Population Health and Wellness Care Management Coordinator-Must Reside…
CVS HealthSalary not specified
- Full Time
- Junior (1 to 2 years)
Not SpecifiedCompensation
Senior (5 to 8 years)Experience Level
Full TimeJob Type
UnknownVisa
HealthcareIndustries
Requirements
Candidates must reside in the Commonwealth of Virginia or within a 20-mile radius from Virginia in a bordering state/district (Washington DC, MD, WV, KY, TN & NC), possess a Bachelor’s degree or equivalent experience, and have at least 3+ years of consumer operations experience. Applicants should demonstrate the ability to interpret assignments, understand department strategy, and make decisions independently with minimal supervision, including excellent time management skills.
Responsibilities
The Senior Consumer Experience Professional will partner across various consumer services areas, including market Care Management teams, member services, enrollment and eligibility, the State Agency (DMAS), Adult Protection Services, and call center operations, to ensure optimized interaction between Humana and members. They will leverage voice of the customer feedback, NPSt, Care and/or Service Coordination team feedback, market or regulatory compliance information, Grievance and Appeal information, call listening, and member experience design to identify and eliminate friction points and automation opportunities. This role involves coordination with Adult Protective Services (APS), the justice system, Member Support Services contractor, and the Long-Term Care (LTC) ombudsman, utilizing skills to make an impact and ensure member needs are met.
Skills
Microsoft Office Suite
Time Management
Decision-Making
Independent Work
Problem-Solving
Member Needs Analysis
Care Strategy
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.
Key Metrics
Louisville, KentuckyHeadquarters
1961Year Founded
IPOCompany Stage
Social Impact, HealthcareIndustries
10,001+Employees