What are the responsibilities and job description for the Network Operations Coordinator 4 position 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. In this role, A Network Operations Coordinator 4 will Manage 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
Use your skills to make an impact
Required Qualifications
2 years of provider relations experience, Health Care services or related experience
- Prior professional experience in Microsoft Word, Outlook, Excel and TEAMS (intermediate skill level or higher)
- 1 years' experience managing mid to large scale projects
- Meet Work at home policy listed in additional information
- Meet schedule hours listed in additional information
Preferred Qualifications
- Bachelor's Degree
- Previous account management or project management
Additional Information
Location: U.S. (remote)
Schedule hours: 8-5p central
Work at home policy:
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
40Pay Range
The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay decisions will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.$51,800 - $71,200 per year
Description of Benefits
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.
Equal Opportunity Employer
It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or because he or she is a protected veteran. It is also the policy of Humana to take affirmative action to employ and to advance in employment, all persons regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.
Not Specified
0
Salary : $51,800 - $71,200
