of new technology and business management concepts to improve operations
Strong verbal and written communication, organizational, meeting facilitation, negotiation, follow-up, and problem-solving skills
Detail oriented with excellent organizational and project management skills
Critical thinker who can anticipate team needs and take initiative to present ideas, ask the right questions and deliver the highest quality work
Problem solver who can find viable solutions that meets business needs, absent from all ideal tools and resources
Ability to speak effectively before groups of customers or employees of organization
Must be passionate about contributing to an organization focused on continuously improving consumer experiences
Our Department of Defense Contract requires U.S. citizenship for this position
Successfully receive approval for government security clearance (Via National Background Investigation Services NBIS)
HGB is not authorized to do work in Puerto Rico per our government contract. We are not able to hire candidates that are currently living in Puerto Rico
Preferred Qualifications
5 years of TRICARE experience
PMP, CBAP, CCP, or LSSBB Certification
Lean Six Sigma Blackbelt
Agile /Scrum certification (Agile Practitioner, Scrum Alliance, etc.)
Prior experience with Agile development process in story writing
Ability to work with project stakeholders and remote teams at all levels in the organization in a collaborative, team environment
Master's Degree
Additional Information
Work Style: Remote
Work at Home/Remote Requirements
To ensure Hybrid Office/Home associates' ability to work effectively, the self-provided internet service of Hybrid Office/Home associates must meet the following criteria:
At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is suggested
Satellite, cellular and microwave connection can be used only if approved by leadership
Associates who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense
Humana will provide Home or Hybrid Home/Office associates with telephone and computer equipment appropriate to meet the business requirements for their position/job
Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information
HireVue Statement: As part of our hiring process for this opportunity, we will be using an exciting interviewing technology called HireVue to enhance our hiring and decision-making ability. HireVue allows us to quickly connect and gain valuable information from you pertaining to your relevant skills and experience at a time that is best for your schedule.
Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.
Scheduled Weekly Hours
40
Pay Range
The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.
$94,900 - $130,500 per year
This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.
Description of Benefits
Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.Application Deadline: 04-30-2025
About us
Humana Inc. (NYSE: HUM) is committed to putting health first - for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large.
Equal Opportunity Employer
It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.
Strategic Account Executive; U500 (New York/New Jersey)
Remote or New York, NY Job
As a Sr. Strategic Account Executive, you are the face of Cigna to the client. Your focus is on spending time with clients in person to cultivate the relationship, addressing client issues, selling annual renewal rate increases in addition to new products and services to expand the relationship. You will be the trusted advisor and go-to partner for your clients, helping them navigate their business challenges and opportunities by offering strategic insights and ensuring an exceptional client and customer experience.
Key Responsibilities:
* Client Partnership: Act as a key influencer and trusted advisor, cultivating strong, personal relationships with decision-makers and other key stakeholders.
* Industry Expertise: Deeply understand your clients' businesses, their industries, and their unique challenges. Continuously learn and adapt, offering tailored recommendations that address both their immediate needs and long-term goals.
* Relationship Building: Engage at all levels with both decision-makers and those who influence the decision-making process, ensuring Cigna's voice is heard and valued.
* Market Insights: Keep clients informed about the latest industry trends, helping them stay ahead of the curve and leveraging Cigna's solutions to meet their evolving needs.
* Financial & Underwriting Expertise: Strengthen your understanding of financials and underwriting to guide clients in managing their costs. Demonstrate the value of Cigna's solutions, including specialty products, and offer creative, proactive solutions to meet their needs.
* Portfolio Management: Drive growth, earnings and retention across your client portfolio, meeting targets for both new business and renewals. Work to expand Cigna's relationships through cross-selling additional products and services.
* Collaboration: Work closely with underwriting teams to ensure alignment, build trust, and ensure clients receive tailored, strategic solutions.
* Client Experience: Oversee client service requests, ensuring seamless execution and swift resolution by directing them to the right team for problem-solving.
* Channel Management: Manage key partner relationships to ensure client budgets align with reality, holding internal partners accountable and leveraging resources as needed to maintain success.
What You Bring:
* Strong relationship-building skills and a passion for developing deep client connections
* Expertise in financials, underwriting, and providing strategic solutions
* A collaborative mindset with the ability to work effectively across teams
* Proactive, creative thinking to develop tailored solutions for each client
* A desire to grow with a company that's committed to delivering innovative solutions in an ever-changing industry
At Cigna, we value people who bring both strategic insight and a hands-on approach to client management. If you're driven by client success and want to work for an organization that values both innovation and personal relationships, we want to hear from you!
Qualifications
* Bachelor's degree or equivalent experience.
* Experience: 3+ years of experience in health benefits or client management
Skills:
* Strong communication, sales negotiation, and relationship-building skills.
* Proven ability to manage and grow client relationships, particularly with clients
* Experience in sales, marketing, underwriting, or operations is preferred.
* Financial acumen with the ability to identify and drive growth opportunities within the book of business.
* Additional: Demonstrated success in managing large, complex client accounts with a focus on relationship-building and revenue growth.
If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.
This role is also anticipated to be eligible to participate in an incentive compensation plan.
We want you to be healthy, balanced, and feel secure. That's why you'll enjoy a comprehensive range of benefits, with a focus on supporting your whole health. Starting on day one of your employment, you'll be offered several health-related benefits including medical, vision, dental, and well-being and behavioral health programs. We also offer 401(k) with company match, company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and paid holidays. For more details on our employee benefits programs, visit Life at Cigna Group.
About Cigna Healthcare
Cigna Healthcare, a division of The Cigna Group, is an advocate for better health through every stage of life. We guide our customers through the health care system, empowering them with the information and insight they need to make the best choices for improving their health and vitality. Join us in driving growth and improving lives.
Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws.
If you require reasonable accommodation in completing the online application process, please email: ********************* for support. Do not email ********************* for an update on your application or to provide your resume as you will not receive a response.
