Humana

Bilingual Care Management Support Assistant

San Antonio, Texas, United States

Not SpecifiedCompensation
Entry Level & New GradExperience Level
Full TimeJob Type
UnknownVisa
Healthcare, InsuranceIndustries

Requirements

Candidates must possess a High School Diploma, GED, or equivalent, and be bilingual in English and Spanish, passing proficiency tests in both languages. A minimum of 1 year of experience in a fast-paced call center with high call volumes is required, along with demonstrated ability to meet productivity and quality metrics. Proficiency in multitasking between applications and using Microsoft Office Suite (Word, Excel, Teams, Outlook) is essential. The role requires the ability to work an 8.5-hour shift between 11:30 AM and 8:00 PM EST. Preferred qualifications include an Associate's degree or higher, administrative support experience in a healthcare setting, familiarity with care management resources, and auto-dialer experience. For remote work, a stable internet connection with at least 25 Mbps download and 10 Mbps upload speeds is necessary, and employees must have a dedicated, interruption-free workspace.

Responsibilities

The Bilingual Care Management Support Assistant will engage members in Care Management through telephonic interactions, conducting necessary assessments and questionnaires to identify health risks. Responsibilities include coordinating assistance for members needing doctor's appointments, addressing barriers to health screenings, connecting members with resources to close care gaps, and helping members access and retain benefits. This role involves servicing both inbound and outbound calls within a call center environment using an auto-dialer system.

Skills

Spanish
English
Customer Service
Telephonic Interactions
Assessment
Questionnaires
Coordination
Resourcefulness
Active Listening
Independent Work
Adaptability

Humana

Health insurance provider for seniors and military

About Humana

Humana provides health and well-being services, focusing on Medicare Advantage plans for seniors, military personnel, and communities. Their plans include HMO, PPO, and PFFS options, designed to improve health outcomes through comprehensive and flexible coverage. Humana's revenue comes from government contracts and member premiums, and they aim to maintain high renewal rates by offering quality service and competitive benefits. The company stands out by fostering a culture of inclusivity and belonging among its employees, while also ensuring accessibility for all members, including offering free language interpreter services. Humana's goal is to deliver value to its members through an extensive provider network and innovative health solutions.

Louisville, KentuckyHeadquarters
1961Year Founded
IPOCompany Stage
Social Impact, HealthcareIndustries
10,001+Employees

Risks

Potential over-reliance on AI could disrupt operations if systems fail or are compromised.
Rising medical costs and tightening Medicare reimbursements may strain financial performance.
Leadership change with new CEO Jim Rechtin could lead to strategic disruptions.

Differentiation

Humana is a leader in Medicare Advantage plans, focusing on seniors and military personnel.
The company emphasizes inclusivity, offering free language interpreter services for accessibility.
Humana leverages AI and cloud technologies through a partnership with Google Cloud.

Upsides

Humana's investment in Healthpilot enhances digital enrollment for Medicare options.
The company is the first insurer to cover TMS therapy for adolescent depression.
Humana's focus on value-based care aims to improve outcomes for kidney disease patients.

Land your dream remote job 3x faster with AI