Provider Data Management & Contract Load Professional 1

Humana Inc; Indiana (PA); Remote; USD 48,000 - 67,000; Full time

Job summary

Join a forward-thinking company that prioritizes health and well-being. As a Provider Data Management & Contract Load Professional, you'll play a crucial role in managing provider accounts and ensuring smooth operations. This remote position offers a supportive environment with opportunities for professional development. Contribute to a mission-driven organization that values its associates and strives to make a positive impact on the health of communities. If you're ready to make a difference and grow your career, this is the perfect opportunity for you.

Benefits

401k match

Paid Time Off

Tuition Reimbursement

Parent Leave

Benefits starting day 1

Qualifications

• Experience with provider contracts and claims payment.
• Strong communication skills for internal presentations.

Responsibilities

• Administer installation of provider accounts and support inquiries.
• Prepare administrative documents and resolve issues.

Skills

Provider contract administration

Presentation skills

Microsoft Word

Microsoft Excel

Microsoft Access

Verbal communication

Written communication

Tools

APEX

Claims processing

CAS

MTV

PIMS

Job description

Job Profile

Provider Data Management & Contract Load Professional 1

Job Level

Professional 1

Become a part of our caring community and help us put health first

The Provider Data Management & Contract Load Professional 1 is responsible for administering the installation of assigned provider accounts. The Provider Data Management & Contract Load Professional 1 work assignments are often straightforward and of moderate complexity.

Where you come in

The Provider Data Management & Contract Load Professional 1 performs set-up, database loading, and preparation of administrative documents and materials. Provides support to provider accounts by responding to inquiries, and resolving issues of concern. Understands own work area professional concepts/standards, regulations, strategies and operating standards. Makes decisions regarding own work approach/priorities, and follows direction. Work is managed and often guided by precedent and/or documented procedures/regulations/professional standards with some interpretation.

What Humana Offers
We are fortunate to offer a remote opportunity for this job. Our Fortune 100 Company values associate engagement & your well-being. We also provide excellent professional development & continued education.

Use your skills to make an impact

Required Qualifications – What it takes to Succeed

• Provider contract administration experience related to directories and claims payment

• Able to present material to internal leadership teams

• Intermediate experience using Microsoft Word, Excel, and Access

• Strong verbal and written communication skills

Preferred Qualifications

• Experience working with provider contracts

• Expertise in APEX, Claims processing, CAS, MTV and PIMS

Additional Information - How we Value You
• Benefits starting day 1 of employment
• Competitive 401k match
• Generous Paid Time Off accrual
• Tuition Reimbursement
• Parent Leave

Work at Home Requirements

• To ensure Home or Hybrid Home/Office associates’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office associates 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

· Associates 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 associates 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

Interview Format

As part of our hiring process for this opportunity, we will be using an exciting interviewing technology called HireVue to enhance our hiring and decision-making ability. HireVue allows us to quickly connect and gain valuable information from you pertaining to your relevant skills and experience at a time that is best for your schedule.

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.$48,900 - $66,200 per year

Referral Bonus Information

This requisition is not eligible for a referral bonus.Application Deadline: 04-30-2025

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 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.