Jobs in the United States

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Added 2 mins ago
MS
Patient Access Liaison - UPLIZNA - Minneapolis, MN
Military Spouse Jobs & VetJobs
United States
- $158,394 to $222,256 USD / year
Support the identification and resolution of access challenges, including coverage questions, prior authorization barriers, and denied claims.
Added 6 mins ago
Client Service Representative
VCA Animal Hospitals
Wichita Falls, TX
If you are a current associate, you need to apply through our internal career site. Please log into Workday and click on the Jobs Hub app or search for Browse Jobs.
Added 11 mins ago
Customer Service Assistant
Qnity
Chesterfield, MO
Problem-solving skills and a proactive approach to issue resolution.
Added 13 mins ago
AC
Operations Coordinator
Aston Carter
Farmington Hills, MI
- $21 to $22 USD / hour
…internal teams, delivering clear status updates and swift issue…
Added 14 mins ago
IT Deployment Asset Specialist
24 Hour Fitness USA, LLC
Carlsbad, CA
Knowledge Operationalization: Translate technical resolutions into SOPs and knowledge base articles to improve first-contact and first-day resolution metrics.
Added 19 mins ago
Cafe Manager
Quechan Tribal Nation/Casino Resorts
Winterhaven, CA
Added 20 mins ago
Onsite Service Specialist - Long Beach, CA
MSC Industrial Supply Co.
Long Beach, CA
Valid driver's license required
Added 20 mins ago
Manufacturing Analyst 1
PDS Defense
El Segundo, CA
…internal and external customers with respect to product planning, problem resolution, and process improvement. Incumbents are generally experienced in one or more areas of manufacturing…
Added 21 mins ago
Robotics Technical Support Engineer II
J&J Family of Companies
Santa Clara, CA
Associate’s Degree or Technical Certification in Robotics, Software, Electronics, Mechanical Engineering or related field.
Added 21 mins ago
Administrative Coordinator III
Kaiser Permanente
Sacramento, CA
…correspondence, and reports. Maintains workflow by assisting in the resolution of routine and non-routine requests and issues from department managers on an ad-hoc basis. Assists with event…
Added 28 mins ago
Phlebotomist - Grants Pass
OnePeak Medical Office & Corporate
Grants Pass, OR
Utilize problem-solving and conflict-resolution skills to address patient complaints.
Added 32 mins ago
Senior Pollution Claim Specialist
Zurich Insurance Company Ltd.
Schaumburg, IL
…team, you will manage a claims caseload from assignment through resolution, with moderate direction from your team manager and Claims executives. At this level, you will provide technical…
Added 35 mins ago
Electrical Engineer (Associate Staff 3/4)
MIT Lincoln Laboratory
Lexington, MA
…geosynchronous orbit, and a satellite telescope payload for high-resolution imaging of other satellites in low Earth…
Added 35 mins ago
Associate Staff 3/4 - Orbital Dynamics
MIT Lincoln Laboratory
Lexington, MA
…geosynchronous orbit, and a satellite telescope payload for high-resolution imaging of other satellites in low Earth…
Added 48 mins ago
Guest Service Representative
COURTYARD - HOUSTON NASA/CLEAR LAKE
Houston, TX
Strong communication, problem-solving, conflict-resolution, and computer skills.
Added 48 mins ago
Sr. Principal Computer Systems Analyst - Windows/Linux
CORP-Corporate Office
United States
Candidates must have a current  U.S
Added 48 mins ago
Electronics Engineer - 3
SP - Launch Vehicles
United States
Conduct prototype and qualification tests while managing and prioritizing problem resolution.
Added 52 mins ago
Plant Production Associate
Robroy Industries
Avinger, TX
…to support production within the manufacturing environment. Associate must demonstrate the ability to be moved to a higher job class as positions become…
Added 56 mins ago
M
Retail Sales Associate - Furniture/Mattresses/Rugs, Hanover - Part Time
Macy's
Hanover, MA
- Part-time
Ensure high-level of customer service through problem-solving and customer-focused solutions, such as converting a return into an exchange and expediting resolution of delivery issues
Added 59 mins ago
Facility Maintenance Manager
US Foods, Inc.
Norcross, GA
…uptime through proactive preventive maintenance and rapid issue resolution. The Manager, Facility Operations - SSA will lead and develop a skilled facilities operations and maintenance…
Added 1 hour ago
Client Delivery Associate
BMO Bank N.A.
Dallas, TX
Responds to and facilitates the resolution of client service requests.
Added 1 hour ago
Operations Management - Division/Business Unit (Non-Executive)
University of Utah
Salt Lake City, UT
The Associate Director is responsible for the administrative, financial, personnel, and clinical management of assigned division(s). In collaboration with the Division Chief and Department…
Added 1 hour ago
Field Technician D
L3Harris Technologies
Groton, CT
Job Schedule: 5-40- Employees work 8 hours per day, 5 days per week
Added 1 hour ago
Client Service Representative
Animal Healthcare of Texas, P.C.
Wichita Falls, TX
If you are a current associate, you need to apply through our internal career site. Please log into Workday and click on the Jobs Hub app or search for Browse Jobs.
Added 1 hour ago
BB
Digital Banking Fraud Analyst
Busey Bank
Leawood, KS
- $23 to $29 USD / hour
1-3 years of digital banking, fraud prevention, banking operations, customer service, or related financial services experience required

Closed listing

Humana

Senior Risk Management Professional

United States

$86,300 - $118,700 per year

This opening has closed.

