Become a part of our caring community The Fraud and Waste Professional 2 conducts investigations of allegations of fraudulent and abusive practices. The Fraud and Waste Professional 2 work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action. Where You Come In The Fraud and Waste Professional 2 coordinates investigation with internal and external entities including compliance, internal business partners, and law enforcement. Assembles evidence and documentation to support successful adjudication, where appropriate. Prepares complex investigative and audit reports. Understands department, segment, and organizational strategy and operating objectives, including their linkages to related areas. Makes decisions regarding own work methods, occasionally in ambiguous situations, and requires minimal direction and receives guidance where needed. Follows established guidelines/procedures. What Humana Offers We are fortunate to offer a remote opportunity for this job. Our Fortune 100 Company values associate engagement & your well-being. We also provide excellent professional development & continued education Use your skills to make an impact WORK STYLE: Remote anywhere in US, work at home. While this is a remote position, occasional travel to Humana's offices for training or meetings may be required. WORK HOURS: Monday-Friday, 8 hours/day, 5 days/week, ideally, associates will work on EST (regardless of their home time zone). Must start between 6AM-9AM (in the employee's time zone), some flexibility might be possible, depending on business needs. Required Qualifications – What it takes to Succeed - Bachelor's degree - Minimum 2 years of experience in healthcare fraud investigations - Knowledge of healthcare payment methodologies - Strong organizational, interpersonal, and communication skills - Inquisitive nature with ability to analyze data to metrics - Computer literate (MS Word, Excel, Access) - Strong personal and professional ethics - Ability to travel up to 5%, to attend trainings and meetings, as required Preferred Qualifications - STRONGLY PREFERRED: Experience in Medicare fraud investigations - Bilingual in Spanish - Additional degrees and/or certifications (MBA, J.D., MSN, Clinical Certifications, CPC, CCS, CFE, AHFI). - Understanding of healthcare industry, claims processing and investigative process development. - Experience in a corporate environment and understanding of business operations ​ Additional Information Work at Home Requirements • 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 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 exciting interviewing technology called Hire Vue (formerly Modern Hire) to enhance our hiring and decision-making ability. Hire Vue (formerly Modern Hire 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. If you are selected to move forward from your application prescreen, you will receive correspondence inviting you to participate in a pre-recorded Voice Interview and/or an SMS Text Messaging interview. If participating in a pre-recorded interview, you will respond to a set of interview questions via your phone. You should anticipate this interview to take approximately 10-15 minutes. If participating in a SMS Text interview, you will be asked a series of questions to which you will be using your cell phone or computer to answer the questions provided. Expect this type of interview to last anywhere from 5-10 minutes. Your recorded interview(s) via text and/or pre-recorded voice will be reviewed and you will subsequently be informed if you will be moving forward to next round of interviews. 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. $65,000 - $88,600 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: 04-09-2026 About us About Humana: Humana Inc. (NYSE: HUM) is a leading U.S. healthcare company. Through our Humana insurance services and our 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 and Medicaid, families, individuals, military service personnel, and communities at large. Learn more about what we offer at Humana.com and at CenterWell.com. ​ 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.

