CenterWell

Role Description The Senior Clinical Operations Professional provides data-based strategic direction to identify and address the Primary Care Organization's total cost of care opportunities. This role involves moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable economic, clinical, and operational factors. The Senior Professional, Specialty Care Strategy will support the development, execution, and performance of specialty care initiatives across the organization. - Support the design, implementation, and evaluation of specialty care strategies that align with the organization's value-based care objectives. - Develop financial models and analyses to assess the performance of specialty care programs, including network performance, cost of care trends, and ROI. - Partner with market leadership to support contracting strategies, including provider network design and value-based payment arrangements. - Analyze utilization, quality, and financial data to identify performance improvement opportunities for specialty provider partners. - Collaborate with cross-functional teams to translate data insights into actionable business strategies. - Create executive-level presentations and reports to communicate findings, recommendations, and program performance. - Monitor regulatory and industry trends in specialty care and value-based care to inform strategic decision-making. - Assist in the development of performance dashboards, scorecards, and other tools to monitor provider performance and program outcomes. Qualifications - Bachelor's degree in Business, Health Administration, Public Health, Finance, or a related field. - A minimum of six years of experience in healthcare analytics, strategy, or financial analysis. - Experience in value-based care or specialty care. - Strong analytical skills with experience in data analysis, financial modeling, and performance measurement. - Proficiency in Excel, PowerPoint, SQL, and data visualization tools (e.g. Power BI). - Ability to convey complex information to executive audiences. - Ability to work independently and collaboratively in a fast-paced, matrixed environment. - Knowledge of healthcare reimbursement models, provider network management, and value-based care principles. Requirements - 100% remote role. - Standard working hours required; 8:00 am - 5:00 pm; Central or Eastern Time Zones. - <20% Annual travel to various Centerwell and Conviva markets. - Self-provided internet service must meet minimum criteria: download speed of 25 Mbps and upload speed of 10 Mbps. - Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information. - Occasional travel to Humana's offices for training or meetings may be required. - Scheduled Weekly Hours: 40. - Compensation range: $86,300 - $118,700 per year. - This job is eligible for a bonus incentive plan based on company and/or individual performance. Benefits - 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. - Many other opportunities supporting whole-person well-being.