The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State.
Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.
Pharmacy Technician / Pharm Tech Apprenticeship
Columbus, OH Job
Our pharmacy technician positions have undergone an exciting transformation, moving from a transaction-based environment to a much more patient-centric one. As a Walgreens Pharmacy Technician or Pharmacy Technician Apprentice, you'll be front and center – interacting with our customers and developing strong patient relationships. Pharmacy is the core of our business, and our pharmacy technicians enjoy all the tools and support – including the latest technology – to grow their careers and reach their goals.
Walgreens is proud to invest & champion an “earn while you learn” Pharmacy Technician Training Program recognized by ASHP & Department of Labor. This apprenticeship program gives you an entry point to a career in health care by guiding you in taking steps towards becoming a Pharmacy Technician Certification Board (PTCB) Certified Pharmacy Technician and helping you maintain the high level of skill required in the pharmacy care industry. Arming you with a nationally recognized, portable credential that will help you advance your career.
Whether you are new to working in pharmacies or are an experienced Pharmacy Technician Apply Now! Walgreens will train you to use your skills and talents to serve and care for our patients and customers. The courses, learning activities, and resources provided to you in our pharmacy technician training program are designed to give you foundational and advanced knowledge, skills, and on-the-job experiences you need to prepare to become a certified pharmacy technician.
In accordance with state and federal regulations, assists the pharmacist, under direct supervision, in the practice of pharmacy. Assists the pharmacist in the performance of other Pharmacy Department duties in accordance with Company policies and procedures.
Responsible for using pharmacy systems to obtain patient and drug information and process prescriptions. If PTCB certified, assists with and coaches pharmacy technicians in the operation of pharmacy systems and cashiers in the operation of the pharmacy cash registers.
Models and delivers a distinctive and delightful customer experience.
Customer Experience
Engages customers and patients by greeting them and offering assistance with products and services. Resolves customer issues and answers questions to ensure a positive customer experience.
Models and shares customer service best practices with all team members to deliver a distinctive and delightful customer experience, including interpersonal habits (e.g., greeting, eye contact, courtesy, etc.) and Walgreens service traits (e.g., offering help proactively, identifying needs, servicing until satisfied, etc.).
Develops strong relationships with most valuable customers.
Operations
Under the supervision by the pharmacist, assist in the practice of pharmacy, in accordance with state, federal, and company policy. Reviews and complies with the Walgreen Co. Pharmacy Code of Conduct.
Performs duties as assigned by Pharmacy Manager, Staff Pharmacist and Store Manager including utilizing pharmacy systems to enter patient and drug information, ensuring information is entered correctly, filling prescriptions by retrieving, counting and pouring pharmaceutical drugs, verifying medicine is correct, and checking for possible interactions. Assists pharmacists in scheduling and maintaining work flow.
Reports, immediately, prescription errors to pharmacist on duty and adheres to Company policies and procedures in relation to pharmacy errors and the Quality Improvement Program.
Strictly adheres to the Walgreen Co. policy regarding Good Faith Dispensing during all applicable prescription dispensing activities.
Responsible and accountable for registering all related sales on assigned cash register, collects and handles cash as required. Takes customer to OTC aisle when possible to assist in locating products.
Handles telephone calls that do not require personal attention of the pharmacist, including those to physicians.
Processes (corrects and resubmits) manual claims for third party program prescription services in a timely and efficient manner, and performs other clerical duties, as assigned by the Pharmacy Manager.
Assists and supports Pharmacy Department on inventory management activities, such as, ordering, unpacking, checking and storing shipment of pharmaceuticals. Maintains knowledge of Company asset protection techniques, and files claims for warehouse overages (merchandise received, but not billed), shortages (merchandise billed, but not received), order errors or damaged goods involving Rx drugs.
May assist pharmacist in administering clinical services including the collection and proper labeling of blood/urine samples from patients and other clinical services as required; assists pharmacy staff in coordination of clinical services, Walgreens healthcare clinics and external providers.
Assists Pharmacy Manager and Staff Pharmacist in developing and maintaining good relationships with the local medical community, including physicians, nurses, and other health care providers, by medical provider detailing and outreach to health groups, retirement homes, nursing homes, and other forums for enhancing growth opportunities.
Assists with exterior and interior maintenance by ensuring the Pharmacy Department is stocked with adequate supplies, clean, neat and orderly in condition and appearance.
Complies with all company policies and procedures; maintains respectful relationships with coworkers.
Completes special assignments and other tasks as assigned.
Training & Personal Development
Earns and maintains PTCB certification through the designated PTCB training program and/or state required certification/registration. Otherwise, earns PTCB certification as condition of promotion to senior technician.
Attends training requested by Manager and acquires continuing education credits. Maintains knowledge and skill in healthcare and pharmacy, including latest news and developments.
Basic Qualifications
Must be fluent in reading, writing, and speaking English. (Except in Puerto Rico)
Requires willingness to work flexible schedule, including evening and weekend hours.
Preferred Qualifications
Prefer six months of experience in a retail environment.
Prefer to have prior work experience with Walgreens.
Prefer good math skills so they can fill prescriptions accurately, including counting, measuring and weighing medications.
Prefer good computer skills.
Prefer the knowledge of store inventory control.
Prefer PTCB certification.
We will consider employment of qualified applicants with arrest and conviction records.
An Equal Opportunity Employer, including disability/veterans.
