AL; AZ; AR; CA; CO; CT; DE; DC; FL; GA; ID; IL; IN; IA; KS; KY; LA; ME; MD; MA; MI; MS; MO; MT; NE; NV; NH; NJ; NM; NY; NC; ND; OH; OK; OR; PA; RI; SC; SD; TN; TX; UT; VT; VA; WA; WI; San Juan, PR
For more than 60 years Humana has been a proven leader and innovator in the health and wellness industry. A passionate emphasis on people, choice, well-being, and innovation guides our business practices and culture. We’re not just a health insurance company. Our diverse lines of business position us to serve millions of people with a wide range of needs, including seniors, military members, and self-employed individuals.
Bilingual English/Spanish
The Outbound Contacts Representative 3 performs necessary follow up with members and/or providers. Ensures responses to member and/or provider inquiries are completed on a timely basis to achieve service and quality standards. Decisions are typically focused on methods, tactics, and processes for completing administrative tasks/projects. Regularly exercises discretion and judgment in prioritizing requests and interpreting and adapting procedures, processes,buy-in and techniques, and works under limited guidance due to previous experience/breadth and depth of knowledge of administrative processes and organizational knowledge.
Assist beneficiaries over the phone with Medicaid financial assistance program eligibility
Engage with beneficiaries and obtain buy in with the handling of sensitive information
Ask probing questions, research and problem solve issues for beneficiaries
Process Medicaid State application forms
Meet daily and monthly productivity metrics
Any additional responsibilities or assignments identified by the Humana leadership team
The schedule will be Monday – Friday 10:40 a.m.-7:10 p.m.
Training Information 4-6 weeks of virtual training, 9:00 am-5:30 pm, subject to change based on business needs
Required Qualifications
1 + years of previous call center and/or customer service experience
Bilingual English/Spanish with the ability to pass a language assessment
Proficiency in Microsoft Office applications, including, Outlook, Word and Excel
Adaptable with the ability to thrive in a fast-paced environment
Strong attention to detail
Strong typing and computer navigation skills
Ability to manage multiple or competing priorities, including use of multiple computer applications simultaneously
Effective verbal and listening communication skills
High-speed DSL or cable modem internet connection for a home office; a minimum standard speed for optimal performance of 10mb and 1 mb up. A dedicated space with a door that locks preventing ongoing interruptions
Must be passionate about contributing to an organization focused on continuously improving consumer experiences.
Required Qualifications
Education, Experience, Skill set:
2+ years of customer service experience such as in a Physician Medical Office, Clinical Unit/Office Coordination role, or any experience working with irate member population requiring high degree of organization, structure and focus.
Candidate must be interested in the health insurance industry, Medicare Care Advantage industry, or compliance industry as this opportunity is not a job, but an opportunity to learn the intricacies of a Medicare Advantage Prescription Drug Plan (PDP). This role is a learning opportunity to build a career from. Candidate must understand they will serve the member as a “Universal Agent” which requires knowledge and mastery of multiple disciplines such as but not limited to: pharmacy; plan medical, dental & vision benefits, case management, compliance requirements and more.
Excellent verbal and written communication skills
Must be willing to comprehend complex compliance mandates and inter-dependencies that exist within the operation.
Ability to maintain a professional demeanor, practicing strict confidentiality on all platforms for all sensitive information
Ability to focus on the training and role without significant interruption during the workday.
Strong initiative with the ability to adapt to change as the business requires.
Must be passionate about contributing to an organization focused on continuously improving consumer experiences
Must have the ability and willingness to be selfless and focus on the member as the priority throughout the workday.
Technology, System, and Platform Knowledge Strong computer skills and utilizing multiple systems and applications simultaneously are required as this is a work-at-home role. Must be comfortable with gaining new systems knowledge at all times as software is constantly updating requiring the ability to learn systems in real time. The following is required to ensure success in the role as a remote work at home associate:
Must be proficient in Microsoft Word such as Word, Excel, Outlook/WebEx, Skype and using collaborative platforms for network sharing examples such as SharePoint, and Teams
Must have experience using vendor applications examples such as Salesforce, and department CRM Platforms.