The original listing is kept below for reference.

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About employer

Job details

Pay: $86,300 - $118,700 per year
Experience: Bachelor’s degree OR 3+ years of experience in healthcare, regulatory compliance, risk management, pharmacy/PBM operations, Medicare, or a related field.
Working hours: 40 hours per week
Posting language: English
Posted: Nov 12, 2026

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Original job description

Archived listing. The details below describe a past opening.

Become a part of our caring community

The Senior Risk Management Professional supports the effective intake, assessment, and implementation of Medicare and PBM pharmacy regulatory guidance. Partners with key stakeholders to promote timely implementation, appropriate risk management, and ongoing compliance with applicable requirements.

The Senior Risk Management Professional supports the intake and implementation of Medicare and PBM pharmacy guidance, including coordination of required responses, evidence, controls, and implementation activities. Validates high-ranked and major implementations for completeness and readiness and manages Risk Acceptances for identified gaps or residual risks. Partners with key stakeholders to ensure guidance is implemented accurately, documented appropriately, and completed within required timelines.

Use your skills to make an impact

Required Qualifications

Bachelor’s degree OR 3+ years of experience in healthcare, regulatory compliance, risk management, pharmacy/PBM operations, Medicare, or a related field.
Experience reviewing, assessing, or implementing regulatory, compliance, or business requirements.
Demonstrated ability to coordinate cross-functional implementations, projects, or initiatives involving multiple stakeholders.
Ability to manage multiple priorities and time-sensitive deliverables simultaneously.
Strong analytical and problem-solving skills, including the ability to identify gaps, risks, and issues requiring follow-up or escalation.
Strong written and verbal communication skills.
Proficiency with Microsoft Office applications, including Excel, Outlook, Teams, and SharePoint.

Preferred Qualifications

Experience with Medicare Part D, CMS guidance, or Medicare regulatory requirements.
Experience with PBM or pharmacy regulatory/compliance requirements.
Experience working within a health plan, PBM, pharmacy, or other highly regulated healthcare environment.
Experience collecting, reviewing, and maintaining regulatory implementation evidence, controls, and supporting documentation.
Experience performing validation or oversight of regulatory implementations.
Experience with Risk Acceptances, issue management, corrective actions, or other formal risk-management processes.
Experience using regulatory, compliance, governance, risk, or implementation tracking systems.

Additional Information

This position requires the ability to work independently and collaboratively across multiple business areas in a highly regulated environment.
The role requires effective management of multiple concurrent regulatory implementations with varying levels of complexity, priority, and implementation timelines.
The individual must be comfortable identifying implementation gaps, escalating risks or barriers, and facilitating resolution with appropriate stakeholders.
Strong attention to detail is required to ensure implementation decisions, supporting evidence, controls, validations, and Risk Acceptances are appropriately documented and maintained.
The position involves regular collaboration with partners across pharmacy/PBM operations, Medicare, compliance, regulatory, legal, risk management, and other impacted business areas, as applicable.
The individual should be comfortable working in an environment where regulatory requirements, priorities, and implementation timelines may change quickly.

Work at Home Requirements: 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. In certain roles, the minimum recommended internet speed required by Humana may not be sufficient for business needs. Humana reserves the right to require associates to upgrade their internet service if necessary. 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, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.

Application Deadline: 11-19-2026

About us

About CenterWell Senior Primary Care: CenterWell Senior Primary Care provides proactive, preventive care to seniors, including wellness visits, physical exams, chronic condition management, screenings, minor injury treatment and more. Our unique care model focuses on personalized experiences, taking time to listen, learn and address the factors that impact patient well-being. Our integrated care teams, which include physicians, nurses, behavioral health specialists and more, spend up to 50 percent more time with patients, providing compassionate, personalized care that brings better health outcomes. We go beyond physical health by also addressing other factors that can impact a patient’s well-being.

About CenterWell, a Humana company: CenterWell is a leading healthcare services business focused on creating integrated and differentiated experiences that put our patients at the center of everything we do. The result is high-quality healthcare that is accessible, comprehensive and, most of all, personalized. As the largest provider of senior-focused primary care, a leading provider of home healthcare and a leading integrated home delivery, specialty, hospice and retail pharmacy, CenterWell is focused on whole health and addressing the physical, emotional and social wellness of our patients. CenterWell is part of Humana Inc. (NYSE: HUM). Learn more about what we offer 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.

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Jobs in the United States