Job Summary: The Associate Director, Compliance is responsible for establishing a baseline of compliance risk, identifying areas of potential exposure, developing and aligning compliance risk management strategies with CareSource goals and objectives, and executing the compliance program ensuring effectiveness. Essential Functions: - Serves as the program compliance leader for an assigned Medicaid, Medicare, or Marketplace CareSource program and will be responsible for building and maintaining a strong relationship and goodwill with the relevant regulatory entity - Assist the Program or Regional Compliance Officer and their designees with the implementation of an effective compliance program - Oversee all assigned program compliance activities performed and tracked by compliance staff including, but not limited to, internal business owner and external regulator inquiry management, State complaint management, regulatory distribution management, and compliance workplan execution - Build and maintain strong partnerships with business units and internal support functions to help ensure that all compliance requirements have been met; risk is monitored and remediated through testing/ development/ implementation and use - Remain current and help drive interpretation and implementation of federal/state laws and regulations regarding Medicaid, Medicare and Marketplace requirements, as applicable, as well as general compliance and delegation oversight best practices and industry standards - Provide feedback to Compliance leadership concerning key risks in assigned program so that Compliance leadership may complete the annual compliance risk assessment - Assist with the execution of the compliance work plan - Respond to compliance incidents and ensure appropriate reporting and communication with business leaders and compliance team members - Manage and drive effective usage of compliance tools and data for the compliance tracking systems - Track and trend issues to identify compliance risk and performance improvement opportunities; provide input for executive compliance reporting - Assist with regulatory audits and drive audit readiness activities for assigned program - Assist teams in interpreting audit findings against audit findings, prepare and complete audit responses and oversee the development of effective corrective actions - Act as a resource for internal departments to assist with external-entity related escalated issues - Identify compliance knowledge gaps and collaborates with applicable business teams to develop training programs to address the gaps - Collaborate with internal resources on the production and communication of compliance related alerts, newsletters and educational materials for company workforce - Establish effective working relationships and build creditability within the organization to support a culture of compliance based on the company's core values - Report potential risks, non-compliance or alleged violations to Compliance leadership and plan leadership - Provide management and oversight of professional staff - Perform any other job duties as requested Education and Experience: - Bachelor’s Degree in Business/Healthcare Administration or a related discipline, or equivalent years of relevant work experience are required - Masters of Business Administration (MBA), Juris Doctorate or other advanced degree, is preferred - A minimum of five (5) years of relevant work experience within health plan operations is required, with at least three (2) years directly involved in government programs or managed care compliance activities preferred - Two (2) years of direct management experience is required - Specific Marketplace, Medicare and Medicaid managed care experience is required as applicable Competencies, Knowledge and Skills: - Advanced capabilities in MS Office suite including Microsoft Word, Excel and PowerPoint - Ability to develop and foster effective collaborative relationships with market and enterprise management in a matrix environment - Strong conflict resolution, negotiating and influencing skills - Excellent relationship management skills that will build and maintain strong working relationships in a matrix environment and influence action across the organization around risk management - Knowledge of managed care principles, benefit design, claims processing, finance, data reporting design, and analysis - Leadership ability with a high level of professionalism - Excellent oral and written communication skills - Ability to effectively interact with all levels of management within the organization and across multiple organizational layers - Excellent analysis, attention to detail, and collaboration skills - Ability to deal with ambiguity - integrate, prioritize and rollout programs without clearly defined guidelines - Experience in a high-growth business environment - Working knowledge of health plan environment is preferred - Strong analytical skills, effective problem-solving skills, and attention to detail - Ability to work in a fast-past environment - Ability to develop, prioritize and accomplish goals - Knowledge of regulatory environment and regulators (CMS/HHS/DOI/ Medicaid) Licensure and Certification: - Certified in Healthcare Compliance (CHC) preferred Working Conditions: - General office environment; may be required to sit or stand for extended periods of time Compensation Range: $113,000.00 - $197,700.00CareSource takes into consideration a combination of a candidate’s education, training, and experience as well as the position’s scope and complexity, the discretion and latitude required for the role, and other external and internal data when establishing a salary level. In addition to base compensation, you may qualify for a bonus tied to company and individual performance. We are highly invested in every employee’s total well-being and offer a substantial and comprehensive total rewards package. Compensation Type (hourly/salary): Salary Organization Level Competencies - Fostering a Collaborative Workplace Culture - Cultivate Partnerships - Develop Self and Others - Drive Execution - Influence Others - Pursue Personal Excellence - Understand the Business This job description is not all inclusive. CareSource reserves the right to amend this job description at any time. CareSource is an Equal Opportunity Employer. We are dedicated to fostering an environment of belonging that welcomes and supports individuals of all backgrounds. #LI-SW2

• Execute pre-sales framework to engage customers, prospects, and partners via phone, web, or onsite meetings • Ensure customer success by working with Workiva Client Services team for smooth on-boarding and long term success • Demonstrate knowledge across multiple domain areas developing working knowledge of industries, departments, and use cases where Workiva can have an impact • Assist in developing new use-cases or by using existing templates providing proof of our solution's impact and value proposition • Conduct process assessments with customers, build Proof of Concepts to validate requirements, build and present customer specific business cases

Audit Supervisor To Apply Now - email your resume to job-knemkq7d-1e4ngrk82rw3kdm@sagedata.io Who: An experienced audit professional with strong leadership, communication, and technical skills. What: Lead audit engagements, manage staff, review workpapers, and ensure high-quality reporting across multiple industries. When: Hiring immediately for a leadership role with significant client interaction. Where: Based in the U.S. with flexibility depending on candidate location. Why: To support a growing audit practice by delivering high-quality engagements and developing the next generation of audit talent. Office Environment: Collaborative, client-focused, supportive of mentorship, and committed to professional growth. Salary: Competitive and based on experience, credentials, and leadership capability. Job Description We are seeking an experienced and motivated Audit Supervisor to lead audit engagements across a diverse range of industries, including manufacturing, distribution, software, technology, staffing, nonprofit organizations, and professional services. This role provides substantial client interaction and oversight of audit teams, requiring strong technical expertise and the ability to manage projects effectively. Responsibilities include: - Supervising the planning and execution of audit and review engagements. - Leading engagement teams, managing staff assignments, and providing on-the-job training and mentorship. - Preparing and overseeing audit planning documents, including time budgets, audit programs, and planning memos. - Reviewing workpapers to ensure audit documentation supports conclusions. - Drafting and reviewing financial statements, management letters, and audit reports. - Maintaining strong client relationships through proactive communication and guidance. - Ensuring adherence to professional standards, regulatory requirements, and internal policies. Requirements: - Bachelor’s degree in Accounting. - Minimum of three years of public accounting audit experience. - Experience leading audit engagements as an in-charge or supervisor. - CPA license preferred but not required. - Strong knowledge of GAAP, auditing standards, and financial reporting. - Excellent communication, organizational, and leadership skills. To Apply Now - email your resume to job-knemkq7d-1e4ngrk82rw3kdm@sagedata.io