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Clinical Assistant

Job Details

At Vida, we help people get better- and we’re helping the healthcare system get better, too.

 

Vida is a virtual, personalized obesity care provider that uses evidence-based treatment to help patients manage obesity and related conditions like diabetes, high blood pressure, anxiety and depression. Vida’s team of Obesity Medicine-Certified Physicians, Registered Dietitians, Expert Coaches and Licensed Therapists takes a whole-person approach to care, helping people lose weight, reduce stress and improve their overall health.

 

By combining advanced technology with top-notch healthcare providers, Vida is breaking down the barriers that have historically kept people from getting the best care. It’s trusted by Fortune 100 companies, major national payers and large providers to enable their employees to live their healthiest lives.

 

**Vida is authorized to do business in many, but not all, states. If you are not located in or able to work from a state where Vida is registered, you will not be eligible for employment. Please speak with your recruiter to learn more about where Vida is registered.

 

Vida Clinical Assistant is responsible for reviewing and triaging inquiries from multiple communication streams that support the efficiency of Vida’s prescribing services.  Clinical Assistant’s provide ongoing support for our members to support timely and quality delivery of services. 

 

Responsibilities:

    • Assist Vida Medical Providers by reviewing and responding to medical provider chat messages.
    • Triage messages to appropriate parties as needed.
    • Research and address medical provider escalations that come from Vida Member Support Team, Vida Quality Assurance Team and Prior Authorization Submission Team.
    • Manage exception process for restricted drugs with PBM partners.
    • Complete prior authorization forms to support the prescribing of restricted drugs and address issues/escalations related to this process.
    • Collaboratively partner with all providers on the member’s care team as needed.
    • Given the sensitive nature of health information- maintain strict confidentiality at all times and diligently follow HIPAA guidelines and processes to ensure protection of Protected Health Information (PHI).
    • Follow department policies and procedures.
    • Stay up to date on Vida training requirements and communications.
    • Appropriately document hours worked utilizing appropriate ADP pay codes.
    • Perform according to Vida’s QA and compliance guidelines in order to provide a safe and consistent experience for Vida members.
    • Message on Vida’s provider platform/technology/templates etc.
    • Efficiently utilize cloud technology, such as Slack, Google Suite and Zoom.
    • Limit scope of practice to Vida clinical guidelines.
    • Agree to abide by Vida policies and consents related to services provided to Vida members.

Requirements:

    • Able to work within Vida business hours: Monday through Friday between 8 AM to 8 PM & Saturday/Sunday 8 AM to 12 PM, in employees time zone.
    • Experience in a medical office, clinic, or telehealth setting is a plus.
    • Experience with utilization management policies and procedures.
    • Experience successfully submitting and managing prior authorization and formulary exceptions.
    • Strong communication skills, both verbal and written.
    • Proficiency in using telehealth technology.
    • Ability to multitask and prioritize in a fast-paced environment.
    • Compassionate and patient-centered approach to care.
    • Strong organizational skills and attention to detail.
    • Able to commit to 40 hours of calendar availability/week.

$25 – $25 an hour

This is a 3 month seasonal opportunity for external candidates.

 

Vida is proud to be an Equal Employment Opportunity and Affirmative Action employer.

 

Diversity is more than a commitment at Vida—it is the foundation of what we do. All qualified applicants will receive consideration for employment without regard to race, color, ancestry, religion, gender, gender identity or expression, sexual orientation, marital status, national origin, genetics, disability, age, or Veteran status. We also consider qualified applicants with criminal histories, consistent with applicable federal, state and local law.

 

We seek to recruit, develop and retain the most talented people from a diverse candidate pool. We don’t just accept differences — we celebrate them, we support them, and we thrive on them for the benefit of our employees, our platform and those we serve. Vida is committed to providing reasonable accommodations for qualified individuals with disabilities and disabled veterans in our job application procedures.

 

We do not accept unsolicited assistance from any headhunters or recruitment firms for any of our job openings. All resumes or profiles submitted by search firms to any employee at Vida in any form without a valid, signed search agreement in place for the specific position will be deemed the sole property of Vida. No fee will be paid in the event the candidate is hired by Vida as a result of the unsolicited referral.

 

#LI-remote

 

APPLY HERE: Clinical Assistant

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Medicare Inbound Contacts Representative

Job Details

The Medicare Inbound Contact Representative 2 represents the company by addressing incoming telephone, digital, or written inquiries. The Medicare Inbound Contact Representative 2 performs varied activities and moderately complex administrative/operational/customer support assignments. Performs computations. Typically works on semi-routine assignments.

 

 

The Medicare Inbound Contact Representative 2 represents Humana by addressing incoming telephone, digital, or written inquiries from Medicare members. The Medicare Inbound Contact Representative 2 strives to provide the member a resolution or pathway to resolution on each call while providing a perfect call experience.

 

The Medicare Inbound Contact Representative 2 addresses customer needs which may include complex benefit questions, resolving issues, and educating members. This is a high-volume call center setting, which can be stressful at times.

  • Handles 40+ inbound calls daily from members in a fast-paced inbound call center environment.
  • Records details of inquiries, comments or complaints, transactions, or interactions, and takes action accordingly.
  • Escalates unresolved and pending customer grievances. Decisions are typically focused on interpretation of area/department policy and methods for completing assignments.
  • Works within defined parameters to identify work expectations and quality standards, but has some latitude over prioritization/timing, and works under minimal direction.
  • Follows standard policies/practices that allow for some opportunity for interpretation/deviation and/or independent discretion.


