Outbound Contacts Representative 2

Conviva Care Solutions; United States; Remote; USD 39,000 - 49,000; Full time

Job summary

Humana is seeking an Outbound Contacts Representative 2 to engage with members and providers. This remote role involves semi‑routine administrative and customer support tasks, with a focus on timely follow‑ups and adherence to policy.

Candidates must reside in AZ, OH, FL, IN, MO, NC, NM or TN and have 6+ months of service experience, plus strong MS Office and communication skills. Monday–Friday schedule; travel not required.

Qualifications

• Experience with CenterWell Specialty Pharmacy onboarding or similar team.
• 6+ months' customer service experience.
• Proficiency in Microsoft Office applications (Outlook, Word, Excel).
• Ability to thrive in a fast-paced environment with strong attention to detail.
• Effective verbal and listening communication skills.

Responsibilities

• Represent the company by outbound contacts to members/providers on various issues.
• Follow up with members/providers to ensure timely responses and quality standards.
• Interpret area/department policy to complete semi-routine assignments.

Skills

Customer service

Microsoft Office (Outlook, Word, Excel

Attention to detail

Multi-tasking

Communication skills

Education

Associate's or Bachelor's Degree

Tools

Microsoft Office

Job description

Become a part of our caring community

The Outbound Contacts Representative 2

represents the company by making outbound contacts to members and/or providers regarding a variety of issues. The Outbound Contacts Representative 2 performs varied activities and moderately complex administrative/operational/customer support assignments. Performs computations. Typically works on semi-routine assignments. The Provider Concierge Team offers a "white glove" experience to providers and HUBs. The Outbound Contacts Representative 2 performs necessary follow-up with members and/or providers. Ensures responses to member and/or provider inquiries are completed on a timely basis to achieve service and quality standards. Decisions 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.

Use your skills to make an impact

Candidates MUST reside in one of the following states: Arizona, Ohio, Florida, Indiana, Missouri, North Carolina, New Mexico or, Tennessee.

Required Qualifications

• Experience with CenterWell Specialty Pharmacy Patient Care Coordinator onboarding or other specialized CenterWell Specialty Pharmacy Patient Care Coordinator team
• 6+ months' customer service experience
• Proficiency in Microsoft Office applications, including: Outlook, Word and Excel
• Adaptable with the ability to thrive in a fast-paced environment
• Strong attention to detail
• Strong typing and computer navigation skills
• Ability to manage multiple or competing priorities, including use of multiple computer applications simultaneously
• Effective verbal and listening communication skills

Preferred Qualifications

• Associate's or Bachelor's Degree
• Experience in healthcare
• Call center experience

Required Work Schedule

Monday - Friday 11:30 AM- 8:00 PM EST.

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: $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 CenterWell Pharmacy: CenterWell Pharmacy provides convenient, safe, reliable pharmacy services and is committed to excellence and quality. Through our home delivery and over-the-counter fulfillment services, specialty, and retail pharmacy locations, we provide customers simple, integrated solutions every time. We care for patients with chronic and complex illnesses, as well as offer personalized clinical and educational services to improve health outcomes and drive superior medication adherence.

About CenterWell, a Humana company: CenterWell is a leading healthcare services business focused on creating integrated and differentiated