Large

At Humana, our cultural foundation is aligned to helping members achieve their best health by delivering personalized, simplified, whole-person healthcare experiences. Recognizing healthcare needs continue to evolve for each person, for each family and for each community, Humana continuously creates innovative solutions and resources that help people live their healthiest lives on their terms –when and where they need it. Our employees are at the heart of making this happen and that’s why we are dedicated to building an organization of dynamic talent whose experience and passion center on putting the customer first.

Science & Healthcare

Humana

You must reside in Virginia, have a relevant degree or LPN license, 2+ years in process improvement, and strong MS Office, analytical, communication, and organizational skills.

You will analyze data, support process improvements, conduct audits, develop metrics, create training materials, and assist in quality initiatives and communication of findings.

Healthcare

Business, Operations & Strategy

Virginia

Become a part of our caring community and help us put health first Humana Healthy Horizons in Virginia is looking for Process Improvement Professionals to analyze and measure the effectiveness of existing business processes and develops sustainable, repeatable, and quantifiable business process improvements. The Process Improvement Professional 2 work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action. The Process Improvement Professional 2 must understand department, segment, and organizational strategy and operating objectives, including their linkages to related areas. * Research best business practices within and outside the organization to establish benchmark data. * Collects and analyzes process data to initiate, develop, and recommend business practices and procedures that focus on enhanced safety, increased productivity, and reduced cost. * Determines how new information technologies can support re-engineering business processes. * May specialize in one or more of the following areas: benchmarking, business process analysis and re-engineering, change management and measurement, and/or process-driven systems requirements. * Performs audits focused on improving compliance and quality. * Focus audits – including annual and initial HRA compliance, post discharge and transition of care contacts. * Develops and reviews internal quality metrics. * Supports process improvement initiatives. * Assists in reviewing new Job Aids to support the Training & Operations team of Learning Design and Learning Facilitation staff. * Reviews current Job Aids and Policies and Procedures as requested. * Creates and presents education as requested by the Process Improvement Lead. * Supports Operations Managers in quality improvement initiatives. * Assists Managers in communicating audit findings to individuals and teams. * Participates in Interrater Reliability (IRR) meetings and assists in the development of Interpretation Standards to guide audit scoring and increase consistency across the Process Improvement Team. * Participates in root cause analysis research for audits. * Makes decisions regarding own work methods, occasionally in ambiguous situations, and requires minimal direction and receives guidance where needed. Required Qualifications Use your skills to make an impact * Must reside in the Commonwealth of Virginia. * Bachelor's degree OR an active LPN license in the Commonwealth of Virginia without disciplinary action. * Two (2) or more years of professional experience related to process improvement, compliance measures, or auditing practices. * Clinical background in working with a health plans or hospital settings. * Comprehensive knowledge of Microsoft Office Word, Excel, and PowerPoint. * Excellent analytical skills, able to manipulate and interpret data. * Proven oral / written communication and presentation skills. * Exceptional organizational and prioritization skills. * Ability to work within highly structured contractual time compliance requirements with occasional short turnaround time. Preferred Qualifications * Registered Nurse (RN) or bachelor's degree or advanced degree in social work. * Knowledge of HEDIS/Stars/CMS/Quality. * Experience in Medicaid or Medicare Guidelines. * Strong business skills, including sales and marketing objectives. * Detail orientated and comfortable working with tight deadlines in a fast-paced environment. Additional Information * Workstyle: This is a remote position with some travel. * Travel: Some travel is required to support state and federal audits, face-to-face collaborations and meetings in the Humana Healthy Horizons office in Glen Allen, VA and the Department of Medical Assistance Services (DMAS). * Workdays & Hours: Monday – Friday; 8:00am – 5:00pm Eastern Standard Time (EST). WAH Internet Statement To Ensure Home Or Hybrid Home/Office Employees’ Ability To Work Effectively, The Self-provided Internet Service Of Home Or Hybrid Home/Office Employees Must Meet The Following Criteria * At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. * Satellite, cellular and microwave connection can be used only if approved by leadership. * Humana will provide Home or Hybrid Home/Office employees with telephone equipment appropriate to meet the business requirements for their position/job. * Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information. Interview Format As part of our hiring process for this opportunity, we will be using an interviewing technology called HireVue to enhance our hiring and decision-making ability. HireVue allows us to quickly connect and gain valuable information from you pertaining to your relevant skills and experience at a time that is best for your schedule. Scheduled Weekly Hours 40 Pay Range The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc. $65,000 - $88,600 per year This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance. Description Of Benefits Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. About Us Humana Inc. (NYSE: HUM) is committed to putting health first – for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large. Equal Opportunity Employer It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or veteran status. It is also the policy of Humana to take affirmative action to employ and to advance in employment, all persons regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.

