Description

Become a part of our caring community and help us put health first
The Plan Build Representative 3 selects, implements, and loads the system applications that administer plan provisions. The Plan Build Representative 3 performs advanced administrative/operational/customer support tasks that require independent initiative and judgment.

Where you Come In

The Plan Build Representative 3 analyzes and maintains required changes for existing health plans guided by market product design, legislative and regulatory needs. Determine required system changes to support new products, services, or efficiencies through design, test, and implementation stages. Ensure adherence of compliance and audit processes and support system error resolution and remediation. Support training of procedures.

Decisions are typically focused on methods and processes for completing administrative tasks/projects. Exercise interpretation and adaptation of procedures, processes, and techniques. Work due to previous experience and breadth and depth of knowledge of administrative processes. Have organizational knowledge.

What Humana Offers

We are fortunate to offer a remote opportunity for this job. Our Fortune 100 Company values associate engagement and your well-being. We also provide excellent professional development and continued education.

Use your skills to make an impact

Required Qualifications

• Must have a minimum of 2 years of experience working with CAS and/or CI
• Minimum of 3 years expert level data entry skills
• Willing and able to work flexible shifts between the hours of 8am-6pm EST, Monday-Friday, to include overtime as needed

Preferred Qualifications

• Plan load Knowledge
• Experience using Access and/or ASPIRE
• Experience reading Benefit grids
• Prior experience with Macess

Additional Information

This is work at home and can be based anywhere in the United States to include Puerto Rico. The hours are Mon-Fri with flexible shifts after training from 6am-8pm est. There is overtime as needed as well as required work on the weekend of Thanksgiving. Must have the ability to comply with the above.

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

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.

$44,900 - $60,200 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: 03-26-2026
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.
Requisition #: R-409070

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