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Humana

Consumer Engagement Representative

Humana

Consumer Engagement Representative educating Humana members about CenterWell Pharmacy benefits and mail-order services. Guiding enrollment decisions through personalized calls, system navigation, and privacy-conscious support.

Posted 8/4/2026full-timeRemote • Arizona • 🇺🇸 United StatesJunior💰 $40,000 - $52,300 per yearWebsite

Core Competencies

Role fit
Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in customer service and consumer engagement within the healthcare sector, with a strong focus on personalized solutions and compliance with regulatory guidelines. Proficient in navigating multiple systems and tools to enhance member experiences and support enrollment processes.

Highest-signal resume keywords
Customer Service ExperienceHealthcare EngagementRegulatory ComplianceCRM Systems ProficiencyBilingual Spanish/English

ATS Keywords

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Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills
Customer EngagementMedication Delivery ProcessesEnrollment SupportPharmacy Benefit KnowledgeData ReportingMicrosoft ExcelMicrosoft PowerPointMetric-Driven PerformanceScripting ProtocolsMotivational Education Techniques
Soft Skills
EmpathyProfessionalismCommunicationProblem-SolvingCollaboration
Tools & Technologies
Technology PlatformsDigital Engagement ToolsPBM SystemsDocumentation Tools
Industry Keywords
HealthcarePharmacy BenefitsConsumer ExperienceHIPAA ComplianceAnnual Enrollment Period

About the role

Key responsibilities & impact
  • Explain mail-order pharmacy benefits, medication delivery timelines, refill processes, and savings potential
  • Use motivational education techniques during live calls
  • Assess customer needs and provide personalized solutions aligned with health benefits
  • Navigate systems to identify enrollment opportunities and complete required steps accurately
  • Follow scripting protocols while maintaining natural, member-centered conversations
  • Partner with supervisors and the QA team to improve call quality and meet conversion goals
  • Support special campaigns and seasonal initiatives, including the Annual Enrollment Period
  • Maintain confidentiality, professionalism, and empathy when handling sensitive health or medication concerns
  • Report insights to leadership staff

Requirements

What you’ll need
  • High school diploma or equivalent required
  • 1+ year of experience in customer service, consumer engagement, pharmacy benefit, healthcare, or related operational roles
  • Ability to work in a structured, metric-driven environment with daily, weekly, and monthly performance goals
  • Comfortable navigating multiple systems and documentation tools simultaneously
  • Commitment to protecting member privacy and complying with regulatory guidelines
  • Passion for improving consumer experiences
  • Availability for shifts between 8:00 a.m. and 11:00 p.m. EST Monday through Friday, and 8:00 a.m. to 6:30 p.m. EST Saturday
  • Minimum home internet speed of 25 Mbps download and 10 Mbps upload
  • Dedicated workspace without ongoing interruptions to protect member PHI/HIPAA information
  • Preferred: 2+ years of relevant experience
  • Preferred: experience supporting enrollment, benefits, client education, or healthcare engagement programs
  • Preferred: experience with technology platforms, CRM systems, or digital engagement tools
  • Preferred: intermediate to advanced Microsoft Suite experience, including Excel and PowerPoint
  • Preferred: familiarity with PBM systems, Humana tools, or pharmacy benefit structures
  • Bilingual Spanish/English is a plus

Benefits

Comp & perks
  • Bonus incentive plan based on company and/or individual performance
  • Medical benefits
  • Dental benefits
  • Vision benefits
  • 401(k) retirement savings plan
  • Paid time off
  • Company holidays
  • Personal holidays
  • Paid parental leave
  • Paid caregiver leave
  • Short-term disability
  • Long-term disability
  • Life insurance
  • Self-provided internet service for work from home
  • Remote work arrangement