Remote Bilingual Care Support Specialist (PR)

Humana; San Juan (PR); Remote; USD 32,000 - 42,000; Full time

Job summary

Humana, Inc. is seeking a bilingual Care Management Support Assistant to work remotely from Puerto Rico. You will support members by phone, conduct non-clinical assessments, identify barriers to care, and help access resources and benefits.

The role operates in a fast-paced call center, with a fixed evening shift (11:00 AM–8:00 PM EST) and training periods. Travel to Humana offices for training may be required occasionally.

Qualifications

• Bilingual proficiency in English and Spanish.
• Minimum of 1 year of experience managing high-volume inbound and outbound calls.
• Experience meeting documented productivity, quality, or service performance metrics.
• Experience navigating, documenting, and updating member information across multiple applications, programs, and platforms.
• Experience using Microsoft Word, Excel, Teams, and Outlook to complete daily work tasks.
• Ability to work a scheduled 8-hour shift, including a 1-hour lunch, between 11:00 AM and 8:00 PM EST as assigned.

Responsibilities

• Engage members by phone to encourage participation in care management programs.
• Complete required assessments and questionnaires to help identify health risks, care needs, and opportunities for clinical team follow-up.
• Assist members who need support scheduling doctor's appointments or connecting with appropriate care resources.
• Identify and help address barriers to preventive screenings, benefits, and health-related services so members can close gaps in care.
• Support members in understanding, retaining, and accessing benefits that contribute to their overall health and well-being.
• Manage both inbound and outbound calls in an auto-dialer environment while documenting member information.

Skills

Bilingual English/Spanish

High-volume call handling

Productivity metrics

Multi-application data entry

MS Word

MS Excel

MS Teams

MS Outlook

Shift availability (11:00 AM–8:00 PM)

Tools

Microsoft Word

Microsoft Excel

Microsoft Teams

Microsoft Outlook

Job description

Humana, Inc. is seeking a bilingual Care Management Support Assistant to work remotely from Puerto Rico. You will support members by phone, conduct non-clinical assessments, identify barriers to care, and help access resources and benefits.

The role operates in a fast-paced call center, with a fixed evening shift (11:00 AM–8:00 PM EST) and training periods. Travel to Humana offices for training may be required occasionally.