Humana · 5 hours ago
Supervisor, Grievance & Appeals
Remote Texas
Full-time
Remote
Mid Level
$63K/yr - $87K/yr
4+ years exp
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Responsibilities
Supporting a team of associates assisting members and providers with appeal resolutions
Support quality related goals
Perform escalated or more complex work of a similar nature
Supervise a group of typically support and technical associates
Coordinate and provide day-to-day oversight to associates
Ensure consistency in execution across team
Hold team members accountable for following established policies
Qualification
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Required
Bachelor's Degree
4 - 6 years of customer service experience
Clinical background experience (for example CNA/ LPN)
Minimum of 2 years prior supervisory experience
Experience working in a high volume production environment
Previous experience working in the healthcare industry or medical field
Excellent written, verbal and electronic communication skills
Advanced proficiency in Microsoft Office programs including Word, Excel, and Outlook
Must be passionate about contributing to an organization focused on continuously improving consumer experiences
Preferred
Previous experience working in Grievance and Appeals
Beginner knowledge in Microsoft PowerPoint and Access
General understanding of healthcare economic, financial and operational concepts
Results oriented; problem solver
Bilingual English/Spanish - must be able to speak, read and write in both languages without limitations or assistance
Benefits
Medical, dental and vision benefits
401(k) retirement savings plan
Paid time off
Company and personal holidays
Volunteer time off
Paid parental and caregiver leave
Short-term and long-term disability
Life insurance
Company
Humana
Humana is a health insurance provider for individuals, families, and businesses.
10,001+ employees
Funding
Current Stage
Public CompanyTotal Funding
$6.82B2024-03-11Post Ipo Debt· $2.25B
2023-11-02Post Ipo Debt· $1.32B
2023-02-27Post Ipo Debt· $1.25B
Leadership Team
Bruce D. Broussard
President and Chief Executive Officer
Susan M. Diamond
CFO
Recent News
MedCity News
2024-11-13
2024-11-12
Morningstar, Inc.
2024-11-11
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