Become a part of our caring community and help us put health firstHumana Healthy Horizons in Virginia is looking for Process Improvement Professionals to analyze and measure the effectiveness of existing business processes and develops sustainable, repeatable, and quantifiable business process improvements. The Process Improvement Professional 2 work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action. The Process Improvement Professional 2 must understand department, segment, and organizational strategy and operating objectives, including their linkages to related areas. * Research best business practices within and outside the organization to establish benchmark data. * Collects and analyzes process data to initiate, develop, and recommend business practices and procedures that focus on enhanced safety, increased productivity, and reduced cost. * Determines how new information technologies can support re-engineering business processes. * May specialize in one or more of the following areas: benchmarking, business process analysis and re-engineering, change management and measurement, and/or process-driven systems requirements. * Performs audits focused on improving compliance and quality. * Focus audits – including annual and initial HRA compliance, post discharge and transition of care contacts. * Develops and reviews internal quality metrics. * Supports process improvement initiatives. * Assists in reviewing new Job Aids to support the Training & Operations team of Learning Design and Learning Facilitation staff. * Reviews current Job Aids and Policies and Procedures as requested. * Creates and presents education as requested by the Process Improvement Lead. * Supports Operations Managers in quality improvement initiatives. * Assists Managers in communicating audit findings to individuals and teams. * Participates in Interrater Reliability (IRR) meetings and assists in the development of Interpretation Standards to guide audit scoring and increase consistency across the Process Improvement Team. * Participates in root cause analysis research for audits. * Makes decisions regarding own work methods, occasionally in ambiguous situations, and requires minimal direction and receives guidance where needed.      Required QualificationsUse your skills to make an impact * Must reside in the Commonwealth of Virginia. * Bachelor's degree OR an active LPN license in the Commonwealth of Virginia without disciplinary action. * Two (2) or more years of professional experience related to process improvement, compliance measures, or auditing practices. * Clinical background in working with a health plans or hospital settings. * Comprehensive knowledge of Microsoft Office Word, Excel, and PowerPoint. * Excellent analytical skills, able to manipulate and interpret data. * Proven oral / written communication and presentation skills. * Exceptional organizational and prioritization skills. * Ability to work within highly structured contractual time compliance requirements with occasional short turnaround time.      Preferred Qualifications * Registered Nurse (RN) or bachelor's degree or advanced degree in social work. * Knowledge of HEDIS/Stars/CMS/Quality. * Experience in Medicaid or Medicare Guidelines. * Strong business skills, including sales and marketing objectives. * Detail orientated and comfortable working with tight deadlines in a fast-paced environment.      Additional Information * Workstyle: This is a remote position with some travel. * Travel: Some travel is required to support state and federal audits, face-to-face collaborations and meetings in the Humana Healthy Horizons office in Glen Allen, VA and the Department of Medical Assistance Services (DMAS). * Workdays & Hours: Monday – Friday; 8:00am – 5:00pm Eastern Standard Time (EST).      WAH Internet StatementTo Ensure Home Or Hybrid Home/Office Employees’ Ability To Work Effectively, The Self-provided Internet Service Of Home Or Hybrid Home/Office Employees Must Meet The Following Criteria * At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. * Satellite, cellular and microwave connection can be used only if approved by leadership. * Humana will provide Home or Hybrid Home/Office employees with telephone equipment appropriate to meet the business requirements for their position/job. * Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.      Interview FormatAs part of our hiring process for this opportunity, we will be using an interviewing technology called HireVue to enhance our hiring and decision-making ability. HireVue allows us to quickly connect and gain valuable information from you pertaining to your relevant skills and experience at a time that is best for your schedule.Scheduled Weekly Hours40Pay RangeThe compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.$65,000 - $88,600 per yearThis job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.Description Of BenefitsHumana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.About UsHumana Inc. (NYSE: HUM) is committed to putting health first – for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large.Equal Opportunity EmployerIt is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or veteran status. It is also the policy of Humana to take affirmative action to employ and to advance in employment, all persons regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.

