Care Management Support Assistant

San Antonio, Texas, United States

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Not SpecifiedCompensation

Entry Level & New GradExperience Level

Full TimeJob Type

UnknownVisa

HealthcareIndustries

Requirements

Candidates require a High School Diploma, GED, or equivalent, along with a minimum of 1 year of experience in a fast-paced call center with high inbound and outbound call volumes. They must have experience meeting productivity, quality, and service metrics, be proficient in multitasking across applications, and possess strong skills in Microsoft Office (Word, Excel, Teams, Outlook). The role also requires the ability to work an 8.5-hour shift between 11:30 am and 8:00 pm EST, have consideration, integrity, and compassion, and demonstrate active listening and quick learning abilities. Preferred qualifications include an Associate's degree or higher, bilingual proficiency in English and Spanish, administrative support experience in healthcare, 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 speed is necessary, along with a dedicated, interruption-free workspace.

Responsibilities

The Care Management Support Assistant will engage members in Care Management via telephonic interactions, complete assessments and questionnaires to identify health risks, and coordinate assistance for members needing doctor's appointments. They will address barriers to health screenings, connect members with resources to close care gaps, and help members retain and access benefits. This role involves servicing both inbound and outbound calls within a call center environment using an auto-dialer system.

Skills

Customer Service

Telephonic Interactions

Active Listening

Assessment

Coordination

Resourcefulness

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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