Humana

Community Health Worker 1

Ohio, United States

Not SpecifiedCompensation
Junior (1 to 2 years)Experience Level
Full TimeJob Type
UnknownVisa
HealthcareIndustries

Requirements

Candidates must possess a High School Diploma or equivalent, a minimum of two (2) years of experience with community resources, health agencies, or social services, intermediate proficiency in Microsoft Office (Teams, Excel, PowerPoint, Outlook, Word), exceptional communication and interpersonal skills, the ability to multi-task in a fast-paced environment, respect for cultural and demographic diversity, and strong written communication skills.

Responsibilities

The Care Management Support Professional 1 contributes to the administration of care management by providing non-clinical support to the assessment and evaluation of members' needs and requirements, guiding members/families toward and facilitating interaction with appropriate resources, and understanding own work area professional concepts/standards. They make decisions regarding their work approach/priorities and follow direction, and work is managed and guided by precedent and/or documented procedures/regulations/professional standards with some interpretation.

Skills

Community Resources
Health Agencies
Social Services
Microsoft Office (Teams, Excel, PowerPoint, Outlook, Word)
Communication
Interpersonal Skills
Multi-tasking
Cultural Competency
Written Communication
Advocacy
Community Health
Medicaid Guidelines
Behavioral Health

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.

Key Metrics

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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