Process Improvement Professional - Humana

Virginia, United States

&lt;strong&gt;Become a part of our caring community and help us put health first&lt;br&gt;&lt;br&gt;&lt;/strong&gt;Humana Healthy Horizons in Virginia is looking for Process Improvement Professionals to analyze and measure the effectiveness of existing business processes and develops sustainable, repeatable, and quantifiable business process improvements. The Process Improvement Professional 2 work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action. The Process Improvement Professional 2 must understand department, segment, and organizational strategy and operating objectives, including their linkages to related areas.&lt;br&gt;&lt;br&gt;&lt;ul&gt;&lt;li&gt;Research best business practices within and outside the organization to establish benchmark data.&lt;/li&gt;&lt;li&gt;Collects and analyzes process data to initiate, develop, and recommend business practices and procedures that focus on enhanced safety, increased productivity, and reduced cost.&lt;/li&gt;&lt;li&gt;Determines how new information technologies can support re-engineering business processes.&lt;/li&gt;&lt;li&gt;May specialize in one or more of the following areas: benchmarking, business process analysis and re-engineering, change management and measurement, and/or process-driven systems requirements.&lt;/li&gt;&lt;li&gt;Performs audits focused on improving compliance and quality.&lt;/li&gt;&lt;li&gt;Focus audits – including annual and initial HRA compliance, post discharge and transition of care contacts.&lt;/li&gt;&lt;li&gt;Develops and reviews internal quality metrics.&lt;/li&gt;&lt;li&gt;Supports process improvement initiatives.&lt;/li&gt;&lt;li&gt;Assists in reviewing new Job Aids to support the Training &amp;amp; Operations team of Learning Design and Learning Facilitation staff.&lt;/li&gt;&lt;li&gt;Reviews current Job Aids and Policies and Procedures as requested.&lt;/li&gt;&lt;li&gt;Creates and presents education as requested by the Process Improvement Lead. &lt;/li&gt;&lt;li&gt;Supports Operations Managers in quality improvement initiatives.&lt;/li&gt;&lt;li&gt;Assists Managers in communicating audit findings to individuals and teams.&lt;/li&gt;&lt;li&gt;Participates in Interrater Reliability (IRR) meetings and assists in the development of Interpretation Standards to guide audit scoring and increase consistency across the Process Improvement Team.&lt;/li&gt;&lt;li&gt;Participates in root cause analysis research for audits.&lt;/li&gt;&lt;li&gt;Makes decisions regarding own work methods, occasionally in ambiguous situations, and requires minimal direction and receives guidance where needed.&lt;br&gt;&lt;br&gt;&lt;/li&gt;&lt;/ul&gt;&lt;strong&gt;Required Qualifications&lt;br&gt;&lt;br&gt;&lt;/strong&gt;&lt;strong&gt;Use your skills to make an impact &lt;br&gt;&lt;br&gt;&lt;/strong&gt;&lt;ul&gt;&lt;li&gt;Must reside in the Commonwealth of Virginia.&lt;/li&gt;&lt;li&gt;Bachelor's degree OR an active LPN license in the Commonwealth of Virginia without disciplinary action.&lt;/li&gt;&lt;li&gt;Two (2) or more years of professional experience related to process improvement, compliance measures, or auditing practices.&lt;/li&gt;&lt;li&gt;Clinical background in working with a health plans or hospital settings.&lt;/li&gt;&lt;li&gt;Comprehensive knowledge of Microsoft Office Word, Excel, and PowerPoint.&lt;/li&gt;&lt;li&gt;Excellent analytical skills, able to manipulate and interpret data.&lt;/li&gt;&lt;li&gt;Proven oral / written communication and presentation skills.&lt;/li&gt;&lt;li&gt;Exceptional organizational and prioritization skills.&lt;/li&gt;&lt;li&gt;Ability to work within highly structured contractual time compliance requirements with occasional short turnaround time.&lt;br&gt;&lt;br&gt;&lt;/li&gt;&lt;/ul&gt;&lt;strong&gt;Preferred Qualifications&lt;br&gt;&lt;br&gt;&lt;/strong&gt;&lt;ul&gt;&lt;li&gt;Registered Nurse (RN) or bachelor's degree or advanced degree in social work.&lt;/li&gt;&lt;li&gt;Knowledge of HEDIS/Stars/CMS/Quality.&lt;/li&gt;&lt;li&gt;Experience in Medicaid or Medicare Guidelines.&lt;/li&gt;&lt;li&gt;Strong business skills, including sales and marketing objectives.&lt;/li&gt;&lt;li&gt;Detail orientated and comfortable working with tight deadlines in a fast-paced environment.&lt;br&gt;&lt;br&gt;&lt;/li&gt;&lt;/ul&gt;&lt;strong&gt;Additional Information&lt;br&gt;&lt;br&gt;&lt;/strong&gt;&lt;ul&gt;&lt;li&gt;Workstyle: This is a remote position with some travel.&lt;/li&gt;&lt;li&gt;Travel: Some travel is required to support state and federal audits, face-to-face collaborations and meetings in the Humana Healthy Horizons office in Glen Allen, VA and the Department of Medical Assistance Services (DMAS).&lt;/li&gt;&lt;li&gt;Workdays &amp;amp; Hours: Monday – Friday; 8:00am – 5:00pm Eastern Standard Time (EST).&lt;br&gt;&lt;br&gt;&lt;/li&gt;&lt;/ul&gt;&lt;strong&gt;WAH Internet Statement&lt;br&gt;&lt;br&gt;&lt;/strong&gt;To Ensure Home Or Hybrid Home/Office Employees’ Ability To Work Effectively, The Self-provided Internet Service Of Home Or Hybrid Home/Office Employees Must Meet The Following Criteria&lt;br&gt;&lt;br&gt;&lt;ul&gt;&lt;li&gt;At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested.&lt;/li&gt;&lt;li&gt;Satellite, cellular and microwave connection can be used only if approved by leadership.&lt;/li&gt;&lt;li&gt;Humana will provide Home or Hybrid Home/Office employees with telephone equipment appropriate to meet the business requirements for their position/job.&lt;/li&gt;&lt;li&gt;Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.&lt;br&gt;&lt;br&gt;&lt;/li&gt;&lt;/ul&gt;&lt;strong&gt;Interview Format&lt;br&gt;&lt;br&gt;&lt;/strong&gt;As part of our hiring process for this opportunity, we will be using an interviewing technology called HireVue to enhance our hiring and decision-making ability. HireVue allows us to quickly connect and gain valuable information from you pertaining to your relevant skills and experience at a time that is best for your schedule.&lt;br&gt;&lt;br&gt;&lt;strong&gt;Scheduled Weekly Hours&lt;br&gt;&lt;br&gt;&lt;/strong&gt;40&lt;br&gt;&lt;br&gt;&lt;strong&gt;Pay Range&lt;br&gt;&lt;br&gt;&lt;/strong&gt;The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.&lt;br&gt;&lt;br&gt;$65,000 - $88,600 per year&lt;br&gt;&lt;br&gt;This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.&lt;br&gt;&lt;br&gt;&lt;strong&gt;Description Of Benefits&lt;br&gt;&lt;br&gt;&lt;/strong&gt;Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.&lt;br&gt;&lt;br&gt;&lt;strong&gt;About Us&lt;br&gt;&lt;br&gt;&lt;/strong&gt;Humana Inc. (NYSE: HUM) is committed to putting health first – for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large.&lt;br&gt;&lt;br&gt;&lt;strong&gt;Equal Opportunity Employer&lt;br&gt;&lt;br&gt;&lt;/strong&gt;It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or veteran status. It is also the policy of Humana to take affirmative action to employ and to advance in employment, all persons regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.

Process Improvement Professional

United States

You must reside in Virginia, have a Bachelor's degree or active LPN license, 2+ years in process improvement, clinical experience, and strong skills in Microsoft Office, analysis, and communication.

You will analyze processes, conduct audits, support quality initiatives, develop metrics, create educational materials, and assist in root cause analysis to enhance efficiency and compliance.

<div><h1 class="jobSectionHeader">Become a part of our caring community and help us put health first 
</h1>
Humana Healthy Horizons in Virginia is looking for Process Improvement Professionals to analyze and measure the effectiveness of existing business processes and develops sustainable, repeatable, and quantifiable business process improvements. The Process Improvement Professional 2 work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action. The Process Improvement Professional 2 must understand department, segment, and organizational strategy and operating objectives, including their linkages to related areas.<ul><li>
Research best business practices within and outside the organization to establish benchmark data.</li><li>
Collects and analyzes process data to initiate, develop, and recommend business practices and procedures that focus on enhanced safety, increased productivity, and reduced cost.</li><li>
Determines how new information technologies can support re-engineering business processes.</li><li>
May specialize in one or more of the following areas: benchmarking, business process analysis and re-engineering, change management and measurement, and/or process-driven systems requirements.</li><li>
Performs audits focused on improving compliance and quality.</li><li>
Focus audits &ndash; including annual and initial HRA compliance, post discharge and transition of care contacts.</li><li>
Develops and reviews internal quality metrics.</li><li>
Supports process improvement initiatives.</li><li>
Assists in reviewing new Job Aids to support the Training &amp; Operations team of Learning Design and Learning Facilitation staff.</li><li>
Reviews current Job Aids and Policies and Procedures as requested.</li><li>
Creates and presents education as requested by the Process Improvement Lead.</li><li>
Supports Operations Managers in quality improvement initiatives.</li><li>
Assists Managers in communicating audit findings to individuals and teams.</li><li>
Participates in Interrater Reliability (IRR) meetings and assists in the development of Interpretation Standards to guide audit scoring and increase consistency across the Process Improvement Team.</li><li>
Participates in root cause analysis research for audits.</li><li>
Makes decisions regarding own work methods, occasionally in ambiguous situations, and requires minimal direction and receives guidance where needed.</li></ul><h1 class="jobSectionHeader"> 

