[Remote] UM - Applied Behavioral Analysis at Humana

Florida, United States

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Not SpecifiedCompensation

N/AExperience Level

N/AJob Type

Not SpecifiedVisa

N/AIndustries

Requirements

Board-Certified Behavioral Analyst
2 years of Applied Behavioral Analysis clinical experience
Excellent verbal and written communication skills
MS Office skills (Word, Excel, Outlook)
Ability to quickly learn new systems and troubleshoot technical difficulties
Ability to work independently and make decisions in ambiguous situations
Minimal direction required
Ability to work in a remote environment
Ability to travel to corporate office in Florida 1-2x per year
Experience with managed care and community resources
Knowledge of community resources, including health and social service agencies
Ability to work from a dedicated space with minimal interruptions
Ability to work 40 hours per week with occasional travel to corporate office

Responsibilities

Utilize behavioral health knowledge and skills to support medical services and benefit administration determinations
Interpret and determine appropriate courses of action for members
Coordinate and communicate with providers, members, or other parties to facilitate optimal care and treatment
Understand department, segment, and organizational strategy and operating objectives
Make decisions regarding own work methods and require minimal direction
Follow established guidelines/procedures
Schedule will be Monday-Friday 8am-5pm EST
Travel to corporate office in Florida 1-2x per year
Use MS Office skills (Word, Excel, Outlook) in a Windows-based environment
Troubleshoot and resolve basic technical difficulties in a remote environment
Schedule weekly hours (40 hours per week)
Provide telephone equipment for work-related purposes
Work from a dedicated space with minimal interruptions

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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