Consumer Service Operations Professional 2

HumanPanorama

Base: $58,700 - $68,200 py; bonus/equity: eligible...
Hybrid
Claims processing accuracy
Managed care environment experience
Knowledge of tricare or military healthcare
The Consumer Service Operations Professional 2 position at HumanPanorama involves analyzing claims payments and identifying root causes of issues in claims processing. Ideal candidates will have significant experience in managed care and claims adjudication, especially related to military health care systems. The role offers competitive pay and a comprehensive benefits package while fostering a supportive workplace culture

Job Summary

  • You will perform analysis by reviewing claims payments, policies, procedures and determine root cause for issues.
  • Humana offers competitive benefits that support whole-person well-being including medical, dental, vision, 401(k), paid time off, and disability coverage.
  • While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.

Matching Summary

Match Score: 85

The Consumer Service Operations Professional 2 position at HumanPanorama involves analyzing claims payments and identifying root causes of issues in claims processing. Ideal candidates will have significant experience in managed care and claims adjudication, especially related to military health care systems. The role offers competitive pay and a comprehensive benefits package while fostering a supportive workplace culture.

Salary

Base: $58,700 - $68,200 per year; Bonus/Equity: Eligible for bonus incentive plan; Benefits: Medical, dental, vision, 401(k), paid time off, disability, life insurance

Skills & Requirements

Must-have

  • Claims processing accuracy
  • Managed care environment experience
  • Knowledge of TRICARE or military healthcare
  • Customer service experience
  • Work from home with secure environment
  • Claims quality audits

Nice-to-have

  • Business process analysis
  • Benchmarking assistance
  • Testing updates
  • Claims reimbursement terminology familiarity
  • Remote work with occasional travel

Key Requirements

  • 3 years managed care experience
  • 4 years claims processing experience
  • 2 years customer service experience
  • U.S. citizenship required
  • Interim government security clearance (NBIS)
  • No residency in Puerto Rico

Work Rights

Must have US citizenship

Tailored Resume

Cover Letter