Humana

Member Services Advisor

Humana
Posted 10/20/2026full-timeRemote • South Carolina • United StatesSeniorLead💰 $104,000 - $143,000 per yearWebsite
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Core Competencies

Role fit
Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in member experience enhancement, focusing on membership growth, retention, and satisfaction through strategic planning and cross-functional leadership. Proven ability to leverage analytics and optimize processes to drive measurable improvements in consumer experience outcomes.

Highest-signal resume keywords
Consumer Operations ExperiencePeople Leadership ExperienceStrategic ThinkingAnalytics and Program EvaluationMember Experience Design

About the role

Key responsibilities & impact
  • Focus on membership growth, member retention, and enhancing the overall member experience
  • Leverage NPS insights, root cause analysis, storytelling, call listening, and member experience design
  • Identify and eliminate friction points
  • Uncover automation and optimization opportunities
  • Empower others across the organization to raise concerns and advocate for member experience improvements
  • Develop and execute strategies to improve member engagement, retention, satisfaction, and overall experience
  • Maintain direct ownership of key market KPIs and performance metrics
  • Lead the Member Experience Workgroup
  • Drive Go365 engagement and utilization
  • Oversee member benefits, services, and incentives
  • Serve as the market point of contact for Member/Provider Services, Transformation, Enrollment, and G&A/Critical Inquiry teams
  • Develop strategies to improve CAHPS survey performance
  • Provide cross-functional leadership and drive measurable improvements in consumer experience outcomes and contractual performance
  • Serve as a member advocate and coordinate communications with members
  • Coordinate issues with appropriate areas within the organization
  • Resolve member inquiries and problems
  • Meet standards for resolution, telephone abandonment rates, and telephone hold times
  • Assist members in accessing culturally competent, high-quality integrated medical and Behavioral Health care
  • Advise executives on functional strategies concerning significant matters
  • Report to the Regional VP of Operations

Requirements

What you’ll need
  • Must reside in the state of South Carolina
  • Ability to travel up to 10% to Columbia, South Carolina for business
  • 8 or more years of consumer operations experience
  • 2 or more years of people or project leadership experience
  • Ability to develop functional strategies to improve performance and consumer experience
  • Experience identifying optimization and automation solutions to develop and launch company initiatives
  • Experience with analytics, including program evaluation and optimization
  • Strategic thinking and planning capabilities
  • Organized and detail-oriented
  • Bachelor's degree preferred
  • History of Clinical Program Valuation preferred
  • Knowledge of Humana's internal policies, procedures and systems

Benefits

Comp & perks
  • Bonus incentive plan based on company and/or individual performance
  • Medical benefits
  • Dental benefits
  • Vision benefits
  • 401(k) retirement savings plan
  • Paid time off
  • Company holidays
  • Personal holidays
  • Paid parental leave
  • Paid caregiver leave
  • Short-term disability
  • Long-term disability
  • Life insurance
  • Personal wellness support
  • Healthcare decision support

ATS Keywords

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Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills
Performance Metrics ManagementRoot Cause AnalysisOptimization Solutions DevelopmentAutomation Solutions IdentificationCAHPS Survey Improvement
Soft Skills
OrganizedDetail-OrientedStorytellingAdvocacy
Tools & Technologies
NPS InsightsMember Experience Design Tools
Industry Keywords
Member EngagementConsumer ExperienceClinical Program ValuationHumana Policies and Procedures