Customer Service Specialist-Pharmacy Call Center

Job Description: Humana Inc., headquartered in Louisville, Ky., is one of the nation's largest publicly traded health benefits companies, with approximately 9 million medical members. Humana offers a diversified portfolio of health insurance products and related services - through traditional and consumer-choice plans - to employer groups, government-sponsored plans, and individuals.

Over its 45-year history, Humana has consistently seized opportunities to meet changing customer needs. Today, the company is a leader in consumer engagement, providing guidance that leads to lower costs and a better health plan experience throughout its diversified customer portfolio.


Humana Inc., headquartered in Louisville, Kentucky, is one of the nation's largest publicly traded health benefits companies, with approximately 7 million medical members located primarily in 15 states and Puerto Rico. Humana offers a diversified portfolio of health insurance products and related services - through traditional and consumer-choice plans - to employer groups, government-sponsored plans, and individuals.

Over its 43-year history, Humana has consistently seized opportunities to meet changing customer needs.

Today, Humana is a leader in consumer engagement. Throughout its diversified customer portfolio, the company provides guidance that can both help lower costs and lead to a better health plan experience.


Humana Inc., headquartered in Louisville, Kentucky, is one of the nation's largest publicly traded health benefits companies, with approximately 7 million medical members located primarily in 15 states and Puerto Rico. Humana offers a diversified portfolio of health insurance products and related services - through traditional and consumer-choice plans - to employer groups, government-sponsored plans, and individuals.

Over its 43-year history, Humana has consistently seized opportunities to meet changing customer needs.

Today, Humana is a leader in consumer engagement. Throughout its diversified customer portfolio, the company provides guidance that can both help lower costs and lead to a better health plan experience.
Assignment Summary:
The two main areas of focus for specialists include: An inbound call center for physicians who are seeking prior authorizations of drugs. An outbound call research center focusing on consumers and non-specific special projects Inbound Program description: Receive and manage a high volume of telephone and fax requests from physicians seeking prior authorization on medications. Extensive database documentation requiring work with physicians' offices to obtain member diagnoses, other therapies tried, any testing, etc...
This department works one on one with physician offices, customer service and pharmacy teams. The ideal candidate must possess the skills of multi-tasking in a high call volume workplace Outbound Program description: Various Special Project assignments. Contacting Humana members to provide them with important health information benefiting them and assisting their healthcare decisions.

Degree Preferred:
Minimum Requirements:
High School diploma/some college preferred 1 to 5 years of customer service experience.
Call center experience a plus Proven Organizational skills are highly recommended. Must be able to work in a high volume, multi task environment.
Candidate must possess proficiency with Internet based programs and Microsoft Windows Programs.

Knowledge, Skills, and Abilities:
Call Center Customer Service Database Doctors Office Exp Documentation Req Fax Healthcare Inbound Calls Multitasking Outbound Calls Pharmacy Exp
Skills Requirements: Call Center Customer Service Database Doctors Office Exp Documentation Req Fax Healthcare Inbound Calls Multitasking Outbound Calls Pharmacy Exp

Searchable Keywords: Customer Service Pharmacy Call Center / gj-mo

Expected Travel Time: None