[Remote] Consumer Experience Professional

Note: The job is a remote job and is open to candidates in USA. Humana is a health insurance company committed to putting health first for its members. The Consumer Experience Professional will ensure optimized interaction between Humana and its members, coordinating various consumer services and improving the member experience through feedback and collaboration.


Responsibilities

  • Partner across consumer services areas to ensure excellence with functions such as market Care Management teams, member services, enrollment and eligibility, the State Agency (MDHHS), Adult Protection Services, and call center operations
  • Leverages the voice of the customer, NPSt, Care and/or Service Coordination team feedback, market or regulatory compliance information, Grievance and Appeal information, call listening, member experience design, elimination and recognition of friction points, identifying automation/optimization opportunities, empower others in the organization to speak up and voice opportunities to improve the member experience
  • Functions as the single point of contact and specifically responsible for coordination with Adult Protective Services (APS), the justice system, Member Support Services contractor, and Long-Term Care (LTC) ombudsman
  • Understand department, segment, and organizational strategy and operating objectives, including their linkages to related areas
  • Make decisions regarding own work methods, occasionally in ambiguous situations, and require minimal direction and receives guidance where needed
  • Follow established guidelines/procedures

Skills

  • Must reside in Michigan or within a 40-mile radius of the Michigan border in the neighboring states of Indiana or Ohio
  • Two (2) or more years of experience in consumer operations
  • Proficiency in all Microsoft Office Programs including Word, PowerPoint, Excel, and Access
  • Ability to interpret assignments and understand department strategy (understanding the members needs and determining strategy for care)
  • Experience making decisions and working independently with little supervision
  • Excellent time management skills, quick learner and a self-starter
  • Comfortable working in a fast-paced environment
  • Demonstrates confidence in speaking in a variety of meeting forums
  • This role is considered patient facing and is part of Humana's Tuberculosis (TB) screening program. If selected for this role, you will be required to be screened for TB
  • Ability to travel to region-based community centers
  • This role is part of Humana's driver safety program and therefore requires an individual to have a valid state driver's license and are expected to maintain personal vehicle liability insurance. Individuals must carry vehicle insurance in accordance with their residing state minimum required limits, or $25,000 bodily injury per person/$25,000 bodily injury per event /$10,000 for property damage or whichever is higher
  • Bachelor's degree or equivalent experience
  • Previous experience working with State associates or judicial systems
  • Call Center Leadership or provider engagement experience is a plus
  • Dual-Eligible Medicare/Medicaid knowledge
  • Project Management Knowledge

Benefits

  • Medical, dental and vision benefits
  • 401(k) retirement savings plan
  • Time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave)
  • Short-term and long-term disability
  • Life insurance

Company Overview

  • Humana is a health insurance provider for individuals, families, and businesses. It was founded in 1964, and is headquartered in Louisville, Kentucky, USA, with a workforce of 10001+ employees. Its website is http://www.humana.com.

    • Company H1B Sponsorship

  • Humana has a track record of offering H1B sponsorships, with 202 in 2025, 246 in 2024, 284 in 2023, 274 in 2022, 212 in 2021, 84 in 2020. Please note that this does not guarantee sponsorship for this specific role.

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