Responsibilities
This Bilingual English and Spanish position is office based at, 6101 Blue Lagoon Dr. , Miami FL 33126 and will also require 25% travel for member home visits, and events in the area and surrounding counties.
Training will be between 8 and 12 weeks with 4 weeks required onsite training.
Covid Requirement Policy: Humana and its subsidiaries require vaccinated associates who work outside of their home to submit proof of vaccination, including COVID-19 boosters. This position will require proof of Covid-19 vaccination upon offer acceptance during the background screening process and prior to the start date.
The Care Coach:
Employs a variety of case management strategies, approaches and techniques to manage a member’s case.
Identifies through a screening process for potential eligibility for state and federal benefits.
Ensures member is progressing towards desired outcomes by continuously monitoring Member’s case through use of assessment, data, and conversations with members, active planning and educating the member on potential resources.
Understands own work area professional concepts/standards, regulations, strategies and operating standards.
How We Value You:
Benefits starting day 1 of employment
Competitive 401k match
Generous Paid Time Off accrual
Tuition Reimbursement
Parent Leave
Go365 perks for well-being
Required Qualifications:
Call Center environment experience and/or inbound and outbound phone calls experience, such as a Queue.
Demonstrated ability to manage and prioritize back to back calls and follow-up on member cases, and walk-ins as needed. Average call volume is 60+ calls daily.
Bilingual English/Spanish – must be able to speak, read and write in both languages without limitations or assistance and pass the required proficiency tests in both languages.
Intermediate/Advanced typing and computer navigation skills using multiple systems, platforms, and an ability to troubleshoot and resolve general technical difficulties.
1-3 years working knowledge using the following MS Office Suite products; Word, Excel, and, Outlook.
Ability to manages multiple tasks and deadlines based on priority
Team player, ability to work with tight schedules, multiple priorities as well as work independently.
Additional Requirements/Adherence:
Workstyle: Miami Market Office
Location: 6101 Blue Lagoon Dr., Miami FL 33126
Hours:
Standard work schedule is Monday-Friday 8:00 AM-5:00 PM Eastern Time
Must be able to work an 8 hour shift Monday – Friday between the hours of 8:00 AM and 7:00 PM Eastern Time during Medicare Annual Election Period September 15-Dec 8.
Overtime including evening, weekend, and holidays may be requested as business needs.
Travel: up to 25% at times to include home visits, and events to the following:
Miami Dade , Broward and Monroe Counties.
Driver’s License, Automobile and Insurance Requirements:
Possession of a valid driver’s license and access to a reliable automobile
This role is part of Humana’s Driver safety program and therefore requires an individual to have a valid state driver’s license and proof of personal vehicle liability insurance with at least 100,000/300,000/100,000 limits.
Work-At-Home Requirements:
Must have the ability to provide a high-speed DSL or cable modem for a home office. Associates or contractors who live and work from home in the state of California will be provided payment for their internet expense.
A minimum standard speed for optimal performance of 25×10 (25mpbs download x 10mpbs upload) is required.
Satellite and Wireless Internet service is NOT allowed for this role.
A dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information
Covid Requirement Policy:
Humana and its subsidiaries require vaccinated associates who work outside of their home to submit proof of vaccination, including COVID-19 boosters. This position will require proof of Covid-19 vaccination upon offer acceptance during the background screening process and prior to the start date.
Preferred Qualifications:
Associate / Bachelor’s Degree
Strong preference for experience in member services and a call center environment specifically but not limited to Medicare & Medicaid recipients.
Previous experience with electronic case-note documentation and experienced with documenting in multiple computer applications/systems.
Knowledge of community health and social service agencies and additional community resources.
Additional Information:
Interview Format
As part of our hiring process, we will be using an exciting interviewing technology provided by Modern Hire, a third-party vendor. This technology provides our team of recruiters and hiring managers an enhanced method for decision-making.
If you are selected to move forward from your application prescreen, you will receive correspondence inviting you to participate in a pre-recorded Voice Interview and/or an SMS Text Messaging interview. If participating in a pre-recorded interview, you will respond to a set of interview questions via your phone. You should anticipate this interview to take approximately 10-15 minutes.
If participating in a SMS Text interview, you will be asked a series of questions to which you will be using your cell phone to answer the questions provided. Expect this type of interview to last anywhere from 5- 10 minutes. Your recorded interview(s) via text and/or pre-recorded voice will be reviewed and you will subsequently be informed if you will be moving forward to next round of interviews.
Scheduled Weekly Hours
40
Not Specified
0