Louisiana Medicaid Inbound Contact Representative

Humana; United (LA); Remote; USD 39,000 - 49,000; Full time

Benefits offered by this job

Medical benefits

Dental benefits

Vision benefits

401(k) plan

Paid time off

Life insurance

Job summary

Humana is seeking an Inbound Contacts Representative 2 for Louisiana Medicaid who handles inbound inquiries via phone, digital, or written channels and participates in outbound campaigns to assist members. The role involves documenting member needs across multiple systems and escalating unresolved issues.

The position starts with a structured training period and requires the ability to work 6:45 am–7:00 pm CST on weekdays, with occasional weekends based on business needs.

Qualifications

• Minimum 2 years of customer service experience.
• Ability to work any shift 6:45 am–7:00 pm CST (Mon-Fri); some weekends/overtime as needed.
• Strong customer service skills with attention to detail on calls.

Responsibilities

• Address inquiries via phone, digital, or written channels and support members.
• Conduct outbound calling campaigns to assist members.
• Record details of inquiries accurately in multiple systems and escalate as needed.

Skills

Customer service

Verbal communication

Multitasking

Attention to detail

Documentation

Schedule flexibility

Job description

Become a part of our caring community

The Inbound Contacts Representative 2 for Louisiana Medicaid represents the company by addressing incoming telephone, digital, or written inquiries while also conducting outbound calling campaigns to assist our members. The Inbound Contacts Representative 2 performs varied activities and moderately complex administrative/operational/customer support assignments. Performs computations and typically works on semi-routine assignments. We strive to provide a First Call Resolution experience for our members.

Use Your Skills To Make An Impact

The Inbound Contacts Representative 2 addresses customer needs which may include complex benefit questions, resolving issues, and educating members while also conducting outbound calling campaigns to assist our members. Records details of inquiries, comments or complaints, transactions or interactions and takes action in accordance to it. Escalates unresolved and pending customer grievances. Decisions are typically focus on interpretation of area/department policy and methods for completing assignments. Works within defined parameters to identify work expectations and quality standards, but has some latitude over prioritization/timing, and works under minimal direction. Follows standard policies/practices that allow for some opportunity for interpretation/deviation and/or independent discretion.

Location: MUST CURRENTLY RESIDE IN THE STATE OF LOUISIANA

Required Qualifications

• Minimum 2 years of customer service experience
• Must be available to work any shift between the hours of 6:45 am – 7:00 pm CST (M-F), some weekends and overtime required based on company needs
• Demonstrated experience with providing strong customer service and attention to details while listening on calls
• Prior experience managing multiple or competing priorities, including use of multiple computer applications simultaneously
• Prior experience effectively communicating with customers verbally and listening to their needs
• Must be able to accurately and completely document member needs, inquiries, or questions during calls within multiple systems.

Preferred Qualifications

• Prior call center experience
• Prior Healthcare experience

Required Work Schedule

• Class is scheduled to start November 9. Virtual Training will start day one of employment and runs the first 7-8 weeks with a schedule of 8:00 am – 4:30 pm CST, Monday - Friday.
• Attendance is vital for success, so no time off is allowed during training or within your first 180 days, with the exception of observed (and paid) company holidays.
• Following training, must be available to work any 8-hour shift between the hours 6:45 am - 7:00 pm CST, Monday – Friday (subject to change based on business needs).
• The initial 180 days of employment as a Louisiana Medicaid Contact Representative 2 constitute an appraisal period. This Appraisal Period is essential to your learning and development, which is why we ask for perfect attendance during both the classroom training and nesting periods.
• This position requires learning many systems, policies, and tools, and it takes time to become proficient in the role. You must be willing to remain in this position for a period of twelve (12) months before applying to other Humana opportunities outside the Louisiana Medicaid Contact Center Team.

Work at Home Requirements: To ensure Home or Hybrid Home/Office employees’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. In certain roles, the minimum recommended internet speed required by Humana may not be sufficient for business needs. Humana reserves the right to require associates to upgrade their internet service if necessary. Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.

Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.

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.

$39,000 - $49,400 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, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.

About Us

About Humana: Humana Inc. (NYSE: HUM) is a leading U.S. healthcare company. Through our Humana insurance services and our 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 and Medicaid, families, individuals, military service personnel, and communities at large. Learn more about what we offer atHumana.comand atCenterWell.com.

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 protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with 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.