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Provider Data Management & Contract Load Professional 1

Humana

Juneau (AK)

Remote

USD 48,000 - 67,000

Full time

2 days ago
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Job summary

Join a forward-thinking company where you can make a real impact on healthcare. As a Provider Data Management & Contract Load Professional, you will play a crucial role in administering provider accounts and ensuring smooth operations. This position offers a remote work opportunity, allowing you to balance your professional and personal life while contributing to meaningful projects. With a focus on professional development and well-being, you'll be part of a team that values your growth and engagement. If you're ready to take your career to the next level in a supportive environment, this is the perfect opportunity for you.

Benefits

401k match
Paid Time Off
Tuition Reimbursement
Parent Leave
Health benefits from day 1

Qualifications

  • Experience in provider contract administration related to directories.
  • Strong communication skills for presenting material to leadership.

Responsibilities

  • Administer installation of assigned provider accounts.
  • Respond to inquiries and resolve issues for provider accounts.

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

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

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, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.

Application Deadline: 05-09-2025

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.

Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our https://www.humana.com/legal/accessibility-resources?source=Humana_Website.

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