[Remote] Senior Community Management Professional at Humana

Michigan, United States

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Not SpecifiedCompensation

Junior (1 to 2 years)Experience Level

Full TimeJob Type

UnknownVisa

HealthcareIndustries

Requirements

Must reside in Michigan or within 40 miles of the border in Indiana or Ohio and be able to support members in southeast Michigan
Bachelor’s degree
Two (2) or more years of previous experience in healthcare or health plan marketing, community engagement or member/patient outreach
Skilled in planning, project management, community engagement and development, and resource mobilization
Understands the fundamentals of effective community engagement specific to Medicaid members, including those with behavioral health needs and varied health literacy
Proven knowledge and understanding of how to remove barriers to care in the Medicaid population
Exercises professional judgment and demonstrates strong facilitation, conflict management and consensus building skills
Ability to prioritize, organize, and coordinate multiple projects simultaneously
Valid state driver’s license and maintain personal vehicle liability insurance
Must be able to speak, read, and write fluently in both English and at least one of the following languages: Spanish, Arabic, Chaldean Neo-Aramaic, or other languages

Responsibilities

Direct community engagement practices
Facilitate and plan Member and Community Advisory Panels
Collaborate with contracted medical and ancillary service providers, Federally Qualified Health Centers, Social Service Agencies, and care managers to link membership to services and supports
Represent members’ interests, including input in policy development, planning and decision-making
Engage in community boards and committees such as the Community Health Worker Network
Work with the Equitable Population Health Leadership team to drive outcomes aligned with organizational goals and build a robust member outreach program
Compare member’s demographic and social support and services data to identify opportunities to address service gaps with strategic community partners and service providers
Cultivate need-based partnerships with social support and service providers, supporting evidence-based programs with positive health outcomes
Positively position Humana among local/community groups, community health leaders, and public health service providers
Make an impact using skills to improve health outcomes

Skills

Community Engagement

Project Management

Resource Mobilization

Planning

Stakeholder Management

Partnership Development

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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