Humana Inc.

  • Chicago, IL, USA
Humana Inc. Remote * (Meridian, ID, USA)
Oct 26, 2021
Description The Clinical Operational Success Architect designs, develops, and troubleshoots Clinical IT applications architecture with a customer first mindset to maximize user experience and quality of clinical operations. The Clinical Operational Success Architect works on problems of diverse scope and complexity ranging from moderate to substantial. Responsibilities The Clinical Operational Success Architect performs research, technical planning, analysis, and architecture development and modification of Clinical applications. Revises specifications for existing and upcoming application development in line with industry practices for maintainability, supportability, and other non-functional characteristics. Assesses the compatibility and integration of products/services proposed across the Clinical IT segment per standards in order to ensure an integrated and simplified architecture across interdependent applications. Proposes modifications and adjustments to SAFe team...
Humana Inc. Remote * (Tulsa, OK, USA)
Oct 25, 2021
Description Responsibilities The Inbound Contacts Representative 2 represents Humana by addressing incoming telephone, digital, or written inquiries from Medicare members. These Inbound Contact Representative 2 strives to provide the member a resolution or path way to resolution on each call while providing a perfect call experience. 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 takes action in accordance to it. * Escalates unresolved and pending customer grievances. Decisions are typically focused on interpretation of area/department policy and methods for completing assignments. * Works within defined parameters to identify work expectations and quality standards,...
Humana Inc. Remote * (Louisville, KY, USA)
Oct 25, 2021
Description Responsibilities The Inbound Contacts Representative 2 represents Humana by addressing incoming telephone, digital, or written inquiries from Medicare members. These Inbound Contact Representative 2 strives to provide the member a resolution or path way to resolution on each call while providing a perfect call experience. 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 takes action in accordance to it. * Escalates unresolved and pending customer grievances. Decisions are typically focused on interpretation of area/department policy and methods for completing assignments. * Works within defined parameters to identify work expectations and quality standards,...
Humana Inc. Remote * (Tampa, FL, USA)
Oct 25, 2021
Description Responsibilities The Inbound Contacts Representative 2 represents Humana by addressing incoming telephone, digital, or written inquiries from Medicare members. These Inbound Contact Representative 2 strives to provide the member a resolution or path way to resolution on each call while providing a perfect call experience. 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 takes action in accordance to it. * Escalates unresolved and pending customer grievances. Decisions are typically focused on interpretation of area/department policy and methods for completing assignments. * Works within defined parameters to identify work expectations and quality standards,...
Humana Inc. Remote * (Tampa, FL, USA)
Oct 25, 2021
Description The Doctor Call Queue Pharmacist will: * Provide resolution or outreach for a resolution on prescriptions that are considered incomplete, invalid, or contain clinical issues preventing the fulfillment of the request via electronic communication with the Doctor's office. * Check for completeness and accuracy of prescriptions * Interact with fellow health care team members virtually * Assure compliance with legal requirements within the pharmacy * Other duties as assigned by leadership Responsibilities The Doctor Call Queue Pharmacist will: * Be able to work independent and be self guided while maintaining the upmost quality and production. * Must feel comfortable with their clinical judgement and utilization of resources provided * Provide resolution or outreach for a resolution on prescriptions that are considered incomplete, invalid, or contain clinical issues preventing the fulfillment of the request * Check for completeness and accuracy of prescriptions *...
Humana Inc. Remote * (Indianapolis, IN, USA)
Oct 25, 2021
Description Responsibilities The Inbound Contacts Representative 2 represents Humana by addressing incoming telephone, digital, or written inquiries from Medicare members. These Inbound Contact Representative 2 strives to provide the member a resolution or path way to resolution on each call while providing a perfect call experience. 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 takes action in accordance to it. * Escalates unresolved and pending customer grievances. Decisions are typically focused on interpretation of area/department policy and methods for completing assignments. * Works within defined parameters to identify work expectations and quality standards,...
Humana Inc. Remote * (Cincinnati, OH, USA)
Oct 25, 2021
Description Responsibilities The Inbound Contacts Representative 2 represents Humana by addressing incoming telephone, digital, or written inquiries from Medicare members. These Inbound Contact Representative 2 strives to provide the member a resolution or path way to resolution on each call while providing a perfect call experience. 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 takes action in accordance to it. * Escalates unresolved and pending customer grievances. Decisions are typically focused on interpretation of area/department policy and methods for completing assignments. * Works within defined parameters to identify work expectations and quality standards,...
Humana Inc. Remote * (Davenport, IA, USA)
Oct 24, 2021
Description This role leverages Humana Mid-Atlantic Region's clinical data to identify trends in the market and provide recommendations to senior leadership. The Senior Data and Reporting Professional is responsible for generating daily/weekly/monthly clinical reporting in addition to ad hoc reporting. Work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors. Responsibilities The Senior Data and Reporting Professional integrates data from multiple sources to produce requested or required reports. Programs and maintains report forms and formats, information dashboards, data generators, canned reports and other end-user information portals or resources. May create specifications for reports based on business requests. Begins to influence department's strategy. Makes decisions on moderately complex to complex issues regarding technical approach for project components, and work is...
