Company name
Humana Inc.
Location
Jersey City, NJ, United States
Employment Type
Full-Time
Industry
Healthcare, Bilingual, Manager
Posted on
May 13, 2023
Profile
Description
The Bilingual Manager, Learning Facilitation , plans, coordinates, and implements all aspects of training programs for participants throughout for Grievance and Appeals / Careplus.
EST states
Responsibilities
The Bilingual Grievances and Appeals Learning Facilitation Manager
Oversee a team of instructors led and virtual instructor-led training
Create, Update as process change for compliance and oversight of appropriate materials to train for Grievance and Appeals processes for any new platforms to include but not limited to the following: Inovaare, HRP, HRCM, Sales Force, MPX.
Creates an environment that is conducive to learning and exchanging information, engages the learner, and produces the desired outcomes.
Monitors training personnel records to ensure that employees have met all company training requirements for company, quality, and regulatory compliance.
Analyzes course evaluations in order to judge effectiveness of training sessions and to implement suggestions for improvements.
Required Qualifications
Bilingual in English/Spanish -Must be able to speak, read and write in both languages without limitations or assistance. If selected for the position, you will be required to take a Language Proficiency Assessment in English/Spanish.
Bachelor's Degree
1 or more years of Healthcare experience
Professional Facilitation and/or Instructional Designed certification.
2 or more years of supervisory experience
Reside in EST time zone
Preferred Qualifications
Experience with Grievances and Appeals
Experience with Medicare compliance regulations
Experience leading facilitation teams
Additional Information
Hours- 8Am-5pm EST, outside of these hours based on business needs
Language Proficiency Testing: Any Humana associate who speaks with a member in a language other than English must take a language proficiency assessment, provided by an outside vendor, to ensure competency. Applicants will be required to take the Interagency Language Rating (ILR) test as provided by the Federal Government.
Modern Hire: As part of our hiring process, we will be using an exciting interviewing technology provided by Modern Hire, 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 Requirements
WAH requirements: Must have the ability to provide a high speed DSL or cable modem for a home office. Associates or contractors who live and work from home in the state of California will be provided payment for their internet expense.
A minimum standard speed for optimal performance of 25x10 (25mpbs download x 10mpbs upload) is required.
Satellite and Wireless Internet service is NOT allowed for this role.
A dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information
Alert: Humana values personal identity protection. Please be aware that applicants selected for leader review may be asked to provide their social security number, if it is not already on file. When required, an email will be sent from Humana@myworkday.com with instructions on how to add the information into your official application on Humana's secure website.
#LI-BB1
#Remote (in EST States only)
Scheduled Weekly Hours
40
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.
Company info
Humana Inc.
Website : http://www.humana.com