Humana

Become a part of our caring community Are you a transitioning military service member or a military spouse looking for an internship that supports the goal to put health first? The DOW SkillBridge Internship and Military Spouse Fellowship Programs will provide you with key training to perform your internship. You will partner with your team to support members, projects, and meeting goals impacting business outcomes. The professionals you work with at Humana will depend on the type of internship you select. They may include healthcare professionals, HR, and IT, to name a few. The objective is to support and facilitate care for members. To be eligible for this internship, you must either be a transitioning military service member or a military spouse, and you must obtain eligibility to participate in these DOW sponsored programs. The Inbound Contacts Representative 1 Intern will report to a supervisor. The internship focuses on customer support needs which may include...

Become a part of our caring community The Director, Actuarial of Medicaid Pricing provides actuarial support across a broad range of actuarial and business needs for specific product lines. You will require an in-depth understanding of how organization capabilities interrelate across the function or segment. The Director, Actuarial of Medicaid Pricing will report to the Associate VP, Lead Medicaid Actuary. Key Responsibilities: Rate Advocacy Lead proactive rate advocacy efforts across assigned Medicaid markets Identify gaps between emerging experience vs. state rate assumptions Develop clear, evidence-based narratives to support rate adequacy discussions with state actuaries and regulators Partner with market CFOs and leadership to align on advocacy posture, trade-offs, and priorities Drive earlier engagement with states prior to draft rate development Represent the organization in external forums Financial Insight & Risk...

Become a part of our caring community The Inbound Contacts Representative 1 represents by coordinating communication from incoming telephone, digital, or written inquiries. The Inbound Contacts Representative 1 is considered a basic administrative, customer support position and typically works on routine and patterned assignments. Inbound Contacts Representative 1 will report to a supervisor. The position focuses on customer support needs which may include complex benefit questions, resolving issues, and educating members. You will also be responsible for the following: Record details of member inquiries, comments or complaints, transactions or interactions and takes action in accordance with process. Escalates unresolved and pending customer grievances. Deliver a consistent customer service experience by providing efficient resolutions to our TRICARE beneficiaries and providers Act as customer advocate by resolving complex concerns accurately....

Become a part of our caring community The Director, Actuarial of Medicaid Pricing provides actuarial support across a broad range of actuarial and business needs for specific product lines. You will require an in-depth understanding of how organization capabilities interrelate across the function or segment. The Director, Actuarial of Medicaid Pricing will report to the Associate VP, Lead Medicaid Actuary. Key Responsibilities: Rate Advocacy Lead proactive rate advocacy efforts across assigned Medicaid markets Identify gaps between emerging experience vs. state rate assumptions Develop clear, evidence-based narratives to support rate adequacy discussions with state actuaries and regulators Partner with market CFOs and leadership to align on advocacy posture, trade-offs, and priorities Drive earlier engagement with states prior to draft rate development Represent the organization in external forums Financial Insight & Risk...

Become a part of our caring community Are you a transitioning military service member or a military spouse looking for an internship that supports the goal to put health first? The DOW SkillBridge Internship and Military Spouse Fellowship Programs will provide you with key training to perform your internship. You will partner with your team to support members, projects, and meeting goals impacting business outcomes. The professionals you work with at Humana will depend on the type of internship you select. They may include healthcare professionals, HR, and IT, to name a few. The objective is to support and facilitate care for members. To be eligible for this internship, you must either be a transitioning military service member or a military spouse, and you must obtain eligibility to participate in these DOW sponsored programs. The Inbound Contacts Representative 1 Intern will report to a supervisor. The internship focuses on customer support needs which may include...

Become a part of our caring community The Inbound Contacts Representative 1 represents by coordinating communication from incoming telephone, digital, or written inquiries. The Inbound Contacts Representative 1 is considered a basic administrative, customer support position and typically works on routine and patterned assignments. Inbound Contacts Representative 1 will report to a supervisor. The position focuses on customer support needs which may include complex benefit questions, resolving issues, and educating members. You will also be responsible for the following: Record details of member inquiries, comments or complaints, transactions or interactions and takes action in accordance with process. Escalates unresolved and pending customer grievances. Deliver a consistent customer service experience by providing efficient resolutions to our TRICARE beneficiaries and providers Act as customer advocate by resolving complex concerns accurately....

