Network Operations Coordinator 4

Humana Inc

United States

Remote

USD 53,000 - 73,000

Full time

2 days ago
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Job summary

Humana Inc. seeks a Network Operations Coordinator 4 to manage provider data (demographics, rates, contract intent) and support provider audits, credentialing, and contract systems. Remote nationwide role with potential travel to Humana offices for training or meetings.

The position requires at least 2 years in a healthcare setting with providers or payors, data analytics experience, and proficiency in MS Office and Excel. Strong multitasking in a deadline-driven environment is essential.

Qualifications

  • Minimum 2 years of experience in a healthcare setting with providers or payors.
  • Data analytics experience; proficient in MS Office and Excel.
  • Ability to multi-task in a deadline-driven environment.

Responsibilities

  • Manage provider data including demographics, rates and contract intent.
  • Oversee provider audits, credentialing, and contract management systems.
  • Coordinate intake processes and address provider service issues.
  • Prioritize daily tasks and coordinate work with internal/external teams.
  • Occasional travel to Humana offices for training or meetings.

Skills

Data analytics
MS Office
Excel
Healthcare experience
Multi-tasking

Job description

## Network Operations Coordinator 4Apply: Remote Nationwide: Full time: Posted Today: R-430509# **Become a part of our caring community**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.# **Use your skills to make an impact****Required Qualifications*** 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 **Preferred Qualifications*** Provider credentialling experience* Previous experience in claims* Prior contract review, loading or interpretation experience Work at Home Requirements: 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 required; wireless, wired cable or DSL connection is suggested. In certain roles, the minimum recommended internet speed required by Humana may not be sufficient for business needs. Humana reserves the right to require associates to upgrade their internet service if necessary. Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.**Scheduled Weekly Hours**40**Pay 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 will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.$53,100 - $72,500 per year**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, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.Application Deadline: 10-08-2026
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