The actual compensation that you will be offered will depend on a variety of factors including geography, skills and abilities, education, experience and other relevant factors. This role will remain open until filled. To review benefits, please click here jobs.walgreens.com/benefits. If you are applying on a job board or unable to click on the link, please copy and paste this URL into your browser jobs.walgreens.com/benefits
Clinical Program Advisor - Express Scripts - Remote (Configuration Product Support)
Remote or Bloomfield, CT Job
The Clinical Program Advisor needs to have in-depth knowledge of clinical set up, familiarity with benefit setup, and overall operational interdependencies and regulatory requirements. Primary responsibilities include product management and guiding Product owners as well as downstream PBS partners on the clinical and benefit design of new and existing product launches. Strategy and execution for bulk and maintenance phase product enrollments along with strong communication and presentation skills are required. This position will be supporting new EverNorth product implementation. This position will work with Product team directly to ensure all clinical and benefit intent is captured and then coordinate with the appropriate downstream teams in order to make the necessary system updates. This person will also assess all clinical and benefit downstream impacts and confirm all connections from set up standpoint are addressed. This person will also need to have appropriate post go-live monitoring in place to quickly address any issues might come up and document go-live procedures across multiple teams within Client Services Operations.
QUALIFICATIONS
o Doctor of Pharmacy Degree (highly preferred) or Bachelor of Science in Pharmacy.
o Advanced clinical experience/training/certifications also preferred.
o Current US Pharmacist Licensure.
o Excellent verbal and written communication skills required.
o Must have strong commitment to clinical services and company goals.
o Ability to work with cross functional committees or workgroups.
o Able to manage multiple tasks and prioritization.
o Able to function under stressful situations.
o Clinical expertise and understanding of clinical arena/issues across all points of pharmaceutical care.
o Able to present to leadership and lead discussions.
o Operations support, Workflow support, Problem Solving, Interface/Presence with Leadership, Critical & Strategic.
o Thinking, Cross Functional Skills, Organizational Collaboration, Forward Thinking.
If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.
For this position, we anticipate offering an annual salary of 95,100 - 158,500 USD / yearly, depending on relevant factors, including experience and geographic location.
This role is also anticipated to be eligible to participate in an annual bonus plan.
We want you to be healthy, balanced, and feel secure. That's why you'll enjoy a comprehensive range of benefits, with a focus on supporting your whole health. Starting on day one of your employment, you'll be offered several health-related benefits including medical, vision, dental, and well-being and behavioral health programs. We also offer 401(k) with company match, company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and paid holidays. For more details on our employee benefits programs, visit Life at Cigna Group .
**About Evernorth Health Services**
Evernorth Health Services, a division of The Cigna Group, creates pharmacy, care and benefit solutions to improve health and increase vitality. We relentlessly innovate to make the prediction, prevention and treatment of illness and disease more accessible to millions of people. Join us in driving growth and improving lives.
_Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws._
_If you require reasonable accommodation in completing the online application process, please email:_ _*********************_ _for support. Do not email_ _*********************_ _for an update on your application or to provide your resume as you will not receive a response._
_The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State._
_Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances._
Life Claims Examiner 2
Remote Job
Join Our Team
In 2025, USA Today recognized Primerica as a Top Workplace USA for the fifth year in a row, and Newsweek named Primerica one of America's Greatest Workplaces for Diversity for the second consecutive year. In 2024, the Atlanta Journal-Constitution named Primerica as a Top Workplace for the eleventh consecutive year, and Forbes recognized Primerica as one of America's Best Employers for Women for the fifth year in a row. In addition, for the tenth time Primerica has been voted a Best Employer by Gwinnett Magazine. Primerica is a great place to work!
About this PositionThe Life Insurance Examiner 2 adjudicates individual life claims. The Examiner reviews coverage eligibility, policy status, requests necessary proof of loss documents, determines benefit eligibility and recommends claims for payment or denial.
Open to candidates that reside anywhere in the United States but must work Eastern time zone hours.
Salary Range: $45K - $55KResponsibilities & Qualifications
Responsibilities & Qualifications
Duties:
Reviews coverage eligibility and policy status and requests necessary proof of loss documents
Conducts investigations, reviews and evaluates claim proofs, medical records, and criminal records
Determines benefit eligibility and recommends claims for payment or denial
Reviews and handles a high-volume caseload of Life claims
Communicate with agents, beneficiaries and attorneys both written and verbal
Knowledge, Skills, and Abilities:
Minimum 4 years' experience adjudicating Life, Health, Medical or Disability Claims
Adjudicating contestable life claims is a plus
General knowledge of pre-existing conditions, material misrepresentations and state regulatory compliance.
Excellent interpersonal and team building skills
Excellent verbal and written communication skills
Excellent judgment, research, and organizational skills
Ability to multi-task, prioritize and handle high volumes
Excellent PC skills and knowledge and usage of Microsoft Office
Detailed-oriented with the ability to work well independently and with others
#Dice
#LI-SH1
FLSA status:
This position is exempt (not eligible for overtime pay):
NoOur Benefits:
Day one health, dental, and vision insurance
401(k) Plan with competitive employer match
Vacation, sick, holiday and volunteer time off
Life and disability insurance
Flexible Spending Account & Health Savings Account
Professional development
Tuition reimbursement
Company-sponsored social and philanthropy events
It has been and will continue to be the policy of Primerica, Inc., and its subsidiaries to be an Equal Opportunity Employer. We provide equal opportunity to all qualified individuals regardless of race, sex, color, religious creed, religion, national origin, citizenship status, age, disability, pregnancy, ancestry, military service or veteran status, genetic or carrier status, marital status, sexual orientation, or any classification protected by applicable federal, state or local laws.
At Primerica, we believe that diversity and inclusion are critical to our future and our mission - creating a foundation for a creative workplace that leads to innovation, growth, and profitability. Through a variety of programs and initiatives, we invest in each employee, seeking to ensure that our people are not only respected as individuals, but also truly valued for their unique perspectives.