Required Qualifications
Education, Experience, Skillset:
2+ years of customer service experience such as in a Physician Medical Office, Clinical Unit/Office Coordination role, or any experience working with irate member population requiring a high degree of organization, structure, and focus.
The candidate must be interested in the health insurance industry, Medicare Care Advantage industry, or compliance industry as this opportunity is not a job, but an opportunity to learn the intricacies of a Medicare Advantage Prescription Drug Plan (PDP). This role is a learning opportunity to build a career. Candidates must understand they will serve the member as a “Universal Agent” which requires knowledge and mastery of multiple disciplines such as but not limited to: pharmacy; plan medical, dental & vision benefits, case management, compliance requirements, and more.
Excellent verbal and written communication skills
Must be willing to comprehend complex compliance mandates and inter-dependencies that exist within the operation.
Ability to maintain a professional demeanor, practicing strict confidentiality on all platforms for all sensitive information
Ability to focus on the training and role without significant interruption during the workday.
Strong initiative with the ability to adapt to change as the business requires.
Must be passionate about contributing to an organization focused on continuously improving consumer experiences
Must have the ability and willingness to be selfless and focus on the member as the priority throughout the workday.
Technology, System, and Platform Knowledge Strong computer skills and utilizing multiple systems and applications simultaneously is required as this is a work-at-home role. Must be comfortable with gaining new systems knowledge at all times as software is constantly updating requiring the ability to learn systems real time. The following is required to ensure success in the role as a remote work at home associate:
Must be proficient in Microsoft Word such as Word, Excel, Outlook/WebEx, Skype and using collaborative platforms for network sharing examples such as SharePoint, and Teams
Must have experience using vendor applications examples such as Salesforce, and department CRM Platforms.
Work At Home AZ, KY, IN, FL, TX, OK, WI
What it Takes to Succeed – Required Qualifications
2 or more years of comprehensive customer service experience
Communicates effectively and confidently with all internal/external customers with excellent written and verbal communication
The Hours of operations are 8:00 AM – 9:00 PM EST – Monday – Friday. Training is 4 weeks 10:00 am – 6:30 pm EST. Saturday's hours during the annual peak season. You would work an 8-hour shift within the hours of operations. (Schedules subject to change based on business need)
Must reside in either Arizona, Florida, Indiana, Kentucky, Oklahoma, Texas, or Wisconsin to be considered
Proficiency in Microsoft Office Word, PowerPoint, and Excel
Ability to navigate multiple computer systems, applications and utilize search tools to find information
Demonstrates a high level of critical thinking and problem-solving skills
Demonstrates high level of multitasking ability
Work-At-Home Requirements
Must ensure designated work area is free from distractions during work hours and virtual meetings
Must provide a high-speed DSL or cable modem for a workspace (Satellite and Hotspots are prohibited). A minimum standard speed of 25×10(25mbs download x 10 MBS upload) for optimal performance is required
What You Need to Stand Out Among the Crowd! — Preferred Qualifications
High School diploma
Previous call center experience (inbound/outbound), sales, insurance, or healthcare experience
Previous experience in a home-office setting
Conflict resolution experience
Bilingual- English/Spanish.
Cincinnati, OH FL; IN; KY; OK;
Works within defined parameters to identify work expectations and quality standards, but has some latitude over prioritization/timing, and works under minimal direction.
· Follows standard policies/practices that allow for some opportunity for interpretation/deviation and/or independent discretion.
The start date for this position will be December 13, 2021.
COME GROW WITH HUMANA! BENEFITS DAY ONE – STELLAR 401K MATCH – PAID TIME OFF – TUITION ASSISTANCE PROGRAMS – STELLAR WELLNESS/REWARDS PROGRAM
What you need for success! – Required Qualifications
· Must be available to work any shift between the hours of 7:45 am – 8:00 pm EST (M-F) as well as weekends and overtime as needed by the business.