Humana Inc. Remote * (Minneapolis, MN, USA)
Oct 24, 2021
Description Are you a passionate marketer who enjoys using data analytics to develop targeted engagement strategies? Do you enjoy digging into consumer research to develop a deep understanding of your target audience? Do you have experience managing engagement marketing campaigns from strategy through execution? If so, an exciting opportunity as a CRM Marketing Professional 2 awaits you on Humana's Employer Group Member Marketing team. We are a team of people who are passionate about the consumer experience and know how to roll up our sleeves and dig deep into consumer pain points to develop targeted marketing strategies designed to engage members with their health and their Humana plan. We're looking for someone with an entrepreneurial mindset who can join the team and help build out the member-marketing function for the Employer Group segment. Responsibilities As a member of this team, you will leverage internal and external research and data to recommend and execute...
Humana Inc. Remote * (Birmingham, AL, USA)
Oct 24, 2021
Description This role leverages Humana Mid-Atlantic Region's clinical data to identify trends in the market and provide recommendations to senior leadership. The Senior Data and Reporting Professional is responsible for generating daily/weekly/monthly clinical reporting in addition to ad hoc reporting. Work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors. Responsibilities The Senior Data and Reporting Professional integrates data from multiple sources to produce requested or required reports. Programs and maintains report forms and formats, information dashboards, data generators, canned reports and other end-user information portals or resources. May create specifications for reports based on business requests. Begins to influence department's strategy. Makes decisions on moderately complex to complex issues regarding technical approach for project components, and work is...
Humana Inc. Remote * (Washington, DC, USA)
Oct 24, 2021
Description Are you a passionate marketer who enjoys using data analytics to develop targeted engagement strategies? Do you enjoy digging into consumer research to develop a deep understanding of your target audience? Do you have experience managing engagement marketing campaigns from strategy through execution? If so, an exciting opportunity as a CRM Marketing Professional 2 awaits you on Humana's Employer Group Member Marketing team. We are a team of people who are passionate about the consumer experience and know how to roll up our sleeves and dig deep into consumer pain points to develop targeted marketing strategies designed to engage members with their health and their Humana plan. We're looking for someone with an entrepreneurial mindset who can join the team and help build out the member-marketing function for the Employer Group segment. Responsibilities As a member of this team, you will leverage internal and external research and data to recommend and execute...
Humana Inc. Remote * (Indianapolis, IN, USA)
Oct 24, 2021
Description The Bilingual Claims Research and Resolution Representative 2 address customer needs which may include complex financial recovery questions, and resolving issues. Records details of inquiries, comments or complaints, transactions or interactions and takes action in accordance to it. Escalates unresolved and pending customer inquiries How we Value You Benefits starting day 1 of employment Competitive 401k match Generous Paid Time Off accrual Tuition Reimbursement Parent Leave Go365 perks for well-being Responsibilities Where you Come In The Bilingual Claims Research & Resolution Representative 2 works with insurance companies, providers, members, and collection services in the settlement of claims. Comprised of a group of calls/claims/provider associates researching the resolution to a pending call. Decisions are typically focus on interpretation of area/department policy and methods for completing assignments. Works within defined parameters to identify...
Humana Inc. Remote * (Ridgeland, MS, USA)
Oct 24, 2021
Description The Bilingual Claims Research and Resolution Representative 2 address customer needs which may include complex financial recovery questions, and resolving issues. Records details of inquiries, comments or complaints, transactions or interactions and takes action in accordance to it. Escalates unresolved and pending customer inquiries How we Value You Benefits starting day 1 of employment Competitive 401k match Generous Paid Time Off accrual Tuition Reimbursement Parent Leave Go365 perks for well-being Responsibilities Where you Come In The Bilingual Claims Research & Resolution Representative 2 works with insurance companies, providers, members, and collection services in the settlement of claims. Comprised of a group of calls/claims/provider associates researching the resolution to a pending call. Decisions are typically focus on interpretation of area/department policy and methods for completing assignments. Works within defined parameters to identify...
Humana Inc. Remote * (Hollywood, FL, USA)
Oct 24, 2021
Description The Utilization Management Field Nursing Professional 2 utilizes clinical nursing skills in the field to support the coordination, documentation and communication of medical services and/or benefit administration determinations. The Utilization Management Field Nursing Professional 2 work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action. Responsibilities The Utilization Management Field Nursing Professional 2 uses clinical knowledge, communication skills, and independent critical thinking skills towards interpreting criteria, policies, and procedures to provide the best and most appropriate treatment, care or services for members. Coordinates and communicates with providers, members, or other parties to facilitate optimal care and treatment. Understands department, segment, and organizational strategy and operating objectives, including their linkages to related areas. Makes decisions...
