[Remote] Outbound Contacts Representative 2 at Humana

Ohio, United States

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Not SpecifiedCompensation

Mid-level (3 to 4 years)Experience Level

Full TimeJob Type

UnknownVisa

Healthcare, InsuranceIndustries

Requirements

Candidates must possess a High School Diploma or equivalent, strong analytical and problem-solving skills with keen attention to detail, and be self-motivated to work independently in a fast-paced, high-volume environment. Excellent verbal and written communication skills are essential, along with proficiency in Microsoft Office Suite (Excel, Word, Teams, Outlook). Flexibility for rotated holiday shifts and potential mandatory overtime is also required. Previous call center experience and a pharmacy background are preferred.

Responsibilities

The Outbound Contacts Representative 2 will manage and document Adverse Drug Event (ADE) reports according to protocols and guidelines, conduct patient outreach to provide support on behalf of clinicians and pharmacy staff, and accurately assign and document patient calls in electronic health records. This role involves making outbound calls to medical offices and patients to relay information and transfer calls as needed, collaborating with healthcare teams for timely communication, and maintaining confidentiality and professionalism in all interactions. The representative will also assess the need for follow-up calls by interpreting call processes.

Skills

Adverse Drug Event (ADE) reporting

Patient outreach

Electronic health records

Patient management systems

Medical office communication

Interpersonal communication

Analytical skills

Problem-solving

Attention to detail

Self-motivation

Independent work

Verbal communication

Written communication

Microsoft Office

Excel

Word

Teams

Outlook

Call center experience

Pharmacy background

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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