Remote Care Coach for Medicare Stars & Quality

Humana Inc; Honolulu (HI); Remote; USD 54,000 - 73,000; Full time

Job summary

Humana Inc. is seeking a Care Coach to evaluate member needs, coordinate care and drive interventions across Medicare Advantage populations.

You will work with members, caregivers, providers and teams to close care gaps and promote adherence to treatment plans in a remote, Home/Office environment. The role emphasizes proactive telephonic outreach, data review, and structured assessments, with training for four weeks and a consistent 40-hour workweek.

Qualifications

• Associates degree required.
• At least two years of direct adult patient care experience.
• Experience collaborating with a healthcare team.
• Strong computer proficiency and ability to learn multiple software applications, including EMR.

Responsibilities

• Engage members in Stars and quality initiatives to improve outcomes and experience.
• Conduct proactive telephonic outreach to members using approved channels.
• Review data and complete structured assessments to identify needs.
• Educate members about preventive care and connect to resources.
• Collaborate with care managers, providers and partners to resolve barriers.
• Document assessments, outreach and outcomes accurately in systems.
• Follow program, regulatory, compliance and documentation requirements.
• Navigate multiple computer systems while providing member-focused support.

Skills

Communication

Team collaboration

Computer proficiency

EMR familiarity

Education

Associate degree in any field

Tools

Electronic medical records

Job description

Humana Inc. is seeking a Care Coach to evaluate member needs, coordinate care and drive interventions across Medicare Advantage populations.

You will work with members, caregivers, providers and teams to close care gaps and promote adherence to treatment plans in a remote, Home/Office environment. The role emphasizes proactive telephonic outreach, data review, and structured assessments, with training for four weeks and a consistent 40-hour workweek.