Become a part of our caring community and help us put health first

Humana continuously strives to put the well-being of our members and associates first. In order to be a top choice in Healthcare, we must utilize resources to ensure that our provider directory is accurate. Come be a part of our Directory Data Governance (DDG) Team within Provider Process and Network Operations Organization and make an impact on the future of healthcare.

The Directory Data Governance (DDG) is an operational organization residing within the Provider Process and Network Operations Organization. DDG is integral to the Humana enterprise and supports provider directory accuracy. DDG’s focus is ensuring the providers’ s demographic information, panel status and vendor numbers are accurate. The DDG team makes quarterly outbound calls to contracted Medicare providers as requested by the Center for Medicaid & Medicare Services (CMS). DDG uses the information obtained during these outreaches to ensure that Humana members view the most accurate data when searching Physician Finder Plus.

If you enjoy working to ensure our members have a positive experience when utilizing Physician Finder Plus, come join Humana’s DDG team.

Typical role responsibilities, but not limited to:

• Makes 20-30 outbound calls to provider offices daily
• Obtain demographic and address information to ensure the provider directory is accurate
• Enter 15-20 provider data updates daily in Provider Data Exchange (PDX) that will update Humana’s directory systems
• Determines whether the information obtained can be updated by DDG or needs to be sent to the Market for updates

Use your skills to make an impact

Required Qualifications

• 1 or more years of professional experience in a metric driven setting
• 1 or more years of professional experience in a support, administrative, or role requiring phone utilization
• Live in CST or EST state
• Work during operating hours: 6am to 6pm EST
• Meet Humana’s Work at Home Connectivity policy listed in additional information

Preferred Qualifications

• Associate’s or Bachelor’s Degree
• Experience with APEX, PIMS, PAAG, PMDM
• Knowledge of Microsoft Office Programs such as Word, Access, Excel, PowerPoint
• Previous inbound/outbound call center or related customer service experience
• Provider installation experience

Additional information

Hours: DDG operating hours are from 6am to 6pm EST.  Associates are to select a schedule that they are comfortable with and work 8 hours.  We offer flex time as well.  Associates can work four 10-hour days or can work four 9-hour days and 4 hours on another day.  Flex time is available after training and the Associate demonstrates that they can exceed production and quality goals

Training: consists of a 3-week SME led structured class. After structured class the associate will have at least a 3-month ramp-up period so they can develop their skills

Location: Remote

Scheduled Weekly Hours

40

Pay Range

The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.
$43,000 – $56,200 per year
Description of Benefits

Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides 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 and many other opportunities.

About us

Humana Inc. (NYSE: HUM) is committed to putting health first – for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large.

Equal Opportunity Employer

It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or veteran status. It is also the policy of Humana to take affirmative action to employ and to advance in employment, all persons regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.