Become a part of our caring community The Care Management Support Lead (MDHSS Title: Care Management Director) shall have responsibility for coordinating with and bridging gaps between the market care management team and the enterprise/ Highly Integrated Dual Eligible Special Needs Plan (HIDE SNP) care management team(s). The Care Management Support Lead (MDHSS Title: Care Management Director) uses clinical knowledge, communication skills, and independent critical thinking skills towards interpreting criteria, policies, and procedures to provide the best and most appropriate treatment, care, or services for Enrollees. Coordinates and communicates with stakeholders from market operations and enterprise operations including, but not limited to, Medical Directors, Quality Improvement and Population Health teams, and Long-Term Services and Supports (LTSS) teams to facilitate optimal care, treatment, and quality outcomes. - Collaborate with plan leadership on process improvements, trends analysis, and operational efficiencies. - Report to plan leadership on departmental performance, challenges, opportunities, risks, and recommendations for improvements/changes. - In collaboration with market and enterprise partners, ensures compliance with the contract, CMS and Michigan Department of Health and Human Services (MDHHS) policies, procedures, and regulations. - Collaborates with Population Health, Quality, and Clinical Leaders to reduce barriers to care, decrease health disparities, support at-risk, underserved, and rural communities, and address HRSNs that impact Enrollees’ health and well-being. - Review data to identify gaps in care and create solutions to address these areas. - Fosters positive relationships with MDHHS, local and state health agencies, subcontractors, providers, hospitals, nursing and assisted living facilities, member advocacy groups, community organizations, and other stakeholders. - Participate in Care Management collaborative meetings as required by MDHHS. Use your skills to make an impact Required Qualifications - Michigan residency required, or willingness to relocate. - Bachelor’s degree in nursing (BSN) or social work. - An active, unrestricted Michigan licensed Registered Nurse (RN) or Licensed Social Worker (LSW). - Five (5) or more years of clinical experience, to include a combination of Utilization Management Case Management, and Managed Care. - Two (2) or more years of leadership experience. - Knowledge of Medicare and Medicaid regulatory requirements and National Committee for Quality Assurance (NCQA) Standards. - Intermediate to advanced proficiency in Microsoft Office programs specifically PowerPoint, Word, Excel, and Outlook. - Previous experience with electronic case notes documentation and experience documenting in multiple computer applications/systems. Preferred Qualifications - Master’s degree. - Nationally recognized Case Management certification. - Prior experience leading integrated care team. - Experience supporting quality improvements related to auditing results for Care Management activities. - Intermediate to advanced healthcare financial acumen. Additional Information - Workstyle: This is a remote position. - Travel: Up to 20% to meet with community partners and other care teams. May need to attend occasional onsite team engagement meetings in Humana's Michigan location. - Typical Workdays and Hours: Monday – Friday; 8:00am – 5:00pm Eastern Standard Time (EST). WAH Internet Statement 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. 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. 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. $86,300 - $118,700 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. 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.

Application Deadline: 04/19/2026 Address: VIRTUAL(R)59 - REMOTE/TELETRAVAIL - ON - BMO Job Family Group: Customer Shared Services Provides professional, accurate, courteous, and timely support and guidance to internal business partners and end clients. Delivers a memorable positive experience as a trusted advisor to stakeholders, providing a source of business process, policy, procedure, product and/or system expertise. Provides extensive business knowledge in an effective, responsible, and timely manner to aid in delivering business results and/or minimizing risk. - Builds effective relationships with internal and external stakeholders by providing professional, accurate and courteous service in a timely manner. - Identifies, research and analyze account related issues with the purpose of providing insight, recommendations and determining next steps. - Keeps up to date on new initiatives and processes, maintaining solid