Role Description The Workforce Management Lead applies and integrates advanced and predictive analysis, people metrics and reporting to develop strategic and operational insights for workforce decision-making (e.g., staffing, learning and development, talent management, diversity and human resource compliance). The Workforce Management Lead works on problems of diverse scope and complexity ranging from moderate to substantial. CenterWell Pharmacy is seeking a highly technical and strategic Workforce Capacity Planning Lead to drive forecasting excellence and workforce planning performance within a key business unit. This role is ideal for a data-driven leader who combines deep analytical expertise with people leadership and a passion for modernizing workforce planning. You will own forecasting strategy end-to-end while leading a small team (2–3 direct reports) and partnering closely with Operations and Finance. This role requires hands-on proficiency in advanced analytics, data engineering concepts, and visualization tools to elevate forecasting accuracy, scalability, and insight generation. Key Responsibilities - Forecasting Strategy & Ownership - Own end-to-end forecasting and workforce capacity planning for an assigned business unit - Develop and maintain short-term and long-range forecasts aligned with operational and financial plans - Ensure alignment across demand forecasts, staffing strategies, and financial targets - Define and continuously improve forecasting methodologies, assumptions, and governance - Technical & Analytical Leadership - Design and implement advanced forecasting models using modern analytical tools and techniques - Leverage Python and ETL tools to build, automate, and scale data pipelines and forecasting processes - Utilize Power BI, Tableau, or similar platforms to deliver actionable, executive-ready insights - Evaluate and introduce new tools, technologies, and analytics capabilities to modernize workforce planning - Performance Management & Insight Delivery - Monitor forecast accuracy, bias, and capacity plan feasibility; proactively mitigate risk - Lead performance reviews and present insights to senior and executive leadership - Translate complex data into clear recommendations that drive operational and financial outcomes - Maintain strong documentation, controls, and performance tracking standards - People Leadership - Manage, coach, and develop a team of 2–3 Analysts/Senior Analysts - Set clear expectations for analytical rigor, quality, and accountability - Provide mentorship to elevate technical and business acumen across the team - Foster a culture of continuous improvement and innovation - Cross-Functional Partnership - Serve as a strategic partner to Operations and Finance leadership - Influence decision-making by framing trade-offs, risks, and opportunities - Ensure workforce strategies support broader business objectives and service commitments Qualifications - Required - Bachelor’s degree in Analytics, Data Science, Business, Finance, or related field - 8+ years of experience in workforce planning, forecasting, analytics, or related discipline - Proven experience building and owning forecasting models in complex environments - Strong hands-on proficiency in: - Python (data analysis, modeling, automation) - Data visualization tools (Power BI, Tableau, or similar) - ETL processes and data pipeline development - Demonstrated experience managing or leading a small team - Strong communication skills with experience presenting to senior leadership - Preferred - Experience in healthcare, pharmacy, or contact center operations - Familiarity with workforce management systems (e.g., NICE, Aspect, Verint, etc.) - Experience with cloud data platforms or modern analytics ecosystems (e.g., Azure, Snowflake) - Background in statistical modeling, machine learning, or advanced forecasting techniques Requirements - Technical Expertise: Deep experience in Python, data modeling, and analytics tooling - Forecasting Mastery: Advanced understanding of workforce forecasting and capacity planning - Leadership: Ability to lead, develop, and inspire a high-performing analytical team - Strategic Thinking: Connects workforce planning decisions to business and financial outcomes - Executive Influence: Confident communicator who can translate data into action - Systems Thinking: Understands the interplay of demand, staffing, productivity, and service Benefits - Competitive benefits that support whole-person well-being - 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

Role Description As a Virtual Physician Collaborator, you will align with our mission to enhance patient care. In this role, you will partner with our Nurse Practitioners to bridge gaps in care. This role is fully remote and requires approximately five hours per month. You will report directly to the Associate Director. - You will complete regular chart review and coordinate monthly meetings. - You will be available as a resource for the advanced practice provider to ensure quality patient care. - You will collaborate with clinical leaders about quality of care, review of outcome data, procedure, and records issues. Qualifications - Current and unrestricted medical license in the state of Texas. - Graduate of accredited MD or DO program of accredited university. - Board certification or Board Eligible. - 2+ years of telehealth experience. - 2+ years of experience as a collaborating physician. Requirements - Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required. Benefits - Paid time off. - 401(k) retirement savings plan. - Employee assistance program. - Business travel and accident. 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. $310,000 - $368,500 per year

Role Description The Cardiologist, Virtual Care serves as a virtual health-care provider who specializes in diagnosis, management, and follow-up of patients with any suspected or known heart diseases. The role involves moderately complex to complex issues requiring in-depth evaluation of variable factors. - Specializes in diseases of the heart and blood vessels. - Part of a clinical care team focusing on outpatient medicine, continuity of care, health maintenance, and disease prevention for elderly patients. - Manages complex cardiac conditions such as: - Heart attacks - Abnormal heartbeat rhythms - Congestive heart failure - Provides preventative techniques for potential heart-related illnesses. - Spends 100% of time clinically focused on direct patient virtual care, including patient-facing time and general administrative tasks related to direct patient care. Qualifications - Medical degree and 5+ years of residency and fellowship experience. - Licensure requirements of the state of jurisdiction. - Graduate of accredited MD or DO program of accredited university. - Certified by the American Board of Internal Medicine with a certificate of special qualification in cardiovascular disease. - Certified by the American Board of Nuclear Medicine with a certificate of special qualification in echocardiography. Requirements - This role is considered patient-facing and is part of Humana/Senior Bridge's Tuberculosis (TB) screening program. - If selected for this role, you will be required to be screened for TB. - Occasional travel to Humana's offices for training or meetings may be required. Benefits - Competitive benefits that support whole-person well-being. - 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. Company Description CenterWell Senior Primary Care provides proactive, preventive care to seniors, including wellness visits, physical exams, chronic condition management, screenings, minor injury treatment, and more. Our unique care model focuses on personalized experiences, taking time to listen, learn, and address the factors that impact patient well-being. - Integrated care teams spend up to 50 percent more time with patients, providing compassionate, personalized care that brings better health outcomes. - Focus on whole health and addressing the physical, emotional, and social wellness of our patients.