· Training is work at home or virtual. Training will start day one of employment and run the first 11 weeks (2/24) with a schedule of 8:00 am – 4:30 pm EST. Attendance is vital for success so no time off is allowed during training and 50 days following.
· Prior experience managing multiple or competing priorities, including use of multiple computer applications simultaneously
· Prior experience effectively communicating with customers verbally and listening to their needs
· If the residence is within a 50-mile radius of a Humana office location, you may be asked to occasionally report to that office for meetings, business functions, etc. once CDC restrictions have been lifted.
Work at Home Requirements
· Must have the ability to provide a high-speed DSL or cable modem for a home office (Satellite and Wireless Internet service is NOT allowed for this role). A minimum standard speed for optimal performance of 25×10 (25mbs download x 10mbs upload) is required.
Waipahu, Pearl City, Aiea, or Honolulu,
Required Qualifications
Bilingual with the ability to speak, read and write in both English and either Japanese, Korean, Tagalog or Cantonese without limitations or assistance
Active Health & Life Insurance licenses or ability to obtain
Ability to build community relationships, drive self-generated sales and meet sales goals and metrics while working independently
Strong organizational, interpersonal, communication and presentation skills
Great with laptop computers, cell phones and the ability to navigate mobile apps. This also includes knowledge of Microsoft Word, Excel, Outlook and PowerPoint
Must be passionate about contributing to an organization focused on continuously improving consumer experiences
This role is part of Humana's Driver safety program and 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. This role also requires running a Motor Vehicle Report as part of the background check process
Must ensure designated work area is free from distractions during work hours and virtual meetings Must provide a high-speed DSL or cable modem for a workspace (Satellite and Hotspots are prohibited). A minimum standard speed of 10×1 (10mbs download x 1mbs upload) for optimal performance of is required
Must reside in the local territory
We will require full COVID vaccination for this job as we are a healthcare company committed to putting health and safety first for our members, patients, associates and the communities we serve.
If progressed to offer, you will be required to provide proof of full vaccination or documentation for a medical or religious exemption consideration where allowed by law.
Preferred Qualifications
Associate's or Bachelor's degree
Telephonic sales skills a plus
Knowledge of Medicare products or background selling Medicare products a plus
Good listening and intuitive skills
Engaged with the community through service, organizations, activities and volunteerism.
(Remote) — Work At Home AZ, KY, IN, FL, TX, OK, WI
What it Takes to Succeed – Required Qualifications
2 or more years of comprehensive customer service experience
Communicates effectively and confidently with all internal/external customers with excellent written and verbal communication
The Hours of operations are 8:00 AM – 9:00 PM EST – Monday – Friday. Training is 4 weeks 10:00 am – 6:30 pm EST. Saturday's hours during the annual peak season. You would work an 8-hour shift within the hours of operations. (Schedules subject to change based on business need)
Must reside in either Arizona, Florida, Indiana, Kentucky, Oklahoma, Texas, or Wisconsin to be considered
Proficiency in Microsoft Office Word, PowerPoint, and Excel
Ability to navigate multiple computer systems, applications and utilize search tools to find information
Demonstrates a high level of critical thinking and problem-solving skills
Demonstrates high level of multitasking ability
Work-At-Home Requirements
Must ensure designated work area is free from distractions during work hours and virtual meetings
Must provide a high-speed DSL or cable modem for a workspace (Satellite and Hotspots are prohibited). A minimum standard speed of 25×10(25mbs download x 10 mbs upload) for optimal performance is required
What You Need to Stand Out Among the Crowd! — Preferred Qualifications
High School diploma
Previous experience in a home-office setting
Conflict resolution experience
Bilingual- English/Spanish.
What you need for success! – Required Qualifications
Minimum 2 years of customer service experience
Must be available to work any shift between the hours of 7:45 am – 8:00 pm EST (M-F), some weekends and overtime required based on company needs
Training is work at home or virtual. Training will start day one of employment and run the first 7 weeks with a schedule of 8:00 am – 4:30 pm EST. Attendance is vital for success so no time off is allowed during training and within your first 120 days.