Senior Enterprise Architect, EA Practices
Humana Job In Frankfort, KY Or Remote
**Become a part of our caring community and help us put health first** Humana is on the lookout for a seasoned Senior Enterprise Architect who possesses a keen intellect, an inquisitive nature, and a passion for tackling challenges that drive constructive transformations within our organization. Our technical frameworks and industry best practices pave the way for thought leadership, nurturing a collaborative environment that contributes to the growth of enterprise maturity. You will engage with a diverse array of stakeholders, employing agile methodologies to design, implement, test, and consistently promote organizational alignment at various levels. Your contributions will be pivotal in shaping the technological future of Humana, ensuring that every stride taken is in sync with our overarching goals.
In your role, you will have the opportunity to lead transformational projects that redefine our technological landscape. You will spearhead initiatives aimed at achieving benchmarks that enhance operational efficiencies and align our technology strategies. Moreover, you will drive innovation, placing you at the helm of our technological journey. Your leadership will steer advancements that not only propel Humana forward but also make significant contributions to the broader healthcare industry.
**Use your skills to make an impact**
**Required Qualifications:**
+ **Visionary Leadership:** A bachelor's degree in computer science or related field, with a minimum of five years of IT engineering experience in a large-scale enterprise.
+ **Proven Experience:** Extensive background as a senior architect or technical lead on major IT projects involving multiple enterprise systems.
+ **Strategic Acumen:** At least five years in an Enterprise Architecture role, skilled in navigating complex ecosystems and fostering technical consensus.
+ **Technical Proficiency:** Solid experience in the design, development, and testing of software applications.
+ **Reference Architecture Expertise:** Proven experience in the development of Reference Architectures and Patterns, including but not limited to Microservices, ETL Batch, and Serverless technologies.
+ **Product Evaluation Skills:** Strong capability in Product Evaluation for Data Orchestration, ensuring the best technical solutions are selected to meet strategic goals.
+ **Leadership in Coordination:** Experience in coordinating Q&A sessions with Security and Lead Architects to align technology strategies and address key concerns.
+ **Technical Capability Development:** Demonstrated ability in developing Technical Capability models specifically for Infrastructure and Network IT Domains.
+ **Criteria Setting for Technology Evaluation:** Skilled in developing Product Evaluation criteria as part of the Technology Evaluation process.
+ **Consultative Role:** Experience in providing consultation on Technology evaluation, validating Technology choices, analyzing cost benefits, and ensuring compliance with Enterprise standards.
**Preferred Qualifications:**
+ **Advanced Education:** Master's Degree in a relevant field.
+ **Consumer-Centric:** A profound passion for elevating consumer experiences through continuous innovation.
+ **Certifications:** Credentials like TOGAF, Agile, and Cloud technologies are advantageous.
**Additional Information**
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
Satellite, cellular and microwave connection can be used only if approved by leadership
Employees who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense.
Humana will provide Home or Hybrid Home/Office employees with telephone equipment appropriate to meet the business requirements for their position/job.
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.
**Scheduled Weekly Hours**
40
**Pay Range**
The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.
$117,600 - $161,700 per year
This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.
**Description of Benefits**
Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.
Application Deadline: 05-01-2025
**About us**
Humana Inc. (NYSE: HUM) is committed to putting health first - for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large.
**Equal Opportunity Employer**
It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.
Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our ***************************************************************************
Process Improvement Professional Intern
Humana Job In Frankfort, KY Or Remote
**Become a part of our caring community and help us put health first** Are you a transitioning military service member or a military spouse looking for an internship that supports the goal to put health first? The DoD SkillBridge or Military Spouse Process Improvement Professional Intern will utilize Humana's Medicaid training and engage formerly acquired skillsets from military experience and education to perform within the Process Improvement Team. The Process Improvement Professional Intern analyzes and measures the effectiveness of existing business processes and develops sustainable, repeatable, and quantifiable business process improvements. The Process Improvement Professional Intern work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors.
The DOD SkillBridge Internship Program provides an opportunity for transitioning military service members to gain civilian work experience with an employer for a period between 90 and 180 days upon approval.
The Military Spouse Fellowship Program connects military spouses with employers offering a variety of professional onsite, field, or remote based opportunities for a period up to 11 weeks.
The DoD SkillBridge or Military Spouse Process Improvement Professional Intern will shadow within the department and among collaborative within the following:
+ Research best business practices within and outside the organization to establish benchmark data, Collects and analyzes process data to initiate, develop and recommend business practices and procedures that focus on enhanced safety, increased productivity, and reduced cost.
+ Determine 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 performed without direction.
+ Exercises considerable latitude in determining objectives and approaches to assignments.
**Use your skills to make an impact**
**Required Qualifications**
+ Transitioning Service Member eligible to participate in the DoD SkillBridge, or Military Spouse eligible to participate in the Military Spouse Fellowship Program
+ Bachelor's degree
+ Experience within business analysis using process driven systems
+ Intermediate to Advanced Proficiency using Microsoft Office Suite, and Visio
+ Process improvement, continuous improvement or project management experience
+ Strong business acumen and analytical skills to see the big picture and draw out insights and observations.
+ Ability to effectively interact by identifying and presenting problems, implement solutions, and influence all levels of the organization, including front line associates and senior leadership.
+ Knowledge in interpreting and executing escalations.
+ Excellent interpersonal skills including ability to develop collaborative working relationships across multiple functional areas in the organization or with consumers.
**Preferred Qualifications**
+ Licensed Healthcare Professional.
+ Prior experience in a fast-paced insurance or healthcare setting.
+ Experience with Medicaid membership and health plan services.
+ Experience with business process modeling.
+ Knowledge of process re-engineering techniques in Lean, Six Sigma.
**Additional Information**
**The DOD SkillBridge Internship Program** provides an opportunity for transitioning military service members to gain civilian work experience with an employer for a period between 90 and 180 days upon eligibility.
**The Military Spouse Fellowship Program** connects military spouses with employers offering a variety of professional onsite, field, or remote based opportunities for a period up to 11 weeks upon eligibility.
+ Networking opportunities will be provided while participating in the Internship or Fellowship.
