FreshRemote.Work

Senior Consumer Experience Professional - Remote US

Become a part of our caring community and help us put health first
 The Provider Activation (PA) team is an operational department residing within the Medicare and Medicaid Organization. PA's focus is on provider contracts, provider information and quality of the provider data in Humana’s payer and directory systems. The PA team builds reimbursement structures, maintains demographic data, as well as maintains other elements of provider data in our systems to support Humana members. If you enjoy a fast-paced environment, come join Humana's Provider Activation team!

The Senior Consumer Service Operations Professional role within the Provider Activation DECx (Development, Engagement, and Consumer Experience) team will be responsible for providing solutions to knowledge or performance gaps. Those solutions will be implemented in the form of training for new or existing associates.  This role will help to support Medicaid growth through reporting, training, education, facilitation, and process documentation updates. The associate will lead efforts to optimize opportunities within the department, empower others in the organization to speak up and voice opportunities to improve processes and the experience or our internal and external consumers.  The role will act as a subject matter expert for course content, writing, planning, and facilitating training material and performance assessments to help measure the effectiveness of training and incorporation of Medicaid into our program.

Tasks will include but are not limited to facilitation and development of curriculum, driving development measures of success, process documentation or various ad hoc presentations, etc.

The role will provide product, client, customer, provider and compliance support.


Use your skills to make an impact
 

Required Qualifications       

  • Bachelor’s Degree or 3+ years of Provider Activation experience.
  • 2+ years of consumer operations experience or related field that consist of: process knowledge, research, evaluation, identifying gaps and areas of improvements to recommend solutions.
  • Experience using a wide variety of tools and methods to effectively facilitate to a wide audience in a variety of settings (virtual, in-person, etc.)
  • Prior Professional experience with Microsoft Suite, Word, Excel and PowerPoint
  • Meet Humana's Work at Home connectivity requirement listed in additional information.

 Preferred Qualifications

  • Knowledge of Adobe Captivate, Cornerstone, InDesign, Camtasia preferred
  • Experience with APEX, CAS, MTV, PAAG, PIMS, and/or PMDM preferred
  • Process Improvement & Project Management experience
  • Prior contract loading experience preferred

Additional information

Virtual Interview statement

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.

Work at home statement

Home/Office employees must meet the following criteria:

At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; 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

SSN Alert Statement

Humana values personal identity protection. Please be aware that applicants may be asked to provide their Social Security Number, if it is not already on file. When required, an email will be sent from Humana@myworkday.com with instructions on how to add the information into your official application on Humana’s secure website.

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.


 

$69,800 - $96,200 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 because he or she is a protected veteran. It is also the policy of  Humana to take affirmative action to employ and to advance in employment, all persons regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, 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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Job Profile

Regions

North America

Countries

United States

Benefits/Perks

401(k) retirement savings plan Bonus incentive plan Competitive benefits Dental Life Insurance Medical Paid parental and caregiver leave Paid Time Off Parental and Caregiver Leave Personal holidays Time off Vision Vision Benefits Volunteer time Volunteer time off

Skills

BI Business Camtasia Compliance Consumer Operations Data Documentation Excel Healthcare HIPAA Leadership Medicaid Medicare Microsoft Suite Operations Process documentation Process Improvement Project Management Provider Activation Reporting Research Security Technology Wellness

Tasks
  • Client support
  • Compliance
  • Compliance support
  • Documentation
  • Driving development measures of success
  • Facilitation
  • Facilitation and development of curriculum
  • Process documentation
  • Process Improvement
  • Reporting
  • Research
  • Training
Experience

2+ years

Education

Associates Bachelor's degree Business Related Field

Restrictions

Internet speed criteria Payment for internet expense in specific states Remote US Work at Home connectivity requirement Work from a dedicated space Work from a dedicated space lacking ongoing interruptions

Timezones

America/Anchorage America/Chicago America/Denver America/Los_Angeles America/New_York Pacific/Honolulu UTC-10 UTC-5 UTC-6 UTC-7 UTC-8 UTC-9