Demonstrated experience with providing strong customer service and attention to details while listening on calls
Prior experience managing multiple or competing priorities, including use of multiple computer applications simultaneously
Prior experience effectively communicating with customers verbally and listening to their needs
Must currently have residency within the Central or Eastern Time Zones, in the continental United States
Work at Home Requirements
Must have the ability to provide a high-speed DSL or cable modem for a home office (Satellite and Wireless Internet service is NOT allowed for this role). A minimum standard speed for optimal performance of 25/10 (25mbs download x 10mbs upload) is required.
A dedicated, private space lacking ongoing noise or interruptions to protect member PHI / HIPAA information, to mimic an in-office experience.
What you need to be STAND OUT among the crowd! : Preferred Qualifications
Associate's or Bachelor's Degree
Prior inbound call center or related customer service experience
Prior Healthcare experience\
What you need for success! – Required Qualifications
2 years or more customer service experience with heavy or high volume healthcare, call quality, retail service with an emphasis on the ability to de-escalate communications with members, and internal customers. This position requires a high degree of organization, structure, and focus.
Excellent verbal and written communication skills
Demonstrated experience with providing strong customer service and attention to details while listening on calls.
Ability to focus on training and responsibilities without significant interruption during the workday.
Strong initiative with the ability to adapt to change as the business requires.
Must have the ability and willingness to be selfless and focus on the member as the priority throughout the workday.
Prior experience managing multiple or competing priorities, including use of multiple computer applications simultaneously.
Must be available to work any shift between the hours of 7:45 am – 8:00 pm EST (M-F) as well as weekends and overtime, especially during our peak season of October-March and as needed by the business.
Training is work at home/virtual, requires the camera to be on, and follows this schedule:
Training is 10-15 weeks and is a combination of classroom and phone calls.
Attendance is vital for success. No time off is allowed for the first 90 days.
What we need your help with:
The Inbound Contact Representative 2 addresses customer needs which may include complex benefit questions, resolving issues, and educating members.
Handle 30-40 inbound calls daily from members in a fast-paced inbound call center environment
Records details of inquiries, comments or complaints, transactions or interactions and take action in accordance to it.
Escalates unresolved and pending customer grievances. Decisions are typically focused on the interpretation of area/department policy and methods for completing assignments.
Works within defined parameters to identify work expectations and quality standards, but has some latitude over prioritization/timing and works under minimal direction.
Follows standard policies/practices that allow for some opportunity for interpretation/deviation and/or independent discretion.
What you need for success! – Required Qualifications
3 years of customer service experience
Must be available to work any shift between the hours of 7:45 am – 9:00 pm EST (M-F) as well as weekends and overtime, especially during our peak season of October-March and as needed by the business.
Training is work at home or virtual. Training will start day one of employment and run the first 10 weeks with a schedule of 8:00 am – 4:30 pm EST. Attendance is vital for success so no time off is allowed during training and 50 days following.
Demonstrated experience with providing strong customer service and attention to detail while listening on calls
Prior experience managing multiple or competing priorities, including use of multiple computer applications simultaneously
Prior experience effectively communicating with customers verbally and listening to their needs
If the residence is within a 50-mile radius of a Humana office location, you may be asked to occasionally report to that office for meetings, business functions, etc. once CDC restrictions have been lifted.
Work at Home Requirements
Must have the ability to provide a high-speed DSL or cable modem for a home office (Satellite and Wireless Internet service is NOT allowed for this role). A minimum standard speed for optimal performance of 25×10 (25mbs download x 10mbs upload) is required.
A dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.
What you need to be STAND OUT among the crowd! – Preferred Qualifications
Associate's or Bachelor's Degree
Prior inbound call center or related customer service experience
Prior Healthcare experience.
