• Identify opportunities for improvement in Current Cotiviti Audit processes. • Help Cotiviti audit teams maximize resources and drive top end revenue and bottom-line margin growth. • Utilize BI tools to enhance and support existing reporting/data warehouse environment, including use of SQL Management Studio, Power BI and Tableau, Excel, MS Access. • Support the Retail/Cotiviti management and other stakeholders in evaluating, defining, standardizing, and reporting on key KPI's to drive financial evaluation and performance. • Manage development lifecycle of report generation (development, test/QA, UAT, bug fix/retest cycles) • Ensure proper documentation and training materials • Provide expertise for the design and requirements for both executive and client facing reports, scorecards, and dashboards. • Lead collaborative conversations with client teams to drive stickiness and growth opportunities • Field and provide support for ad hoc data analysis requests/recommendations from Retail management others on the leadership team • Hire, develop, coach, lead and retain top-tier talent, with a focus on building and improving a team and culture that is able to assist in employing best in class practices to support and drive high levels of internal and external customer satisfaction.

• Drive multiple, concurrent integration projects from kickoff to go-live, ensuring customer timelines and complex technical requirements are successfully met. • Provide strategic guidance by evaluating customer workflows and technical infrastructure, identifying integration gaps, and proposing scalable solutions to enhance efficiency. • Design, build, and deploy customer integrations using our platform's tools and dashboard. Managing the full cycle of configuration, testing, modification, and go-live support. • Partner with cross-functional teams, including Account Management and Sales, to ensure the long-term success and technical health of key customer accounts. • Develop and maintain clear technical documentation, reusable implementation assets, and internal best practices to empower both customers and internal teams. • Maintain clear and proactive communication, providing regular status updates on project milestones, risks, and outcomes to all internal and external stakeholders. • Continuously advance your expertise in key integration standards and technologies to serve as a subject matter expert for customers and colleagues. • Willingness to travel to customer sites as needed (approximately 5-10%).

Title: Registered Nurse Care Manager- Monroe County Location: - Tomah, Wisconsin - Sparta, Wisconsin Remote Full-time Job Description: Become a part of our caring community As a RN Care Manager, you will enjoy a true work-life balance with no night or weekend shifts. Reporting to the Manager of Care Coaching, you will support members enrolled in the Wisconsin Family Care Program providing essential care coordination, support, and education. You will make a difference in the lives of those you serve and within your own community. You will: - Assess members, focusing on health and safety needs, to develop a comprehensive Member Care Plan (MCP). - Conduct regular health assessments - Coordinate with acute and primary care providers. - Educate members on disease processes and related risks, nutrition, exercise and lifestyle modifications to support informed decision-making while respecting each person's autonomy. - Document in member files within required DHS contract timeframes. - Participate in member monthly phone contacts and travel to attend in person visits in members setting. - Work remotely from your home and travel approximately 40% of the time to visit your members. Use your skills to make an impact Required Qualifications - Associate degree in nursing - Licensed Registered Nurse in the state of Wisconsin (in good standing) Preferred Qualifications - Reside within 45 mins or less of the assigned coverage area - Previous Care Management experience Additional Information - Location: Monroe County, WI - Travel: Up to 40% - Typical Workdays/Hours: Monday through Friday, 8:00 am - 4:30 pm CST. Driving This role is part of Humana's driver safety program and therefore requires an individual to have a valid state driver's license and proof of personal vehicle liability insurance with at least 100/300/100 limits. Mileage reimbursement is provided for work-related travel. Eligible mileage includes: - Travel from your home to your first work location of the day. - Travel between client or assignment locations during the workday. - Travel from your final work location back to your home. 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. HireVue 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. $71,100 - $97,800 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 Inclusa: Inclusa manages the provision of a person-centered and community-focused approach to long-term care services and support to Family Care members across the state of Wisconsin. As a values-based organization devoted to building vibrant and inclusive communities, Inclusa deploys a unique approach to managed care with a trademarked model of support named Commonunity which focuses on the belief in everyone, and from that belief, the common good for all is achieved. In 2022, Inclusa was acquired by Humana. This partnership will allow us to create a model of care that provides industry-leading support for members across the health care continuum. 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 DetailsJob Location: Advocacy Fort Lauderdale Office - Plantation, FL 33317Position Type: Full TimeSalary Range: $41,600.00 - $41,600.00 HourlyJob Category: Customer ServiceJob Summary: Do you want to have a fulfilling career with purpose helping military veterans? The Case Manager is a support member of a Senior Advocate’s team. This person is in charge of implementing the Senior Advocate’s strategy for each case and being the primary point of contact with the client. They will be detail-oriented, professional and have a genuine desire to meet the needs of others. Work hours are Monday – Friday from 8:00 am to 5:00 pm. This is a remote work from home position. We offer a comprehensive benefits package, including health, dental, and vision insurance, company paid life insurance and disability insurance, a 401(k) plan with an employer match, paid time off after 90 days of employment, and ten company paid holidays. Essential Functions: · Builds and maintains positive client relationships via phone, email, and mail. · Assists and consults with Senior Advocate in the organization and management of client files and records, as directed. · Reviews completeness of client files within the VA’s system and has informal meetings with VA personnel to correct various deficiencies. · Responds appropriately to all client, staff, authorized third party, and VA/BVA communications in a timely and accurate manner. · Prioritizes and completes varied administrative tasks independently, with great attention to detail, while following standard operating procedures. · Ensures all VA administrative and regulatory deadlines are met. · Proficiency in utilizing office technology and software programs in an efficient and appropriate manner. · Works in a team environment with a strong commitment to obtaining the best possible outcome for all parties. · Performs other related duties as assigned. QualificationsRequired Skills/Abilities: · Performing work in this job’s occupational field requires the application of professional disciplines requiring a two-year degree or equivalent and the extensive, applied use of related concepts, practices, and methods. · In relation to other jobs in the same function, this job requires a level of proficiency to apply broad knowledge and experience. · The primary or most necessary skills required for this job are customer service skills, technical aptitude, time management and organizational skills · Other important skills include excellent written and oral communication, inter- personal and computer skills. · Reliable and dependable attendance. Education and Experience: · This job requires a minimum of an associate degree or 3 years of work-related experience with progressive responsibilities or an equivalent combination of education and experience. · You must obtain a Personal Identity Verification (PIV) card within six months of employment. · Telephone experience is required. · Experience using computers and performing data-entry functions. Physical Requirements: · Prolonged periods of sitting at a desk, talking on a telephone and working on a computer. Remote Work from Home Requirements: · Not all positions are remote; some require that the employee work in the office. · Must have a desk, chair and basic essentials to work from home. · Must have a quiet work area without noise or distractions. · Must have personal high speed internet service (Wi-Fi is not acceptable). Our minimum internet speed requirement is 100 download & 20 upload speed. · Must be logged onto your work computer and able to answer calls during your normal work hours. · Remote workers must be based in the United States and must reside in one of the following states: FL, GA, IL, IN, MA, NC, NJ, NV, NY, PA, SC, TX or WV.