Consumer Service Ops Professional

Humana

Humana healthcare operations professional coordinating member support and benefit fulfillment. Resolving service issues, analyzing operational data, and improving workflows for better consumer outcomes.

Posted 8/14/2026full-timeRemote • Kentucky • 🇺🇸 United StatesMid-LevelSenior💰 $58,700 - $68,200 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in coordinating member support and benefit fulfillment while ensuring compliance and quality in service delivery. Proficient in analyzing operational data to enhance processes and improve consumer experiences.

Highest-signal resume keywords

Member Support CoordinationBenefit Fulfillment SystemsOperational Data AnalysisQuality AssuranceProject Management

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Benefit FulfillmentOperational Data AnalysisProcess ImprovementProgram ImplementationQuality AssuranceAuditingService OperationsMetrics AnalysisProblem ResolutionWorkflow Optimization

Soft Skills

CollaborationAdaptabilityAccountabilityCommunicationTeamwork

Industry Keywords

Healthcare AdministrationConsumer ExperiencePHI ComplianceHIPAA ComplianceService Excellence

About the role

Key responsibilities & impact

Coordinate member support and benefit fulfillment activities across multiple service responsibilities
Resolve member, provider, and customer service issues
Coordinate fulfillment of member benefits and resources, including researching products, identifying solutions, and arranging delivery
Collaborate with internal and external partners to address member needs and ensure service excellence
Facilitate benefit fulfillment, resolve barriers, and support member outcomes
Use benefit fulfillment systems, multiple systems, and data sources to process requests and maintain accurate records
Analyze information, research problems, and determine appropriate solutions while balancing quality, compliance, and member experience
Monitor work activity and use operational data, reports, and performance metrics to support decision-making and workload prioritization
Identify opportunities to improve processes, workflows, and the member experience
Support implementation of new programs, benefits, workflows, or operational programs
Prioritize work and adapt established procedures to unique situations
Demonstrate accountability for complex issues through resolution
Align operational activities with department, segment, and organizational strategies
Contribute to continuous improvement, teamwork, and consumer experience

Requirements

What you’ll need

Bachelor's degree or equivalent work experience
3 years of experience in a service operations environment
Passion for improving consumer experiences
Benefit or program implementation experience preferred
Experience with healthcare or benefit administration preferred
Experience analyzing operational data and metrics to identify trends, support decision-making, and communicate insights preferred
Quality assurance, auditing, or continuous improvement experience preferred
Project management experience preferred
Minimum download speed of 25 Mbps and upload speed of 10 Mbps for home internet service
Dedicated work space without ongoing interruptions to protect member PHI / HIPAA information

Benefits

Comp & perks

Bonus incentive plan
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 home employees
Remote work arrangement
Occasional travel to Humana offices for training or meetings