Senior Business Technical Support Professional - Humana
Santa Fe, NM
About the Job
Become a part of our caring community and help us put health first
The Senior Agency Management Professional analyzes transactions posted to the general ledger, 1099 reporting, and cash reporting from the agency management system and determine the need for any system and/or ledger updates for accruals, prepaid, and adjusting updates or entries. The Senior Agency Management Professional work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors.
The Senior Agency Management Professional provides support for handling and analyzing data that pertains to the compliance and commissions of Humana external producers. The Senior Agency Management Professional work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors. The work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action. Following is a list of some of the responsibilities:
+ Engage with the producers and the Center for Medicare and Medicaid Services/Department of Insurance regulations specific to them if there are concerns related to missing or incomplete commissions.
+ Perform audits related to commission payments that include system adjustments that need to be appropriately tied to transaction codes to systematically create the proper entries to the general ledger.
+ Analyze and interpret Center for Medicare and Medicaid Services and Department of Insurance regulations to establish required appointment fees for producers to ensure we are compliant when solicitation and selling of our products occur.
+ Make decisions regarding own work methods, occasionally in ambiguous situations, and require minimal direction.
+ Research and analyze financial information necessary to support internal and external audit activity.
+ Act as "Go To" person for resolution of issues relating to commission payments on Humana's various blocks of business.
+ Set up contracts in the systems, making sure they are set up in a timely manner. Audit them to make sure they are correct, and make sure it pays as it should over a period of time.
+ Multitask by organizing workload and juggling various smaller projects.
+ Perform analysis with an emphasis on control and prevention.
+ Assist in problem solving and process improvement activities.
+ Exercise independent judgment and decision making on complex issues regarding job duties and related tasks and work under minimal supervision.
+ Engage with the commissions, compliance, and financial reporting teams to develop, implement, and maintain processes that can handle significant volumes of data.
Use your skills to make an impact
Required Qualifications
+ Bachelor's degree or equivalent experience
+ 5 or more years of technical experience
+ 1 or more years financial analysis and/or reporting experience
+ Comprehensive knowledge of all Microsoft Office applications, especially Excel & Access
+ Proficient knowledge of VBA, SQL and SQL Server, including SSIS
+ Strong attention to detail and investigative skills
+ Experience working with large amounts of data
+ Can partner with peers to review needs and possible solutions
+ Must be passionate about contributing to an organization focused on continuously improving consumer experiences and information technology
+ Must have a growth mindset with regards to new technologies and processes
Preferred Qualifications
+ Master's degree in business administration or a related field
+ Experience with Insurance data
+ Experience with Healthcare data
+ Experience working in multiple systems at a time
+ Experience working with SSMS
+ Proficient in other object-oriented coding language
Additional Information
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.
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.
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 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
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.$63,400 - $87,400 per yearThis 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.
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 Senior Agency Management Professional analyzes transactions posted to the general ledger, 1099 reporting, and cash reporting from the agency management system and determine the need for any system and/or ledger updates for accruals, prepaid, and adjusting updates or entries. The Senior Agency Management Professional work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors.
The Senior Agency Management Professional provides support for handling and analyzing data that pertains to the compliance and commissions of Humana external producers. The Senior Agency Management Professional work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors. The work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action. Following is a list of some of the responsibilities:
+ Engage with the producers and the Center for Medicare and Medicaid Services/Department of Insurance regulations specific to them if there are concerns related to missing or incomplete commissions.
+ Perform audits related to commission payments that include system adjustments that need to be appropriately tied to transaction codes to systematically create the proper entries to the general ledger.
+ Analyze and interpret Center for Medicare and Medicaid Services and Department of Insurance regulations to establish required appointment fees for producers to ensure we are compliant when solicitation and selling of our products occur.
+ Make decisions regarding own work methods, occasionally in ambiguous situations, and require minimal direction.
+ Research and analyze financial information necessary to support internal and external audit activity.
+ Act as "Go To" person for resolution of issues relating to commission payments on Humana's various blocks of business.
+ Set up contracts in the systems, making sure they are set up in a timely manner. Audit them to make sure they are correct, and make sure it pays as it should over a period of time.
+ Multitask by organizing workload and juggling various smaller projects.
+ Perform analysis with an emphasis on control and prevention.
+ Assist in problem solving and process improvement activities.
+ Exercise independent judgment and decision making on complex issues regarding job duties and related tasks and work under minimal supervision.
+ Engage with the commissions, compliance, and financial reporting teams to develop, implement, and maintain processes that can handle significant volumes of data.
Use your skills to make an impact
Required Qualifications
+ Bachelor's degree or equivalent experience
+ 5 or more years of technical experience
+ 1 or more years financial analysis and/or reporting experience
+ Comprehensive knowledge of all Microsoft Office applications, especially Excel & Access
+ Proficient knowledge of VBA, SQL and SQL Server, including SSIS
+ Strong attention to detail and investigative skills
+ Experience working with large amounts of data
+ Can partner with peers to review needs and possible solutions
+ Must be passionate about contributing to an organization focused on continuously improving consumer experiences and information technology
+ Must have a growth mindset with regards to new technologies and processes
Preferred Qualifications
+ Master's degree in business administration or a related field
+ Experience with Insurance data
+ Experience with Healthcare data
+ Experience working in multiple systems at a time
+ Experience working with SSMS
+ Proficient in other object-oriented coding language
Additional Information
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.
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.
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 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
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.$63,400 - $87,400 per yearThis 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.
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