Use your skills to make an impact 

</h1>Required Qualifications<ul><li>
Must reside in the Commonwealth of Virginia.</li><li>
Bachelor's degree OR an active LPN license in the Commonwealth of Virginia without disciplinary action.</li><li>
Two (2) or more years of professional experience related to process improvement, compliance measures, or auditing practices.</li><li>
Clinical background in working with a health plans or hospital settings.</li><li>
Comprehensive knowledge of Microsoft Office Word, Excel, and PowerPoint.</li><li>
Excellent analytical skills, able to manipulate and interpret data.</li><li>
Proven oral / written communication and presentation skills.</li><li>
Exceptional organizational and prioritization skills.</li><li>
Ability to work within highly structured contractual time compliance requirements with occasional short turnaround time.</li></ul>
Preferred Qualifications<ul><li>
Registered Nurse (RN) or bachelor's degree or advanced degree in social work.</li><li>
Knowledge of HEDIS/Stars/CMS/Quality.</li><li>
Experience in Medicaid or Medicare Guidelines.</li><li>
Strong business skills, including sales and marketing objectives.</li><li>
Detail orientated and comfortable working with tight deadlines in a fast-paced environment.</li></ul>
Additional Information<ul><li>
Workstyle: This is a remote position with some travel.</li><li>
Travel: Some travel is required to support state and federal audits, face-to-face collaborations and meetings in the Humana Healthy Horizons office in Glen Allen, VA and the Department of Medical Assistance Services (DMAS).</li><li>
Workdays &amp; Hours: Monday &ndash; Friday; 8:00am &ndash; 5:00pm Eastern Standard Time (EST).</li></ul>
WAH Internet Statement
To ensure Home or Hybrid Home/Office employees&rsquo; ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria:<ul><li>
At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested.</li><li>
Satellite, cellular and microwave connection can be used only if approved by leadership.</li><li>
Humana will provide Home or Hybrid Home/Office employees with telephone equipment appropriate to meet the business requirements for their position/job.</li><li>
Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.</li></ul>
Interview Format
As part of our hiring process for this opportunity, we will be using an interviewing technology called HireVue to enhance our hiring and decision-making ability. HireVue allows us to quickly connect and gain valuable information from you pertaining to your relevant skills and experience at a time that is best for your schedule.
Scheduled Weekly Hours
40
Pay Range
The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc. 

$65,000 - $88,600 per year 

This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.
Description of Benefits
Humana, Inc. and its affiliated subsidiaries (collectively, &ldquo;Humana&rdquo;) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.<h1 class="jobSectionHeader"> 
About us 
</h1>
Humana Inc. (NYSE: HUM) is committed to putting health first &ndash; for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health &ndash; delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large. 
Equal Opportunity Employer
It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or veteran status. It is also the policy of Humana to take affirmative action to employ and to advance in employment, all persons regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.</div>

Become a part of our caring community and help us put health first

Humana Healthy Horizons in Virginia is looking for Process Improvement Professionals to analyze and measure the effectiveness of existing business processes and develops sustainable, repeatable, and quantifiable business process improvements. The Process Improvement Professional 2 work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action. The Process Improvement Professional 2 must understand department, segment, and organizational strategy and operating objectives, including their linkages to related areas.
Research best business practices within and outside the organization to establish benchmark data.
Collects and analyzes process data to initiate, develop, and recommend business practices and procedures that focus on enhanced safety, increased productivity, and reduced cost.
Determines how new information technologies can support re-engineering business processes.
May specialize in one or more of the following areas: benchmarking, business process analysis and re-engineering, change management and measurement, and/or process-driven systems requirements.
Performs audits focused on improving compliance and quality.
Focus audits – including annual and initial HRA compliance, post discharge and transition of care contacts.
Develops and reviews internal quality metrics.
Supports process improvement initiatives.
Assists in reviewing new Job Aids to support the Training & Operations team of Learning Design and Learning Facilitation staff.
Reviews current Job Aids and Policies and Procedures as requested.
Creates and presents education as requested by the Process Improvement Lead.
Supports Operations Managers in quality improvement initiatives.
Assists Managers in communicating audit findings to individuals and teams.
Participates in Interrater Reliability (IRR) meetings and assists in the development of Interpretation Standards to guide audit scoring and increase consistency across the Process Improvement Team.
Participates in root cause analysis research for audits.
Makes decisions regarding own work methods, occasionally in ambiguous situations, and requires minimal direction and receives guidance where needed.

