[Remote] Care Management Support Asst at Humana

Indiana, United States

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Not SpecifiedCompensation

Entry Level & New GradExperience Level

Full TimeJob Type

UnknownVisa

HealthcareIndustries

Requirements

Must currently reside in the state of Indiana
Less than 3 years of technical experience with Microsoft Word, Excel, Outlook
Knowledge of Microsoft Word, Excel, and Outlook
Administrative support experience in a healthcare industry
Familiarity with care and well-being resources
Must be passionate about contributing to an organization focused on continuously improving consumer experiences
Indiana Medicaid knowledge preferred
Associate's Degree preferred
Microsoft Access proficiency preferred
Self-provided internet service meeting minimum speeds (25 Mbps download, 10 Mbps upload); wireless, wired cable, or DSL suggested
Work from a dedicated space lacking ongoing interruptions to protect member PHI/HIPAA information

Responsibilities

Contribute to administration of care management
Provide CM support by managing shared mailboxes and entering data into work queues
Mail letters/educational material
Research unable to contact members
Complete other administrative functions, as assigned
Provide non-clinical support to the assessment and evaluation of members' needs and requirements to achieve and/or maintain optimal wellness state
Guide members/families toward and facilitate interaction with resources appropriate for the care and wellbeing of members
Perform varied activities and moderately complex administrative/operational/customer support assignments
Perform computations
Employ a variety of strategies, approaches, and techniques to support a member's optimal wellness state by coordinating services and resources
Support various functions including care and service coordination and redeterminations

Skills

Key technologies and capabilities for this role

Microsoft WordMicrosoft ExcelMicrosoft OutlookAdministrative SupportHealthcare AdministrationData EntryCustomer SupportMedicaid

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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