Humana

Provider Installation Professional 2

San Antonio, Texas, United States

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

Requirements

Candidates should possess a minimum of 2 years of experience in provider installation, directory management, provider data operations, data management, configuration, or a related discipline, along with prior experience in data management systems and software. Technical proficiency in directory design, programming, and/or testing, and the ability to analyze and interpret data within the healthcare industry are also required.

Responsibilities

The Provider Installation Professional 2 will create design and programming for provider directories, ensuring data accuracy and timeliness according to regulations. They will develop and maintain a robust data structure, conduct thorough proofing and quality assurance procedures, investigate and resolve data discrepancies, collaborate with IT and other teams, implement and test directories, generate and post directories to electronic libraries, maintain operating guidelines, and update standard operating procedures. They will also assist with managing change orders and reporting on progress to senior management.

Skills

Database Management
Data Structuring
Quality Assurance
Provider Directory Design
Regulatory Compliance
Problem-Solving
Independent Judgment

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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