Become a part of our caring community The Inbound Contacts Representative 1 represents by coordinating communication from incoming telephone, digital, or written inquiries. The Inbound Contacts Representative 1 is considered a basic administrative, customer support position and typically works on routine and patterned assignments. Inbound Contacts Representative 1 will report to a supervisor. The position focuses on customer support needs which may include complex benefit questions, resolving issues, and educating members. You will also be responsible for the following: Record details of member inquiries, comments or complaints, transactions or interactions and takes action in accordance with process. Escalates unresolved and pending customer grievances. Deliver a consistent customer service experience by providing efficient resolutions to our TRICARE beneficiaries and providers Act as customer advocate by resolving complex concerns accurately....

Become a part of our caring community The Inbound Contacts Representative 1 represents by coordinating communication from incoming telephone, digital, or written inquiries. The Inbound Contacts Representative 1 is considered a basic administrative, customer support position and typically works on routine and patterned assignments. Inbound Contacts Representative 1 will report to a supervisor. The position focuses on customer support needs which may include complex benefit questions, resolving issues, and educating members. You will also be responsible for the following: Record details of member inquiries, comments or complaints, transactions or interactions and takes action in accordance with process. Escalates unresolved and pending customer grievances. Deliver a consistent customer service experience by providing efficient resolutions to our TRICARE beneficiaries and providers Act as customer advocate by resolving complex concerns accurately....

Become a part of our caring community The Director, Actuarial of Medicaid Pricing provides actuarial support across a broad range of actuarial and business needs for specific product lines. You will require an in-depth understanding of how organization capabilities interrelate across the function or segment. The Director, Actuarial of Medicaid Pricing will report to the Associate VP, Lead Medicaid Actuary. Key Responsibilities: Rate Advocacy Lead proactive rate advocacy efforts across assigned Medicaid markets Identify gaps between emerging experience vs. state rate assumptions Develop clear, evidence-based narratives to support rate adequacy discussions with state actuaries and regulators Partner with market CFOs and leadership to align on advocacy posture, trade-offs, and priorities Drive earlier engagement with states prior to draft rate development Represent the organization in external forums Financial Insight & Risk...

Become a part of our caring community The Inbound Contacts Representative 1 represents by coordinating communication from incoming telephone, digital, or written inquiries. The Inbound Contacts Representative 1 is considered a basic administrative, customer support position and typically works on routine and patterned assignments. Inbound Contacts Representative 1 will report to a supervisor. The position focuses on customer support needs which may include complex benefit questions, resolving issues, and educating members. You will also be responsible for the following: Record details of member inquiries, comments or complaints, transactions or interactions and takes action in accordance with process. Escalates unresolved and pending customer grievances. Deliver a consistent customer service experience by providing efficient resolutions to our TRICARE beneficiaries and providers Act as customer advocate by resolving complex concerns accurately....

Become a part of our caring community The Senior Quality Compliance Nurse Professional is an integral part of the Oklahoma Quality Improvement Department. This role will collaborate with internal and external customers to meet benchmarks, goals and complete time sensitive deliverables for Quality Improvement clinical and non-clinical performance projects. The role operates as a subject matter expert in Quality Compliance. The Senior Quality Compliance Nurse Professional makes decisions on moderately complex to complex issues regarding technical approach for project components, works independently, sometimes in ambiguous situations and work may be performed with minimal direction to ensure the highest accountability of compliance and quality. This position will be involved in studies as required by the External Quality Review Organization or the State and monitors activities and performance metrics for the Oklahoma Medicaid program. The Senior Quality Compliance Nurse...

Become a part of our caring community We are seeking a motivated and results-driven Telesales Agent to join our Agnostic Sales Team within the IFG segment. In this role, you will engage prospective and existing customers through inbound and outbound calls, promoting and selling health plan products. Ideal candidates thrive in a fast-paced, goal-oriented environment and are passionate about delivering outstanding customer experiences. The IFG Agnostic Sales Agent qualifies prospects and attempts to close sale. Arranges for field representative to visit prospect if sales are not closed. May originate calls from leads. Understands department, segment, and organizational strategy and operating objectives, including their linkages to related areas. Makes decisions regarding own work methods, occasionally in ambiguous situations, and requires minimal direction and receives guidance where needed. Follows established guidelines/procedures. Key Responsibilities: Engage...

