Humana

Chief Marketing Officer

• Provide oversight and governance for sales agencies and marketing partners to ensure compliance with federal, state, and organizational marketing requirements
• Develop, implement, and maintain compliance policies, procedures, and controls related to marketing and sales activities
• Lead compliance monitoring efforts to identify, assess, and mitigate potential compliance risks
• Collaborate with Legal, Sales, Marketing, and Operational teams to address compliance concerns and implement corrective actions
• Analyze emerging regulatory changes and communicate impacts to internal stakeholders
• Prepare reports and presentations for leadership regarding compliance performance, findings, and risk mitigation efforts
• Partner with marketing, sales, legal, compliance, and external agency partners to promote compliance and operational excellence

Associate Director – Marketing Compliance

Outside Sales

• Build trust and educate individuals on Humana’s Medicare Advantage plans and Life, Dental, Vision, and Prescription coverage
• Create face-to-face connections through grassroots marketing, community events, and in-home visits
• Provide personalized service to prospective members
• Drive self-generated sales and meet performance goals
• Expand Humana’s market presence by building community relationships
• Serve the local community within the designated territory
• Collaborate as part of a team of 8–12 Medicare Sales Field Agents under a Senior Manager and Regional Director
• Attend required training and occasional office travel for training or meetings

Medicare Sales Field Agent

Manager

• Provide comprehensive case management services to frail elders and adults with intellectual, developmental, or physical disabilities in the Wisconsin Family Care program
• Assess members' health and safety needs, strengths, interests, and preferences to develop comprehensive Member Care Plans
• Coordinate with a Field Care Nurse to address members' health and safety needs in the least restrictive environment
• Conduct face-to-face social assessments upon enrollment and at least every six months, typically at members' residences
• Conduct quarterly in-person visits and maintain monthly telephone contact with members
• Arrange support services involving social integration, community resources, employment, housing, and other non-medical needs
• Ensure cost-effective service delivery
• Evaluate risk factors and provide education to members
• Maintain accurate case notes, service authorizations, and Member Care Plan updates
• Travel up to 40% within the Ashland/Superior coverage area
• Report to the Manager of Care Coaching

Case Manager

• Assess and evaluate members' behavioral health needs
• Guide members and families toward appropriate care and wellbeing resources
• Facilitate interaction between members and support resources
• Employ strategies and techniques to manage physical, environmental, and psychosocial health issues
• Resolve barriers that hinder care
• Manage patient care through assessments and evaluations
• Ensure patients progress toward desired outcomes
• Create member care plans as needed
• Interpret and independently determine appropriate courses of action
• Report to the Manager, Care Management Behavioral Health
• Perform mandatory field work, including onsite/home member visits, traveling up to 50% of the time
• Work a combination of remote work at home and onsite/home member visits
• Understand department, segment, and organizational strategy and operating goals

Field Care Manager – Behavioral Health

• Work with an assigned member population in Illinois over the phone
• Perform health assessments, care planning, and education on chronic conditions and gaps in healthcare plans
• Employ strategies, approaches, and techniques to manage members' physical, environmental, and psychosocial health issues
• Identify and resolve barriers to effective care
• Continuously monitor patient care using assessments, data, conversations with members, and active care planning
• Ensure patients progress toward desired outcomes
• Navigate multiple systems and use critical thinking skills
• Provide personalized assessments, ongoing care planning, and expert guidance over the phone
• Help members overcome barriers to care, manage chronic conditions, and connect with vital resources

Telephonic Nurse Care Manager

Sales

• Administer sales compensation programs, including commission calculations, validations, and payouts
• Review and reconcile compensation data for accuracy and compliance
• Respond to sales associate inquiries about commission payments, calculations, and compensation plan details
• Investigate and resolve compensation discrepancies
• Prepare monthly reports and statements, including compensation summaries, payroll support documentation, balance sheets, and profit and loss reporting
• Partner with payroll, finance, and sales leadership to ensure accurate compensation processing
• Coordinate with software vendors and internal technology teams to maintain compensation system functionality and data integrity
• Assist with audits, reporting requests, and compliance-related activities
• Maintain documentation of compensation processes, procedures, and controls
• Identify process improvements and increase operational efficiency
• Support special projects and additional compensation-related initiatives as assigned

