Enrollee Services Lead - Oklahoma City OK

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Job Information

Humana

Enrollee Services Lead - Oklahoma City, OK

in

Oklahoma City

Oklahoma

Description

The Enrollee Services Lead (Consumer Service Operations Lead) is responsible for the daily activities across multiple service functional area. Oversees enrollee services for the Medicaid member.

Responsibilities

Partner across enrollee services areas to ensure excellence with functions such as 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.

Coordinates with the Consumer Experience team to hire resources and develop reporting to support ongoing operations and growth.

Lead the development of improved training curriculum and Mentor documents that more broadly address training needs.

Work with Medicaid Compliance and the Business Intelligence teams to develop and implement standard metric reporting processes.

Required Qualifications

Bachelor's Degree.

8 or more years' experience in a service operations environment.

2 or more years of project/program leadership experience.

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

Strong written and verbal communication skills.

Comprehensive knowledge of Microsoft Office Suite to include Word, Excel, PowerPoint, Visio, Project.

Investigative and problem solving skills.

Demonstrated ability to generate and champion innovative strategies with leadership.

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

Must have a separate room with a locked door that can be used as a home office, to ensure you have absolute and continuous privacy while you work.

Must have the ability to provide a high-speed DSL or cable modem for a home office (Satellite and Wireless Internet service is NOT allowed for this role). A minimum standard speed for optimal performance of 10x1 (10mbs download x 1mbs upload) is required.

Additional Information

Days/Hours:

Monday - Friday; 8:30am - 5:00pm, Central Standard Time.

Travel:

Some travel in the state of Oklahoma(There will be no travel at this time due to business travel restrictions).

Work Location:

Office based but temporarily remote.

In order to support the CDC recommendations on social distancing and reduce health risks for associates, members and public health, Humana is deploying virtual and video technologies for all hiring activities. This position may be subject to temporary work at home requirements for an indefinite period of time.These requirements include:Access to a personal computing device with a camera, a minimum internet connection speed of 10m x 1m, Dedicated secure home workspace for interview or work purposes. Humana continues to monitor the situation, and will adjust service levels as the coronavirus situation evolves. The following changes are temporary and will be evaluated frequently with the goal of returning to normal operations as soon as possible. Your Talent Acquisition representative will advise on the latest recommendations to protect your health and wellbeing during the hiring process.

Interview Format

As part of our hiring process, we will be using an exciting interviewing technology provided by Montage/Modern Hire, a third-party vendor. This technology provides our team of recruiters and hiring managers an enhanced method for decision-making.

If you are selected to move forward from your application prescreen, you will receive correspondence inviting you to participate in a pre-recorded Voice Interview and/or an SMS Text Messaging interview. If participating in a pre-recorded interview, you will respond to a set of interview questions via your phone. You should anticipate this interview to take approximately 10-15 minutes.

If participating in a SMS Text interview, you will be asked a series of questions to which you will be using your cell phone to answer the questions provided. Expect this type of interview to last anywhere from 5-10 minutes. Your recorded interview(s) via text and/or pre-recorded voice will be reviewed and you will subsequently be informed if you will be moving forward to next round of interviews.

Scheduled Weekly Hours

40

Company info

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