Care Management Support Assistant

🔥 0 minutes ago

🇺🇸 United States – Remote

💵 $40k - $52.3k / year

⏰ Full Time

🟢 Junior

🚫👨‍🎓 No degree required

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Humana

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1961

🏥 Healthcare

🛡️ Insurance

⚕️ Healthcare Insurance

Healthcare • Insurance • Healthcare Insurance

Humana is a healthcare company dedicated to making a positive impact on the health of individuals, communities, and the healthcare system as a whole. With a focus on putting health first, Humana serves a diverse range of populations, including seniors and the military, providing Medicare Advantage HMO, PPO, and PFFS plans. Humana is committed to fostering a culture of belonging and mutual respect, offering competitive and flexible benefits to ensure the financial security of its employees and their families. The company prides itself on creating an inclusive workplace where everyone has the opportunity to succeed.

📋 Description

• Engage members by phone to encourage participation in care management programs • Complete non-clinical assessments and questionnaires to identify health risks, care needs, and opportunities for clinical team follow-up • Assist members with scheduling doctor’s appointments and connecting with appropriate care resources • Identify and help address barriers to preventive screenings, benefits, and health-related services • Help members understand, retain, and access health-related benefits • Manage inbound and outbound calls in an auto-dialer environment • Document member information and customer issues accurately • Apply department guidelines, training, tools, and procedures • Work independently, manage time, and seek guidance when clarification is needed • Adapt to changing healthcare priorities, member needs, and business processes

🎯 Requirements

• Minimum of 1 year of experience managing high-volume inbound and outbound calls • Experience meeting documented productivity, quality, or service performance metrics • Experience navigating, documenting, and updating member or customer information across multiple applications, programs, and platforms • Experience using Microsoft Word, Excel, Teams, and Outlook • Ability to work a scheduled 8-hour shift, including a 30-minute lunch, between 11:30 AM and 8:00 PM EST as assigned • Ability to work Monday-Friday call center hours as scheduled • Ability to attend the first 2 weeks of training from 8:30 AM to 5:00 PM EST with no time off during the training period • Management approval required for time off during the first 90 days • Ability to work occasional mandatory overtime, including evenings and weekends, when needed • 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

🏖️ Benefits

• 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 • Other wellness and healthcare support opportunities