+ Due to factors such as location, and/or requirements that cannot be modified, full-time employment is not guaranteed upon completion of the Internship or Fellowship.
**Workstyle:** Remote Work at Home
**Preferred Location:** Kentucky, will consider other locations based on talent pool
**Schedule:** Monday through Friday 8:30 AM - 5:00 PM Eastern
Travel: None
**Work At Home Guidance** At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is required. Satellite, cellular and microwave connection can be used only if approved by leadership. Associates who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense. Humana will provide Home or Hybrid Home/Office associates with telephone equipment appropriate to meet the business requirements for their position/job. Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information
**Interview Format** As part of our hiring process for this opportunity, we will be using an interviewing technology called HireVue to enhance our hiring and decision-making ability. HireVue allows us to quickly connect and gain valuable information from you pertaining to your relevant skills and experience at a time that is best for your schedule.
**SSN Alert** Humana values personal identity protection. Please be aware that applicants may be asked to provide their Social Security Number, if it is not already on file. When required, an email will be sent from ******************** with instructions on how to add the information into your official application on Humana's secure website.
**Scheduled Weekly Hours**
40
**Pay Range**
The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.
$37,440 - $87,500 per year
**Description of Benefits**
Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers benefits for limited term, variable schedule and per diem associates which are designed to support whole-person well-being. Among these benefits, Humana provides paid time off, 401(k) retirement savings plan, employee assistance program, business travel and accident.
**About us**
Humana Inc. (NYSE: HUM) is committed to putting health first - for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large.
**Equal Opportunity Employer**
It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or veteran status. It is also the policy of Humana to take affirmative action to employ and to advance in employment, all persons regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.
Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our ***************************************************************************
Account Management (Non-IC) Senior Associate - Hybrid - Express Scripts
Remote or Saint Louis, MO Job
This client facing Associate Account Manager (AAM) will directly report onsite with the Client. The AAM will serve as a liaison to the client's member experience. The AAM will also be responsible for the day-to-day contact and escalation services for high escalated member inquiries. The AAM documents inquiries and resolution in a centralized database and helps to identify trends to pursue process or procedural improvements. The AAM may assist the account team with work distribution and work plan development for team goals. The AAM escalates issues as necessary and work with internal partners for resolutions.
ESSENTIAL FUNCTIONS
* Day to day contact with clients for issue resolution by handling inbound client request.
* Outbound contacts to members to resolve access to care concerns or benefit questions.
* Monitor daily phone & email volumes to ensure workflows are handled quickly & appropriately.
* Serves as a point of escalation for critical project issues requiring a high degree of expertise and/or discretion to ensure timely resolution.
* Make independent judgments to respond to complex or critical customer issues.
* Identifies common issues, constraints, and risks across
* Work collaboratively with other departments to research and resolve issues.
* Serve as SME for internal process/procedure inquiries.
* Engages all necessary ESI areas working cross functionally to ensure projects are effectively implemented to meet business need and minimize operational risk & disruption.
* Conducts presentations, when necessary, on benefit, project status and current issues
* Acts as a single point of contact for facilitating resolution to cross functional operational issues for a given operational work stream.
QUALIFICATIONS
* Bachelor's degree or 3-5 years of equivalent member experience/account management experience.
* 3 years (or more) experience in a customer service setting
* PBM Knowledge preferable
* Excellent phone presentation, verbal, and written communication skills
* Demonstrates ability to handle challenging customers in a professional manner.
* Ability to adapt in a dynamic work environment, learn quickly, solve problems, and make decisions with minimal supervision.
* Microsoft office tools knowledgeable
* Ability to travel up to 10%
If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.
About Evernorth Health Services
Evernorth Health Services, a division of The Cigna Group, creates pharmacy, care and benefit solutions to improve health and increase vitality. We relentlessly innovate to make the prediction, prevention and treatment of illness and disease more accessible to millions of people. Join us in driving growth and improving lives.
Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws.
If you require reasonable accommodation in completing the online application process, please email: ********************* for support. Do not email ********************* for an update on your application or to provide your resume as you will not receive a response.
The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State.
Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.
Provider Relations Advisor, Retail Accountant Management -Express Scripts
Remote or Philadelphia, PA Job
Provider Relations Advisor, Retail Account Management The Provider Relations Advisor role is part of the Retail Account Management team that sits within the Network Compliance organization. The primary responsibility of this role is to manage a portfolio of Chain and PSAO pharmacy providers with complex escalated issues, provide education to these providers and deliver performance data and metrics. This role requires a high volume of issue research and resolution on a daily basis for internal and external partners. The Retail Account Manager also supports execution of operational activities with Retail Network in accordance with ESI's work plan and ensures compliance with requirements for Express Scripts clients and any regulatory agencies, while supporting the needs of chain providers. This role also supports Supply Chain Sr. Management in the execution of strategic plans within our network. This role is required to work independently to lead, own and manage the relationship of assigned chain and PSAO pharmacy providers. Managing the relationship is complete with performance management in strategic planning, analytical development and processing, as well as operational management of any requirements that impact Retail Network Providers. This role is also required to champion cross-functional issue escalations/resolution; communicate progress and key milestones to appropriate internal partners in a timely manner.
ESSENTIAL FUNCTIONS
* Responsible for the relationship and daily operational support of complex/high profile chain and PSAO providers. Operational support includes, but not limited to, claim investigation, escalated issue management.
* Responsible for cross functional collaboration with internal and external teams and provide on-going support for Health Plan Sponsors and their requirements
* Work with appropriate teams for data mining and analysis of files to ensure efficient and effective communication to Providers.
* Serves as subject matter expert for team on analytics and technical support.
* Execution of assigned strategic work plan initiatives including but not limited to network development, implementing initiatives benefiting Express Scripts clientele and promoting Corporate and Departmental objectives.