Use your skills to make an impact

Required Qualifications
Must reside in the Commonwealth of Virginia.
Bachelor's degree OR an active LPN license in the Commonwealth of Virginia without disciplinary action.
Two (2) or more years of professional experience related to process improvement, compliance measures, or auditing practices.
Clinical background in working with a health plans or hospital settings.
Comprehensive knowledge of Microsoft Office Word, Excel, and PowerPoint.
Excellent analytical skills, able to manipulate and interpret data.
Proven oral / written communication and presentation skills.
Exceptional organizational and prioritization skills.
Ability to work within highly structured contractual time compliance requirements with occasional short turnaround time.
Preferred Qualifications
Registered Nurse (RN) or bachelor's degree or advanced degree in social work.
Knowledge of HEDIS/Stars/CMS/Quality.
Experience in Medicaid or Medicare Guidelines.
Strong business skills, including sales and marketing objectives.
Detail orientated and comfortable working with tight deadlines in a fast-paced environment.
Additional Information
Workstyle: This is a remote position with some travel.
Travel: Some travel is required to support state and federal audits, face-to-face collaborations and meetings in the Humana Healthy Horizons office in Glen Allen, VA and the Department of Medical Assistance Services (DMAS).
Workdays & Hours: Monday – Friday; 8:00am – 5:00pm Eastern Standard Time (EST).
WAH Internet Statement
To ensure Home or Hybrid Home/Office employees’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria:
At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested.
Satellite, cellular and microwave connection can be used only if approved by leadership.
Humana will provide Home or Hybrid Home/Office employees with telephone equipment appropriate to meet the business requirements for their position/job.
Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.
Interview Format
As part of our hiring process for this opportunity, we will be using an interviewing technology called HireVue to enhance our hiring and decision-making ability. HireVue allows us to quickly connect and gain valuable information from you pertaining to your relevant skills and experience at a time that is best for your schedule.
Scheduled Weekly Hours
40
Pay Range
The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.

$65,000 - $88,600 per year

This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.
Description of Benefits
Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.
About us

Humana Inc. (NYSE: HUM) is committed to putting health first – for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large.
Equal Opportunity Employer
It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or veteran status. It is also the policy of Humana to take affirmative action to employ and to advance in employment, all persons regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.

You must be bilingual in Spanish, have 1+ years of call center experience, strong communication skills, and familiarity with HR systems. An HR degree and call center HR experience are preferred.

You will ensure efficient service center operations, manage technology processes, establish HR standards, and coordinate with HR systems and program managers to address employee inquiries.

Customer Relations

People, HR & Administration

Louisville

<div><h1 class="jobSectionHeader">Become a part of our caring community and help us put health first 
</h1>
The Bilingual HR Call Center Representative 3 provides centralized human resource services spanning payroll, benefits and other transactions. The HR Call Center Representative 3 performs advanced administrative/operational/customer support duties that require independent initiative and judgment. May apply intermediate mathematical skills.
The Bilingual HR Call Center Representative 3 decisions are typically focus on methods, tactics and processes for completing administrative tasks/projects. Regularly exercises discretion and judgment in prioritizing requests and interpreting and adapting procedures, processes and techniques, and works under limited guidance due to previous experience/breadth and depth of knowledge of administrative processes and organizational knowledge.
A Bilingual HR Call Center Representative 3 will be responsible for:<ul><li>
Ensuring efficiency of service center operations</li><li>
 Handling technology and transaction processes</li><li>
Establishing standards and procedures for handling employee questions, transactions and administration of human resource programs.</li><li>
 Coordinating services with the human resource information systems, human resource program managers and technology specialists.</li></ul><h1 class="jobSectionHeader"> 

Use your skills to make an impact 

</h1>Required Qualifications<ul><li>
Bilingual in Spanish - must have the ability to effectively converse in Spanish while entering information into systems in English</li><li>
1+ year of direct inbound call center experience</li><li>
Demonstrated direct customer service skills with the ability to multi-task</li><li>
Demonstrated strong written and verbal communication skills</li><li>
Familiarity with working in a metric driven environment</li><li>
This role is full time, Monday- Friday, 9:35- 6:05( EST)</li><li>
If selected for offer, you must live within a 1-hour commutable distance to Louisville, KY , Humana Waterside building.</li></ul>
Preferred Qualifications<ul><li>
Associate's or Bachelor's degree in HR or a related field</li><li>
Experience using web-based human resource management systems &ndash; Workday</li><li>
Previous HR experience within a call center environment</li></ul>
Additional Information<div>
Work-At-Home Requirements: 
To ensure Home or Hybrid Home/Office associates&rsquo; ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office associates must meet the following criteria: 
<ul><li>At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is suggested</li><li>Satellite, cellular and microwave connection can be used only if approved by leadership</li><li>Associates who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense.</li><li>Humana will provide Home or Hybrid Home/Office associates with telephone equipment appropriate to meet the business requirements for their position/job.</li><li>Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information</li></ul></div>
Interview Format: 
As part of our hiring process for this opportunity, we will be using an exciting interviewing technology called HireVue to enhance our hiring and decision-making ability. HireVue allows us to quickly connect and gain valuable information for you pertaining to your relevant skills and experience at a time that is best for your schedule. If you are selected for a first round interview, you will receive an email correspondence inviting you to participate in a HireVue interview. In this interview, you will receive a set of interview questions over your phone and you will provide recorded or text message responses to each question. You should anticipate this interview to take about 15 minutes. Your recorded interview will be reviewed, and you will subsequently be informed if you will be moving forward to next round of interviews. 
Scheduled Weekly Hours
40
Pay Range
The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc. 

$44,900 - $60,200 per year 
Description of Benefits
Humana, Inc. and its affiliated subsidiaries (collectively, &ldquo;Humana&rdquo;) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.<h1 class="jobSectionHeader"> 
About us 
</h1>
Humana Inc. (NYSE: HUM) is committed to putting health first &ndash; for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health &ndash; delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large. 
Equal Opportunity Employer
It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or veteran status. It is also the policy of Humana to take affirmative action to employ and to advance in employment, all persons regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.</div>

Become a part of our caring community and help us put health first

The Bilingual HR Call Center Representative 3 provides centralized human resource services spanning payroll, benefits and other transactions. The HR Call Center Representative 3 performs advanced administrative/operational/customer support duties that require independent initiative and judgment. May apply intermediate mathematical skills.
The Bilingual HR Call Center Representative 3 decisions are typically focus on methods, tactics and processes for completing administrative tasks/projects. Regularly exercises discretion and judgment in prioritizing requests and interpreting and adapting procedures, processes and techniques, and works under limited guidance due to previous experience/breadth and depth of knowledge of administrative processes and organizational knowledge.
A Bilingual HR Call Center Representative 3 will be responsible for:
Ensuring efficiency of service center operations
 Handling technology and transaction processes
Establishing standards and procedures for handling employee questions, transactions and administration of human resource programs.
 Coordinating services with the human resource information systems, human resource program managers and technology specialists.

