About this job
Responsibilities
The Network Operations Coordinator 4 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. Decisions are regarding the daily priorities for an administrative work group and/or external vendors including coordinating work activities and monitoring progress towards schedules/goals, and often oversees work of others and/or is the primary administrative owner of a main process, program, product or technology. Works within broad guidelines with little oversight.
Required Qualifications
- 2 or more years of provider relations or provider load experience
- Working knowledge of APEX, PMDM, PAAG, CRM
- Intermediate in Microsoft Word and Excel
Preferred Qualifications
- Provider contract interpretation experience
- Previous account management or project management
- Knowledge with medical claims
Additional Information
This role is "remote/work at home" and can be based anywhere in the United States with the preferred candidate being located in the Eastern or Central Time Zone.
Work at Home Information
To ensure Home or Hybrid Home/Office employees’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria:
- At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is suggested
- Satellite, cellular and microwave connection can be used only if approved by leadership
- Employees who live and work from home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense.
- Humana will provide Home or Hybrid Home/Office employees with telephone equipment appropriate to meet the business requirements for their position/job.
- Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information
Scheduled Weekly Hours
This is an exciting company headquartered in a city with an excellent quality of life!
Senior Manager, MarketPoint Sales
![Bonnie](https://cdn-static.findly.com/wp-content/uploads/sites/1382/2020/10/1.4_testimonial_Bonnie_headshot.jpg)
What I love most about Humana is the unlimited opportunity for growth and advancement.
Manager, Quality Engineering
Working at Humana has provided me the opportunity to reach across other areas of the company, as well as provided opportunities for personal and career growth.
Provider Contracting Professional
![Virginia_headshot](https://cdn-static.findly.com/wp-content/uploads/sites/1382/2020/10/1.0_testimonial_Virginia_headshot.jpg)
When I saw how happy people were working here I wanted to be here. I knew Humana was going to be where I work 25 years and retire from.
Care Coach, Veteran
![Paul](https://cdn-static.findly.com/wp-content/uploads/sites/1382/2020/10/1.2_testimonial_Paul.jpg)
I am proud to be part of a team that supports clinical growth and innovation.
Project Manager, Care Delivery
![Brittany](https://cdn-static.findly.com/wp-content/uploads/sites/1382/2020/10/1.1_testimonial_Brittany.jpg)
Request an Accommodation
If you are an individual with a disability and require a reasonable accommodation to complete any part of the application process, or are limited in the ability or unable to access or use this online application process and need an alternative method for applying, you may contact yourcareer@humana.com for assistance.
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Apply online
To be considered for a job, you must apply online. Unfortunately, we cannot accept resumes that have been emailed to us. Once you find a job that interests you, simply select “Apply.” It typically takes 15 minutes to fill out the application form. Be sure to update your resume and upload it as you cannot edit the resume or add it after the application has been submitted. Shortly after you submit your application, you will receive a confirmation.
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Next Step
If selected to continue with the interview process, you will be contacted through text or email to complete an assessment or schedule an initial live or recorded phone or video interview.
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Offer from Humana
If you’ve successfully completed the interview process and are identified as the candidate we would like to hire, you will receive an offer from our Talent Acquisition team.
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Onboarding
If you accept the offer to join our Humana team, you will receive a welcome call or email to begin the onboarding process.
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