Network Operations Coordinator

at  Humana

BECOME A PART OF OUR CARING COMMUNITY AND HELP US PUT HEALTH FIRST

Job Description Summary
The Network Operations Coordinator 4 maintains provider data to support customer service activities through data integrity management and gathering of provider data needed for service operations. The Network Operations Coordinator 4 assumes ownership and leads advanced and highly specialized administrative/operational/customer support duties that require independent initiative and judgment.

The Network Operations Coordinator 4 manages and maintains provider contract data and demographics for assigned provider groups. Manages provider relationships through shared services that supports Provider Network Operations. This includes, but is not limited to:

• Performing roster audits
• Acting as a customer service liaison
• Resolving provider load issues
• Managing projects as assigned

Makes decisions regarding own work methods and requires minimal direction. Uses critical thinking to solve problems, works independently with strong time management and organizational skills to complete required work. Follows established guidelines and procedures. All other duties as assigned.

REQUIRED QUALIFICATIONS

• 2+ years of provider relations experience, healthcare services or related experience
• Intermediate experience in Microsoft Word, Outlook, Excel and TEAMS
• 1+ years of experience managing mid to large scale projects

PREFERRED QUALIFICATIONS

• Bachelor’s Degree
• Advanced experience with Microsoft Excel
• Provider contract interpretation experience
• Previous account management or project management
• Knowledge with medical claims
• Ability to accommodate a work schedule following Central Standard Time zone hours

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.

Please refer the Job description for details