Humana Work Values

Daily Duties at Humana:

Identify end to end functional or cross-functional claim processing inefficiencies and make recommendations for improvements • Work with the Vice Presidents and Directors in Client Operations, Sales, Consulting, Professional Services, Customer Services, Operations & Product Development, Product Strategy, Legal, Process Innovation, and Custom Reporting to continually deliver client satisfaction with Humana’s products and services; • Designs, implements and directs the development of company market requirements for specific product(s) or product line(s), including product strategy definition, requirements analysis and pricing • Responsible for the planning and writing of system requirements for multiple claim processing systems(FIMMAS and Metevance) • Prepare and deliver Business Requirements, Change Controls, Test Cases, and final recommendations that address existing and potential trouble areas • Operational Leader in the development of Humana’s Specialty claims platform • Developed all Workplace Voluntary Benefits reporting requirements to manage quality and effectiveness post WVB migration • Establish project oversight (Steering Team) and identify key issues/risks and important decisions the Project Steering Team needs to make • Perform cost-benefit and return on investment analyses for proposed product, process and system enhancements • Identify potential group set up risks and document known issues • Maintain Humana’s RFP Database and field RFP requests • Monitors the development of business plans, managing lifecycles and product positioning in the marketplace • Resolve issues during the installation and renewal processes • Work directly with regional contacts and functional departments to ensure installations are successful • Design, troubleshoot, and support the development, implementation, and launch of Humana’s new specialty claims management systems • Oversee Pre-Sale requests and provide guidance to case instillation • Undertakes financial analyses, long-range forecasting and analysis studies associated with potential alliances/partnerships(vendor management) • Leads new product definition and business plans with joint departments. May have P&L responsibility • Review and analyze the effectiveness and efficiency of existing systems and develop strategies for improving or further leveraging these systems • Operational Leader in the architectural direction of core migration to Humana’s medical system • Develop training materials for sales on-boarding class • Serve as a strategic leader and "go to" person internally, and a key point of contact for customers, partners, and analysts. • Create Sold Case Installation checklists, time lines and communicate to the customer • Assist Underwriting in developing simplified STD/LTD product offerings to improve quoting efficiency • Establish project oversight and identify key issues/risks and important decisions the Project Steering Team needs to make • Collaborate with senior technical staff on architecture direction, ensuring that our technical investments anticipate and support our product needs • Developed Core STD/LTD employer/group level welcome communications • Developed Humana/LifeSynch Behavioral Health Process and/or Product • Developed Core STD / LTD client reporting on MTV (experience, tax and claims status reports) • Conduct semi-annual STD& LTD claim management audits of external claim vendors • Assist in the development of sold case system reporting to assist Small Group Account Instillation improve timeliness of group set up • Developed all member level communications for WVB Specialty claims platform

What they like about Humana:

A hiring company that offers alternative approaches to pay, performance bonuses, and/or equity in the firm is very attractive to you. You're generally less interested in working for an organization offering only traditional, salary-based compensation, one with limited opportunity to acquire equity in the firm, or one that does not actively promote skill development. In addition, you are more likely to choose a company that offers a variety of internal career options, with defined career paths. You view the learning of new skills and development of your expertise as key to your career advancement. These aspects of an organization may become even more important to you as you progress in your field, and are especially critical if you change career or occupation.

Tags

Operations Management, Consultant, Manager, Director, Project Management, Account Management, Product Build, Claim Systems

Skills

P&L responsibilities, Presentation, Ecommerce Strategy and digital marketing channels optimization - SEO, SEM, email, affiliates - for high-profile accounts., Technology Solutions, Sales Support, Software Implementation, Requirements Analysis & Specification, Leadership

These are some of the questions we asked our climbers about their experiences with Humana: