Humana

Care Management Support Assistant

San Antonio, Texas, United States

Not SpecifiedCompensation
Entry Level & New GradExperience Level
Full TimeJob Type
UnknownVisa
HealthcareIndustries

Care Management Support Assistant

Employment Type: Full-time

Position Overview

Humana's Care Management Support Assistants play a crucial role in our mission to put health first. If you enjoy helping others achieve optimal health and well-being, possess strong phone-based customer service skills, and thrive in a fast-paced virtual environment, this position is for you. As a Care Management Support Assistant, you will operate within a call center setting, utilizing an auto-dialer telephone system. Your primary objective will be to adopt a comprehensive approach to addressing members' overall health and well-being.

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 Factors

  • 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, 8:00 AM to 8:00 PM EST.
  • Assigned Shift for this Opportunity: 11:30 AM – 8:00 PM EST.
  • Training Hours (First 2 Weeks): 9:00 AM to 5:30 PM EST.
  • Attendance Policy: Attendance is vital during the first 90 days (training and nesting period); no time off will be allowed.
  • Extended Hours: May be required, including occasional and/or mandatory overtime to include evenings and weekends, based on business needs.

Required Qualifications

  • High School Diploma, GED, or equivalent.
  • Minimum of 1 year of experience in a fast-paced call center with high inbound and outbound call volumes.
  • Proven experience consistently meeting documented productivity, quality, and/or service metrics.
  • Demonstrated ability to multitask 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.
  • Bilingual in English and Spanish.
  • 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 effective work-from-home capabilities, your self-provided internet service must meet the following criteria:

  • Recommended Speed: Minimum download speed of 25 Mbps and an upload speed of 10 Mbps.
  • Connection Type: Wired cable or DSL connection is suggested. Wireless connections can be used but wired is preferred. Satellite, cellular, and microwave connections may be used only if approved by leadership.
  • Internet Expense Reimbursement: Employees residing and working from home in California, Illinois, Montana, or South Dakota will receive a bi-weekly payment for their internet expense.
  • Equipment: Humana will provide telephone equipment appropriate to meet business requirements.
  • Work Environment: A dedicated, quiet space free from ongoing interruptions is required to protect member PHI / HIPAA information.

Additional Information

PLEASE MAKE SURE YOU ATTACH YOUR RESUME TO YOUR APPLICATION (PDF OR WORD FORMAT).

Interview Process

As part of our hiring process for this opportunity, we will be utilizing interviewing technology.

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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