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Ohio Medicaid Inbound Contacts Rep

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

Do you have a desire to work from home? Do you love assisting others when they are in need? Are you looking for valuable experience working for a Fortunate 100 company that focuses on the well-being of their customers? Come be a part of Humana’s Member Calls Organization! Our Call Center Representatives have a passion for assisting people with their healthcare needs; in particular, our Medicaid members, to provide the best solutions and outcomes working in a best-in-class contact center.

The Inbound Contacts Representative 2 represents the company by addressing incoming telephone, digital, or written inquiries. The Inbound Contacts Representative 2 addresses customer needs which may include complex benefit questions, resolving issues, and educating members. Records details of inquiries, comments or complaints, transactions or interactions and takes action in accordance to it. Escalates unresolved and pending customer grievances. In addition, you would also support our Outbound Call Campaign efforts by conducting outreach calls to our members.


Use your skills to make an impact
 

This position requires all candidates to currently live in the state of Ohio.

Required Qualifications

  • Minimum 2 years of customer service experience is required.
  • Proficiency with Microsoft Office applications, particularly Outlook and Teams
  • Strong technical skills with the ability to work across multiple software systems including email, chats, efficient typing skills, and toggling across multiple databases while engaging with callers.
  • Must have excellent interpersonal skills and the ability to organize simultaneous tasks.

 

Training

  • This position is scheduled to start on May 19th, 2025. Virtual training starts on day one of employment and will run for the first 7 weeks with a schedule of 8:00 AM to 4:30 PM Eastern, Monday - Friday. 
  • You must be on time, dressed appropriately / camera ready, with your camera on during training and for other meetings required by leadership.
  • Attendance is vital for success so no time off is allowed during training or within your first 120 days.
  • This position requires learning many systems, policies, and tools, and it takes time to become proficient in the role.
  • You must be willing to remain in this position for a period of twelve (12) months before applying to other Humana opportunities.

Work Hours Following 7 Week Training Period

  • Following training, associates are required to have flexibility to work an 8-hour shift between the hours of 6:45 AM – 8:00 PM Eastern time, Monday - Friday.
  • Some weekends and overtime may be required, based on company needs.

 

Preferred Qualifications

  • Associate or Bachelor’s Degree
  • Previous Inbound and/or Outbound call center or related customer service experience
  • Prior healthcare experience

 

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 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. 

 

Interview Process

As part of our hiring process for this opportunity, we will be using an 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.

·         Text Prescreen: Shortly after submitting your application, you may receive both a text message and email requesting you to complete 10 to 15 prescreen questions with either yes or no answers. The text message may arrive prior to the email. If you prefer to answer via computer or tablet, wait for the email.

·         Video Prescreen: If you are successful with your text screen, you will receive another communication to record a Video Prescreen. This is an online video activity using your phone, tablet, or computer; however, most candidates prefer using a computer or tablet.

·         Interviews: Some candidates will be invited to interview. If so, the recruiter will reach out to schedule.

·         Offers: Finalists from the interview will be contacted by a recruiter to discuss an offer for the job

Note: Depending on the number of openings, the number of candidates who apply, and the schedules of interviewers and recruiters, this process may take several weeks or less; however, know that we are working hard to proceed as quickly as possible and to keep you informed.

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.


 

$39,000 - $49,400 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.


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 veteran status. It is also the policy of Humana to take affirmative action to employ and to advance in employment, all persons regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, 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.

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Average salary estimate

$44200 / YEARLY (est.)
min
max
$39000K
$49400K

If an employer mentions a salary or salary range on their job, we display it as an "Employer Estimate". If a job has no salary data, Rise displays an estimate if available.

What You Should Know About Ohio Medicaid Inbound Contacts Rep, Humana

If you're excited about making a difference while working remotely, then the Ohio Medicaid Inbound Contacts Rep position at Humana might be just what you're looking for! In this role, you'll connect with Medicaid members and provide the guidance they need for their healthcare inquiries. Whether it's answering their complex questions, providing solutions, or assisting with issues, you'll play a vital part in enhancing their well-being. Your role is dynamic and engaging, as you'll be taking on incoming calls, messages, and even tackling written inquiries. Not only will you help members navigate their healthcare benefits, but you'll also document each interaction and ensure their concerns are addressed, even if that means escalating a matter to the right team. Humana is a company that truly values its employees, providing a supportive environment where your skills can shine. You'll undergo thorough training, starting your journey with us on May 19th, 2025, and you’ll have everything you need to get started, including essential equipment to work from home. As technology advances, so will you, learning to navigate various platforms while assisting our members. This is a perfect opportunity if you have at least two years of customer service experience and a passion for helping others. Join us in making an impactful difference in the lives of many from the comfort of your own home!

Frequently Asked Questions (FAQs) for Ohio Medicaid Inbound Contacts Rep Role at Humana
What are the primary responsibilities of the Ohio Medicaid Inbound Contacts Rep at Humana?

As an Ohio Medicaid Inbound Contacts Rep at Humana, your primary responsibilities include addressing incoming inquiries from Medicaid members through various channels such as phone, digital, or written formats. You'll assist members with their healthcare needs by answering questions about their benefits, resolving issues, and educating them about available options. An essential part of your role will involve documenting interactions and escalating unresolved issues to ensure customer satisfaction, while also supporting outbound call campaigns.

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What qualifications are necessary to apply for the Ohio Medicaid Inbound Contacts Rep position at Humana?

