Become a part of our caring community and help us put health first
Humana continuously strives to put the well‑being of our members and associates first. In order to be a top choice in healthcare, we must utilize resources to ensure that our provider directory is accurate. Come be a part of our Directory Data Governance (DDG) Team within Provider Process and Network Operations Organization and make an impact on the future of healthcare.
Where You Come In
As part of the DDG team you will work to keep the provider directory accurate. Your daily work will involve outbound calls to contracted Medicare providers, gathering demographic and address information, and updating the Provider Data Exchange (PDX).
Key Responsibilities
- Make 20–30 outbound calls to provider offices daily
- Obtain demographic and address information to ensure the provider directory is accurate
- Enter 15–20 provider data updates daily in Provider Data Exchange (PDX) that will update Humana’s directory systems
- Determine whether the information obtained can be updated by DDG or needs to be sent to the Market for updates
What Humana Offers
We are fortunate to offer a remote opportunity for this job. As a Fortune 100 company, we value associate engagement and your well‑being. We also provide excellent professional development and continued education.
Use Your Skills to Make an Impact
Contribute to the accuracy of our physician finder system and help members find the right care.
Required Qualifications – What it takes to succeed
- Minimum of 1 year professional experience in a metric‑driven setting
- Minimum of 1 year of administrative support and data entry or phone environment experience
- Minimum of 1 year of healthcare‑related background
- Understanding of Medicare or Medicaid
- Experience in provider data management systems
- Understanding of healthcare provider types, specialties, or network structures
- Experience interpreting reports and data extracts to identify trends or discrepancies
- Experience using multiple computer applications simultaneously
- Self‑starter with excellent time‑management skills
- Work well independently and as a team
- Comfortable with constant process changes / adapting to new processes
- Prior experience using Microsoft Office Programs, including Word, Excel, OneNote, PowerPoint
- This role will need to work EST/CST hours
Preferred Qualifications
- Experience with APEX, PIMS, PAAG, PMDM
- Previous inbound/outbound call center or related customer service experience
- Provider installation experience
Additional Information – How We Value You
- Benefits starting day 1 of employment
- Competitive 401(k) match
- Generous Paid Time Off accrual
- Tuition Reimbursement
- Parent Leave
Hours
Dependent on candidate location. Monday – Friday, first 90 days 7:00 am – 3:30 pm. Flex time is available after probation. Department operating hours 6 am – 6 pm but must log in by 9:00 am. 40‑hour work week.
Training
Remote with camera, 3 weeks classroom‑style instruction with a trainer working tasks.
Work at Home Requirements
- Self‑provided internet service must meet a minimum download speed of 25 Mbps and an upload speed of 10 Mbps; wireless, wired cable or DSL connection is recommended.
- Satellite, cellular and microwave connection can be used only if approved by leadership.
- Associates in California, Illinois, Montana or South Dakota will receive a bi‑weekly payment for their internet expense.
- Humana will provide telephone equipment appropriate to meet business requirements.
- Work from a dedicated space lacking ongoing interruptions to protect member PHI/HIPAA information.
Interview Format
We use HireVue to conduct our interviews, enabling us to connect quickly with candidates at a time that suits their schedule.
Travel
Occasional travel to Humana offices for training or meetings may be required.
Scheduled Weekly Hours
40
Pay Range
$43,000 – $56,200 per year
Description of Benefits
Humana offers competitive medical, dental, and vision benefits, a 401(k) retirement plan, paid time off (including holidays, volunteer, and parental leave), disability, life insurance, and many other opportunities.
Application Deadline
11‑12‑2025
About Us
Humana Inc. (NYSE : HUM) is committed to putting health first for our teammates, customers, and company. Through our insurance and CenterWell services, we help millions achieve their best health.
Equal Opportunity Employer
Humana does not 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. We take affirmative action to hire and advance individuals with disability or veteran status, and base all employment decisions only on valid job requirements. This policy applies to all employment actions, including recruitment, hiring, promotion, transfer, layoff, recall, termination, pay, or other compensation and training selection at all levels.
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 accessibility resources.