[Remote] Senior Associate, Third-Party Clearinghouse - BPO Management at Humana

San Antonio, Texas, United States

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Not SpecifiedCompensation

N/AExperience Level

N/AJob Type

Not SpecifiedVisa

N/AIndustries

Requirements

Bachelor’s Degree in Business Operations, Marketing, Information Systems, related discipline, or equivalent experience
Minimum 3-5 years of experience in BPO supplier management, vendor coordination, or a related operational role
Understanding of supplier management processes, compliance standards, and business process optimization principles
Strong analytical, problem-solving abilities, and attention to detail
Excellent verbal and written communication skills; ability to collaborate effectively with internal teams and external partners
Familiarity with marketing operations, performance reporting, or vendor management systems
Ability to work both independently and as part of a team, managing multiple tasks to completion
Ability to work cross-functionally in a fast-paced environment

Responsibilities

Participate in vendor selection and evaluation processes by coordinating requests from business partners and collecting relevant supplier data
Support day-to-day management of BPO suppliers used within Marketing, including monitoring performance metrics, maintaining documentation, and coordinating issue resolution
Facilitate the handoff of supplier data and operational requirements to Procurement partners for contract management and execution
Assist with compliance checks to ensure all BPO activities align with Humana’s standards, regulatory requirements, and enterprise policies
Prepare and review reports on supplier throughput, error rates, and delivery metrics to inform operational decision-making
Contribute to relationship-building efforts with BPO suppliers by supporting capability assessments, and utilization tracking
Collaborate with Marketing, IT and Compliance teams to address process improvements and optimize supplier performance
Maintain awareness of BPO industry trends, supplier offerings, and best practices; surface new capabilities to internal stakeholders as appropriate
Assist in the development and updating of operational dashboards and process documentation
Promote the awareness and adoption of approved enterprise BPO suppliers, sharing information about their capabilities and successes with the Marketing organization

Skills

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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