Senior Consumer Service Operations

Profile

Job Information

Humana

Senior Consumer Service Operations

in

Louisville

Kentucky

Description

The Senior Consumer Service Operations Professional is responsible for the daily activities across multiple service functions area. The Senior Consumer Service Operations Professional work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors.

Responsibilities

The Senior Consumer Service Operations Professional may perform installation, implementation, client support, client services, client administration, customer service, enrollment and eligibility, claims processing, and call center operations. Investigates and settles claims and customer service issues. Begins to influence department's strategy. Makes decisions on moderately complex to complex issues regarding technical approach for project components, and work is performed without direction. Exercises considerable latitude in determining objectives and approaches to assignments.

Required Qualifications

Bachelor's degree

5 or more years experience in a service operations environment

Strong analytical skills and creative problem-solving ability

Strong data analysis skills

Ability to manage multiple or competing priorities and work in a very fast-paced environment

Proficient with MS Excel and PowerPoint

Strong written and verbal communication skills

Excellent interpersonal skills and ability to develop collaborative working relationships across multiple functional areas in the organization

Must be passionate about contributing to an organization focused on continuously improving consumer experiences

Preferred Qualifications

M.B.A., C.P.A. or advanced degree in healthcare

Project Management Professional (PMP) certification

Six Sigma certification

Proficient with MS Access, Visio and Project

Knowledge of CMS Medicare manuals for research and reporting criteria and audit protocols

Additional Information

Covid-19 Vaccine Requirement

For this job, associates are required to be fully COVID vaccinated or undergo weekly COVID testing and wear a face covering while at work. The weekly testing will need to be done through an approved Humana vendor, and unvaccinated associates should follow all social distancing and masking protocols if they are required to come into a Humana facility or work outside of their home. We are a healthcare company committed to putting health and safety first for our members, patients, associates, and the communities we serve.

If progressed to offer, you will be required to:

Provide proof of full vaccination OR

Commit to weekly testing, following all CDC protocols, OR

Provide documentation for a medical or religious exemption consideration.

This policy will not supersede state or local laws. Requests for these exemptions should be submitted at least 2 weeks prior to your scheduled first day of work.

Scheduled Weekly Hours

40

Company info

Humana Inc.
Website : http://www.humana.com