[Hiring] Network Operations Coordinator 3 @Humana

Role Description

The Network Operations Coordinator 3 maintains provider relations to support customer service activities through data integrity management and gathering of provider claims data needed for service operations. You will report to the Supervisor, Network Operations.

• Manage data for health plans including demographics, rates, and contract intent.
• Manage provider audits, provider service and relations, credentialing, and contract management systems.
• Execute processes for intake and manage provider perceived service failures.

Qualifications

• 2 or more years of experience working in a healthcare setting
• Proficient in Microsoft Excel (ie formulas, filter, sort)
• 1 or more years' experience with in person or telephonic customer service skills

Requirements

• Experience with providers, payors, healthcare facilities, etc.
• Experience in Healthcare claims
• Prior contract interpretation experience
• Provider credentialing experience
• Data analytic experience
• Intermediate experience with Excel (pivot tables, formatting, v-lookup)

Benefits

• 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
• Many other opportunities