Provider Installation Representative

Humana; Columbus (OH); Remote; USD 43,000 - 57,000; Full time

Job summary

A leading healthcare company in Columbus is seeking a Provider Installation Representative to ensure accurate provider information for members. This role requires experience in healthcare and strong data management skills, and offers remote work flexibility. Ideal candidates are proactive and possess strong communication abilities. Competitive compensation and comprehensive benefits provided.

Benefits

Competitive salary

401(k) match

Paid Time Off

Tuition Reimbursement

Qualifications

• Minimum of 1 year of administrative support and data entry.
• Healthcare-related background with understanding of Medicare and Medicaid.
• Experience in provider data management or credentialing systems.

Responsibilities

• Maintain accurate provider information for directories.
• Input data criteria in Directory Designer.
• Collaborate with teams to ensure a positive member experience.

Skills

Administrative support

Healthcare knowledge

Data management

Microsoft Office proficiency

Attention to detail

Tools

Directory Designer (DD)

qTest

HPAS

APEX

Job description

Become a part of our caring community and help us put health first

The Physician Finder Plus (PFP) is the most utilized tool for Humana members. As the Provider Directory team, they manage and input the criteria that is needed to make the online PFP and the printed directories accurate. Come join the team as a Provider Installation Representative and contribute to making a difference for our Humana members. The Provider Directory Configuration team works with both Medicare and Medicaid lines of business.

Where you Come In

As a part of the Provider Directory Configuration team, the Provider Installation Representative 2 will be responsible for building forms as one of their main tasks; typically completed in June and July each year for the following year. The provider information must be maintained and remain accurate, so our members have a positive experience in obtaining the needed information for their wellbeing; therefore, this team reviews the directories (in PDF form) every 30 days.

Provider Directory Overview

• Input data criteria in DD (Directory Designer)
• Proof paper directories (recycled every 30 days all year)
• Submit defects found within directories
• Defect closeouts to be completed after submitted defect has been corrected
• Dashboard reports from IT of potential issues identified by IT
• Research providers information identified by the market and customer service sent via email
• Collaborate with IDC (Internet Directory Creator) team and Directories Team Auditors to achieve a positive member experience

What Humana Offers

We are fortunate to offer a remote opportunity for this job. Our Fortune 100 Company values associate engagement & your well-being. We also provide excellent professional development & continued education.

Required Qualifications – What it takes to Succeed

• Minimum of 1 year of administrative support and data entry
• Minimum of 1 year of healthcare related background with an understanding of Medicare and Medicaid
• Minimum of 1 year of experience in provider data management, provider directory systems or credentialing systems
• Understanding of healthcare provider types, specialties or network structures
• Experience interpreting reports and data extracts to identify trends or discrepancies
• Experience using multiple computer applications simultaneously
• A positive, proactive attitude with a passion for consumer experience
• Self‑starter with excellent time management skills
• Work well independently and as a team
• Comfortable with constant process changes/adapting to new processes
• Self‑starter with excellent time management skills with attention to deadlines and ability to prioritize tasks
• Prior experience using Microsoft Office Programs, including Word, Excel, OneNote, PowerPoint
• Must meet Humana's Work at Home connectivity requirements

Preferred Qualifications

• Experience in the following systems: DD (Directory Designer), qTest, HPAS, Wicket, APEX, PMPD Provider Search, PAAG (Provider At A Glance), CAS (Claims Administration System), Mentor experience
• Provider installation/directory, provider data operations, data management, configuration, or similar transferable discipline covering Medicare and Medicaid lines of business
• Prior work experience in a fast paced, metric driven setting
• Excellent communication skills
• Attention to detail with a focus on quality

Hours

Dependent on candidate location. Monday – Friday, first 90 days 7:00am – 3:30pm. Flex time available after probation. Department operating hours 6am – 6pm but must log in by 9:00am. 40‑hour work weeks with potential overtime June – October based on business needs.

Training

Remote with camera, 4‑5 weeks classroom style instruction with a trainer working tasks.

Additional Information – How we Value You

• Benefits starting day 1 of employment
• Competitive 401(k) match
• Generous Paid Time Off accrual
• Tuition Reimbursement
• Parent Leave

Work at Home Requirements

• To ensure Home or Hybrid Home/Office associates’ ability to work effectively, the self‑provided internet service of Home or Hybrid Home/Office associates must meet the following criteria: at minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is suggested.
• Satellite, cellular and microwave connection can be used only if approved by leadership.
• Associates who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi‑weekly payment for their internet expense.
• Humana will provide Home or Hybrid Home/Office associates with telephone equipment appropriate to meet the business requirements for their position/job.
• Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.

Interview Format

As part of our hiring process for this opportunity, we will be using an exciting interviewing technology called HireVue to enhance our hiring and decision‑making ability. HireVue allows us to quickly connect and gain valuable information from you pertaining to your relevant skills and experience at a time that is best for your schedule.

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

$43,000 – $56,200 per year

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, volunteer time off, paid parental and caregiver leave), short‑term and long‑term disability, life insurance and many other opportunities.

About us

Humana Inc. (NYSE: HUM) is committed to putting health first – for our teammates, our customers and our company. Through our Humana insurance services and 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.

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.