Bilingual Care Management Support, Puerto Rico

Puerto Rico

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Not SpecifiedCompensation

Entry Level & New Grad, Junior (1 to 2 years)Experience Level

Full TimeJob Type

UnknownVisa

Health Insurance, HealthcareIndustries

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 inbound and outbound call volumes is required, along with a proven track record of meeting productivity, quality, and service metrics. Proficiency in multitasking across multiple applications and using Microsoft Office Suite (Word, Excel, Teams, Outlook) is essential. The ability to work a 9-hour shift between 11:00 am and 8:00 pm EST, including a one-hour lunch break, is necessary. Preferred qualifications include an Associate's degree or higher, administrative support experience in a healthcare setting within the last 3 years, familiarity with care management resources, and auto-dialer experience. Employees must reside in Puerto Rico and have a reliable internet connection with at least 25 Mbps download and 10 Mbps upload speeds.

Responsibilities

The Bilingual Care Management Support Assistant will engage CarePlus members via telephonic interactions to support their overall health and well-being. This involves completing assessments and questionnaires to identify health risks, coordinating assistance for doctor's appointments, and addressing barriers to health screenings. The role includes connecting members with resources to close care gaps, helping them access benefits, and handling both inbound and outbound calls within a call center environment using an auto-dialer system.

Skills

Bilingual (English/Spanish)

Customer Service

Telephonic Interactions

Call Center

Auto-dialer System

Active Listening

Problem-Solving

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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