Payment Integrity Letter Implementation Professional

Humana Inc; Kentucky; Hybrid; USD 65,000 - 89,000; Full time

Job summary

Humana Inc. is seeking a Remote Payment Integrity Professional 2 to help draft and implement outbound communication templates for the Payment Integrity Operations teams.

You will ensure adherence to state contractual requirements and Humana brand standards while working with approvers and developers under the Associate Director, Business Systems Analysis. The role involves collaborating across teams to draft communications, reviewing content for compliance, and maintaining documentation in

Qualifications

• 2+ years of experience tracking deliverables in a process or project
• Proficient editing in Word, PowerPoint and Excel
• Experience handling multiple priorities and deadlines
• Experience communicating with external stakeholders

Responsibilities

• Collaborate with business partners to draft new communications
• Review existing communications annually for compliance with state requirements and Humana brand standards
• Ensure intake requests complete required steps and escalate off-track tasks
• Coordinate with the EMME development team to document and implement communication requirements
• Validate communications in QA and Production environments to identify gaps
• Apply your skills to make a measurable impact

Skills

Process tracking

MS Office

Prioritization

Stakeholder comms

Tools

EMME

Aprimo

Job description

Become a part of our caring community Join our Payment Integrity Letters team at Humana where you will help draft and implement outbound communication templates for the Payment Integrity Operations teams as a Payment Integrity Professional 2. You will help ensure compliance with state contractual requirements and Humana brand standards in drafting communication templates and working with the approvers and developers. You will report to the Associate Director, Business Systems Analysis.

Main responsibilities:

• Collaborate with business partners to draft new communications
• Review existing communications on an annual basis to ensure compliance with all state requirements and Humana brand standards
• Ensure intake requests are completing all required steps in a timely manner and elevate off track tasks as needed
• Work with the EMME development team to ensure communication requirements are documented clearly and implemented correctly
• Validate communications in QA and Production environments on a regular basis to identify gaps
• Use your skills to make an impact

Required Qualifications

• 2+ years' experience tracking process deliverables
• Experience editing documents with Microsoft Office Programs Word, PowerPoint, and Excel
• Experience handling multiple priorities
• Experience with communication to external stakeholders

Preferred Qualifications

• Experience leading people, projects, and/or processes
• Payment Integrity or letter implementation experience
• Experience using the following systems: EMME or Aprimo
• Experience in a fast paced, metric driven operational setting

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. $65,000 - $88,600 per year This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.

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

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.