Role Description The Referral Coordinator schedules and pre-registers patients for exams and procedures with specialists and providers outside of the primary care physician's office. You will report to the Center Administrator. The Referral Coordinator gathers and communicates all relative information and preparation instructions to patient and referring providers. Your decisions are limited to defined parameters around work expectations, quality standards, priorities and timing, and works under close supervision and/or within established policies/practices and guidelines with minimal opportunity for deviation. Qualifications - At least 1 year of hands-on healthcare experience working with Referrals in a clinical setting, preferably within the Medicare population - Proficient with Microsoft Office applications including Microsoft Word, Excel and Outlook - Proficient with medical terminology - Experience with Electronic Medical Records - Excellent professional communication abilities, at all levels within the organization and with patients, at all times Requirements - Knowledge of ICD 10 and CPT coding (preferred) - Referral experience (preferred) Benefits - 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 - Many other opportunities Company Description About Conviva Senior Primary Care: Conviva Senior Primary Care provides proactive, preventive care to seniors, including wellness visits, physical exams, chronic condition management, screenings, minor injury treatment and more. As part of Humana’s Primary Care Organization, which includes CenterWell Senior Primary Care, Conviva’s innovative, value-based approach means each patient gets the best care, when needed most, and for the lowest cost. We go beyond physical health – addressing the social, emotional, behavioral and financial needs that can impact our patients' well-being. About CenterWell, a Humana company: CenterWell is a leading healthcare services business focused on creating integrated and differentiated experiences that put our patients at the center of everything we do. The result is high-quality healthcare that is accessible, comprehensive and, most of all, personalized. As the largest provider of senior-focused primary care, a leading provider of home healthcare and a leading integrated home delivery, specialty, hospice and retail pharmacy, CenterWell is focused on whole health and addressing the physical, emotional and social wellness of our patients. CenterWell is part of Humana Inc. (NYSE: HUM). Learn more about what we offer at CenterWell.com.

Role Description As a Utilization Management Nurse, you will use clinical knowledge skills to: - Interpret criteria, policies, and procedures. - Provide the best and most appropriate treatment, care, or services for members. - Coordinate and communicate with providers, members, or other parties to facilitate care and treatment. - Understand department, segment, and organizational strategy and operating goals. - Report to a Utilization Management Manager. This is a remote position. Qualifications - Active Registered Compact Nurse license (RN) in the home state with no disciplinary action and ability to obtain non-compact licensure. - 3+ years of Medical Surgery, Heart, Lung or Critical Care Nursing clinical experience in Acute care (skilled or rehab clinical settings). - Work rotation and possible holiday coverage required. Requirements - Utilization management experience. - BSN or Bachelor's degree in a related field. - Health Plan experience. - Previous Medicare or Medicaid Experience. - Bilingual English and Spanish. Benefits - Competitive benefits that support whole-person well-being. - 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. Additional Information - Self-provided internet service must meet a minimum download speed of 25 Mbps and an upload speed of 10 Mbps. - Satellite, cellular, and microwave connection can be used only if approved by leadership. - Employees in specific states will receive a bi-weekly payment for their internet expense. - Humana will provide telephone equipment appropriate for the position/job. - Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information. - 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. $71,100 - $97,800 per year This job is eligible for a bonus incentive plan based on company and/or individual performance. Application Deadline 05-15-2026

