High Pressure Metrics - HCC Risk Adjustment Coder Remote Humana Employee Review

3.0
Aug 18, 2024
Recommend
CEO approval
Business Outlook

Pros

They pay bonuses, 401k and have a flex schedule if you meet production and quality metrics

Cons

Metrics are alot pressure and if you don't meet, you lose flex time. There is no discernment for leadership- if you miss metrics by one point, you lose flex and there and you are well down the path to be coached. I was always a nervous wreck.

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5.0
May 7, 2026
Recommend
CEO approval
Business Outlook

Pros

Awesome company with best industry standards

Cons

Nothing I could notice , very good company

3.0
Jul 8, 2026
Recommend
CEO approval
Business Outlook

Pros

Flexible shift schedule if you can maintain changing standards that have to be met to qualify; work at home remote and no phone calls for the screening RPhs

Cons

This applies to all 4 pharmacy sites in Arizona, Texas, Ohio, and Florida: standards change constantly for what is accepted rate for production and missing errors (from MD office, tech entry, etc). Everything is about rate, rate, rate, yet you get majorly dinged for quality. Which of course we all want 100% perfect Rxs and no errors, but the rate continues to climb as RPhs practically just click the mouse to move an rx, taking safety shortcuts which are risky, and playing fast and loose with professional judgment allowances. These were not as allowed prior to Amazon, but once you have a company like that competing with you, patients expect everything in 24 hours and we're left to hang if we don't go faster and faster and stop worrying about what the MD actually wanted for example. You are penalized for questioning anything you think is wrong. Certain RPhs get picked to judge if your reasoning for clarifying is sound or not. Doctor leaves out directions frequency, just make it up, that's fine. No, that's prescribing and that's illegal. The Boards of Pharmacy and Medicine might want to look into this. I know one state did about 5 years ago due to an anonymous tip from a colleague.

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