Provider Data Management & Contract Load Professional 1

Humana; United States; Remote; USD 48,000 - 67,000; Full time

Job summary

Join a forward-thinking company dedicated to health and well-being as a Provider Data Management & Contract Load Professional. This role offers a chance to make a significant impact by managing provider accounts and ensuring smooth operations. With a focus on professional development and a supportive work environment, you'll thrive while contributing to the health of diverse populations. Enjoy the flexibility of a remote position, comprehensive benefits starting on day one, and a competitive salary range. If you're passionate about making a difference in healthcare, this opportunity is perfect for you.

Benefits

401(k) match

Paid time off

Tuition reimbursement

Parental leave

Medical insurance

Dental insurance

Vision insurance

Disability insurance

Life insurance

Qualifications

• Experience in provider contract administration related to directories and claims payment.
• Strong verbal and written communication skills.

Responsibilities

• Administers installation of assigned provider accounts.
• Responds to inquiries and resolves 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

Provider Data Management & Contract Load 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 work assignments are often straightforward and of moderate complexity.

Where you come in

The Provider Data Management & Contract Load Professional 1 performs setup, database loading, and preparation of administrative documents and materials. Provides support to provider accounts by responding to inquiries and resolving issues. Understands professional concepts, standards, regulations, and operating procedures. Makes decisions regarding work approach and priorities, following documented procedures and standards with some interpretation.

What Humana Offers

We offer a remote opportunity for this role. Our Fortune 100 Company values engagement and well-being, along with professional development and continued education.

Use your skills to make an impact

Required Qualifications

• Experience in provider contract administration related to directories and claims payment
• Ability to present material to internal leadership teams
• Intermediate experience with 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

Benefits start on day one, including a competitive 401(k) match, generous paid time off, tuition reimbursement, and parental leave.

Work from Home Requirements

• Internet speed of at least 25 Mbps download and 10 Mbps upload, wired connection preferred
• Satellite, cellular, or microwave connections require approval
• Employees in certain states receive internet expense reimbursement
• Humana provides necessary telephone equipment
• Dedicated workspace to protect member information

Interview Process

We use HireVue technology for interviews, allowing flexible scheduling.

Scheduled Weekly Hours

40 hours

Pay Range

$48,900 - $66,200 annually, based on location and experience.

Description of Benefits

Humana offers comprehensive benefits supporting overall well-being, including medical, dental, vision, 401(k), paid time off, disability, and life insurance.

Application deadline: 05-09-2025

About us

Humana Inc. is committed to health and well-being through insurance and healthcare services, improving quality of life for diverse populations.

Equal Opportunity Employer

Humana does not discriminate and actively promotes affirmative action in employment.

About the company

Humana works with individuals to create personalized health paths.