Network Operations Coordinator 4

Humana Inc; United States Virgin Islands; Hybrid; USD 53,000 - 73,000; Full time

Benefits offered by this job

Medical benefits

Dental benefits

Vision benefits

401(k) retirement plan

Paid time off

Parental leave

Job summary

Humana Inc. is seeking a Network Operations Coordinator 4 to manage provider data for health plans, including demographics, rates, and contract intent.

The role involves overseeing provider audits, service and relations, credentialing, and contract management systems, while coordinating intake and addressing provider service issues. You will decide daily priorities for the administrative team and external vendors, coordinate work activities, monitor progress to schedules and goals, and may

Qualifications

• Minimum of 2 years of provider relations experience in healthcare services or related field.
• Minimum of 1 year of experience managing mid to large scale projects.
• Proficiency in Microsoft Word, Outlook and Excel, including VLOOKUPs and data manipulation.
• Ability to work a schedule aligned to Central Standard Time hours.

Responsibilities

• Manage provider data including demographics, rates and contract intent.
• Oversee provider audits, service and relations, credentialing, and contract management systems.
• Coordinate intake processes and address provider perceived service failures.
• Set daily priorities for the admin work group or external vendors and monitor progress toward goals.

Skills

Provider relations

Project management

Microsoft Word

Microsoft Outlook

Microsoft Excel

VLOOKUP

TEAMS

CST hours

Job description

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 provider relations experience, healthcare services or related experience
• Minimum of 1 year of experience managing mid to large scale projects
• Intermediate experience in Microsoft Word, Outlook, Excel (VLOOKUP’s, lateral lookups & ability to manipulate data) and TEAMS
• Ability to accommodate a work schedule following Central Standard Time zone hours

Preferred Qualifications

• Advanced experience with Microsoft Excel
• Provider contract interpretation experience
• Previous account management or project management
• Knowledge of medical claims

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: 09-23-2026

About us

Humana Inc. (NYSE: HUM) is a leading U.S. healthcare company. Through our Humana insurance services and our 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 and Medicaid, families, individuals, military service personnel, and communities at large. Learn more about what we offer atHumana.comand atCenterWell.com.

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 protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with 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.