Humana

OH Medicaid Consumer Experience Lead

Ohio, United States

Not SpecifiedCompensation
Senior (5 to 8 years)Experience Level
Full TimeJob Type
UnknownVisa
Health Insurance, HealthcareIndustries

Consumer Experience Lead

Employment Type: Full-time Salary: $104,000 - $143,000 per year (eligible for bonus incentive plan)


Position Overview

Become a part of our caring community and help us put health first. The Consumer Experience Lead ensures optimized interaction between a company and members. This role addresses problems of diverse scope and complexity, ranging from moderate to substantial.


Responsibilities

The Consumer Experience Lead may leverage various methods to improve member experience, including:

  • Voice of the customer analysis
  • Net Promoter Score (NPS) tracking
  • Root cause analysis
  • Storytelling to convey insights
  • Call listening
  • Member experience design
  • Elimination and recognition of friction points
  • Identifying automation and optimization opportunities
  • Empowering others in the organization to voice opportunities for improvement

The Consumer Experience Lead will advise the Director of Consumer Engagement and OH Market leaders on developing functional strategies, often segment-specific, for matters of significance. This role requires exercising independent judgment and decision-making on complex issues regarding job duties and related tasks, operating under minimal supervision. It involves using independent judgment that requires analysis of variable factors to determine the best course of action.


Requirements

Required Qualifications:

  • Bachelor's degree
  • 5 or more years of consumer operations experience
  • 2 or more years of project leadership experience
  • Deep understanding of developing functional strategies
  • Experience in identifying optimization and automation solutions to develop and launch company initiatives
  • Experience with analytics, including program evaluation and optimization
  • Strategic thinking and planning capabilities
  • Must be organized and detail-oriented
  • Must be passionate about contributing to an organization focused on continuously improving consumer experiences

Preferred Qualifications:

  • Graduate degree preferred
  • Knowledge of Humana's internal policies, procedures, and systems

Application Instructions & Additional Information

As part of our hiring process for this opportunity, we will be using an interviewing technology called HireVue to enhance our hiring and decision-making ability. HireVue allows us to quickly connect and gain valuable information from you pertaining to your relevant skills and experience at a time that is best for your schedule.

Work Environment & Equipment:

  • Internet Service: For Home or Hybrid Home/Office employees, self-provided internet service must meet the following criteria: a minimum download speed of 25 Mbps and an upload speed of 10 Mbps. Wireless, wired cable, or DSL connection is suggested. Satellite, cellular, and microwave connections may be used only if approved by leadership.
  • Internet Expense Reimbursement: Employees who live and work from Home in California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense.
  • Telephone Equipment: Humana will provide Home or Hybrid Home/Office employees with telephone equipment appropriate to meet the business requirements for their position/job.
  • Work Space: Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.

Travel:

  • While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.

Scheduled Weekly Hours: 40


Company Information

Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical...

Skills

consumer operations
project leadership
functional strategies
optimization solutions
automation solutions
analytics
program evaluation
strategic thinking
planning
member experience design
voice of the customer
NPS
root cause analysis
call listening

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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