Become a part of our caring community and help us put health first The Provider Engagement Executive develops and grows positive, long-term relationships with physicians, providers and healthcare systems in order to support and improve financial and quality performance within the contracted working relationship with the health plan. The Provider Engagement Executive works on problems of diverse scope and complexity ranging from moderate to substantial. The Provider Engagement Executive represents the scope of health plan/provider relationship across such areas as financial performance, incentive programs, quality and clinical management, population health, data sharing, connectivity, documentation and coding, HEDIS and STARs performance, operational improvements and other areas as they relate to provider performance, member experience, market growth, provider experience and operational excellence. Advises executives to develop functional strategies (often segment specific) on matters of significance. Exercises independent judgment and decision making on complex issues regarding job duties and related tasks, and works under minimal supervision, Uses independent judgment requiring analysis of variable factors and determining the best course of action. Use your skills to make an impact Required Qualifications - 2 or more years of Health care or managed care with Provider Relations, Provider Contracting, or Network Management experience - Minimum of 1 year of experience working with provider groups on HEDIS and/or Stars performance improvement - Proficiency in analyzing and interpreting financial trends for health care costs, administrative expenses and quality/bonus performance - Experience partnering with senior leadership on strategic initiatives - Established knowledge of reimbursement and bonus methodologies - Proven planning, preparation and presenting skills - Demonstrated ability to manage multiple projects and meet deadlines - Comprehensive knowledge of all Microsoft Office applications - Must be located in Chattanooga/Knoxville/Tri-Cities area with the ability to travel as needed within Gulf South Market (LA, MS, AL, TN) ​ Preferred Qualifications - Bachelor's Degree - Established provider relationships within the Gulf South Market - Demonstrated project management experience - Comprehensive knowledge of Medicare policies, processes and procedures Additional Information This role is "remote/work at home", however, you must be located within the Chattanooga/Knoxville/Tri-Cities area with the ability to travel within the Gulf South region (TN, AL, MS, LA) Work at Home 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. - 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. 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 Humana Inc. (NYSE: HUM) is committed to putting health first – for our teammates, our customers and our company. Through our Humana insurance services and 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, Medicaid, families, individuals, military service personnel, and communities at large. ​ 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.

This description is a summary of our understanding of the job description. Click on 'Apply' button to find out more. Role Description The Director, Client Partner will manage and grow strategic pharmaceutical accounts. This person will serve as the primary point of contact for senior client stakeholders and will be responsible for retention, growth, and overall account health. You’ll work closely with Delivery, Sales, Product, and Finance to ensure we’re delivering on commitments while identifying new opportunities to expand the partnership. - Leading day-to-day ownership of strategic pharma accounts - Building and maintaining strong executive-level client relationships - Developing and executing account plans focused on retention and growth - Driving regular governance meetings and executive reviews - Identifying and advancing upsell and cross-sell opportunities - Leading renewal planning and supporting commercial discussions - Partnering with Delivery teams to ensure performance against commitments and SLAs - Aligning internal teams to client priorities and regulatory expectations - Supporting implementations and ongoing lifecycle management - Monitoring revenue outlooks and flagging commercial or contract risks early - Bringing pharma industry knowledge and regulatory awareness (FDA, GxP) into client conversations - Sharing market insights internally to support account and solution strategy Qualifications - Demonstrate 10+ years of experience managing enterprise client relationships - Lead complex pharmaceutical or life sciences accounts with strong retention and growth results - Build credibility with executive stakeholders - Drive renewal and expansion strategies across multi-million-dollar portfolios - Navigate contracts, SLAs, and commercial discussions confidently - Partner effectively across Delivery, Sales, Product, and Finance teams - Analyze account performance and recommend practical solutions - Hold a Bachelor’s degree or equivalent experience - Travel as needed to support client relationships Benefits - Comprehensive plans tailored to your needs, effective from day one - Robust programs to help you secure your financial future - Access to a wide range of discounts on merchandise, services, travel, and more - Paths for advancement within a global organization - Learn while you earn with award-winning learning platforms - Competitive PTO packages to help you recharge - Join an award-winning culture that values diversity and inclusion

This description is a summary of our understanding of the job description. Click on 'Apply' button to find out more. Role Description The Clinical Pharmacist (Prior Authorization) is responsible for managing the selection and utilization of pharmaceuticals and supports core clinical programs such as DUR, DIS, and formulary management. - Researches and synthesizes detailed clinical data related to pharmaceuticals. - Prepares and presents therapeutic class reviews and drug monograph information to the Pharmacy and Therapeutics Committee. - May review and approve or deny coverage for pharmaceuticals based on medical necessity criteria. - Coordinates with internal stakeholders or health plan medical directors as needed. - Serves as a clinical resource to other pharmacists on areas such as prospective, inpatient, and retrospective DURs. - Provides dosage conversion and clinical support for therapeutic interventions. - Prepares information for network physicians. Qualifications - Requires BA/BS in Pharmacy. - Minimum of 2 years of managed care pharmacy (PBM) experience or residency in lieu of work experience. - Requires a registered pharmacist. - Must possess an active unrestricted state license to practice pharmacy as a Registered Pharmacist (RPh). - For associates working within Puerto Rico, a current PR health certificate and a current PR Law 300 certificate are required. Requirements - Possess an active unrestricted state license to practice pharmacy as a Registered Pharmacist (RPh) in Indiana. - PharmD strongly preferred. - Must be located in a state or territory of the United States when conducting utilization review or appeals consideration. - For URAC accredited areas, strong oral, written, and interpersonal communication skills are expected. - Problem-solving, facilitation, and analytical skills are also required. Benefits - Market-competitive total rewards including merit increases, paid holidays, and Paid Time Off. - Incentive bonus programs (unless covered by a collective bargaining agreement). - Medical, dental, and vision benefits. - Short and long-term disability benefits. - 401(k) with company match. - Stock purchase plan and life insurance. - Wellness programs and financial education resources.

• The Associate Account Partner will immerse themselves into the industry, fully learning all aspects of Life Sciences commercial business (Sales, Medical, & Marketing) • The Associate Account Partner will serve as a point of accountability for the Veeva team while leveraging Veeva resources to serve the account globally • Ensure that the various resources serving an account have clarity and alignment on the long-term account strategy • In partnership with the Global Account Partner, the Associate Account Partner will be responsible for planning and implementing regular communications globally • Cultivate Veeva relationships that provide direct access to key decision-makers across commercial teams • The Associate Account Partner will work alongside a Global Account Partner supporting one of Veeva’s global customers focused on commercial sales activities