Role Description Become a part of our caring community. The Principal, Care Integration Clinical Strategy and Program Development is a critical leadership role responsible for the success of the portfolio of Care Integration programs within the Complex Care vertical of centralized programming to serve CenterWell Senior Primary Care’s (and Conviva Senior Primary Care’s) highest need and complexity patients with care and case management services. The Principal is responsible for the strategic direction, execution, and ongoing management of the platforms, products, and analytics – along with their associated workflows and operations – underpinning our High Risk Patient Management (HRPM) program and Transitions of Care Management (TCM) and condition management program, both designed to improve quality and reduce costs for high-risk senior populations in full-risk Medicare arrangements. The Principal will be the key cross-functional owner of the strategic planning, development, and effectiveness of these tools. Working in a matrixed environment, the Principal is a director-level, individual contributor role, with responsibility for platform, product, and analytics tooling, collaborating with IT, Product (Athena, SalesForce), Analytics (DataHub), and Medical Economics teams to deliver offerings supporting the 500+ FTE care teams driving program delivery and patient outcomes. The ideal candidate will possess a strong strategic, analytics, and platform tool background (particularly with a lens toward VBC provider delivery offerings), a deep understanding of value-based care principles, and a proven ability to understand an overall vision while engaging with detail-oriented specifications and considerations, and motivate cross-functional teams. This leader will provide ongoing program support through active communication and consultation with the operational, strategic, and clinical leaders driving program delivery. Qualifications - Bachelor’s degree - 5+ years progressively responsible professional experience in health-related product, IT, analytics, preferably in value-based care, particularly managed care or full risk models - 5+ years of cross-functional translation tooling experience (e.g., sitting between clinical leadership team and hands-on-keys product development team) - Experience in developing performance dashboards – specifically defining metric definitions, collaborating with analytics and tech teams to implement dashboards, and performing metric quality checks - The ability to clearly explain complex ideas, analytic insights, and technologies to non-technical audiences - Experience in a large, highly matrixed company, with proven ability to influence leaders and key stakeholders in such an environment, within and outside of direct reporting lines - Excellent qualitative and quantitative analytic skills, with the ability to ask the right questions to identify the root causes of problems to be addressed - Excellent collaboration capabilities and high EQ; integrator, can connect the dots and understand how to optimize system-level processes - Excellent oral and written communications skills, including the polish, poise, and executive and authentic presence that will ensure effective interaction with leadership and front line/manager users of tools Requirements - Develop, socialize, and implement Care Integration Team tooling strategy in partnership and collaboration with operational leaders, clinical leaders, IT, population health, and analytics. - Support development of product strategy - Develop and prioritize the intake - Design the product intake feature specifications - Test the features & provide feedback to product team - Collect feedback from frontline staff & Managers for product enhancements - Train Education team & frontline staff on product features and hold regular office hours (in coordination with Education team) - Coordinate with Change Committee - Manage products: SalesForce, Athena, Genesys, AI (e.g., Ambient AI) - Manage HRP score logic & coordinate with clinical and data science - Coordinate with shared services for improvement/new initiatives e.g., Genesys, Call Center (e.g., call center scheduling patients in 7D), Center Ops (e.g., HIMS, Trueshore) - Manage the IT Budget (in coordination with Complex Care VP) - Design & manage implementation of metric/dashboard enhancements - Prioritize analytics initiatives - Develop metric definitions - Design dashboard UI - Co-develop sprint-plans with analytics partners - Coordinate development of metrics with analytics team - Conduct metric QA - Act as point of contact for analytics and product-related questions Benefits - Competitive benefits that support whole-person well-being - 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 - Many other opportunities Additional Information - Remote role, 20% travel to various CenterWell & Conviva markets, on-sites - Scheduled Weekly Hours: 40 - Pay Range: $138,900 - $191,000 per year - This job is eligible for a bonus incentive plan based upon company and/or individual performance.

