Humana

Care Management Support Assistant

Virginia, United States

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

Requirements

Candidates must reside in the Commonwealth of Virginia and possess one year of administrative support experience in healthcare or a related setting. Intermediate working knowledge of Microsoft Office programs, including Excel, PowerPoint, Outlook, and Word, is required, along with strong organizational skills, time management skills, and the ability to manage multiple priorities. Exceptional communication and interpersonal skills are necessary, demonstrating the ability to build rapport with internal and external customers and stakeholders.

Responsibilities

The Care Management Support Assistant will contribute to the administration of care management by managing shared mailboxes and entering data into work queues, mailing letters/educational material, researching unable to contact members, and completing other administrative functions as assigned. They will ensure the timely and correct submission of Commonwealth-required deliverables, research alternative contact information for hard-to-search members, contact members to engage them in care management programs, and support inbound call escalations. The role involves providing non-clinical support for the assessment and evaluation of members’ needs, interacting with Care Coaches and Field Care Managers, performing clerical activities including reporting and tracking data, pulling reports, monitoring email, and performing computations. Additionally, the assistant may make, receive, and soft transfer calls to and from members, providers, and families, and ensure timely communication and follow-up occurs with care management.

Skills

Administrative Support
Data Entry
Microsoft Office (Excel, PowerPoint, Outlook, Word)
Communication
Organization
Research
Clerical Activities

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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