Plan Build Representative

Position: Plan Build Representative 3

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

The Plan Build Representative 3 selects, implements, and loads the system applications that administer plan provisions. The Plan Build Representative 3 performs advanced administrative/operational/customer support duties that require independent initiative and judgment. May apply intermediate mathematical skills.

Where you Come In

The Plan Build Representative 3 analyzes and maintains required changes for existing health plans driven by market product design, legislative and regulatory needs. Determines required system changes to support new products, services, or efficiencies through design, test, and implementation stages. Ensures adherence of compliance and audit processes and supports system error resolution and remediation. Supports training and development of procedures.

Decisions are typically focus on methods, tactics and processes for completing administrative tasks/projects. Regularly exercises discretion and judgment in prioritizing requests and interpreting and adapting procedures, processes and techniques, and works under limited guidance due to previous experience/breadth and depth of knowledge of administrative processes and organizational knowledge.

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.

Use your skills to make an impact

Required Qualifications — What it takes to Succeed

• Prior experience with CAS
• Minimum of 3 years expert level data entry skills
• Comprehensive knowledge of Microsoft Outlook, Word and Excel

This is work  hours are Mon‑Fri with flexible shifts after training from 6am‑8pm est. There is overtime as needed and working on the weekend of Thanksgiving. Must have the ability to comply with the above.

Preferred Qualifications

• Planload Knowledge
• Experience using Access and/or ASPIRE
• Experience reading Benefit grids
• Prior experience with Macess

Additional Information – How we Value You

• Benefits starting day 1 of employment
• Competitive 401k 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 Hire Vue to enhance our hiring and decision‑making ability. Hire Vue 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

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.

$44,900 – $60,200 per year

Description of 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…