knowledge within subject matter specialties. - Provides positive service and support for all in-scope business groups, products, policies, and procedures. - Acts as a liaison coordinating with various areas to effectively satisfy requests or customer concerns in a timely fashion - Notifies and provides regular updates on operational issues to business partners. - Completes complex & diverse tasks within given rules/limits and may include handling escalations from other employees. - Ensures Incident Management Processes are followed. - Organizes work information to ensure accuracy and completeness. - May support change management of varying scope and type; tasks typically focused on execution and sustainment activities. - Executes specific activities for the implementation of strategic initiatives; includes tracking metrics and milestones. - Broader work or accountabilities may be assigned as needed. Qualifications: - Verbal & written communication skills – Excellent. - Organization skills - Excellent - Analytical and problem-solving skills - Strong - Ability to thrive in a fast-paced environment - Collaboration & team skills - Excellent - PC skills (MS Word, Excel, PowerPoint) - Good - Between 1-2 years of relevant experience and post-secondary degree in related field of study desirable or an equivalent combination of education and experience. - Knowledge of the business/group processes/procedures/tools/technology. - Knowledge of applicable risk and regulatory requirements and the impact on the business/group. - Completion of, or enrollment in, the IFIC Funds course or the CSC considered an asset Salary: $36 600,00 - $67 500,00 Pay Type: Salaried The above represents BMO Financial Group’s pay range and type. Salaries will vary based on factors such as location, skills, experience, education, and qualifications for the role, and may include a commission structure. Salaries for part-time roles will be pro-rated based on number of hours regularly worked. For commission roles, the salary listed above represents BMO Financial Group’s expected target for the first year in this position. BMO Financial Group’s total compensation package will vary based on the pay type of the position and may include performance-based incentives, discretionary bonuses, as well as other perks and rewards. BMO also offers health insurance, tuition reimbursement, accident and life insurance, and retirement savings plans. To view more details of our benefits, please visit: https://jobs.bmo.com/global/en/Total-Rewards About Us At BMO we are driven by a shared Purpose: Boldly Grow the Good in business and life. It calls on us to create lasting, positive change for our customers, our communities and our people. By working together, innovating and pushing boundaries, we transform lives and businesses, and power economic growth around the world. As a member of the BMO team you are valued, respected and heard, and you have more ways to grow and make an impact. We strive to help you make an impact from day one – for yourself and our customers. We’ll support you with the tools and resources you need to reach new milestones, as you help our customers reach theirs. From in-depth training and coaching, to manager support and network-building opportunities, we’ll help you gain valuable experience, and broaden your skillset. To find out more visit us at https://jobs.bmo.com/ca/en. BMO is committed to an inclusive, equitable and accessible workplace. By learning from each other’s differences, we gain strength through our people and our perspectives. Accommodations are available on request for candidates taking part in all aspects of the selection process. To request accommodation, please contact your recruiter. Note to Recruiters: BMO does not accept unsolicited resumes from any source other than directly from a candidate. Any unsolicited resumes sent to BMO, directly or indirectly, will be considered BMO property. BMO will not pay a fee for any placement resulting from the receipt of an unsolicited resume. A recruiting agency must first have a valid, written and fully executed agency agreement contract for service to submit resumes.

• Handles all customer communications in a friendly, professional, and timely manner. • Handles a large volume of incoming calls (some outbound), emails, and written correspondence to all web requests. • Collects delinquent payments. • Coordinates inter-departmental responsibilities to ensure a timely customer service response. • Processes billing and insurance inquiries, customer complaints, payoffs, and other tasks as assigned. • Partners with vendor and sales team in establishing and maintaining a cohesive team atmosphere to best service the customer.

