Humana
Adult Family Home Certifier
Remote Wisconsin · Full-time
Sponsorship not specified$50k-$60kDetected 2 days ago
ComplianceCustomer SupportHIPAA
About the role
- Reporting to the Supervisor of Provider Engagement, you will oversee the certification of new and existing 1-2 bed adult family homes in iCare/Humana network.
- You will travel throughout Southwestern WI working with our providers.
- Ability to visit homes on an emergent basis.
Responsibilities
- Verify and document that you correct all cited areas of non-compliances or areas of the standards that you must bring into compliance before you issue a certification.
- Maintain experience of the Medicaid Standards for Certified 1-2 Bed Adult Family Homes and DHS contract language about certified AFH expectations for providers and MCO staff.
- Lead efforts around any provider plans of correction, terminations or revocation of certification.
- Ensure a network of certified adult family homes that increases community connections, supports member choice and dignity, and fosters full participation in communities.
- Participate in ongoing training; maintain up-to-date knowledge to ensure compliance with Medicaid Standards and organizational practices.
Requirements
- Bachelor's degree
- 1 year of experience understanding the requirements for Residential Providers.
- In certain roles, the minimum recommended internet speed required by Humana may not be sufficient for business needs.
Nice to have
- 1 or more years of experience in Managed Care
- Knowledge of Medicaid standards for 1-2 bed Adult Family Homes and all related and reference standards.
Compensation
- 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.
- $58,700 - $70,400 per year
- This job is eligible for a bonus incentive plan.
- This incentive opportunity is based upon company and/or individual performance.
Benefits
- This job is eligible for a bonus incentive plan.
- 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.
- Humana Inc. (NYSE: HUM) is a leading U.S. healthcare company.
- 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.
Company info
- About Humana: Humana Inc. (NYSE: HUM) is a leading U.S. healthcare company. Through our Humana insurance services and our 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 and Medicaid, families, individuals, military service personnel, and communities at large. Learn more about what we offer at Humana.com and at CenterWell.com.
- 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.
- About Humana: Humana Inc. (NYSE: HUM) is a leading U.S. healthcare company.
- Through our Humana insurance services and our 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 and Medicaid, families, individuals, military service personnel, and communities at large.
- Learn more about what we offer at Humana.com and at CenterWell.com.
- This is a field position where employees perform their core duties at non-company locations, such as providing services at business partner facilities or prospects' and members' homes.
- Workstyle: This is a field position where employees perform their core duties at non-company locations, such as providing services at business partner facilities or prospects' and members' homes.
Equal opportunity
- 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.
This listing is sourced directly from Humana's careers page and normalized into a canonical job model.