Humana

Bilingual Care Management Support Assistant

San Antonio, Texas, United States

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

Job Description: Bilingual Care Management Support Assistant (CMSA)

Employment Type: Full-time

Position Overview

Become a part of our caring community and help us put health first! Do you enjoy helping others achieve optimal health and well-being? Are you skilled at customer service over the phone and energized by a fast-paced virtual position? Humana’s Care Management Support Assistants perform their role in a call center environment that includes working in an auto-dialer telephone system. The role aims to take a comprehensive approach towards addressing a member’s overall health and well-being. To work as a Bilingual CMSA, you must be fluent in both ENGLISH and SPANISH and pass a proficiency exam in both languages.

Start Date: Monday, September 15, 2025 Assigned Shift: 11:30 AM – 8:00 PM EST (Eastern Standard Time)

Key Responsibilities

  • Effectively engage members in Care Management via telephonic interactions.
  • Complete necessary assessments and questionnaires with members to identify health risks and support our clinical Care Management team in addressing them.
  • Coordinate assistance for members needing doctor’s appointments.
  • Address barriers to various health screenings and connect members with resources to close any gaps in care.
  • Help members retain and access benefits.
  • Service both inbound and outbound calls.

Success in the CMSA Role Requires:

  • Consideration and professionalism towards the members we serve.
  • Understanding, integrity, and compassion.
  • Ability to apply active listening skills to initiative-taking and decision-making.
  • Ability to learn and absorb information quickly and apply it to the work being performed.
  • Ability to work independently but also speak up in times of doubt.
  • Flexibility and comfort with the speed of change in healthcare.

Training and Schedule

  • Call Center Hours of Operation: Monday-Friday between 8:00 AM and 8:00 PM EST.
  • Assigned Shift for this Opportunity: 11:30 AM – 8:00 PM EST.
  • Training Period (First 2 Weeks): 9:00 AM to 5:30 PM EST.
  • Attendance Policy: Attendance is vital for your success; no time off will be allowed during the training and nesting period (first 90 days).
  • Extended Hours: Extended hours are offered when business needs arise, which could include occasional and/or mandatory overtime to include evenings and weekends.

Required Qualifications

  • High School Diploma, GED, or equivalent.
  • Bilingual in English and Spanish (and able to pass language proficiency tests in both languages).
  • A minimum of 1 year of experience in a fast-paced call center with high inbound and outbound call volumes.
  • Experience consistently meeting documented productivity, quality, and/or service metrics.
  • Experience multitasking between numerous applications, programs, and platforms.
  • Proficiency using Microsoft Office products: Word, Excel, Teams, and Outlook.
  • Ability to work an 8.5-hour shift between the hours of 11:30 AM to 8:00 PM EST.

Preferred Qualifications

  • Associate’s degree or higher.
  • Administrative support experience in a healthcare setting (within the past 3 years).
  • Familiarity with care management and well-being resources.
  • Auto-dialer experience.

Work-At-Home Requirements

To ensure Work-At-Home employees’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria:

  • Recommended Speed: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps.
  • Connection Type: Wireless, wired cable, or DSL connection is suggested. Satellite, cellular, and microwave connections can be used only if approved by leadership.
  • Internet Expense Reimbursement: Employees who live and work from Home in California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense.
  • Equipment: Humana will provide Home or Hybrid Home/Office employees with telephone equipment appropriate to meet the business requirements for their position/job.
  • Workspace: Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.

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.

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