Role Description The Nurse Practitioner (VSP) applies advanced education and clinical competencies to achieve optimal patient outcomes. The Nurse Practitioner (VSP) works on problems of diverse scope and complexity ranging from moderate to substantial. This is a variable service provider NP/PA (APP) role with an average of 20-30 hours per week. Licensure preferred in TX, AZ, LA, GA, SC, NC. This is a fully remote position. - Call Humana members to discuss open care gaps and placing needed orders (specifically women who had a fracture in the last 6 months) - Create and register a patient record within Athena - Verify benefits - Gather medication, medical and surgical history - Coordinate management of members' social needs to help facilitate gap closure – providing transportation services. Qualifications - Master's in Science in Nursing - Active, unrestricted NP Licensure preferred in TX, AZ, LA, GA, SC, NC - 2+ years of experience Requirements - While this is a remote position, occasional travel to Humana's offices for training or meetings may be required. Benefits - Paid time off - 401(k) retirement savings plan - Employee assistance program - Business travel and accident 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. $149,800 - $206,100 per year 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.

Role Description The Cardiologist, Virtual Care serves as a virtual health-care provider who specializes in diagnosis, management, and follow-up of patients with any suspected or known heart diseases. The Cardiologist, Virtual Care work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors. The Cardiologist, Virtual Care specializes in diseases of the heart and blood vessels and is part of a clinical care team that focuses on: - Outpatient medicine - Continuity of care - Health maintenance - Disease prevention for elderly patients The Cardiologist, Virtual Care manages complex cardiac conditions such as: - Heart attacks - Abnormal heartbeat rhythms - Congestive heart failure Additionally, the Cardiologist provides preventative techniques for dealing with potential heart-related illnesses. The Cardiologist spends 100% of their time clinically focused on direct patient virtual care, inclusive of patient-facing time and general administrative time (charting, etc.) as it relates to direct patient care. Qualifications - Medical degree - 5+ years of residency and fellowship experience - Graduate of accredited MD or DO program of accredited university - Certified by the American Board of Internal Medicine with a certificate of special qualification in cardiovascular disease - Certified by the American Board of Nuclear Medicine with a certificate of special qualification in echocardiography Requirements - This role is considered patient-facing and is part of Humana/Senior Bridge's Tuberculosis (TB) screening program. - If selected for this role, you will be required to be screened for TB. - Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required. Benefits - 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 - Many other opportunities 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. $360,500 - $495,700 per year This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.

Role Description The Business Intelligence Lead solves complex business problems using data from internal and external sources to provide insight to decision-makers. The Business Intelligence Lead works on problems of diverse scope and complexity ranging from moderate to substantial. You will report to the Director, Business Intelligence. The Business Intelligence Lead defines the technologies and practices used to transform data into applicable insights. You will advise executives to develop functional strategies (often segment specific) on matters of significance. You will exercise discernment on complex issues regarding job responsibilities and related tasks. You will use judgment that requires analysis of variable factors and determining the best course of action. Qualifications - Bachelor's degree and 8+ years of technical experience in data analysis OR Master's degree and 4+ years of experience. - 2+ years of project leadership experience. - Advanced experience working with big and complex data sets within large organizations. - Experience analyzing data to solve different business problems and create data visualizations that move strategic direction. - Proficiency in understanding Healthcare related data. - Experience with Medicare Risk Adjustment (MRA), Health Information Exchange (HIE), and quality healthcare data aggregation. - Must be able to work within the EST time zone. - Passionate about contributing to an organization focused on improving consumer experiences. Requirements - Advanced Degree in a quantitative discipline, such as Mathematics, Economics, Finance, Statistics, Computer Science, Engineering or related field. - Advanced in SQL, SAS, and other data systems. - Experience with tools such as Tableau and Qlik for creating data visualizations. - Expertise in data mining, forecasting, simulation, or predictive modeling. - Experience creating analytics solutions for several healthcare sectors. Benefits - Competitive benefits that support whole-person well-being. - 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. Additional 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: $117,600 - $161,700 per year. - This job is eligible for a bonus incentive plan based upon company and/or individual performance.