Provider Installation Representative

About the Role

Employment Type: Full time

Become a part of our caring community and help us put health first. The Physician Finder Plus (PFP) is the most utilized tool for Humana members. As the Provider Directory team, they manage and input the criteria that is needed to make the online PFP and the printed directories accurate. Come join the team as a Provider Installation Representative and contribute to making a difference for our Humana members. The Provider Directory Configuration team works with both Medicare and Medicaid lines of business.

Where You Come In

As a part of the Provider Directory Configuration team, the Provider Installation Representative 2 will be responsible for building forms as one of their main tasks; typically completed in June and July each year for the following year. The provider information must be maintained and remain accurate, so our members have a positive experience in obtaining the needed information for their wellbeing; therefore, this team reviews the directories (in PDF form) every 30 days.

Provider Directory Overview

• Input data criteria in DD (Directory Designer)
• Proof paper directories (recycled every 30 days all year)
• Submit defects found within directories
• Defect closeouts to be completed after submitted defect has been corrected
• Dashboard reports from IT of potential issues identified by IT
• Research providers information identified by the market and customer service sent via email
• Collaborate with IDC (Internet Directory Creator) team and Directories Team Auditors to achieve a positive member experience

What Humana Offers

We are fortunate to offer a remote opportunity for this job. Our Fortune 100 Company values associate engagement & your well-being. We also provide excellent professional development & continued education. Use your skills to make an impact.

Required Qualifications – What it takes to Succeed

• Minimum of 1 year of administrative, support, data entry, or related professional experience
• Minimum 1 year of healthcare related background with an understanding of Medicare and Medicaid
• Experience using multiple computer applications simultaneously
• A positive, proactive attitude with a passion for consumer experience
• Self-starter with excellent time management skills
• Work well independently and as a team
• Comfortable with constant process changes/adapting to new processes
• Prior experience using Microsoft Office Programs, including Word, Excel, OneNote PowerPoint

Preferred Qualifications

• Experience in the following systems: DD (Directory Designer), qTest, HPAS, Wicket, APEX, PMPD Provider Search, PAAG (Provider At A Glance), CAS (Claims Administration System), Mentor experience
• Provider installation/directory, provider data operations, data management, configuration, or similar transferable discipline covering Medicare and Medicaid lines of business
• Prior work experience in a fast paced, metric driven setting
• Excellent communication skills
• Attention to detail with a focus on quality

Hours

• Dependent on candidate location. Monday – Friday, first 90 days 7:00am – 3:30pm.
• Flex time available after probation.
• Department operating hours 6am – 6pm but must log in by 9:00am.
• 40-hour work weeks with potential overtime June – October based on business needs.

Training

• Remote with camera, 4-5 weeks classroom style instruction with a trainer working tasks.

Additional Information - How we Value You

• Benefits starting day 1 of employment
• Competitive 401k match
• Generous Paid Time Off accrual
• Tuition Reimbursement
• Parent Leave

Work at Home Requirements

To ensure Home or Hybrid Home/Office associates’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office associates must meet the following criteria:

• At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is suggested.