**Become a part of our caring community and help us put health first**
Humana continuously strives to put the well-being of our members and associates first. In order to be a top choice in Healthcare, we must utilize resources to ensure that our provider directory is accurate. Come be a part of our Directory Data Governance (DDG) Team within Provider Process and Network Operations Organization and make an impact on the future of Healthcare.
**Where you Come In**
Humana continuously strives to put the well-being of our members and associates first. In order to be a top choice in Healthcare, we must utilize resources to ensure that our provider directory is accurate. Come be a part of our Directory Data Governance (DDG) Team within Provider Process and Network Operations Organization and make an impact on the future of Healthcare.
The Directory Data Governance (DDG) is an operational organization residing within the Provider Process and Network Operations Organization. DDG is integral to the Humana enterprise and supports provider directory accuracy. DDG’s focus is ensuring the providers’ s demographic information, panel status and vendor numbers are accurate. The DDG team makes quarterly outbound calls to contracted Medicare providers as requested by the Center for Medicaid & Medicare Services (CMS). DDG uses the information obtained during these outreaches to ensure that Humana members view the most accurate data when searching Physician Finder Plus. If you enjoy working to ensure our members have a positive experience when utilizing Physician Finder Plus, come join Humana’s DDG team.
• Makes 20-30 outbound calls to provider offices daily
• Obtain demographic and address information to ensure the provider directory is accurate
• Enter 15-20 provider data updates daily in Provider Data Exchange (PDX) that will update Humana’s directory systems
• Determines whether the information obtained can be updated by DDG or needs to be sent to the Market for updates
**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**
⦁ Minimum of 1 year professional experience in a metric driven setting
⦁ Minimum of 1 year of administrative support and data entry or phone environment experience
⦁ Minimum of 1 year of healthcare related background
⦁ Understanding of Medicare or Medicaid
⦁ Experience in provider data management systems
⦁ Understanding of healthcare provider types, specialties or network structures
⦁ Experience interpreting reports and data extracts to identify trends or discrepancies
⦁ Experience using multiple computer applications simultaneously
⦁ Self-starter with excellent time management skills
⦁ Work well independently and as a team
⦁ Comfortable with constant process changes/adapting to new processes
⦁ Prior experience using Microsoft Office Programs, including Word, Excel, OneNote PowerPoint
⦁ This role will need to work EST/CST hours
**Preferred Qualifications**
+ Experience with APEX, PIMS, PAAG, PMDM
+ Previous inbound/outbound call center or related customer service experience
+ Provider installation experience
**Additional Information - How we Value You**
• Benefits starting day 1 of employment
• Competitive 401k match
• Generous Paid Time Off accrual
• Tuition Reimbursement
• Parent Leave
**Additional Information**
**Hours:** Dependent on candidate location. Monday – Friday, first 90 days 7:00am – 3:30pm.
Flex time available after probation. Department operating hours 6am – 6pm but must log in by 9:00am. 40-hour work week.
**Training:** Remote with camera, 3 weeks classroom style instruction with a trainer working tasks.
**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 HireVue to enhance our hiring and decision-making ability. HireVue 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.
$43,000 - $56,200 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 healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.
Application Deadline: 11-12-2025
**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. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large.
**Equal Opportunity Employer**
It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.
Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our https://www.humana.com/legal/accessibility-resources?source=Humana_Website.
**Become a part of our caring community and help us put health first**
Humana continuously strives to put the well-being of our members and associates first. In order to be a top choice in Healthcare, we must utilize resources to ensure that our provider directory is accurate. Come be a part of our Directory Data Governance (DDG) Team within Provider Process and Network Operations Organization and make an impact on the future of Healthcare.
**Where you Come In**
Humana continuously strives to put the well-being of our members and associates first. In order to be a top choice in Healthcare, we must utilize resources to ensure that our provider directory is accurate. Come be a part of our Directory Data Governance (DDG) Team within Provider Process and Network Operations Organization and make an impact on the future of Healthcare.
The Directory Data Governance (DDG) is an operational organization residing within the Provider Process and Network Operations Organization. DDG is integral to the Humana enterprise and supports provider directory accuracy. DDG’s focus is ensuring the providers’ s demographic information, panel status and vendor numbers are accurate. The DDG team makes quarterly outbound calls to contracted Medicare providers as requested by the Center for Medicaid & Medicare Services (CMS). DDG uses the information obtained during these outreaches to ensure that Humana members view the most accurate data when searching Physician Finder Plus. If you enjoy working to ensure our members have a positive experience when utilizing Physician Finder Plus, come join Humana’s DDG team.
• Makes 20-30 outbound calls to provider offices daily
• Obtain demographic and address information to ensure the provider directory is accurate
• Enter 15-20 provider data updates daily in Provider Data Exchange (PDX) that will update Humana’s directory systems
• Determines whether the information obtained can be updated by DDG or needs to be sent to the Market for updates
**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**
⦁ Minimum of 1 year professional experience in a metric driven setting
⦁ Minimum of 1 year of administrative support and data entry or phone environment experience
⦁ Minimum of 1 year of healthcare related background
⦁ Understanding of Medicare or Medicaid
⦁ Experience in provider data management systems
⦁ Understanding of healthcare provider types, specialties or network structures
⦁ Experience interpreting reports and data extracts to identify trends or discrepancies
⦁ Experience using multiple computer applications simultaneously
⦁ Self-starter with excellent time management skills
⦁ Work well independently and as a team
⦁ Comfortable with constant process changes/adapting to new processes
⦁ Prior experience using Microsoft Office Programs, including Word, Excel, OneNote PowerPoint
⦁ This role will need to work EST/CST hours
**Preferred Qualifications**
+ Experience with APEX, PIMS, PAAG, PMDM
+ Previous inbound/outbound call center or related customer service experience
+ Provider installation experience
**Additional Information - How we Value You**
• Benefits starting day 1 of employment
• Competitive 401k match
• Generous Paid Time Off accrual
• Tuition Reimbursement
• Parent Leave
**Additional Information**
**Hours:** Dependent on candidate location. Monday – Friday, first 90 days 7:00am – 3:30pm.
Flex time available after probation. Department operating hours 6am – 6pm but must log in by 9:00am. 40-hour work week.
**Training:** Remote with camera, 3 weeks classroom style instruction with a trainer working tasks.
**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 HireVue to enhance our hiring and decision-making ability. HireVue 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.
$43,000 - $56,200 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 healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.
Application Deadline: 11-12-2025
**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. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large.
**Equal Opportunity Employer**
It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.
Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our https://www.humana.com/legal/accessibility-resources?source=Humana_Website.