Sales Compensation Professional

Nurse

• Conduct comprehensive face-to-face assessments of newly admitted members at assigned acute care facilities
• Evaluate members’ physical, psychosocial, and health needs and refer them to Humana programs as appropriate
• Support and educate members and families on discharge planning from admission through post-discharge
• Facilitate follow-up visits with primary care providers
• Identify gaps in care, safety concerns, and barriers to discharge
• Develop and implement strategies to address care and discharge barriers
• Collaborate with attending providers, facility case managers, and other healthcare professionals
• Provide education on diagnoses, medications, and preventive measures
• Complete required documentation accurately and promptly
• Maintain infection control, safety, and patient privacy standards
• Work onsite at Deaconess Midtown Hospital with limited remote documentation hours at the leader’s discretion

Onsite Care Coordination Nurse

Bilingual

• Assess and evaluate members' needs and requirements in a telephonic environment
• Guide members and families toward appropriate care and wellbeing resources
• Facilitate interaction with resources supporting members' care and wellbeing
• Employ strategies, approaches, and techniques to manage members' physical, environmental, and psychosocial health issues
• Identify and resolve barriers hindering effective care
• Continuously monitor patient care using assessments, data, conversations with members, and active care planning
• Ensure patients progress toward desired outcomes
• Navigate multiple systems and apply critical thinking to determine appropriate courses of action
• Work Monday–Friday, 8:00am–5:00pm CST, with occasional scheduling flexibility to accommodate member needs
• Travel occasionally to Humana offices for training or meetings

Bilingual Care Manager, Telephonic Nurse

Marketing

• Develop, maintain, and collect structured and unstructured data sets for analysis and reporting
• Create reports, projections, models, and presentations to support business strategy and tactics
• Use mathematics, statistics, modeling, business analysis, and technology to transform complex data into advanced analytic solutions
• Understand department, segment, and organizational strategy and operating objectives and their linkages to related areas
• Make decisions regarding work methods in occasionally ambiguous situations
• Work with minimal direction while following established guidelines and procedures

Associate, Lifecycle Marketing Analytics

Compliance

• Lead IFG's sales compliance strategy and governance programs
• Provide leadership and oversight for compliance teams responsible for agent and agency monitoring, auditing, and regulatory adherence
• Serve as primary liaison between IFG, carrier partners, and regulatory agencies
• Develop and maintain policies, procedures, and controls supporting compliant sales operations
• Lead compliance investigations and direct corrective action plans
• Escalate emerging compliance concerns internally and externally as appropriate
• Direct ongoing monitoring and auditing activities to identify compliance risks and trends
• Evaluate agent and agency sales practices for adherence to regulatory and carrier requirements
• Conduct risk assessments and recommend mitigation strategies
• Analyze compliance metrics, KPIs, and reporting trends to identify improvement areas
• Partner with executive leadership, operations, legal, carrier partners, and regulatory agencies
• Promote ethical sales practices and support business growth and operational excellence

Director, IFG Sales Compliance

• Recruit, onboard, and develop independent health and life insurance agents within an assigned territory.
• Educate agents on Medicare Advantage, Medicare Supplement, Prescription Drug Plans, Ancillary Health, and Life Insurance products.
• Develop and maintain agent relationships through regular outreach, virtual meetings, and in-person visits.
• Respond to inbound agent inquiries about support, products, and sales assistance.
• Conduct outbound calls and follow-up activities based on leads and business development opportunities.
• Support agents in identifying sales opportunities and overcoming barriers to closing business.
• Drive territory growth through agent activation, retention, and production initiatives.
• Arrange field representative support when additional in-market assistance is needed.
• Provide training on products, enrollment processes, compliance requirements, and sales best practices.
• Monitor territory performance and develop action plans to achieve sales and renewal goals.
• Collaborate with sales, marketing, operations, and product teams to resolve agent issues and improve outcomes.
• Maintain accurate records of agent interactions, sales activity, and pipeline management in company systems.
• Stay current on Medicare regulations, market trends, competitive offerings, and product updates.