[Remote] Senior Configuration Professional at Humana

San Antonio, Texas, United States

Humana Logo
Not SpecifiedCompensation
Senior (5 to 8 years)Experience Level
Full TimeJob Type
UnknownVisa
HealthcareIndustries

Requirements

  • 5+ years of relevant technical experience
  • Knowledge of Humana’s internal policies, procedures, and systems
  • Strategic thinking and planning capabilities; organized and detail-oriented
  • Ability to use appropriate problem solving, research and analysis tools
  • Proficient with Data Analysis - Understanding Data and how to interpret and use it
  • Demonstrated ability to articulate ideas effectively in both written and oral forms (ability to interact effectively with people at all levels within a team both, internal and external)
  • Enthusiasm and motivation essential; a confident change-agent; strong selling and presentation skills (oral and written)
  • Healthcare and Medicare experience
  • Experience facilitating with mixed teams, and indirect matrix teams
  • Ability to lead project teams and drive implementation
  • Ability to identify gaps in process performance and recommend process improvements
  • Ability to work with internal support groups to drive business results
  • Minimum of bachelor’s degree or equivalent work experience
  • Ability to successfully pass Epic certification exam, within 60 days of completing training
  • Occasional travel to Humana's offices for training or meetings required (once per month)
  • Higher consideration given to candidates located in/near Louisville KY. Preferred time zones: CST or EST
  • Self-provided internet service must meet minimum speeds: download 25 Mbps, upload 10 Mbps (wireless, wired cable or DSL suggested; satellite, cellular, microwave only if approved)
  • Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information

Responsibilities

  • Advising the business
  • Evaluating requests
  • Implementing new features and changes
  • Troubleshooting
  • Resolving testing issues
  • Configuring processes and experiences
  • Integrating
  • Developing interfaces
  • Maintaining documentation
  • Begins to influence department’s strategy
  • Makes decisions on moderately complex to complex issues regarding technical approach for project components
  • Work is performed without direction
  • Exercises considerable latitude in determining objectives and approaches to assignments

Skills

Data Analysis
Strategic Thinking
Problem Solving
Epic Certification
Process Improvement
Project Leadership
Healthcare Systems
Medicare
Configuration
Troubleshooting
Integration

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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