Responsibilities

The Quality Assurance Technician 2 develops policies, procedures and methods to check operational quality and improve same. Trains and/or coaches staff and management in areas such as quality improvement, process management and reliability science. Maintains communications with administration, medical staff and department heads regarding quality assurance activities. Decisions are typically focus on interpretation of area/department policy and methods for completing assignments. Works within defined parameters to identify work expectations and quality standards, but has some latitude over prioritization/timing, and works under minimal direction. Follows standard policies/practices that allow for some opportunity for interpretation/deviation and/or independent discretion. This is a temporary (contract) position with full benefits, it is renewable each year.

Required Qualifications

• Proficiency in Microsoft Office Programs, including Word and Excel
• 1+ years of call center or claims processing experience
• Self-starter and able to succeed with minimal supervision or direct managerial oversight.
• Strong analytical and decision making skills
• Excellent verbal communication skills
• Must be Bilingual English/Spanish.
• Work At Home requirements: Must have the ability to provide a high speed DSL or cable modem for a home office (Satellite and Wireless Internet service is NOT allowed for this role). A minimum standard speed for optimal performance of 10x1 (10mbs download x 1mbs upload) is required. A dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information

Preferred Qualifications

• Familiarity and proficiency with internal Humana systems
• 1+ years’ experience in Healthcare and/or Medicare Advantage
• Associates Degree in health related field

Additional information

• This position is a temporary position with a 1-year contract, the contract is renewable and does come with full benefits.
• Schedule: Monday to Friday from 8 am to 5 pm
• Training: 1 Month in San Juan 383 Ave. F.D. Roosevelt San Juan, PR 00918
• Work Location: This permanent job is working from Home

Humana Perks:

Full time associates enjoy:

• Base salary with a competitive commission structure and a monthly guarantee
• Medical, Dental, Vision and a variety of other supplemental insurances
• Paid time off (PTO) & Paid Holidays
• 401(k) retirement savings plan with a competitive match
• Tuition reimbursement and/or scholarships for qualifying dependent children
• And much more!

Social Security Task:
Alert: Humana values personal identity protection. Please be aware that applicants being considered for an interview will be asked to provide a social security number, if it is not already on file. When required, an email will be sent from Humana@myworkday.com with instructions to add the information into the application at Humana’s secure website.

Virtual Pre-Screen:

As part of our hiring process for this opportunity, we will be using exciting virtual pre-screen technology called Modern Hire to enhance our hiring and decision-making ability. Modern Hire allows us to quickly connect and gain valuable information for you pertaining to your relevant skills and experience at a time that is best for your schedule. If you are selected for a virtual pre-screen, you will receive an email and text correspondence inviting you to participate in a Modern Hire interview. In this virtual pre-screen, you will receive a set of questions to answer. You should anticipate this virtual pre-screen to take about 10-15 minutes.

Scheduled Weekly Hours