Use your skills to make an impact

Required Qualifications
Bilingual in Spanish - must have the ability to effectively converse in Spanish while entering information into systems in English
1+ year of direct inbound call center experience
Demonstrated direct customer service skills with the ability to multi-task
Demonstrated strong written and verbal communication skills
Familiarity with working in a metric driven environment
This role is full time, Monday- Friday, 9:35- 6:05( EST)
If selected for offer, you must live within a 1-hour commutable distance to Louisville, KY , Humana Waterside building.
Preferred Qualifications
Associate's or Bachelor's degree in HR or a related field
Experience using web-based human resource management systems – Workday
Previous HR experience within a call center environment
Additional Information
Work-At-Home Requirements:
To ensure Home or Hybrid Home/Office associates’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office associates must meet the following criteria:
At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is suggestedSatellite, cellular and microwave connection can be used only if approved by leadershipAssociates who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense.Humana will provide Home or Hybrid Home/Office associates with telephone equipment appropriate to meet the business requirements for their position/job.Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information
Interview Format:
As part of our hiring process for this opportunity, we will be using an exciting interviewing technology called HireVue to enhance our hiring and decision-making ability. HireVue allows us to quickly connect and gain valuable information for you pertaining to your relevant skills and experience at a time that is best for your schedule. If you are selected for a first round interview, you will receive an email correspondence inviting you to participate in a HireVue interview. In this interview, you will receive a set of interview questions over your phone and you will provide recorded or text message responses to each question. You should anticipate this interview to take about 15 minutes. Your recorded interview will be reviewed, and you will subsequently be informed if you will be moving forward to next round of interviews.
Scheduled Weekly Hours
40
Pay Range
The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.

$44,900 - $60,200 per year
Description of Benefits
Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.
About us

Humana Inc. (NYSE: HUM) is committed to putting health first – for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large.
Equal Opportunity Employer
It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or veteran status. It is also the policy of Humana to take affirmative action to employ and to advance in employment, all persons regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.

Bilingual (Spanish)HR Call Center Representative - Humana

Bilingual (Spanish)HR Call Center Representative

You need 1+ year call center experience, strong communication skills, HR knowledge, bilingual in Spanish, and a reliable internet connection. Must live near Louisville, KY, for office compliance.

You will ensure efficient operations, manage technology processes, set standards for employee inquiries, and coordinate with HRIS and program managers to support HR programs.

<div><h1 class="jobSectionHeader">Become a part of our caring community and help us put health first 
</h1>
The HR Call Center Representative 3 provides centralized human resource services spanning payroll, benefits and other transactions. The HR Call Center Representative 3 performs advanced administrative/operational/customer support duties that require independent initiative and judgment. May apply intermediate mathematical skills.
HR Call Center Representative 3 decisions are typically focus on methods, tactics and processes for completing administrative tasks/projects. Regularly exercises discretion and judgment in prioritizing requests and interpreting and adapting procedures, processes and techniques, and works under limited guidance due to previous experience/breadth and depth of knowledge of administrative processes and organizational knowledge.
A HR Call Center Representative 3 will be responsible for:<ul><li>
Ensuring efficiency of service center operations</li><li>
 Handling technology and transaction processes</li><li>
Establishing standards and procedures for handling employee questions, transactions and administration of human resource programs.</li><li>
 Coordinating services with the human resource information systems, human resource program managers and technology specialists.</li></ul><h1 class="jobSectionHeader"> 

Use your skills to make an impact 

</h1>Required Qualifications<ul><li>
1+ year of direct inbound call center experience</li><li>
Demonstrated direct customer service skills with the ability to multi-task</li><li>
Demonstrated strong written and verbal communication skills</li><li>
Familiarity with working in a metric driven environment</li><li>
This role is full time, Monday- Friday, 9:35- 6:05( EST)</li><li>
If selected for offer, you must live within a 1-hour commutable distance to Louisville, KY, Humana Waterside building.</li></ul>
Preferred Qualifications<ul><li>
Associate's or Bachelor's degree in HR or a related field</li><li>
Experience using web-based human resource management systems &ndash; Workday</li><li>
Previous HR experience within a call center environment</li><li>
Bilingual in Spanish - must have the ability to effectively converse in Spanish while entering information into systems in English</li></ul>
Additional Information<div>
Work-At-Home Requirements: 
To ensure Home or Hybrid Home/Office associates&rsquo; ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office associates must meet the following criteria: 
<ul><li>At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is suggested</li><li>Satellite, cellular and microwave connection can be used only if approved by leadership</li><li>Associates who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense.</li><li>Humana will provide Home or Hybrid Home/Office associates with telephone equipment appropriate to meet the business requirements for their position/job.</li><li>Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information</li></ul></div>
Interview Format: 
As part of our hiring process for this opportunity, we will be using an exciting interviewing technology called HireVue to enhance our hiring and decision-making ability. HireVue allows us to quickly connect and gain valuable information for you pertaining to your relevant skills and experience at a time that is best for your schedule. If you are selected for a first round interview, you will receive an email correspondence inviting you to participate in a HireVue interview. In this interview, you will receive a set of interview questions over your phone and you will provide recorded or text message responses to each question. You should anticipate this interview to take about 15 minutes. Your recorded interview will be reviewed, and you will subsequently be informed if you will be moving forward to next round of interviews. 
Scheduled Weekly Hours
40
Pay Range
The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc. 