Become a part of our caring community We are seeking a motivated and results-driven Telesales Agent to join our Agnostic Sales Team within the IFG segment. In this role, you will engage prospective and existing customers through inbound and outbound calls, promoting and selling health plan products. Ideal candidates thrive in a fast-paced, goal-oriented environment and are passionate about delivering outstanding customer experiences. The IFG Agnostic Sales Agent qualifies prospects and attempts to close sale. Arranges for field representative to visit prospect if sales are not closed. May originate calls from leads. Understands department, segment, and organizational strategy and operating objectives, including their linkages to related areas. Makes decisions regarding own work methods, occasionally in ambiguous situations, and requires minimal direction and receives guidance where needed. Follows established guidelines/procedures. Key Responsibilities: Engage...

Become a part of our caring community With over 10 million sales interactions annually, Humana understands that while great products are important, it's the quality of our service that truly defines us. We know that when our members and prospects have delightful and memorable experiences, it strengthens their connection with us and enables us to put their Health First. After all, a health services company that has multiple ways to improve the lives of its customers is uniquely positioned to put those customers at the center of everything it does. The DMS Sales Agent conducts selling activities related to inbound calls inquiring about individual health plan products. The DMS Sales Agent work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action. As a Sales Agent, you will report to a Sales Team Manager who will lead a team of 10 - 15 Sales Agents. Humana's Inside Sales Agents are our member's...

Become a part of our caring community With over 10 million sales interactions annually, Humana understands that while great products are important, it's the quality of our service that truly defines us. We know that when our members and prospects have delightful and memorable experiences, it strengthens their connection with us and enables us to put their Health First. After all, a health services company that has multiple ways to improve the lives of its customers is uniquely positioned to put those customers at the center of everything it does. The DMS Sales Agent conducts selling activities related to inbound calls inquiring about individual health plan products. The DMS Sales Agent work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action. As a Sales Agent, you will report to a Sales Team Manager who will lead a team of 10 - 15 Sales Agents. Humana's Inside Sales Agents are our member's...

Become a part of our caring community With over 10 million sales interactions annually, Humana understands that while great products are important, it's the quality of our service that truly defines us. We know that when our members and prospects have delightful and memorable experiences, it strengthens their connection with us and enables us to put their Health First. After all, a health services company that has multiple ways to improve the lives of its customers is uniquely positioned to put those customers at the center of everything it does. The DMS Sales Agent conducts selling activities related to inbound calls inquiring about individual health plan products. The DMS Sales Agent work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action. As a Sales Agent, you will report to a Sales Team Manager who will lead a team of 10 - 15 Sales Agents. Humana's Inside Sales Agents are our member's...

Become a part of our caring community The Utilization Management Nurse utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations. The Utilization Management Nurse work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action. The Utilization Management Nurse uses clinical knowledge, communication skills, and independent critical thinking skills towards interpreting criteria, policies, and procedures to provide the best and most appropriate treatment, care or services for members. Coordinates and communicates with providers to facilitate optimal care and treatment. Understands department, segment, and organizational strategy and operating objectives, including their linkages to related areas. Makes decisions regarding own work methods, occasionally in ambiguous situations, and requires minimal direction...

Become a part of our caring community We are seeking a motivated and results-driven Telesales Agent to join our Agnostic Sales Team within the IFG segment. In this role, you will engage prospective and existing customers through inbound and outbound calls, promoting and selling health plan products. Ideal candidates thrive in a fast-paced, goal-oriented environment and are passionate about delivering outstanding customer experiences. The IFG Agnostic Sales Agent qualifies prospects and attempts to close sale. Arranges for field representative to visit prospect if sales are not closed. May originate calls from leads. Understands department, segment, and organizational strategy and operating objectives, including their linkages to related areas. Makes decisions regarding own work methods, occasionally in ambiguous situations, and requires minimal direction and receives guidance where needed. Follows established guidelines/procedures. Key Responsibilities: Engage...

