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Humana Provider Installation Professional 2 (Remote) in Overland Park, Kansas

Description

Humana's Provider Process & Services (PPS) organization is looking for Provider Installation Professional 2 to join the Service Fund Operations (SFO) team working from home anywhere in the US. The SFO team is a nimble, process-driven organization of professionals that manage the impact and performance of the Service Fund System. Our mission is to enable the success of our customers with solutions that only Service Fund can provide. The Service Fund System is a provider value based management application, used to control the reimbursement to providers with selected, assigned or attributed membership through capitation payments, claims expensing, control of claims payment, reconciliation and settlement for all HMO gated provider and Medicare PPO/PFFS attributed physician contracts.

Responsibilities

As a Provider Installation Professional 2 you will administer the installation of assigned provider accounts. You will perform set-up, database loading and preparation of administrative documents and materials. Additionally, you will provide support to provider accounts by responding to inquiries and resolving issues of concern. As a Professional 2 you will make decisions regarding your own work methods, occasionally in ambiguous situations, and require minimal direction and receive guidance where needed.

Required Qualifications

  • Bachelor's degree or 2 years of Service Fund experience

  • Proven experience with data analysis

  • Comprehensive knowledge of Microsoft Word and Excel

  • Proven experience in organizing and prioritizing work to meet deadline

  • Proven experience in delivering exceptional customer experiences in professional environment

  • Strong attention to detail

  • Strong verbal and written communication skills

  • Passionate about contributing to an organization focused on continuously improving consumer experiences

Preferred Qualifications

  • Provider installation experience

  • SQL knowledge and experience in writing SQL queries

  • Experience in healthcare industry

Additional Requirements

Covid-19 Vaccine Requirement

  • We will require full COVID vaccination (https://www.cdc.gov/coronavirus/2019-ncov/vaccines/fully-vaccinated.html#vaccinated) for this job as we are a healthcare company committed to putting health and safety first for our members, patients, associates and the communities we serve.

  • If progressed to offer, you will be required to provide proof of full vaccination or documentation for a medical or religious exemption consideration where allowed by law. Requests for these exemptions should be submitted at least 2 week prior to your scheduled first day of work.

Work at Home/Remote Requirements

  • Must ensure designated work area is free from distractions during work hours and virtual meetings

  • Must provide a high-speed DSL or cable modem for a workspace (Satellite and Hotspots are prohibited). A minimum standard speed of 10x1 (10mbs download x 1mbs upload) for optimal performance of is required

Potential Travel

Based on current guidance from the CDC, local and state governments, and Humana leadership related to the coronavirus (COVID-19) outbreak have extended travel restrictions until further notice. The policy will be reassessed as the situation warrants. Once these restrictions are lifted this role could have the potential for travel depending on business needs.

Scheduled Weekly Hours

40

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