$44,900 - $60,200 per year 
Description of Benefits
Humana, Inc. and its affiliated subsidiaries (collectively, &ldquo;Humana&rdquo;) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.<h1 class="jobSectionHeader"> 
About us 
</h1>
Humana Inc. (NYSE: HUM) is committed to putting health first &ndash; for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health &ndash; delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large. 
Equal Opportunity Employer
It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or veteran status. It is also the policy of Humana to take affirmative action to employ and to advance in employment, all persons regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.</div>

Become a part of our caring community and help us put health first

The HR Call Center Representative 3 provides centralized human resource services spanning payroll, benefits and other transactions. The HR Call Center Representative 3 performs advanced administrative/operational/customer support duties that require independent initiative and judgment. May apply intermediate mathematical skills.
HR Call Center Representative 3 decisions are typically focus on methods, tactics and processes for completing administrative tasks/projects. Regularly exercises discretion and judgment in prioritizing requests and interpreting and adapting procedures, processes and techniques, and works under limited guidance due to previous experience/breadth and depth of knowledge of administrative processes and organizational knowledge.
A HR Call Center Representative 3 will be responsible for:
Ensuring efficiency of service center operations
 Handling technology and transaction processes
Establishing standards and procedures for handling employee questions, transactions and administration of human resource programs.
 Coordinating services with the human resource information systems, human resource program managers and technology specialists.

Use your skills to make an impact

Required Qualifications
1+ year of direct inbound call center experience
Demonstrated direct customer service skills with the ability to multi-task
Demonstrated strong written and verbal communication skills
Familiarity with working in a metric driven environment
This role is full time, Monday- Friday, 9:35- 6:05( EST)
If selected for offer, you must live within a 1-hour commutable distance to Louisville, KY, Humana Waterside building.
Preferred Qualifications
Associate's or Bachelor's degree in HR or a related field
Experience using web-based human resource management systems – Workday
Previous HR experience within a call center environment
Bilingual in Spanish - must have the ability to effectively converse in Spanish while entering information into systems in English
Additional Information
Work-At-Home Requirements:
To ensure Home or Hybrid Home/Office associates’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office associates must meet the following criteria:
At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is suggestedSatellite, cellular and microwave connection can be used only if approved by leadershipAssociates who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense.Humana will provide Home or Hybrid Home/Office associates with telephone equipment appropriate to meet the business requirements for their position/job.Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information
Interview Format:
As part of our hiring process for this opportunity, we will be using an exciting interviewing technology called HireVue to enhance our hiring and decision-making ability. HireVue allows us to quickly connect and gain valuable information for you pertaining to your relevant skills and experience at a time that is best for your schedule. If you are selected for a first round interview, you will receive an email correspondence inviting you to participate in a HireVue interview. In this interview, you will receive a set of interview questions over your phone and you will provide recorded or text message responses to each question. You should anticipate this interview to take about 15 minutes. Your recorded interview will be reviewed, and you will subsequently be informed if you will be moving forward to next round of interviews.
Scheduled Weekly Hours
40
Pay Range
The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.

$44,900 - $60,200 per year
Description of Benefits
Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.
About us

Humana Inc. (NYSE: HUM) is committed to putting health first – for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large.
Equal Opportunity Employer
It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or veteran status. It is also the policy of Humana to take affirmative action to employ and to advance in employment, all persons regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.

HR Call Center Representative - Humana

HR Call Center Representative

You need 1+ year of data analysis experience, strong Excel and Word skills, ability to prioritize work, deliver excellent customer service, and possess strong communication and attention to detail.

You will support value-based contract strategies, facilitate contract loading, ensure payment accuracy, and use Excel for analysis and research while collaborating with operational teams and partners.

Data

<div><h1 class="jobSectionHeader">Become a part of our caring community and help us put health first 
</h1>
The Value-Based Programs Analyst supports successful value-based provider relationships in the Service Fund Department with a focus on improving the provider experience and achieving path-to-value goals through analysis and collaboration of provider contract loading and maintenance.
The Value-Based Programs Analyst supports our Market Contracting and Market Finance partners in multiple markets ensuring Provider Contracts are loaded in Service Fund accurately and timely for membership paneling and provider payments.<ul><li>
Focuses on value based strategies related to the administration of value based contracts
</li><li>Supports the markets in all value based contract administration strategies and supports implementation of those strategies through regular engagement and analytical support
</li><li>Facilitates the loading of Provider Contracts through collaboration with our Service Fund Operational teams and our Market Partners and based upon contractual stipulations
</li><li>Ensures the accuracy of provider payment, membership paneling and allows us to identify broader synergies with our partners</li><li>
Uses excel to analyze, research and load Provider contracts</li></ul>
The ideal applicant will possess the following skills:<ul><li>
Problem Solving</li><li>
Provider Management</li><li>
Relationship management</li><li>
Consumer Experiences</li><li>
Confidentiality</li><li>
Data Analysis</li><li>
Detail-Oriented</li><li>
Written Communication</li></ul>
In addition to being a great place to work, Humana also offers industry leading benefits for all employees, starting your FIRST day of employment. Benefits include:<ul><li>
Medical Benefits</li><li>
Dental Benefits</li><li>
Vision Benefits</li><li>
Health Savings Accounts</li><li>
Flex Spending Accounts</li><li>
Life Insurance</li><li>
401(k)</li><li>
PTO including 8 paid holidays, one personal holiday, one day of volunteer time off, 23 days of annual PTO, parental leave, caregiving leave, and weekly well-being time</li><li>
And more</li></ul><h1 class="jobSectionHeader"> 

