Humana

Operations

• travel between four different locations each day
• perform installation, implementation, client support, client services, client administration, customer service, enrollment and eligibility, claims processing, and call center operations
• investigate and settle claims and customer service issues
• exercise discretion and judgment in prioritizing requests and interpreting and adapting procedures, processes and techniques

Consumer Service Operations Representative III

Business Intelligence Analyst

• Lead Strategic BI Initiatives: Design, develop, and deliver business intelligence tools and analyses that support key organizational priorities across sales, operations, and customer experience.
• Partner with Senior Leadership: Serve as a trusted advisor to executives and business leaders, translating complex data into clear, actionable insights that inform strategic decisions.
• Drive Analytical Excellence: Perform deep-dive analyses to uncover trends, relationships, and opportunities to inform decision-making.
• Ensure Data Quality and Governance: Collaborate with data engineering and governance teams to ensure BI solutions are scalable, reliable, and aligned with enterprise standards.

Business Intelligence Lead

Risk

• Acts as a consultant to the Risk Adjustment team leaders
• Identify and analyze potential risks and sources of loss to evaluate business processes and drive improvements
• Focus on Project Management and is responsible for oversight of the Risk Adjustment Operations processes
• Develops and implements controls and cost-effective approaches to minimize risks
• Assess and communicate information regarding business risks with functions across the organization
• Advise executives to develop functional strategies on matters of significance
• Provide consultative services to drive efficient, effective, and compliant risk adjustment processes

Risk Management Lead

Account Executive

• Manages a Book of Business of 100+ Specialty Only clients
• Develops and executes strategies for client relationships to achieve membership retention and growth targets
• Meets retention and cross-sell objectives for assigned book of business
• Acts as a strategic business partner to Humana's Group Sales Representatives, clients, agents, and consultants
• Seeks opportunities and partners with Specialty Sales Executive to execute cross-sell strategies
• Coordinates the renewal process, including the formal Request for Proposal process with internal partners
• Maintains contractual obligations and reporting requirements, including Performance Guarantees
• Collaborates with various internal departments to support the client’s strategic goals
• Coordinates resources for client Open Enrollments, on-site events, and activities
• Leads the Open Enrollment strategy for assigned clients

Client Executive

Sales

• Provide support to the Sales team throughout the sales cycle.
• Collect and organize RFP info (census, claims, RAF, etc.) and track down missing information from Broker/Client Support sold groups in the implementation process.
• Collect required materials for Account Installation.
• Submit all sold paperwork to Implementation.
• Complete LMG system updates ( Launch my Group (LMG)).
• Attend Implementation call.
• Partner with and provide support to brokers as they navigate Humana.
• Answer general benefit questions and respond to brokers with marketing flyers.
• Partner with internal stakeholders such as marketing, product, actuarial, underwriting, account installation and service.
• Creation and Distribution of scheduled market communication.
• Agent bonus tracking and organization.
• Maintain a strong connection with internal market team members, collaborate to achieve results and solutions.

Sales Support Professional

Project Manager

• Partner with subject matter experts to define and deliver Provider Directories content adherent to contract requirements, RFPs and established processes.
• Develop comprehensive project plans to outline scope, timelines, resources, and deliverables for Provider Directory new builds, monthly reviews, and annual reviews.
• Create and execute project plans and timelines for Medicaid Welcome Kit new implementations, annual refreshes, and ad hoc updates.
• Coordinate and manage the end-to-end project lifecycle, ensuring all states, from initial planning to final delivery, are executed effectively.
• Work with leaders to establish project milestones and ensure project deliverables are met on time and within scope.
• Facilitate regular project meetings, ensure clear communication of progress, action items, updates, and any barriers.
• Communicate project timelines, deliverables, and changes effectively to internal stakeholders.
• Provide ongoing support to internal stakeholders regarding provider directory content and related inquiries.
• Manage document control processes, ensuring that all versions are properly stored and documented.
• Maintain training and provider directory/welcome kit process documents.
• Work as a liaison with Print Team and Web Team to load provider directories to web, load to OES system and print management.
• Manage ad hoc projects as assigned.

Consumer Service Operations Representative III

Business Intelligence Lead

Risk Management Lead

Client Executive

Sales Support Professional

Senior Project Manager, Insurance Product