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Senior Business Technical Support Professional

Humana
Work at Home - Wisconsin, United Statesfull_timeVerifiedPosted 28 Feb 2024
💰 $87,400/yr($63,400/yr$87,400/yr)

About the role

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

The Senior Business Technical Support Professional provides support for handling and analyzing data that pertains to the compliance and commissions of Humana external producers. The Senior Business Technical Support Professional work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors.

The work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action.  Following is a list of some of the responsibilities:

  • Engage with the producers and the Center for Medicare and Medicaid Services/Department of Insurance regulations specific to them if there are concerns related to missing or incomplete commissions.
  • Perform audits related to commission payments that include system adjustments that need to be appropriately tied to transaction codes to systematically create the proper entries to the general ledger.
  • Analyze and interpret Center for Medicare and Medicaid Services and Department of Insurance regulations to establish required appointment fees for producers to ensure we are compliant when solicitation and selling of our products occur.
  • Make decisions regarding own work methods, occasionally in ambiguous situations, and require minimal direction.
  • Research and analyze financial information necessary to support internal and external audit activity.
  • Act as "Go To" person for resolution of issues relating to commission payments on Humana’s various blocks of business.
  • Set up contracts in the systems, making sure they are set up in a timely manner.  Audit them to make sure they are correct, and make sure it pays as it should over a period of time.
  • Multitask by organizing workload and juggling various smaller projects.
  • Perform analysis with an emphasis on control and prevention.
  • Assist in problem solving and process improvement activities.
  • Exercise independent judgment and decision making on complex issues regarding job duties and related tasks and work under minimal supervision.
  • Engage with the commissions, compliance, and financial reporting teams to develop, implement, and maintain processes that can handle significant volumes of data.


Use your skills to make an impact
 

Required Qualifications

  • Bachelor's degree or equivalent experience
  • 5 or more years of technical experience
  • 1 or more years financial analysis and/or reporting experience
  • Comprehensive knowledge of all Microsoft Office applications, especially Excel & Access
  • Proficient knowledge of VBA, SQL and SQL Server, including SSIS
  • Strong attention to detail and investigative skills
  • Experience working with large amounts of data
  • Can partner with peers to review needs and possible solutions
  • Must be passionate about contributing to an organization focused on continuously improving consumer experiences and information technology
  • Must have a growth mindset with regards to new technologies and processes

Preferred Qualifications

  • Master's degree in business administration or a related field
  • Experience with Insurance data
  • Experience with Healthcare data
  • Experience working in multiple systems at a time
  • Experience working with SSMS
  • Proficient in other object-oriented coding language

Additional Information
Benefits: Benefits are effective on day 1. Full time Associates enjoy competitive pay and a comprehensive benefits package that includes 401k, Medical, Dental, Vision and a variety of supplemental insurances, tuition assistance and so many other wonderful employee perks.

Work at Home Guidance

To ensure home ability to work effectively, the self-provided internet service of home 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.
  • 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.

About Us
Humana Inc. (NYSE: HUM) is committed to putting health first – for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it. Th

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Company

Humana

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