WAH AZ, TN, VA, FL
Description
The Consumer Engagement Representative 1 oversees the enrollment, education, engagement, and activation duties for client groups regardless of segment, and for the product were warranted. The Consumer Engagement Representative 1 performs basic administrative/clerical/operational/customer support/computational tasks. Typically works on routine and patterned assignments.
Responsibilities
The Consumer Engagement Representative 1 contributes to business strategy by understanding benefit offerings to ensure enrollment success, identifying member education opportunities to drive maximum utilization of available resources, and directing clients on the use of available resources. Decisions are limited to defined parameters around work expectations, quality standards, priorities, and timing, and works under close supervision and/or within established policies/practices and guidelines with minimal opportunity for deviation.
Required Qualifications
Less than 2 years of technical experience
Proficiency in all Microsoft Office Programs including Word, PowerPoint, Excel, Access, etc.
Previous experience with coordinating and leading projects and tasks
Demonstrated capability with coaching and developing associates formally and informally
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
Must be passionate about contributing to an organization focused on continuously improving consumer experiences.
Description
The Outbound Call Specialist – Dr. Call Phones Department role is a clerking role tasked with making outbound calls to local pharmacies and initiating prescriptions transfers that are then completed by internal pharmacists. This could be making as many as 35-45 outbound calls a day to retail pharmacies, collecting member data, and coordinating with Humana Pharmacy to facilitate a smooth transition of the prescriptions.
Responsibilities
The Outbound Call Specialist – Dr Call Phones Department role is a clerk role tasked with making outbound calls to local pharmacies and initiating prescriptions transfers that are then completed by internal pharmacists. This could be making as many as 35-45 outbound calls a day to retail pharmacies, collecting member data, and coordinating with Humana Pharmacy to facilitate a smooth transition of the prescriptions. Additional responsibilities may include outbound member calls.
Required Qualifications
Less than 2 years of technical experience
Must be passionate about contributing to an organization focused on continuously improving consumer experiences
Preferred Qualifications
High School Diploma or GED
Additional Information Scheduled Weekly Hours
40
Description
The Provider Installation Representative 2 administers the installation of assigned provider accounts. Performs set-up, database loading, and preparation of administrative documents and materials. The Provider Installation Representative 2 performs varied activities and moderately complex administrative/operational/customer support assignments. Performs computations. Typically works on semi-routine assignments.
Responsibilities
The Provider Installation Representative 2 provides support to provider accounts by responding to inquiries and resolving issues of concern. Decisions are typically focused on the interpretation of area/department policy and methods for completing assignments. Works within defined parameters to identify work expectations and quality standards, but has some latitude over prioritization/timing and works under minimal direction. Follows standard policies/practices that allow for some opportunity for interpretation/deviation and/or independent discretion.
Required Qualifications
Proficiency in Microsoft Office including Word, Excel
Preferred Qualifications
Associate's or Bachelor's Degree
High School Diploma
Previous inbound call center or related customer service experience
Additional Information
Work at Home/Remote Requirements Must ensure designated work area is free from distractions during work hours and virtual meetings Must provide a high-speed DSL or cable modem for a workspace (Satellite and Hotspots are prohibited). A minimum standard speed of 10×1 (10mbs download x 1mbs upload) for optimal performance of is required.
In this role, you will:
Make outbound and take inbound calls
Communicate with Humana members
Collect medication history information
Prepare members for a comprehensive medication review
Required Qualifications
Pharmacy Technician license in the state of Texas or Florida
Excellent communication skills both written and verbal
High speed hardwired internet and phone, minimum speed 20Mbps
Must have a designated work area with a door that locks
Preferred Qualifications
Certified Pharmacy Technician preferred
Experience in mail order and/or retail pharmacy setting
Ability to speak both English and Spanish fluently
Previous call center experience in a pharmacy setting
Strong communication and telephonic skills
Ability to solve problems and encourage others in collaborative problem solving
Self-directed, but also able to work well in a group
A positive, proactive attitude, energetic, highly motivated, and a self-starter
The work ethic that is focused, accurate and highly productive
Applied knowledge of insurance processing, customer service or call center processes and practices
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