Become a part of our caring community With over 10 million sales interactions annually, Humana understands that while great products are important, it's the quality of our service that truly defines us. We know that when our members and prospects have delightful and memorable experiences, it strengthens their connection with us and enables us to put their Health First. After all, a health services company that has multiple ways to improve the lives of its customers is uniquely positioned to put those customers at the center of everything it does. The DMS Sales Agent conducts selling activities related to inbound calls inquiring about individual health plan products. The DMS Sales Agent work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action. As a Sales Agent, you will report to a Sales Team Manager who will lead a team of 10 - 15 Sales Agents. Humana's Inside Sales Agents are our member's...

Become a part of our caring community The Workforce Management Professional 2 applies and integrates advanced and predictive analysis, people metrics and reporting to develop strategic and operational insights for workforce decision-making (e.g., staffing, learning and development, talent management, diversity and human resource compliance). The Workforce Management Professional 2 work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action. The Forecasting Analyst supports the development of effective business staffing plans, workload forecasting, and resource allocation optimization for Contact Center and back-office operations. In this role, the Analyst analyzes workload and staffing impacts, collaborates with operations teams to enhance performance outcomes, and partners closely with the Workforce Management (WFM) team to proactively address risks to Service Level Metrics. The Analyst will...

Become a part of our caring community With over 10 million sales interactions annually, Humana understands that while great products are important, it's the quality of our service that truly defines us. We know that when our members and prospects have delightful and memorable experiences, it strengthens their connection with us and enables us to put their Health First. After all, a health services company that has multiple ways to improve the lives of its customers is uniquely positioned to put those customers at the center of everything it does. The DMS Sales Agent conducts selling activities related to inbound calls inquiring about individual health plan products. The DMS Sales Agent work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action. As a Sales Agent, you will report to a Sales Team Manager who will lead a team of 10 - 15 Sales Agents. Humana's Inside Sales Agents are our member's...

Become a part of our caring community We are seeking a motivated and results-driven Telesales Agent to join our Agnostic Sales Team within the IFG segment. In this role, you will engage prospective and existing customers through inbound and outbound calls, promoting and selling health plan products. Ideal candidates thrive in a fast-paced, goal-oriented environment and are passionate about delivering outstanding customer experiences. The IFG Agnostic Sales Agent qualifies prospects and attempts to close sale. Arranges for field representative to visit prospect if sales are not closed. May originate calls from leads. Understands department, segment, and organizational strategy and operating objectives, including their linkages to related areas. Makes decisions regarding own work methods, occasionally in ambiguous situations, and requires minimal direction and receives guidance where needed. Follows established guidelines/procedures. Key Responsibilities: Engage...

Become a part of our caring community We are seeking a motivated and results-driven Telesales Agent to join our Agnostic Sales Team within the IFG segment. In this role, you will engage prospective and existing customers through inbound and outbound calls, promoting and selling health plan products. Ideal candidates thrive in a fast-paced, goal-oriented environment and are passionate about delivering outstanding customer experiences. The IFG Agnostic Sales Agent qualifies prospects and attempts to close sale. Arranges for field representative to visit prospect if sales are not closed. May originate calls from leads. Understands department, segment, and organizational strategy and operating objectives, including their linkages to related areas. Makes decisions regarding own work methods, occasionally in ambiguous situations, and requires minimal direction and receives guidance where needed. Follows established guidelines/procedures. Key Responsibilities: Engage...

Become a part of our caring community We are seeking a motivated and results-driven Telesales Agent to join our Agnostic Sales Team within the IFG segment. In this role, you will engage prospective and existing customers through inbound and outbound calls, promoting and selling health plan products. Ideal candidates thrive in a fast-paced, goal-oriented environment and are passionate about delivering outstanding customer experiences. The IFG Agnostic Sales Agent qualifies prospects and attempts to close sale. Arranges for field representative to visit prospect if sales are not closed. May originate calls from leads. Understands department, segment, and organizational strategy and operating objectives, including their linkages to related areas. Makes decisions regarding own work methods, occasionally in ambiguous situations, and requires minimal direction and receives guidance where needed. Follows established guidelines/procedures. Key Responsibilities: Engage...