To apply for the Ohio Medicaid Inbound Contacts Rep position at Humana, you are required to have a minimum of two years of customer service experience. Additionally, proficiency in Microsoft Office, especially Outlook and Teams, is essential. Candidates should possess strong technical skills, excellent interpersonal abilities, and the capability to multitask across different software systems. Prior experience in a call center or healthcare setting is preferred.

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What training will I receive as an Ohio Medicaid Inbound Contacts Rep at Humana?

As an Ohio Medicaid Inbound Contacts Rep at Humana, you will undergo a comprehensive training program that begins on your first day of employment. This virtual training will last for seven weeks, running from 8:00 AM to 4:30 PM Eastern, Monday through Friday. You will learn about various systems, policies, and tools necessary for your role, ensuring you’re well-prepared to assist Medicaid members effectively.

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What are the working hours after the training for the Ohio Medicaid Inbound Contacts Rep at Humana?

Once you complete the training for the Ohio Medicaid Inbound Contacts Rep position at Humana, you will be required to work an 8-hour shift between 6:45 AM and 8:00 PM Eastern Time, Monday through Friday. You should also be prepared for possible weekend shifts and overtime depending on company needs, which allows for a flexible work schedule.

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What kind of benefits does Humana offer for the Ohio Medicaid Inbound Contacts Rep position?

Humana offers an attractive array of benefits for the Ohio Medicaid Inbound Contacts Rep position, designed to enhance your overall well-being. You can expect medical, dental, and vision coverage, a 401(k) retirement savings plan, generous paid time off, and various leaves such as parental and caregiver leave. Humana prioritizes your personal wellness and supports smart healthcare decisions for you and your family.

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Common Interview Questions for Ohio Medicaid Inbound Contacts Rep
How do you handle complex customer inquiries as an Ohio Medicaid Inbound Contacts Rep?

In dealing with complex customer inquiries as an Ohio Medicaid Inbound Contacts Rep, I believe in actively listening to the member's concerns and clarifying any points of confusion. I ensure I gather all necessary information before providing accurate and comprehensive answers. If I can't resolve the issue immediately, I reassure the member that their concern is valid and will escalate it to the appropriate team for a prompt resolution.

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Can you describe your experience with customer service in a call center environment?

Certainly! In my previous roles, I focused on providing exceptional customer service in a call center environment. I handled a high volume of inquiries, effectively managed multiple software systems simultaneously, and tailored my communication style to meet the diverse needs of customers. This experience has developed my ability to navigate challenging situations while maintaining professionalism and empathy.

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What strategies do you use to stay organized while managing multiple tasks?

To stay organized while managing multiple tasks, I prioritize workload by creating a daily checklist that outlines urgent inquiries and follow-up tasks. I also utilize calendar alerts to ensure timely responses and minimize delays. By segmenting tasks into manageable portions, I maintain clarity and focus throughout my workday.

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How do you ensure effective communication with team members during a remote work setting?

Effective communication in a remote work setting is vital, so I actively participate in team meetings through video calls and use platforms like Microsoft Teams for chat and collaboration. I prioritize regular check-ins with my colleagues to discuss ongoing cases and seek feedback, fostering a supportive teamwork culture even when physically apart.

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What motivates you to assist Medicaid members in your role?

What truly motivates me in my role is the opportunity to make a positive impact in the lives of Medicaid members. I believe that every conversation is a chance to provide solutions that improve their healthcare journey. Knowing that I can help navigate their challenges and direct them to the resources they need is incredibly rewarding.

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How do you handle stress or high-pressure situations while speaking with members?

In high-pressure situations, I focus on remaining calm and composed. I take deep breaths to center myself, and I remind myself that the member is looking for assistance. I strive to maintain a positive tone and provide reassurance, knowing that my approach can influence their experience. I also take breaks when possible to recharge my energy.

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Can you give an example of a time you turned a dissatisfied customer into a satisfied one?

Absolutely! I once handled a call with a dissatisfied member who was frustrated with an unresolved issue regarding their benefits. I patiently listened to their concerns, empathized with their frustration, and promptly researched the details. By providing a clear explanation of the resolution process and following up until the issue was resolved, I turned their frustration into gratitude, illustrating the importance of persistence in customer service.

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What technical skills do you possess that are relevant to the Ohio Medicaid Inbound Contacts Rep position?

I have developed strong technical skills including proficiency in Microsoft Office applications, specifically Outlook and Teams, as well as experience with multiple database systems. I am comfortable with chatting, emailing, and typing quickly while I engage with customers. My adaptability to navigate various software ensures I can effectively manage calls and data inputs.

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Why do you want to work for Humana as an Ohio Medicaid Inbound Contacts Rep?

I want to work for Humana because of its commitment to health and wellness for both its customers and employees. I am impressed by the company's values and dedication to making healthcare accessible and friendly. As an individual who believes in the importance of providing quality support to those in need, I feel that my passion aligns perfectly with Humana's mission.

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What are your long-term career goals, and how does this position fit into them?

My long-term career goal is to specialize further in customer service within the healthcare industry. The Ohio Medicaid Inbound Contacts Rep position at Humana offers the chance to gain valuable insights and skills in healthcare services while assisting the community. I see this opportunity as foundational, allowing me to grow within the company and explore additional roles that impact member health and lives positively.

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Since 1961, Humana has been committed to helping people live healthy and happy. Our approach is simple—offer personalized care from people who care. We do this by listening to our members and creating solutions to help them reach the best version ...

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