Note: The job is a remote job and is open to candidates in USA. Humana Inc. is a leading U.S. healthcare company focused on improving health outcomes for millions of people. The Network Operations Coordinator manages provider data, audits, service relations, and contract management systems, ensuring effective administrative processes and service delivery.
Responsibilities
- Manages provider data for health plans including but not limited to demographics, rates, and contract intent
- Manages provider audits, provider service and relations, credentialing, and contract management systems
- Executes processes for intake and manage provider perceived service failures
- Regularly exercises discretion and judgment in prioritizing requests and interpreting and adapting procedures, processes and techniques, and works under limited guidance due to previous experience/breadth and depth of knowledge of administrative processes and organizational knowledge
Skills
- Minimum of 2 years of experience working in a healthcare setting with providers, payors, healthcare facilities, etc
- Data analytic experience
- Intermediate skills with Microsoft Office, and proficient in Excel
- Ability to multi-task and work in a deadline driven environment
- Provider credentialling experience
- Previous experience in claims
- Prior contract review, loading or interpretation experience
Benefits
- Medical, dental and vision benefits
- 401(k) retirement savings plan
- Time off (including paid time off, company and personal holidays, paid parental and caregiver leave)
- Short-term and long-term disability
- Life insurance
Company Overview
Company H1B Sponsorship