Use your skills to make an impact 

</h1>Required Qualifications<ul><li>
1+ year experience with data analysis</li><li>
Comprehensive knowledge of Microsoft Word and Excel (ex. pivot tables, vlookups, basic formatting, etc)</li><li>
Proven experience in organizing and prioritizing work to meet deadlines</li><li>
Proven experience in delivering exceptional customer experiences in a professional environment</li><li>
Strong attention to detail</li><li>
Strong verbal and written communication skills</li></ul>
Preferred Qualifications<ul><li>
1+ year of experience within the Humana Service Fund Department</li><li>
Provider installation experience</li><li>
SQL knowledge and experience in writing SQL queries</li><li>
Experience in the healthcare industry</li></ul>
Additional Information
Work at Home/Remote Requirements
Work-At-Home Requirements<ul><li>
To ensure Home or Hybrid Home/Office associates&rsquo; ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office associates must meet the following criteria:<ul><li>
At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended to support Humana applications, per associate.</li><li>
Wireless, Wired Cable or DSL connection is suggested.</li><li>
Satellite, cellular and microwave connection can be used only if they provide an optimal connection for associates. The use of these methods must be approved by leadership. (See Wireless, Wired Cable or DSL Connection in Exceptions, Section 7.0 in this policy.)</li><li>
Humana will not pay for or reimburse Home or Hybrid Home/Office associates for any portion of the cost of their self-provided internet service, with the exception of associates who live or work from Home in the state of California, Illinois, Montana, or South Dakota. Associates who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense.</li><li>
Humana will provide Home or Hybrid Home/Office associates with telephone equipment appropriate to meet the business requirements for their position/job.</li><li>
Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information</li></ul></li></ul>
Our Hiring Process
As part of our hiring process for this opportunity, we may contact you via text message and email to gather more information using a software platform called Modern Hire. Modern Hire Text, Scheduling and Video technologies allow you to interact with us at the time and location most convenient for you.
If you are selected to move forward from your application prescreen, you may receive correspondence inviting you to participate in a pre-recorded Voice, Text Messaging and/or Video interview. Your recorded interview will be reviewed and you will subsequently be informed if you will be moving forward to next round of interviews
If you have additional questions regarding this role posting and are an Internal Candidate, please send them to the Ask A Recruiter persona by visiting go/Buzz and searching Ask A Recruiter! Please be sure to provide the requisition number so we may be able to research your request quicker.
This is a remote position.
#LI-LM1
#LI-Remote
Scheduled Weekly Hours
40
Pay Range
The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc. 

$59,300 - $80,900 per year 

This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.
Description of Benefits
Humana, Inc. and its affiliated subsidiaries (collectively, &ldquo;Humana&rdquo;) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.<h1 class="jobSectionHeader"> 
About us 
</h1>
Humana Inc. (NYSE: HUM) is committed to putting health first &ndash; for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health &ndash; delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large. 
Equal Opportunity Employer
It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or veteran status. It is also the policy of Humana to take affirmative action to employ and to advance in employment, all persons regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.</div>

Become a part of our caring community and help us put health first

The Value-Based Programs Analyst supports successful value-based provider relationships in the Service Fund Department with a focus on improving the provider experience and achieving path-to-value goals through analysis and collaboration of provider contract loading and maintenance.
The Value-Based Programs Analyst supports our Market Contracting and Market Finance partners in multiple markets ensuring Provider Contracts are loaded in Service Fund accurately and timely for membership paneling and provider payments.
Focuses on value based strategies related to the administration of value based contracts
Supports the markets in all value based contract administration strategies and supports implementation of those strategies through regular engagement and analytical support
Facilitates the loading of Provider Contracts through collaboration with our Service Fund Operational teams and our Market Partners and based upon contractual stipulations
Ensures the accuracy of provider payment, membership paneling and allows us to identify broader synergies with our partners
Uses excel to analyze, research and load Provider contracts
The ideal applicant will possess the following skills:
Problem Solving
Provider Management
Relationship management
Consumer Experiences
Confidentiality
Data Analysis
Detail-Oriented
Written Communication
In addition to being a great place to work, Humana also offers industry leading benefits for all employees, starting your FIRST day of employment. Benefits include:
Medical Benefits
Dental Benefits
Vision Benefits
Health Savings Accounts
Flex Spending Accounts
Life Insurance
401(k)
PTO including 8 paid holidays, one personal holiday, one day of volunteer time off, 23 days of annual PTO, parental leave, caregiving leave, and weekly well-being time
And more

Use your skills to make an impact

Required Qualifications
1+ year experience with data analysis
Comprehensive knowledge of Microsoft Word and Excel (ex. pivot tables, vlookups, basic formatting, etc)
Proven experience in organizing and prioritizing work to meet deadlines
Proven experience in delivering exceptional customer experiences in a professional environment
Strong attention to detail
Strong verbal and written communication skills
Preferred Qualifications
1+ year of experience within the Humana Service Fund Department
Provider installation experience
SQL knowledge and experience in writing SQL queries
Experience in the healthcare industry
Additional Information
Work at Home/Remote Requirements
Work-At-Home Requirements
To ensure Home or Hybrid Home/Office associates’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office associates must meet the following criteria:
At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended to support Humana applications, per associate.
Wireless, Wired Cable or DSL connection is suggested.
Satellite, cellular and microwave connection can be used only if they provide an optimal connection for associates. The use of these methods must be approved by leadership. (See Wireless, Wired Cable or DSL Connection in Exceptions, Section 7.0 in this policy.)
Humana will not pay for or reimburse Home or Hybrid Home/Office associates for any portion of the cost of their self-provided internet service, with the exception of associates who live or work from Home in the state of California, Illinois, Montana, or South Dakota. Associates who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense.
Humana will provide Home or Hybrid Home/Office associates with telephone equipment appropriate to meet the business requirements for their position/job.
Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information
Our Hiring Process
As part of our hiring process for this opportunity, we may contact you via text message and email to gather more information using a software platform called Modern Hire. Modern Hire Text, Scheduling and Video technologies allow you to interact with us at the time and location most convenient for you.
If you are selected to move forward from your application prescreen, you may receive correspondence inviting you to participate in a pre-recorded Voice, Text Messaging and/or Video interview. Your recorded interview will be reviewed and you will subsequently be informed if you will be moving forward to next round of interviews
If you have additional questions regarding this role posting and are an Internal Candidate, please send them to the Ask A Recruiter persona by visiting go/Buzz and searching Ask A Recruiter! Please be sure to provide the requisition number so we may be able to research your request quicker.
This is a remote position.
#LI-LM1
#LI-Remote
Scheduled Weekly Hours
40
Pay Range
The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.

$59,300 - $80,900 per year

This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.
Description of Benefits
Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.
About us

Humana Inc. (NYSE: HUM) is committed to putting health first – for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large.
Equal Opportunity Employer
It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or veteran status. It is also the policy of Humana to take affirmative action to employ and to advance in employment, all persons regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.

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