[Remote] Transition Coordination Support Staff at Humana

Indiana, United States

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Not SpecifiedCompensation

Entry Level & New Grad, Junior (1 to 2 years)Experience Level

Full TimeJob Type

UnknownVisa

HealthcareIndustries

Requirements

High School Diploma or equivalent
Knowledge of Microsoft Office Word, Excel, and Outlook
Minimum two (2) years administration support experience, preferably in a healthcare industry
Familiarity with care and well-being resources
Must be passionate about contributing to an organization focused on continuously improving consumer experiences
Must live/reside in the state of Indiana
Self-provided internet service meeting minimum speeds (25 Mbps download, 10 Mbps upload recommended; 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
Required to be screened for Tuberculosis (TB) as part of patient-facing role

Responsibilities

Contribute to administration of care coordination, primarily for transitions and custodial prevention teams
Provide non-clinical support to the assessment and evaluation of members' needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families toward and facilitate interaction with resources appropriate for the care and wellbeing of members
Perform varied activities and moderately complex administrative/operational/customer support assignments
Perform computations
Typically works on semi-routine assignments

Skills

Microsoft Word

Microsoft Excel

Microsoft Outlook

Microsoft Access

Healthcare Administration

Care Coordination

Customer Support

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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