Payment Integrity Letter Implementation Professional

Humana Inc; Northern (KY); Hybrid; USD 65,000 - 89,000; Full time

Job summary

Humana Inc. is seeking a Payment Integrity Professional 2 to help draft and implement outbound communication templates for the Payment Integrity Operations teams, ensuring compliance with state requirements and Humana brand standards.

The role collaborates with partners, reviews communications annually, and coordinates with the EMME development team to document and implement requirements, with QA/Production validation.

Qualifications

• 2+ years of experience tracking process deliverables.
• Proficient in Microsoft Word, PowerPoint, and Excel.
• Ability to manage multiple priorities and deadlines.
• Experience communicating with external stakeholders.

Responsibilities

• Collaborate with business partners to draft new communications.
• Review existing communications annually for state requirements and Humana brand standards.
• Ensure intake requests complete required steps and escalate off-track tasks.
• Work with EMME development team to document and implement communication requirements.
• Validate communications in QA and Production environments regularly.

Skills

Process tracking

Multitasking

External stakeholder communication

Tools

Microsoft Word

PowerPoint

Excel

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 escalate 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**Additional Information**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 yearThis job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.