[Remote] Field Service Coordinator - D2 at Humana

Indiana, United States

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Not SpecifiedCompensation

Mid-level (3 to 4 years)Experience Level

Full TimeJob Type

UnknownVisa

Health Insurance, HealthcareIndustries

Requirements

Candidates must possess a Bachelor's degree in a health and human services field and have at least 2 years of related experience. Proficiency in Microsoft Office Word and Excel, exceptional verbal and written communication skills, and the ability to use various electronic information applications are required. A valid state driver's license, proof of personal vehicle liability insurance with specific limits, and a passion for improving consumer experiences are also necessary. Prior experience with Medicare & Medicaid recipients, electronic case note documentation, health promotion, coaching, wellness, and knowledge of community health and social service agencies are preferred.

Responsibilities

The Field Service Coordinator assesses and evaluates member needs to guide them towards optimal wellness, connecting them with appropriate resources. Responsibilities include administering LTSS assessments, contacting members telephonically and in-person to establish goals and develop care plans, and identifying LTSS providers and community partnerships. The role involves continuous modification of Service Plans, supporting members in navigating LTSS and related needs, assisting with Medicaid eligibility, and collaborating with medical teams for cohesive service delivery.

Skills

Assessment

Care Planning

Medicaid Eligibility

Community Resources

Member Support

Communication

Collaboration

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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