Humana Inc. Remote * (Meridian, ID, USA)
Oct 24, 2021
Description Are you a passionate marketer who enjoys using data analytics to develop targeted engagement strategies? Do you enjoy digging into consumer research to develop a deep understanding of your target audience? Do you have experience managing engagement marketing campaigns from strategy through execution? If so, an exciting opportunity as a CRM Marketing Professional 2 awaits you on Humana's Employer Group Member Marketing team. We are a team of people who are passionate about the consumer experience and know how to roll up our sleeves and dig deep into consumer pain points to develop targeted marketing strategies designed to engage members with their health and their Humana plan. We're looking for someone with an entrepreneurial mindset who can join the team and help build out the member-marketing function for the Employer Group segment. Responsibilities As a member of this team, you will leverage internal and external research and data to recommend and execute...
Humana Inc. Remote * (Davenport, IA, USA)
Oct 24, 2021
Description The Bilingual Claims Research and Resolution Representative 2 address customer needs which may include complex financial recovery questions, and resolving issues. Records details of inquiries, comments or complaints, transactions or interactions and takes action in accordance to it. Escalates unresolved and pending customer inquiries How we Value You Benefits starting day 1 of employment Competitive 401k match Generous Paid Time Off accrual Tuition Reimbursement Parent Leave Go365 perks for well-being Responsibilities Where you Come In The Bilingual Claims Research & Resolution Representative 2 works with insurance companies, providers, members, and collection services in the settlement of claims. Comprised of a group of calls/claims/provider associates researching the resolution to a pending call. Decisions are typically focus on interpretation of area/department policy and methods for completing assignments. Works within defined parameters to identify...
Humana Inc. Remote * (Honolulu, HI, USA)
Oct 24, 2021
Description This role leverages Humana Mid-Atlantic Region's clinical data to identify trends in the market and provide recommendations to senior leadership. The Senior Data and Reporting Professional is responsible for generating daily/weekly/monthly clinical reporting in addition to ad hoc reporting. Work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors. Responsibilities The Senior Data and Reporting Professional integrates data from multiple sources to produce requested or required reports. Programs and maintains report forms and formats, information dashboards, data generators, canned reports and other end-user information portals or resources. May create specifications for reports based on business requests. Begins to influence department's strategy. Makes decisions on moderately complex to complex issues regarding technical approach for project components, and work is...
Humana Inc. Remote * (Springfield, MO, USA)
Oct 24, 2021
Description The Bilingual Claims Research and Resolution Representative 2 address customer needs which may include complex financial recovery questions, and resolving issues. Records details of inquiries, comments or complaints, transactions or interactions and takes action in accordance to it. Escalates unresolved and pending customer inquiries How we Value You Benefits starting day 1 of employment Competitive 401k match Generous Paid Time Off accrual Tuition Reimbursement Parent Leave Go365 perks for well-being Responsibilities Where you Come In The Bilingual Claims Research & Resolution Representative 2 works with insurance companies, providers, members, and collection services in the settlement of claims. Comprised of a group of calls/claims/provider associates researching the resolution to a pending call. Decisions are typically focus on interpretation of area/department policy and methods for completing assignments. Works within defined parameters to identify...
Humana Inc. Remote * (Metairie, LA, USA)
Oct 24, 2021
Description The Bilingual Claims Research and Resolution Representative 2 address customer needs which may include complex financial recovery questions, and resolving issues. Records details of inquiries, comments or complaints, transactions or interactions and takes action in accordance to it. Escalates unresolved and pending customer inquiries How we Value You Benefits starting day 1 of employment Competitive 401k match Generous Paid Time Off accrual Tuition Reimbursement Parent Leave Go365 perks for well-being Responsibilities Where you Come In The Bilingual Claims Research & Resolution Representative 2 works with insurance companies, providers, members, and collection services in the settlement of claims. Comprised of a group of calls/claims/provider associates researching the resolution to a pending call. Decisions are typically focus on interpretation of area/department policy and methods for completing assignments. Works within defined parameters to identify...
Humana Inc. Remote * (Indianapolis, IN, USA)
Oct 24, 2021
Description Humana's Media Team is seeking a Media Planning Manager 2 to join our team working near Chicago, IL, Louisville, KY or remote anywhere in the US. As a Media Planning Manager 2, you will design media plans across our product lines to drive awareness, consideration and conversion. You will support the media plans of lines of business like Employer Group and Pharmacy which represent the fastest growing products and a big part of the company's future. Responsibilities The Media Planning Manager 2 will work with a collaborative and fun media team across the media campaign life cycle: briefing, strategy, tactical, reporting, and budgeting. Additionally, this role will partner closely with our Media Agency on execution. This is an exciting opportunity to be a part of a smart team, build your media skill set and contribute significantly to the growth of our business. Key Responsibilities * Identify target audiences and specific messages, channels, content and tactics *...