Use your skills to make an impact
 

 

Required Work Schedule:

  • Virtual training will start day one of employment and runs for the first 10 to 12 weeks with a schedule of 8:00 AM to 4:30 PM EST, Monday through Friday.
  • You must be on time, dressed appropriately, 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 60 days following training. Time off during your initial 120-days of employment is extremely limited.  Exception: Should a Humana-observed holiday occur during training or within the initial 120-days of employment, you will have the holiday off (paid).
  • All associates are subject to a 180-day appraisal period.
  • Following training, you will be assigned to an 8-hour shift between the hours of 7:45 AM and 9:00 PM Eastern Time, Monday through Friday. 
  • Shift Bids take place periodically and are based on performance and business needs.
  • Some weekends and overtime may also be required, especially during our peak season of October-March and as needed by the business.  We strive to provide a minimum of a week’s advance notice for weekends and overtime.
  • 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 outside of Individual or Group Medicare.

 

Required Qualifications

  • 2 years of customer service experience
  • Demonstrated experience with providing strong customer service and attention to detail while actively listening.
  • Prior experience managing multiple or competing priorities, including use of multiple computer applications / systems simultaneously.
  • Proficiency with Microsoft Office applications, particularly Outlook and Teams
  • Prior experience effectively communicating with customers verbally and actively listening to their needs.

 

Preferred Qualifications

  • Associate or Bachelor’s degree
  • Previous inbound call center or related customer service experience
  • Previous healthcare experience
  • Bilingual in Spanish and English (see Language Proficiency Testing below)

 

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.
  • Associates in this role are required to be hard-wired to their internet connection. Wireless, satellite, cellular and microwave connections are not permitted.
  • 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.

 

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. 

 

Additional Information 

 

**PLEASE ATTACH YOUR RESUME TO YOUR APPLICATION (PDF OR WORD FORMAT) **  

 

Interview Process

As part of our hiring process for this opportunity, we will be using 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 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.
  • Assessment: If you are selected to move forward, you will receive an email to complete the Virtual Job Experience (VJE). This is an online activity where you will learn more about Customer Care jobs at Humana, try out some of the most common job tasks, and tell us more about yourself. Most people complete the VJE in approximately 30 minutes. To complete it, you will need a smart phone, computer or tablet with internet access, and speakers/headphones. We do not make job offers to candidates that do not complete the VJE.
  • Video Prescreen: If you are successful with the VJE, 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.

 

 

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.


 

$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 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.

 

APPLY HERE: Medicare Inbound Contacts Representative

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Referral and Scheduling Coordinator – Remote

Job Details

The Referral and Scheduling Coordinator schedules and pre-registers patients for exams and procedures with specialists and providers outside of the primary care physician’s office.

 

 

Please note: this position is REMOTE.

 

Job Functions:

  • ​Gathers and communicates all relative information and preparation instructions to patient and referring providers.

  • Decisions are typically focus on interpretation of area/department policy and methods for completing assignments.

  • Works within defined parameters to identify work expectations and quality standards, but has some latitude over prioritization/timing, and works under minimal direction.

  • Follows standard policies/practices that allow for some opportunity for interpretation/deviation and/or independent discretion.

 

Required Qualifications

  • Medical referral experience

  • Hands-on healthcare experience in a clinical setting, preferably within the Medicare population

  • Proficient with medical terminology

  • Proficient with Microsoft Office applications including Microsoft Word, Excel and Outlook

  • Experience with Electronic Medical Records

  • Excellent professional communication abilities, at all levels within the organization and with patients, at all times

 

Preferred Qualifications

  • Knowledge of ICD 10 and CPT coding

  • Medical Assistant or Professional State Certifications related to healthcare

  • Bilingual in English and Spanish

  • Candidates residing in the EST or CST time zones

 

Additional Information

 

Work Schedule: Monday – Friday, 8am- 5pm

 


Use your skills to make an impact
 

Alert

Humana values personal identity protection. Please be aware that applicants 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.

 

Interview Format – HireVue

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.

 

Benefits

Humana offers a variety of benefits to promote the best health and well-being of our employees and their families. We design competitive and flexible packages to give our employees a sense of financial security—both today and in the future, including:

Health benefits effective day 1
Paid time off, holidays, volunteer time and jury duty pay
Recognition pay
401(k) retirement savings plan with employer match
Tuition assistance
Scholarships for eligible dependents
Parental and caregiver leave
Employee charity matching program
Network Resource Groups (NRGs)
Career development opportunities

 

#LI-JM3

 

 

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.


 

$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.

 

 

Application Deadline: 11-13-2025


About us
 

About CenterWell Senior Primary Care: CenterWell Senior Primary Care provides proactive, preventive care to seniors, including wellness visits, physical exams, chronic condition management, screenings, minor injury treatment and more. Our unique care model focuses on personalized experiences, taking time to listen, learn and address the factors that impact patient well-being. Our integrated care teams, which include physicians, nurses, behavioral health specialists and more, spend up to 50 percent more time with patients, providing compassionate, personalized care that brings better health outcomes. We go beyond physical health by also addressing other factors that can impact a patient’s well-being.

 

 

About CenterWell, a Humana company: CenterWell creates experiences that put patients at the center. As the nation’s largest provider of senior-focused primary care, one of the largest providers of home health services, and fourth largest pharmacy benefit manager, CenterWell is focused on whole-person health by addressing the physical, emotional and social wellness of our patients. As part of Humana Inc. (NYSE: HUM), CenterWell offers stability, industry-leading benefits, and opportunities to grow yourself and your career. We proudly employ more than 30,000 clinicians who are committed to putting health first – for our teammates, patients, communities and company. By providing flexible scheduling options, clinical certifications, leadership development programs and career coaching, we allow employees to invest in their personal and professional well-being, all from day one.

​
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.

 

APPLY HERE: Referral and Scheduling Coordinator – Remote

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