About Rotech Join a Leader in Home Healthcare At Rotech Healthcare Inc., we’re more than a medical equipment provider—we’re a trusted partner in patient care. As a national leader in ventilators, oxygen therapy, sleep apnea treatment, wound care, diabetic solutions, and other home medical equipment, we empower patients to manage their health from the comfort of home. With hundreds of locations across 45 states, our team delivers high-quality products, exceptional service, and compassionate support that helps patients live more comfortably, independently, and actively. Whether you're a clinician, technician, or healthcare administrator, your work at Rotech directly improves lives. Explore more about our mission and services at Rotech.com. Overview and Responsibilities Job Title: Customer Support Specialist – CPAP Centralized Care Team (REMOTE) Support Patients. Simplify Care. Work from Home. Are you passionate about helping patients navigate their healthcare journey? Rotech Healthcare Inc. is seeking a detail-oriented and compassionate Customer Support Specialist to join our CPAP Centralized Care Team. This fully remote role is ideal for individuals with healthcare experience who thrive in a fast-paced, patient-focused environment. As the first point of contact for new patients, you’ll play a critical role in ensuring accurate intake, insurance verification, and seamless coordination of respiratory therapy services. Pay starting at $15.25 for the 1st shift plus a Quarterly Bonus opportunity - 1st Shift Mon - Fri 8am - 5pm CST - 100% REMOTE - Work from Home starting day one - Must live within the US Essential Job Duties and Responsibilities (Reasonable accommodations may be made to enable individuals with disabilities to perform these essential functions. Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.) - Conduct patient satisfaction calls and act as a patient advocate to resolve concerns. - Coordinate order fulfillment with field locations and ensure timely service delivery. - Educate patients on products and services, including CPAP therapy. - Maintain compliance with Medicare, Medicaid, and private insurance regulations. - Manage new order intake, ensuring accuracy in clinical, billing, and care-related documentation. - Perform quality assurance checks to meet documentation and medical necessity standards. - Serve as the first line of support for patients, referral sources, and internal teams. - Verify insurance eligibility and obtain authorization for services and equipment. - Work extensively within proprietary systems (eIntake, IMBS) to manage patient records. - Work independently in a remote environment - Performs other duties as assigned Ready to make a difference from home? Apply today and help us deliver care that empowers patients. Qualifications Employment is contingent on - Background check (company-wide). Results will not be used automatically to disqualify individuals. Instead, the Company will conduct an individualized assessment that considers the duties of the position, the nature and timing of the offense, and any evidence of rehabilitation, in accordance with applicable laws. - Drug screen (when applicable for the position) - Compliance with healthcare facility credentialing process (when applicable for the position) - Valid driver’s license in state of residence with a clean driving record (when applicable for the position) Required Education and/or Experience - High school diploma or GED equivalent, required Preferred Education and/or Experience - Experience with medical equipment, preferred - Experience with medical billing practices and of billing reimbursement, preferred - Experience in healthcare administration, patient intake, or insurance verification, preferred - One year of related work experience, preferred - Medical terminology, preferred Skills and Competencies - Accurately perform simple mathematical calculations - Effectively communicate in English; both oral and written - Interpret a variety of communications (verbal, non-verbal, written, listening and visual) - Maintain confidentiality, discretion and caution when handling sensitive information - Multi-task along with attention to detail - Self-motivation, organized, time-management and deductive problem solving skills - Work independently and as part of a team Machines, Equipment and Technical Abilities - Email transmission and communication - Internet navigation and research - Microsoft applications; Outlook, Word and Excel - Office equipment; fax machine, copier, printer, phone and computer and/or tablet Physical Demands - Lift and carry office equipment at times - Requires sitting, walking, standing, talking and listening - Requires close vision to small print on computer and/or tablet and paperwork Rotech Information Benefits - Generous paid time off and paid holidays - Overtime pay for non-exempt positions (as applicable) - Commission for Account Executives - Bonus and incentive opportunities - Fixed and variable car reimbursement for Area Managers and Account Executives - Car, mileage, and telephone reimbursement (as applicable) - Employee discount and recognition programs - Employee Assistance Program (EAP) - 401(k), HSA, and FSA/Dependent Care FSA - Medical, prescription, dental, and vision coverage - Life insurance, disability, accidental death, identity protection, and legal services - Meru Health mental health and Mercer SmartConnect Medicare programs - Livongo Diabetes and High Blood Pressure programs - Healthcare Bluebook and RX Savings Solutions programs - Hepatitis B (HEPB) and TB vaccinations Make the right move—submit your resume today. Hiring managers review resumes and contact applicants whose experience aligns with the position. To check the status of a role you’ve applied for, Sign into your account. All positions are posted for a minimum of five (5) days and remain open until filled by a qualified applicant, generally no longer than 200 days. Thank you for your interest in Rotech Healthcare Inc. Flordia applicants - Background screening is required through the Florida Care Provider Background Screening Clearinghouse: https://info.flclearinghouse.com/ Equal Opportunity Employer of Minorities, Females, Protected Veterans and Individuals with Disabilities. Rotech Healthcare Inc. recruits, employs, trains, promotes, transfers, separates from employment and compensates employees without regard to membership in, association with, or perception of race, color, age, gender, gender identity, religion, creed, national origin, ancestry, citizenship, marital status, veteran status, sexual orientation, physical or mental disability, pregnancy or any other personal characteristic protected by applicable federal, state and local laws governing nondiscrimination in employment in each locality where Rotech has employees.