Provider Installation Representative - Humana
Dover, DE
About the Job
Become a part of our caring community and help us put health first
The Physician Finder Plus (PFP) is the most utilized tool for Humana members. As the Provider Directory team, they manage and input the criteria that is needed to make the online PFP and the printed directories accurate. Come join the team as a Provider Installation Representative 2 and contribute to making a difference for our Humana members. The Provider Directory Configuration team works with both Medicare and Medicaid lines of business.
As a part of the Provider Directory Configuration team, the Provider Installation Representative 2 will be responsible for building forms as one of their main tasks; typically completed in June and July each year for the following year. The provider information must be maintained and remain accurate, so our members have a positive experience in obtaining the needed information for their wellbeing; therefore, this team reviews the directories (in PDF form) every 30 days.
Provider Directory Overview:
+ Input data criteria in DD (Directory Designer)
+ Proof paper directories (recycled every 30 days all year)
+ Submit defects found within directories
+ Defect closeouts to be completed after submitted defect has been corrected
+ Dashboard reports from IT of potential issues identified by IT
+ Research providers information identified by the market and customer service sent via email
+ Collaborate with IDC (Internet Directory Creator) team and Directories Team Auditors to achieve a positive member experience
Use your skills to make an impact
Required Qualifications
+ 1+ years of administrative, support, data entry, or related professional experience
+ Experience using multiple computer applications simultaneously
+ Prior work experience in a fast paced, metric driven setting
+ Must meet Humana's Work at Home connectivity requirements listed in additional information
Preferred Qualifications
+ Experience in the following systems: DD (Directory Designer), qTest, HPAS, Wicket, APEX, PMPD Provider Search, PAAG (Provider At A Glance), CAS (Claims Administration System), Mentor experience
+ Provider installation/directory, provider data operations, data management, configuration, or similar transferable discipline covering Medicare and Medicaid lines of business
+ Prior work experience in a fast paced, metric driven setting
+ A positive, proactive attitude with a passion for consumer experience
+ Self-starter with excellent time management skills
+ Work well independently and as a team
+ Comfortable with constant process changes/adapting to new processes Prior experience using Microsoft Office Programs, including Word, Excel, OneNote PowerPoint
+ Attention to detail
+ Excellent communication skills
Additional Information
Hours: Dependent on candidate location. Monday – Friday, first 90 days 7:00am – 3:30pm.
Flex time available after probation. Department operating hours 6am – 6pm but must log in by 9:00am. 40-hour work weeks with potential overtime June – October based on business needs.
Training: Remote with camera, 4-5 weeks classroom style instruction with a trainer working tasks.
Location: Remote Nationwide
Virtual Pre-Screen
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
SSN Alert Statement
Humana values personal identity protection. Please be aware that applicants may be asked to provide their Social Security Number, if it is not already on file. When required, an email will be sent from Humana@myworkday.com with instructions on how to add the information into your official application on Humana’s secure website.
Work at Home Connectivity Requirements
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 recommended; wireless, wired cable or DSL connection is suggested
Satellite, cellular and microwave connection can be used only if approved by leadership
Employees 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 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
(internal candidates) If you have additional questions regarding this role posting, please send them to the Ask A Recruiter 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.
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.
$37,200 - $51,200 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.
Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our https://www.humana.com/legal/accessibility-resources?source=Humana_Website.
The Physician Finder Plus (PFP) is the most utilized tool for Humana members. As the Provider Directory team, they manage and input the criteria that is needed to make the online PFP and the printed directories accurate. Come join the team as a Provider Installation Representative 2 and contribute to making a difference for our Humana members. The Provider Directory Configuration team works with both Medicare and Medicaid lines of business.
As a part of the Provider Directory Configuration team, the Provider Installation Representative 2 will be responsible for building forms as one of their main tasks; typically completed in June and July each year for the following year. The provider information must be maintained and remain accurate, so our members have a positive experience in obtaining the needed information for their wellbeing; therefore, this team reviews the directories (in PDF form) every 30 days.
Provider Directory Overview:
+ Input data criteria in DD (Directory Designer)
+ Proof paper directories (recycled every 30 days all year)
+ Submit defects found within directories
+ Defect closeouts to be completed after submitted defect has been corrected
+ Dashboard reports from IT of potential issues identified by IT
+ Research providers information identified by the market and customer service sent via email
+ Collaborate with IDC (Internet Directory Creator) team and Directories Team Auditors to achieve a positive member experience
Use your skills to make an impact
Required Qualifications
+ 1+ years of administrative, support, data entry, or related professional experience
+ Experience using multiple computer applications simultaneously
+ Prior work experience in a fast paced, metric driven setting
+ Must meet Humana's Work at Home connectivity requirements listed in additional information
Preferred Qualifications
+ Experience in the following systems: DD (Directory Designer), qTest, HPAS, Wicket, APEX, PMPD Provider Search, PAAG (Provider At A Glance), CAS (Claims Administration System), Mentor experience
+ Provider installation/directory, provider data operations, data management, configuration, or similar transferable discipline covering Medicare and Medicaid lines of business
+ Prior work experience in a fast paced, metric driven setting
+ A positive, proactive attitude with a passion for consumer experience
+ Self-starter with excellent time management skills
+ Work well independently and as a team
+ Comfortable with constant process changes/adapting to new processes Prior experience using Microsoft Office Programs, including Word, Excel, OneNote PowerPoint
+ Attention to detail
+ Excellent communication skills
Additional Information
Hours: Dependent on candidate location. Monday – Friday, first 90 days 7:00am – 3:30pm.
Flex time available after probation. Department operating hours 6am – 6pm but must log in by 9:00am. 40-hour work weeks with potential overtime June – October based on business needs.
Training: Remote with camera, 4-5 weeks classroom style instruction with a trainer working tasks.
Location: Remote Nationwide
Virtual Pre-Screen
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
SSN Alert Statement
Humana values personal identity protection. Please be aware that applicants may be asked to provide their Social Security Number, if it is not already on file. When required, an email will be sent from Humana@myworkday.com with instructions on how to add the information into your official application on Humana’s secure website.
Work at Home Connectivity Requirements
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 recommended; wireless, wired cable or DSL connection is suggested
Satellite, cellular and microwave connection can be used only if approved by leadership
Employees 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 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
(internal candidates) If you have additional questions regarding this role posting, please send them to the Ask A Recruiter 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.
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.
$37,200 - $51,200 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.
Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our https://www.humana.com/legal/accessibility-resources?source=Humana_Website.
Source : Humana
