Senior Agency Management Professional

San Antonio, Texas, United States

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Not SpecifiedCompensation

Senior (5 to 8 years)Experience Level

Full TimeJob Type

UnknownVisa

Health InsuranceIndustries

Requirements

Candidates must possess a Bachelor's degree and have 5 or more years of experience in financial analysis and/or reporting. Comprehensive knowledge of all Microsoft Office applications, particularly Excel and Access, is required, along with strong attention to detail and investigation skills for commission payment audits. Experience working with large datasets and a passion for improving consumer experience are also necessary, as is a growth mindset towards new technologies and processes. Preferred qualifications include a Master's degree in business administration or a related field, experience with insurance and healthcare data, proficiency in multiple systems, and knowledge of SQL, VBA, and Power BI.

Responsibilities

The Senior Agency Management Professional will support data analysis for compliance and commissions of Humana's external producers, handling moderately to highly complex issues requiring deep evaluation and independent judgment. Responsibilities include engaging with producers and regulatory bodies regarding commission concerns, performing audits of commission payments, and analyzing regulations to establish required appointment fees for compliance. The role involves making decisions on work methods, researching financial information for audits, acting as a primary contact for commission payment resolutions, setting up and auditing contracts in systems, multitasking on various projects, performing analysis with an emphasis on control and prevention, assisting in problem-solving and process improvement, and providing financial support for budget variance analysis.

Skills

Data Analysis

Compliance

Commissions

Medicare

Medicaid

Department of Insurance Regulations

Auditing

Financial Analysis

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.

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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