* Assists with development of strategic plans for assigned providers, providing consultative input to further foster strong provider relationships.
* A key extension of the Provider Strategy and Contracting Management teams- supporting channel development program launches and communication of program implementation and status.
QUALIFICATIONS
* Bachelor's degree in related field preferred.
* At least 3 years of related experience.
* Knowledge of the health-care, PBM industry and products.
* Excellent oral, written communication and presentation skills.
* Problem solving and analytical skills.
* Project management/organizational skills.
* Ability to work cross-functionally to research and resolve complex client/provider issues on a daily basis.
* External Relationship building.
* Strong focus on customer service.
* Ability to manage simultaneous escalated issues with tight timelines.
* Excellent PC skills including Microsoft Office and internet experience.
* Ability to adapt in a dynamic work environment, learn quickly, solve problems and make decisions with minimal supervision.
* Demonstrated ability to manage projects, utilizing proven project management processes.
Strong leadership skills and the ability to effectively engage with cross-functional leadership.
* This is a hybrid position position and requires onsite work at least 3 days a week.
Our Pharma & Retail Relations team plays a key role in keeping us at the forefront of the health care evolution. Team members oversee partnerships with Express Scripts' key supplier groups, including brand and generic pharmaceutical manufacturers, retail pharmacies and drug wholesalers. Successfully maintaining these relationships allows our 100 million patients access to the medicine they need at a price they can afford.
If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.
About Evernorth Health Services
Evernorth Health Services, a division of The Cigna Group, creates pharmacy, care and benefit solutions to improve health and increase vitality. We relentlessly innovate to make the prediction, prevention and treatment of illness and disease more accessible to millions of people. Join us in driving growth and improving lives.
Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws.
If you require reasonable accommodation in completing the online application process, please email: ********************* for support. Do not email ********************* for an update on your application or to provide your resume as you will not receive a response.
The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State.
Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.
Bilingual Health Educator - Onsite Health - Phoenix, AZ
Remote or Phoenix, AZ Job
Onsite Bilingual Health Educator - Cigna Onsite Health - Phoenix, AZ
At Cigna, we
listen to
,
advocate for
, and
collaborate with
our customers to empower them to identify their health goals and own their solutions.
This role is all about demonstrating daily support of Consumer Health Engagement Cultural Beliefs. Our Onsite Health Educators and RN Health Coaches are the linchpins to ensure we achieve better health outcomes for our customers. They focus on key areas of partnership including:
Customer Strong - Make a WOW difference for our customers
Me to We - Take accountability to trust, collaborate and partner
Own It! See a need and act
Be Bold: Challenge the status quo
Listen to Advocate: What matters to you, matters to us
Think it Through: Proactively deliver solutions focused on doing the right thing
Sound like you? Great! Here's more on how you'll make a difference:
• Provide onsite face-to-face customer coaching and support
• Identify customer health education needs through targeted health assessment activities.
• Collaborate with customers to establish health improvement plans, set personalized evidence-based goals, and support customers in achieving those goals.
• Empower customers to become an active participant in their own health outcomes.
• Assist Customer in overcoming barriers to better health
• Lead and support a variety of Health and wellness promotional activities, such as group coaching, wellness challenges and Health related seminars.
• May perform biometric screenings, including finger sticks, blood pressure, body composition, etc.
• Utilize biometric values and motivational interviewing techniques to collaborate with customer to drive to improve clinical outcomes.
• Provide support for health-related site events, which include open enrollment, wellness committee facilitation, flu shot events, health fairs, etc.
• Responsible for the adoption and demonstration of the Consumer Health Engagement cultural beliefs. Be a role model for the six cultural beliefs to drive personal accountability and organizational results.
What we expect from you:
**Bilingual Spanish required**
• Strong Clinical skills with at least 3 or more years of experience health coaching, health education and health promotion
• Bachelor's degree in a health-related field. Master's degree preferred.
• Current ACLS/BLS/CPR/AED Certification
• High energy level, with dynamic presentation skills is required.
• Positive role model in demonstrating healthy behaviors
• Passion for health improvement
• Ability to work independently
• Customer-centric focus
• Ability to proactively collaborate professionally with the client and other matrix partners.
• Understand and own a variety of clinical targets and outcome measurements. Develop action plans that drive clinical value for the customers and clients.
• Proven administrative abilities, with strong computer and software application skills.
Bonus points for:
• Registered Dietitian
• CHES (Certified Health Education Specialist)
• Motivational interviewing training/experience.
• Smoking cessation and diabetes experience.
This role is based in Phoenix, AZ and relocation is not offered.
Cigna is committed to a healthy work force. New hires must complete a background check, drug and nicotine screen to be employed in this role.
If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.
About Cigna Healthcare
Cigna Healthcare, a division of The Cigna Group, is an advocate for better health through every stage of life. We guide our customers through the health care system, empowering them with the information and insight they need to make the best choices for improving their health and vitality. Join us in driving growth and improving lives.
Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws.
If you require reasonable accommodation in completing the online application process, please email: ********************* for support. Do not email ********************* for an update on your application or to provide your resume as you will not receive a response.
The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State.
Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.
Product Business Lead Analyst - MDLIVE - Hybrid
Remote or Miramar, FL Job
The Product Business Lead Analyst at MDLIVE collaborates with cross-functional teams to analyze and write business requirements, support the product strategy, and ensure the alignment of product goals with user needs and market demands. The Business Analyst is a detail-oriented individual who proactively supports product management through market research, user feedback analysis, and competitive landscape evaluation.
Essential Job Functions
* Gather and synthesize user feedback, market research, and competitive analysis to inform product decisions.
* Support strategic alignment by analyzing business requirements and assessing their feasibility.
* Provide insights and recommendations to the product and project teams based on data analysis.
* Work closely with stakeholders across departments (e.g., engineering, marketing, operations) to gather requirements and prioritize work activities.
