[Remote] Senior Agency Professional ; Finance/ Accounting at Humana

San Antonio, Texas, United States

Apply Now

Not SpecifiedCompensation

Senior (5 to 8 years)Experience Level

Full TimeJob Type

UnknownVisa

Healthcare, Insurance, Finance, AccountingIndustries

Requirements

Bachelor's degree
5 or more years of financial analysis and/or technical reporting experience
Comprehensive knowledge of all Microsoft Office applications, especially Excel & Access
Strong attention to detail and investigation skills
Experience working with large amounts of data
Ability to partner with peers to review needs and possible solutions
Passionate about contributing to an organization focused on continuously improving consumer experience and information technology
Growth mindset with regards to new technologies and processes
Previous Ad-hoc data pulls experience
Preferred Qualifications
Master's degree in business administration or a related field
Experience with Insurance and Healthcare data
Experience working in multiple systems at a time
Experience working with SSMS
Knowledge of SQL and VBA

Responsibilities

Engage with producers and Center for Medicare and Medicaid Services/Department of Insurance regulations specific to them if there are concerns related to missing or incomplete commissions
Perform audits related to commission payments that include system adjustments tied to transaction codes to create proper entries to the general ledger
Analyze and interpret Center for Medicare and Medicaid Services and Department of Insurance regulations to establish required appointment fees for producers to ensure compliance
Make decisions regarding own work methods, occasionally in ambiguous situations, with minimal direction
Research and analyze financial information to support internal and external audit activity
Act as "Go To" person for resolution of issues relating to commission payments on Humana’s various blocks of business
Set up contracts in systems in a timely manner, audit them for correctness, and ensure proper payment over time
Multitask by organizing workload and juggling various smaller projects
Perform analysis with emphasis on control and prevention
Assist in problem solving and process improvement activities
Exercise independent judgment and decision making on complex issues under minimal supervision
Make decisions on moderately complex to complex issues regarding technical approach for project components
Provide financial support for analyzing variations from budget for Agency Management reporting

Skills

Data Analysis

Compliance

Commissions Management

Auditing

Financial Analysis

CMS Regulations

DOI Regulations

General Ledger

Transaction Codes

Producer Management

Regulatory Interpretation

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.

Land your dream remote job 3x faster with AI

Try Jobo Free