Member Svs Quality Audit Specialist - Bilingual

Apply by eMail:15348846.185@jobfrenzy1.com

Description:
Humana Inc., headquartered in Louisville, Kentucky, is one of the nation's largest publicly traded health benefits companies. Humana offers a diversified portfolio of health insurance products and related services - through traditional and consumer-choice plans - to employer groups, government-sponsored plans, and individuals.

Today, Humana is a leader in consumer engagement. Throughout its diversified customer portfolio, the company provides guidance that can both help lower costs and lead to a better health plan experience.

Role: Quality Audit Specialist
Assignment: Member Services Department
Location: CarePlus - Doral Office

Are you a fit?
Do you enjoy providing exceptional customer service? Would you like to interact with CarePlus' customers to help diagnose and resolve their problems and concerns? If so, then read on!

Assignment Capsule
In this highly visible role as a Quality Audit Specialist you will: evaluate data, track data trends, scrutinize information and provide sophisticated solutions to address issues.

Analyze errors to determine origin and communicate outcomes and solutions (written or verbally) to Team Leads or Frontline Leaders.
Recommend process improvement activities pertaining to system enhancements or procedural changes
Create and maintain proactive communication with other departments to ensure a positive ongoing relationship

Key Competencies
Build Trust: You honor your word by doing what you say you are going to do.
Champions the Customer: You keep closely attuned to the needs and perspectives of customers and use this insight for the benefit of the business.
Drives for excellence: You are a continuous learner who encourages others to learn. By constantly upgrading your own work, you achieve results and outperform the competition.
Is Accountable: You meet clearly stated expectations and take responsibility for achieving results.

Role Essentials
Bachelor's Degree or equivalent experience required
Proficiency in all Microsoft Office Programs including Word, PowerPoint, Excel, and Access
Fully bi-lingual in English and Spanish
Prior experience in Medicare Advantage Programs - required
Excellent grammatical skills
Good communications skills in Spanish and English
Commitment to preserving confidentiality

Reporting Relationships
You will report to the Member Services Implementation Advisor.

Requirements:
See Above

Education: Bachelor

Experience: 3-5 Years

Travel: None

Apply by eMail:15348846.185@jobfrenzy1.com

Job Created: Fri Oct 30 2009 04:27:33 AM
Last Modified: Fri Oct 30 2009 04:27:33 AM