* Collaborate with product managers to translate business needs into technical requirements.
* Conduct market and user research to understand trends, needs, and preferences.
* Regularly analyze product performance metrics and provide actionable insights.
* Identify and resolve business process issues impacting product development.
* Assist in the preparation and maintenance of detailed product requirements documentation.
* Support QA testing by defining functional scenarios and validating feature implementations.
* Assist in managing the product lifecycle for individual products, from ideation to launch.
* Continuously monitor and analyze the impact of product changes on business processes.
Desired Knowledge/Skills/Abilities
* Bachelor's degree or equivalent experience.
* 3 to 5+ years of experience of developing solutions in a technology-based organization.
* Healthcare industry knowledge a plus
* Strong ability to interpret data, identify patterns, and extract actionable insights.
* Intellectual curiosity and a relentless push for understanding the "why" behind complex situations.
* Excellent written and oral communication skills.
* Proven ability to collaborate effectively with cross-functional teams and manage complex projects
* Proficient in MS Office applications; experience with Jira and Confluence is a plus.
* Familiarity with agile methodologies and product management tools.
* Ability to jump into new projects, quickly understand them, and determine the appropriate course of action.
* Strong structured thinking and problem-solving skills.
* Experience in gathering and synthesizing user feedback, market research, and competitive analysis.
* Understanding of mobile development lifecycles, UI/UX principles, and integration with backend services.
* Knowledge of APIs and familiarity with mobile and web development frameworks and tools.
* Understanding of web and mobile development lifecycles, UI/UX principles, and integration with backend services.
* Advocates for user needs and preferences, ensuring product decisions are informed by customer insights.
* Positive attitude and proven team player.
* Ability to work from an MDLIVE or Cigna Group office 3 days a week, as directed by the business
If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.
About Evernorth Health Services
Evernorth Health Services, a division of The Cigna Group, creates pharmacy, care and benefit solutions to improve health and increase vitality. We relentlessly innovate to make the prediction, prevention and treatment of illness and disease more accessible to millions of people. Join us in driving growth and improving lives.
Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws.
If you require reasonable accommodation in completing the online application process, please email: ********************* for support. Do not email ********************* for an update on your application or to provide your resume as you will not receive a response.
The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State.
Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.
Business Solution Manager Lead Senior Manager - Cigna Healthcare - Hybrid
Remote or Bloomfield, CT Job
The Solution Manager Business Project Sr Manager will focus on large portfolio initiatives and aligns to delivering improved affordability and go-to-market profitable growth for US Employer Core Solutions Business Delivery Strategy and Solutions. This role will be responsible for managing a team of solution managers, as well as directly supporting the build of desirable, feasible, and sustainable large-scale business solutions that meet customer needs.
Those responsible for this function achieve this by leading a team that collaborates with a wide range of matrixed partners to identify and define business needs, understand the Solution Context, and develop the Solution Vision, Solution Roadmap, and the Capabilities required to meet them. Working with Product owners, Solution Architect/Engineering, Business Architect, Solution Management aligns the Solution Train's ARTs and Project Managers on what to build and how to build it by establishing the Solution Intent repository. They also play a critical role in solution train events including Pre- and Post-PI planning, Solution and System Demos, Solution Train Sync, and other testing and delivery workstreams.
You will play a significant leadership role building relationships across a matrixed organization including product owners, solution leads and architects to drive solution intent and clarity for successful implementation and migration of products and programs.
Key Responsibilities
Manage a team of solution managers, delivering on prioritized portfolio initiatives
Define roles, responsibilities and best practices for team
Manage inventory of solutions, and define prioritization based on factors like complexity, cost, strategy and timeliness
Partner closely with business and portfolio level sponsors to identify and refine requirements for portfolio epics for new technology solutions.
Align with Product and Architecture to understand and refine scope to decompose Portfolio Epics into Program Epics and Features.
Identify key stakeholders to support program execution and communicate regularly to collect and share feedback.
Lead, facilitate and coordinate scope definition sessions partnering closely with business and solution architects, business partners and delivery teams.
Create and drive a strategic PI Roadmap and Vision, executing key strategic themes with business partners.
Prioritize and maintain the Program Backlog and support the overall direction.
Support developing long-term strategies for their organization, which could include identifying new markets to enter or new technologies to adopt.
Drive critical thinking, scope, and decisions to ensure delivering within budget and align to key delivery milestones.
Responsible for the ultimate success of the execution of a group of initiatives that will deliver value to the business.
Ensure Agile teams have necessary/appropriate budgets, resources, approvals, and other support, as required.
Continually provide insights into how to optimize teams and processes.
The ideal candidate will have exposure to agile product software implementation, project management, and documentation of business processes and software requirements over several years.
Qualifications
Bachelor's Degree, Agile Methodology, PMI Certification, Change Management or Six Sigma training preferred, or equal experience.
8+ years professional work experience in project or product management with demonstrated solution management, delivery planning and project management skills and success.
Experienced in Jira, Confluence, SharePoint, MS Excel, MS Visio
Demonstrated solution management, delivery planning and project management skills and success.
Healthcare and/or Specialty business domain experience knowledge a must
Experience with Supplemental Health business & solutions
Self-Directed and able to lead a team of leaders
Ability to understand complex needs of stakeholders at all levels of the organization to drive sustainable change.
Ability to foster collaboration, value other perspectives and gain support and buy-in
Able to be innovative and challenge the status quo; possess a strategic mindset and be an enterprise thinker.
Excellent oral, written, presentation, facilitation, and communication skills.
Proven ability to take ownership of deliverables and drive successful execution.
Ability to negotiate with peers and senior leaders to come to an agreed upon and productive solution to business problems.
Strong analytical, fact-based problem solving, and critical thinking skills, including ability to collect, analyze, and offer relevant insights from data for a senior leadership audience.
