Member Support Advocate
WellthFull Time
Entry Level & New Grad
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.
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.
Health insurance provider for seniors and military
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.