Humana

Medicare Financial Underwriter

San Antonio, Texas, United States

Humana Logo
Not SpecifiedCompensation
Junior (1 to 2 years)Experience Level
Full TimeJob Type
UnknownVisa
Health Insurance, MedicareIndustries

Requirements

Candidates should possess knowledge of Risk Pool Management, experience with Microsoft Word and Excel, and the ability to handle multiple projects, prioritize tasks, and meet deadlines. Strong attention to detail, organizational skills, and the ability to follow process are required, along with analytical skills and creative problem-solving abilities with attention to detail, and the ability to work effectively and professionally in a fast-paced environment. Exceptional time management and organizational skills are also necessary.

Responsibilities

The Financial Underwriter will prepare rating for small to mid-size accounts and develop financial reports for groups offering retirement benefits to Medicare eligible members. They will provide rationale and support to other areas within the organization and to clients regarding rate computations and financial activity, while demonstrating effective planning and time management and possessing clear and concise communication skills. The role also involves accurate analysis of financial and benefit exhibits, and the ability to work independently and in a team environment.

Skills

Risk Pool Management
Microsoft Word
Excel
Project Management
Prioritization
Attention to Detail
Organizational Skills
Analytical Skills
Problem-Solving
Time Management
Teamwork
Communication

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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