Strong business acumen, with proven ability to leverage knowledge base to quickly come up to speed in new business areas and new types of projects.
Proven ability to create and develop strong relationships with both business and IT leadership, with ability to influence in a matrixed environment is critical.
Can flex seamlessly between high-level strategic work and detailed execution of complex initiatives.
Able to manage multiple priorities and execute with limited information and ambiguity.
If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.
About Cigna Healthcare
Cigna Healthcare, a division of The Cigna Group, is an advocate for better health through every stage of life. We guide our customers through the health care system, empowering them with the information and insight they need to make the best choices for improving their health and vitality. Join us in driving growth and improving lives.
Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws.
If you require reasonable accommodation in completing the online application process, please email: ********************* for support. Do not email ********************* for an update on your application or to provide your resume as you will not receive a response.
The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State.
Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.
Software Engineering/Data Analytics Intern - Evernorth
Remote or Saint Louis, MO Job
Looking for an internship program where you'll make a real difference - rather than just completing busy work? Then you've come to the right place. The Cigna Group's Summer Internship Program is seeking a technology-focused individuals to join our Evernorth team for the summer! Our internship is designed to assign you projects that have a lasting impact on our business - which touches millions of people across the globe.
As an intern, you'll get an inside look at your desired field, while working next to some of the best in the industry. Program activities, including an executive speaker series, volunteer events, and career development workshops, give you the opportunity to network with employees across the organization and prepare you for a full-time career.
This position is with Evernorth, a business within the Cigna Corporation.
Where You'll Work
This Internship will be working within our technology group with a focus on providing reporting and analytical support for the clinical, digital, and provider focused solutions. This team utilizes pharmacy, medical, and lab data to gather insights on population health, product performance, and the value they create for our clients. The intern will support departmental tasks and will be exposed to integrated data analytics to identify top drivers or trends that lead to strategy ideation. During the summer internship, you will have the opportunity to collaborate within your department and across the business while learning from some of our brightest and most innovative employees in your area of focus.
What You'll Do
* Gain valuable knowledge on top health industry trends and integrated data analytics
* Conduct research and present findings
* Perform data analysis and reporting
* Lead 2-3 key projects as assigned by department
* Collaborate cross-functionally to support product analytics department
Qualifications
* Ideal candidate must be enrolled in an accredited college our university progressing towards a Bachelor's degree
* Must have a 3.0 GPA or above
* Must be proficient in Python, .NET, and Java
* Experience with prior database skills is preferred
* Strong attention to detail and ability to think analytically
* Excellent verbal and written communication skills
* Strong business aptitude and problem-solving skills
* Ability to work independently and as part of a team
* Proficiency with Microsoft Office Suite (i.e. Excel) and SQL
* Self-starter who is eager to learn and acquire new skills
Additional Information
* Location: This position is located at our Saint Louis, MO office location and is a hybrid role. Hybrid roles require you to be in the office three days per week.
* Work Authorization: One goal of this internship program is to prepare and identify qualified candidates for roles with The Cigna Group post-graduation. Therefore, this temporary internship is open only to individuals who are eligible for employment in the United States and who would not require visa sponsorship now or in the future.
* Schedule: You must be available to work 40 hours/week for 10-12 consecutive weeks beginning May 19, 2025. Working hours are Monday - Friday.
* Compensation: For this position, we anticipate offering an hourly rate between $19.00 and $27.00 an hour depending on relevant factors, including major and year of study and experience.
If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.
About The Cigna Group
Doing something meaningful starts with a simple decision, a commitment to changing lives. At The Cigna Group, we're dedicated to improving the health and vitality of those we serve. Through our divisions Cigna Healthcare and Evernorth Health Services, we are committed to enhancing the lives of our clients, customers and patients. Join us in driving growth and improving lives.
Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws.
If you require reasonable accommodation in completing the online application process, please email: ********************* for support. Do not email ********************* for an update on your application or to provide your resume as you will not receive a response.
The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State.
Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.
Forecasting & Planning Advisor- Evernorth- Hybrid
Remote or Fairfield, OH Job
The Resource Planning Advisor will be a key contributor to the Evernorth Fulfillment Pharmacy operations team providing strategic guidance for labor and non-drug supplies planning including forecasting and budget guidance. Collaborates with Operations, Resource Management, and other business partners in order to analyze, communicate, and provide data solutions for key performance indicators, short-range forecasting, and business problems. Will work closely with business leaders to provide strategic partnership in analytics and identify and prioritize opportunities. Influence business decisions using creativity and foresight in conceiving, planning, and communicating data insights to improve pharmacy performance.
Essential Functions
* Labor and non-drug supplies planning for Evernorth Fulfillment Pharmacy Operations, including productivity insights, performance reporting and analytics for key stakeholders
* Provide forward looking analytical models as well as retrospective analysis and participate in strategic initiatives to continuously improve processes
* Consistently meets deadlines and can manage multiple projects
Key Qualifications
* High School Diploma or GED required. Bachelor's degree preferred
* 3 plus years relevant resource planning/workforce management experience preferred
* Proficient in Microsoft office suite specifically in Excel and Excel formulation
* Experience in SQL preferred
* Strong analytical skills
* Excellent communication skills and the ability to influence without authority
* Ability to adapt in a dynamic work environment, learn quickly, solve problems and make decisions with minimal supervision
* Ability to work collaboratively with other departments to resolve complex issues with innovative solutions
If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.
About Evernorth Health Services
Evernorth Health Services, a division of The Cigna Group, creates pharmacy, care and benefit solutions to improve health and increase vitality. We relentlessly innovate to make the prediction, prevention and treatment of illness and disease more accessible to millions of people. Join us in driving growth and improving lives.
Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws.
If you require reasonable accommodation in completing the online application process, please email: ********************* for support. Do not email ********************* for an update on your application or to provide your resume as you will not receive a response.
The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State.
Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.