Become a part of our caring community and help us put health first Shift/Availability Requirements: -This is a per diem position scheduled up to 19 hours a week. -Days of availability are Saturday & Sunday. -Scheduled for 9 1/2 hour shifts. -Hours of availability are either: Option 1: 7:30am-5:30pm EST Option 2: 8am-6pm EST Option 3: 8:30am-6:30pm EST As an E-Referral Specialist you will report to the E-Referral Supervisor. You will be an important part of the referral process as this role is the initial contact point for the client or referral source to promote the continuity of care. You will be responsible for data collection and documentation, compliance, and follow up on the initial referral process and decision. Essential Functions you will be responsible for: - Monitor multiple e-referral systems to identify new referrals and manage alerts and notifications. - Monitor email for request to pull referrals from all applicable referral systems. Perform follow-up and manage all related communication. - Scan documentation to determine patient eligibility for services (service area, orders, insurance, etc.) - Help with authorizations. - Monitor status of all referrals received, follow up with each throughout process, reports on status weekly. - Communicate with branch, sales, leadership by email or phone for status updates and referral decisions. - Daily management of ERST log with all referrals and ROCs decisions. - Maintain acceptable productivity level, as determined by work assignment and departmental standards. - Comply with and follow all regulatory compliance areas, policies & procedures, and company best practices. Use your skills to make an impact Required Experience: - High School Diploma or its equivalent - Can type a minimum of 40 wpm - Comprehend and apply principles of basic math while analyzing data and generating reports - Good logical thinking and decision-making skills - Can follow strict timelines - Communication with all levels of management - Can work with multiple screens/systems ensuring attention to detail - Time management skills and can work in a fast-paced environment - Must read, write and speak fluent English - Must have good and regular attendance - Approximate percent of time required to travel: 0% Preferred Experience: - Patient referral and insurance verification experience - Minimum 1 year customer service or other healthcare related experience; preference working in a home health environment - Knowledge of the issues related to the delivery of home health services - Working knowledge of Medicare enrollment and guidelines governing home health agencies - Associates degree 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. - Home or Hybrid Home/Office employees will be provided 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 1 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. $40,000 - $52,300 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. Application Deadline: 03-27-2026 About us About CenterWell Home Health: CenterWell Home Health specializes in personalized, comprehensive home care for patients managing a chronic condition or recovering from injury, illness, surgery or hospitalization. Our care teams include nurses, physical therapists, occupational therapists, speech-language pathologists, home health aides, and medical social workers – all working together to help patients rehabilitate, recover and regain their independence so they can live healthier and happier lives. About CenterWell, a Humana company: CenterWell creates experiences that put patients at the center. As the nation’s largest provider of senior-focused primary care, one of the largest providers of home health services, and fourth largest pharmacy benefit manager, CenterWell is focused on whole-person health by addressing the physical, emotional and social wellness of our patients. As part of Humana Inc. (NYSE: HUM), CenterWell offers stability, industry-leading benefits, and opportunities to grow yourself and your career. We proudly employ more than 30,000 clinicians who are committed to putting health first – for our teammates, patients, communities and company. By providing flexible scheduling options, clinical certifications, leadership development programs and career coaching, we allow employees to invest in their personal and professional well-being, all from day one.​ 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.

Imagine360 is currently seeking a Provider Support Specialist to join the team! The Provider Support Specialist will maintain the integrity and accuracy of Provider Records. Position Location: 100% remote Duties/Responsibilities: - Enter new providers into the claims processing system - Maintain provider records to ensure claims transfer into the system successfully by working the maintenance (M837) file - Call/write provider for information - Mail form W-9 request letters and follow up to ensure responses are received. - Verify Provider name and Tax Identification Number (TIN) - Retrieve W-9 form provider and enter correct information in system. - Enter provider fee schedules for PPO networks. - Respond to telephone or written provider inquiries as needed. - Perform other duties as assigned - Perform all tasks in accordance with HIPAA/PHI guidelines - Complete HIPAA training annually Required Education: - High school diploma or equivalent is required.  Preferred Experience: - Medical field experience - Prior TPA experience. Skills and Abilities: - Working in a fast-paced environment - Excellent written and verbal communication skills What can Imagine360 offer you? - Multiple Health plan options - Company paid employee premiums for disability and life insurance - Parental Leave Policy - 20 days PTO to start / 10 Paid Holidays - Tuition reimbursement - 401k Company contribution - Company paid Short & Long term Disability plus Life Insurance - Professional development initiatives / continuous learning opportunities - Opportunities to participate in and support the company's diversity and inclusion initiatives Want to see our latest job opportunities? Follow us on LinkedIn Imagine360 is a health plan solution company that combines 50+ years of self-funding healthcare expertise. Over the years, we've helped thousands of employers save billions on healthcare. Our breakthrough total health plan solution is fixing today's one-size-fits-none PPO insurance problems with powerful, customized, member-focused solutions. Imagine360 is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or veteran status. **RECRUITMENT AGENCIES PLEASE NOTE: Imagine360 will only accept applications from agencies/business partners that have been invited to work on a specific role. Candidate Resumes/CV's submitted without permission or directly to Hiring Managers will be considered unsolicited and no fee will be payable. Thank you for your cooperation**

- Provide day-to-day operational support for IBM Business Automation Workflow (BAW) environments (on-prem and cloud) - Diagnose and resolve issues across: - BAW runtime services, clusters, and environment configuration - Process Server and Case components, including deployment and execution issues - Human task routing, work management, and user experience concerns - Integrations (REST/SOAP), authentication (LDAP/SSO), and security-related configurations - Analyze BAW process applications to determine whether issues stem from platform configuration or solution design, and implement or recommend appropriate corrective changes - Perform and support BAW upgrades, patching, and version transitions - Assist with deployments, restarts, and environment health checks - Perform routine system maintenance (snapshots, cleanup, configuration reviews) - Identify recurring issues and recommend improvements to reduce operational risk - Help stabilize and mature customer environments over time - Act as a trusted technical contact for clients running BAW in production - Communicate clearly about issues, root causes, and remediation steps - Provide “backstop support” to customer administrators and BP3 delivery teams - Balance responsiveness with thoughtful, sustainable solutions - Work with BP3 architects and senior engineers on complex or systemic issues - Coordinate with IBM Support when defects or product-level issues are identified - Contribute to documentation, runbooks, and operational knowledge transfer

Remote role, anywhere in the US Open Sky Group is a global specialist in Blue Yonder (formerly JDA RedPrairie) supply chain platform. We offer a unique methodology of disciplined agility and a no-modifications approach that enables rapid implementation and upgrade of Blue Yonder WMS, WLM, WFM, and TMS for a faster return on investment.  We help clients get the most from their supply chain technology investment by providing workable and stable solutions to supply chain software challenges. Open Sky Group is best known for its deep expertise with Blue Yonder WMS, a Tier 1 software system. Although each project has unique aspects, typical engagements include new Software Implementations, Upgrades, Replenishment and Slotting Optimizations, Material Handling and ERP Integration, and Parcel Systems. Our mission is to deliver technology-enabled solutions that allow our customers to achieve more, often with less, while having the flexibility to adapt to change.   The Support Analyst is a subject matter expert and individual contributor who resolves incidents, monitors software and infrastructure, and provides timely feedback and resolution to our clients.