Provider Data & Credentialing Ops Lead

Humana Inc; Nashville (TN); On-site; USD 49,400 - 66,200; Full time

Benefits offered by this job

Medical, dental and vision benefits

401(k) retirement Savings plan

Paid time off

Disability insurance

Life insurance

Job summary

Humana Inc is seeking a Network Operations Coordinator 3 to manage provider data for health plans, including demographics, rates and contract intent. The role covers audits, service and relations, credentialing, and contract systems, with responsibility for intake processes and resolving provider service issues.

Regularly priorities requests and adapts procedures under limited guidance based on experience and knowledge of administrative processes and organizational context.

Qualifications

• Minimum of 2 years of experience in a healthcare setting with providers, payors, or facilities.
• Data analytics experience required.
• Proficient in Microsoft Office and Excel.
• Ability to multi-task and work in a deadline-driven environment.

Responsibilities

• Manages provider data including demographics, rates, and contract intent.
• Oversees provider audits, service relations, credentialing, and contract management systems.
• Executes intake processes and manages provider perceived service issues.
• Prioritizes requests and adapts procedures with limited guidance.

Skills

Data analytics

Excel

Microsoft Office

multitask management

Job description

Humana Inc is seeking a Network Operations Coordinator 3 to manage provider data for health plans, including demographics, rates and contract intent. The role covers audits, service and relations, credentialing, and contract systems, with responsibility for intake processes and resolving provider service issues.

Regularly priorities requests and adapts procedures under limited guidance based on experience and knowledge of administrative processes and organizational context.