Member Services Advisor

🕒 4 dias atrás

🌴 South Carolina – Remoto

🌴 South Carolina – Remote

💵 $104.000 - $143.000 / ano

⏰ Tempo Integral

🟠 Sênior

🔴 Especialista

🦅 Patrocina Visto H1B

Esta empresa já patrocinou vistos H1B no passado.

👻 Score fantasma 0%

O que significa: quão provável esta vaga está aberta sem contratação ativa.Como ler: 60% ou mais significa que achamos que é uma vaga fantasma. Pontuações mais baixas preocupam menos.Como pontuamos: tempo em aberto, republicações, vagas abertas vs tamanho do time, rapidez para fechar vagas, e se o salário está divulgado.Observação: é uma estimativa de dados públicos, não um julgamento da empresa. Vagas reais podem ter pontuação alta, então use como uma dica, não como um fato.

Candidatar-se

Encontrar Vagas Remotas Similares

Configurar Alerta de Email para Novas Vagas

📊 Verifique sua pontuação de currículo para esta vaga

Melhore suas chances de conseguir uma entrevista verificando sua pontuação de currículo antes de se candidatar.

Enviar Currículo

Humana

SiteLinkedInTodas as Vagas

10.000+ funcionários

Fundada em 1961

🏥 Saúde

🛡️ Seguros

⚕️ Seguro de Saúde

Healthcare • Insurance • Healthcare Insurance

A Humana é uma empresa de saúde dedicada a gerar um impacto positivo na saúde de indivíduos, comunidades e do sistema de saúde como um todo. Com foco em colocar a saúde em primeiro lugar, a Humana atende a uma ampla e diversa gama de populações, incluindo idosos e militares, oferecendo planos Medicare Advantage (HMO, PPO e PFFS). A Humana está comprometida em promover uma cultura de pertencimento e respeito mútuo, oferecendo benefícios competitivos e flexíveis para garantir a segurança financeira de seus funcionários e de suas famílias. A empresa se orgulha de criar um ambiente de trabalho inclusivo, no qual todos têm a oportunidade de ter sucesso.

Descrição

• Focus on membership growth, member retention, and enhancing the overall member experience • Leverage customer voice through NPS insights, root cause analysis, storytelling, call listening, and member experience design • Identify and eliminate friction points • Uncover automation and optimization opportunities • Empower teams across the organization to raise concerns and advocate for member experience improvements • Report to the Regional VP of Operations as a member of the South Carolina market team • Develop and execute strategies to improve member engagement, retention, satisfaction, and overall experience • Own key market KPIs and performance metrics • Lead the Member Experience Workgroup • Drive Go365 engagement and utilization • Oversee member benefits, services, and incentives • Serve as market point of contact for Member/Provider Services, Transformation, Enrollment, and G&A/Critical Inquiry teams • Develop strategies to improve CAHPS survey performance • Provide cross-functional leadership and drive measurable improvements in consumer experience outcomes and contractual performance • Serve as member advocate and coordinate communications with members • Coordinate issues with appropriate areas within the organization • Resolve member inquiries and problems while meeting resolution, telephone abandonment, and telephone hold-time standards • Assist members in accessing culturally competent, high-quality integrated medical and behavioral health care • Advise executives on functional strategies for significant matters

🎯 Requisitos

• Bachelor's degree • Must reside in the state of South Carolina • Ability to travel up to 10% to Columbia, SC for business • 8 or more years of consumer operations experience • 2 or more years of project leadership experience • Ability to develop functional strategies to improve performance and consumer experience • Experience identifying optimization and automation solutions to develop and launch company initiatives • Experience with analytics, including program evaluation and optimization • Strategic thinking and planning capabilities • Organized and detail-oriented • Minimum home internet speed of 25 Mbps download and 10 Mbps upload • Ability to work from a dedicated space without ongoing interruptions to protect member PHI/HIPAA information • Graduate degree preferred • History of Clinical Program Valuation preferred • Knowledge of Humana's internal policies, procedures and systems

🏖️ Benefícios

• Bonus incentive plan based on company and/or individual performance • Medical benefits • Dental benefits • Vision benefits • 401(k) retirement savings plan • Paid time off • Company holidays • Personal holidays • Paid parental leave • Paid caregiver leave • Short-term disability • Long-term disability • Life insurance • Work-from-home arrangement • Dedicated workspace requirement to protect member PHI/HIPAA information