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HU

Telephonic Call Center Specialist

Humana
Wtrfd atBlueLagon, United States, United Statesfull_timeVerifiedPosted 31 Jul 2025
💰 $72,600/yr($53,700/yr$72,600/yr)

About the role

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

The Telephonic Call Center Specialist / Care Coach 1 assesses and evaluates member's needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families toward and facilitate interaction with resources appropriate for the care and wellbeing of members.

Miami, FL

Telephonic Call Center Specialist / Care Coach 1

  • Inbound and Outbound calls from member, inquires or agents

  • The dialer will call the member and connect them to the associate automatically

  • Employs a variety of case management strategies, approaches and techniques to manage a member's case.

  • Identifies through a screening process for potential eligibility for state and federal benefits.

  • Ensures member is progressing towards desired outcomes by continuously monitoring Member’s case through use of assessment, data, and conversations with members, active planning and educating the member on potential resources.


Use your skills to make an impact
 

Required Qualifications

  • 1 or more years of Telephonic environment experience and/or customer service in an office setting.

  • Work from the Miami office 2 to 3 days a week (could be up to 5 days based on business needs)

  • Live in the Miami area

  • Microsoft Office Programs Word and Excel.

  • Current valid Driver’s license

  • Travel up to 25% or more at times to include home visits and events

  • Monday-Friday 8:00 AM-5:00 p.m. EST, Overtime based on business needs and hours could include weekends/holidays.

  • During the Medicare Annual Election Period, September to December, must be able to work Monday through Friday between the hours of 8am-7pm EST but also subject to Overtime based on business needs and hours could include weekends/holidays.

Preferred Qualifications

  • Associate's Degree

  • Microsoft Office PowerPoint

  • Bilingual English/ Spanish

  • Healthcare experience

  • Strong preference for experience in member services and a call center environment specifically but not limited to Medicare & Medicaid recipients

  • Previous experience with electronic case note documentation and experienced with documenting in multiple computer applications/systems

  • Knowledge of community health and social service agencies and additional community resources reviews

  • Healthcare Telephonic environment experience and/or Healthcare customer service in an office setting

Additional Information

  • This is a hybrid office position and going into the Miami, FL office

  • Work from the Miami office 2 to 3 days a week (could be up to 5 days based on business needs)

  • Monday-Friday 8:00 AM-5:00 p.m. EST, Overtime based on business needs and hours could include weekends/holidays.

  • During the Medicare Annual Election Period, September to December, must be able to work Monday through Friday between the hours of 8am-7pm EST but also subject to Overtime based on business needs and hours could include weekends/holidays.

As part of our hiring process, we will be using an exciting interviewing technology provided by HireVue, a third-party vendor. This technology provides our team of recruiters and hiring managers an enhanced method for decision-making.

If you are selected to move forward from your application prescreen, you will receive correspondence inviting you to participate in a pre-recorded Voice Interview and/or an SMS Text Messaging interview.  If participating in a pre-recorded interview, you will respond to a set of interview questions via your phone. You should anticipate this interview to take approximately 10-15 minutes.

If participating in a SMS Text interview, you will be asked a series of questions to which you will be using your cell phone or computer to answer the questions provided.  Expect this type of interview to last anywhere from 5-10 minutes. Your recorded interview(s) via text and/or pre-recorded voice will be reviewed and you will subsequently be informed if you will be moving forward to next round of interviews.

Work at Home Guidance

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

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Company

Humana

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