Consumer Engagement Representative

🔥 23 hours ago

🌵 Arizona, Colorado, +8 more states – Remote

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💵 $40k - $52.3k / year

⏰ Full Time

🟢 Junior

🚫👨‍🎓 No degree required

🦅 H1B Visa Sponsor

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👻 Ghost score 0%

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Logo of Humana

Humana

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

• Serve as an expert in mail-order pharmacy benefits, including medication delivery timelines, refill processes, and savings potential • Use motivational education techniques during live calls • Assess customer needs and offer personalized solutions aligned with ease, care, and health benefits • Navigate systems to identify enrollment opportunities and execute required steps accurately • Follow scripting protocols while maintaining natural, member-centered conversations • Partner with supervisors and the QA team to improve call quality and meet conversion goals • Support special campaigns and seasonal initiatives such as the Annual Enrollment Period • Maintain confidentiality, professionalism, and empathy when handling sensitive health or medication concerns • Help members understand pharmacy benefit options and transition from retail to mail-order services when appropriate • Support strategic initiatives that improve consumer experience and drive continuous improvement

🎯 Requirements

• High school diploma or equivalent required • 1+ year experience in customer service, consumer engagement, pharmacy benefit, healthcare or related operational roles • Ability to work in a structured, metric-driven environment with daily, weekly, and monthly performance goals • Must reside in one of the approved WAH states: Arizona, Texas, Florida, Ohio, North Carolina, Kentucky, Indiana, Colorado, Oklahoma, Tennessee, or Virginia • Meet Work-at-Home eligibility requirements, including satisfactory internet speeds and a separate workspace • Comfortable navigating multiple systems and documentation tools simultaneously • Ability to report insights to leadership staff • Commitment to protecting member privacy and complying with regulatory guidelines • Ability to work shifts during stated hours of operation, Monday–Friday 8:00am–11:00pm ET and Saturday 8:00am–6:30pm ET • Preferred: 2+ years of relevant experience • Preferred experience supporting enrollment, benefits, client education, or healthcare-related engagement programs • Preferred experience with technology platforms, CRM systems, or digital engagement tools • Intermediate to advanced Microsoft Suite experience, including Excel and PowerPoint • Familiarity with PBM systems, Humana tools, or pharmacy benefit structures • Bilingual Spanish/English is a plus

🏖️ Benefits

• Bonus incentive plan based on company and/or individual performance • Medical, dental, and vision benefits • 401(k) retirement savings plan • Paid time off • Company and personal holidays • Paid parental and caregiver leave • Short-term and long-term disability • Life insurance • Work-at-home arrangement • Occasional travel for training or meetings may be required

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